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  • 1151.
    Berg, Sofia
    et al.
    University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre. IFM Theory and Modelling, Div. of Theoretical Biology, Linköping Univ., Linköping, Sweden.
    Christianou, Maria
    IFM Theory and Modelling, Div. of Theoretical Biology, Linköping Univ., Linköping, Sweden.
    Jonsson, Tomas
    University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre.
    Ebenman, Bo
    IFM Theory and Modelling, Div. of Theoretical Biology, Linköping Univ., Linköping, Sweden.
    Using sensitivity analysis to identify keystone species and keystone links in size-based food webs2011In: Oikos, ISSN 0030-1299, E-ISSN 1600-0706, Vol. 120, no 4, p. 510-519Article in journal (Refereed)
    Abstract [en]

    Human-induced alterations in the birth and mortality rates of species and in the strength of interactions within and between species can lead to changes in the structure and resilience of ecological communities. Recent research points to the importance of considering the distribution of body sizes of species when exploring the response of communities to such perturbations. Here, we present a new size-based approach for assessing the sensitivity and elasticity of community structure (species equilibrium abundances) and resilience (rate of return to equilibrium) to changes in the intrinsic growth rate of species and in the strengths of species interactions. We apply this approach on two natural systems, the pelagic communities of the Baltic Sea and Lake Vättern, to illustrate how it can be used to identify potential keystone species and keystone links. We find that the keystone status of a species is closely linked to its body size. The analysis also suggests that communities are structurally and dynamically more sensitive to changes in the effects of prey on their consumers than in the effects of consumers on their prey. Moreover, we discuss how community sensitivity analysis can be used to study and compare the fragility of communities with different body size distributions by measuring the mean sensitivity or elasticity over all species or all interaction links in a community. We believe that the community sensitivity analysis developed here holds some promise for identifying species and links that are critical for the structural and dynamic robustness of ecological communities.

  • 1152.
    Berg, Sofia
    et al.
    University of Skövde, School of Technology and Society.
    Granath, Frida
    University of Skövde, School of Technology and Society.
    Härnqvist, Christine
    University of Skövde, School of Technology and Society.
    Att vara ung och utan arbete: Arbetslösa unga vuxnas subjektiva upplevelser2009Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva och ge djupare förståelse för hur unga vuxna arbetslösa i Västra Götalands län upplever sitt identitetsskapande och sin levnadssituation. I denna studie utfördes tio kvalitativa semistrukturerade intervjuer med respondenter i åldrarna 18-29 år. Då vi anser att identiteten är social valde vi i vår studie att utgå från Symbolisk interaktionism, med underliggande teorier som definitionen av situationen (Charon, 2004; Svensson, 1992), den generaliserade andre (Mead, 1976), spegeljaget (Mortensen, 2003) och stämplingsteorin (Goffman, 1972; Becker, 1963). Att vara arbetslös påverkar många olika delar av livet och är av allra högsta grad avgörande för hur individen upplever sin levnadssituation och sitt identitetsskapande. Det som framkommit pekar främst på vikten av de sociala interaktionerna gällande arbetslöshet samt dess betydelse för individen. Slutsatsen är att vi inte kan förstå en individs upplevelser av sin levnadssituation och identitetsskapande utan att se till helheten. Vi har funnit att upplevelsen av sig själv och identitetsskapandet har förändrats i en situation av arbetslöshet.

  • 1153.
    Berg, Sofia
    et al.
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Dept of Physics, Chemistry and Biology, Div. of Theoretical Biology, Linköping Univ., Linköping, Sweden.
    Pimenov, Aexander
    Weierstrass Inst., Berlin, Germany / Environmental Research Inst., Univ. College Cork, Cork, Ireland.
    Palmer, Catherine
    Weierstrass Inst., Berlin, Germany.
    Emmerson, Mark
    School of Biological Sciences, Queen's Univ. Belfast, Belfast, United Kingdom.
    Jonsson, Tomas
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Dept of Ecology, Swedish Univ. of Agricultural Sciences, Uppsala, Sweden.
    Ecological communities are vulnerable to realistic extinction sequences2015In: Oikos, ISSN 0030-1299, E-ISSN 1600-0706, Vol. 124, no 4, p. 486-496Article in journal (Refereed)
  • 1154.
    Bergdahl, Jenny
    University of Skövde, School of Informatics.
    Användarens önskade upplevelse vid behandling av social fobi med virtual reality2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Social fobi är en ångeststörning som i stor utsträckning påverkar livet hos den som är diagnostiserad. Kärnan i social fobi ligger i rädslan att bli granskad och riskera att göra bort sig eller bli förlöjligad. Den behandlingsmetod som visats vara mest effektiv i behandling mot social fobi är kognitiv beteendeterapi (KBT). Det är en tidsbegränsad och nutidsorienterad psykoterapi där patienten lär sig både kognitiva och beteenderelaterade färdigheter som behövs för att denne adaptivt ska kunna fungera i både inter- och intrapersonella världar. I takt med att teknologin utvecklas blir det möjligt att flytta terapin till en virtuell miljö, där patienten kan exponeras för de stimuli som de anser vara ångestframkallande. Denna behandingsform kallas för Virtual Reality Exposure Therapy (VRET) och tar terorier inom KBT och förflyttar dem till en miljö i virtual reality. User experience-mål beskriver den önskade upplevelsen hos användaren när denne interagerar med interaktiva system. UX-mål delas upp i pragmatiska och hedoniska aspekter. Resultatet av studien blev två pragmatiska och två hedoniska UX-mål som beskriver den önskade upplevelsen hos användaren när denne behandlas med VRET mot social fobi. De framtagna målen visar att känslor av kontroll, realism, belöningar och utmaningar är det som användarna anser vara de viktigaste aspekterna när en mjukvara för behandling av social fobi ska designas.

  • 1155.
    Bergdahl, Philip
    et al.
    University of Skövde, School of Business.
    Bodell, William
    University of Skövde, School of Business.
    Behålla personal genom utveckling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundIn the last couple of years there has been an ongoing change in the Swedish labor marketwhere the view and the occurrence of long term employment is not as common as it oncewas. The most common way of career development is through change of employer. The costof employee turnover can be avoided or reduced by keeping current employees and anindividually shaped development for the employee may result in the employee staying loyalto the company.

    PurposeThe purpose of this study is to investigate how attractive employers, based on Randstad andUniversum, within a knowledge based environment in the area of Gothenburg providescompetence development, professional development and career opportunities in order toretain their employees.

    Method The study applies a qualitative research approach since the purpose of the study is to gain understanding in how companies provide development and not to compare different companies’ results to one another. The study is based on six semi-structured interviews held at each of the six companies. The selection of companies is based on the lists “Randstad Award 2016” and “Sveriges bästa arbetsgivare 2016” by Universum which are summaries of Sweden’s most attractive employers of the year 2016.

    Conclusion The study shows that all of the companies have an individually shaped development plan for the employee. This is managed through adjustment of duties, competence development through courses, seminars and workshops which are based on internal knowledge within the company. Last but not least development is supplied through the use of mentoring and networking, both internal and external.

  • 1156.
    Bergelind, Sandra
    et al.
    University of Skövde, School of Life Sciences.
    Mohamad, Rondik
    University of Skövde, School of Life Sciences.
    Patienters upplevelser av sjuksköterskors bemötande: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Being a nurse requires medical knowledge as well as knowledge about nursing science. Nursing is among other things about how to respond to patients in a proper manner to avoid unnecessary suffering in the care. For nurses to be able to respond to patients in a way that the patients experience as good the nurses have to know how the patients experience the approach.

    AIM: To illustrate how the patients who are receiving hospital treatment experience the care of nurses.

    METHOD: Literature overview as described by Friberg (2006), where 14 articles were analyzed.

    RESULT: The result is divided into five themes: The importance of the encounter for patients, The significance of humor, Patients´ need for communication and information, The need for acknowledgement/confirmation, and Factors that affect patients trust in nurses.

    CONCLUSION: The result shows how patients experience the nursing situation and what their notion of a good approach is. The result can be used as evidence of the importance of the quality of the nursing and is urgent knowledge to nurses who daily meet patients at work. The knowledge that the study has contributed with can be used to improve the care relationship between patients and nurses in practice.

  • 1157.
    Bergendahl, Jessica
    et al.
    University of Skövde, School of Health and Education.
    Östman, Evelina
    University of Skövde, School of Health and Education.
    Ortorexia nervosa: Hälsa som blir ohälsa2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Title: Orthorexia Nervosa- Healthy turning unhealthy

    Department: School of Life Sciences, University of Skövde

    Course: University Diploma Project in Public Health Science,15 ECTS

    Author: Bergendahl, Jessica; Östman, Evelina

    Supervisor: Ekberg, Joakim

    Pages: 23

    Month and year: 06/2014

    Keywords: Orthorexia Nervosa, Health, Mental illness, Media influences

    Background: A healthier way of life often starts out with good intentions, but sometimes people take their healthy lifestyle too far. Orthorexia nervosa was meant to be a description for a group of people with similar problems, until it was clear that there might be more behind it. A person with orthorexia is obsessed with healthy dieting and takes it to the extreme.

    Aim: To investigate what orthorexia is and if there are clear guidelines about treatment.

    Method: We have studied literature, scientific articles, and completed interviews with people qualified in the fields of orthorexia. A qualitative study based on a content analysis was performed.

    Results: Orthorexia nervosa has no status of diagnosis. It is difficult to determine exactly what triggers orthorexia, however, it is likely that it is a need of control. Using an extremely healthy diet creates the feeling of being in control. Media seems to influence this.

    Conclusion: The conclusion was that more research is needed in order to decide what orthorexia nervosa actually stands for. Orthorexia nervosa is considered when a person tries to live as healthy as possible but by strictly controlling their diet illness occurs.

  • 1158.
    Bergendahl, Karl
    University of Skövde, School of Humanities and Informatics.
    NOISE OCH MINNE2013Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Detta arbete handlar om noise och hur det påverkar människans arbetsminne. Den litterära bakgrunden presenterar vad noise är, hur noise fungerar som musik samt en generell överblick över minne och arbetsminnet. Problemet som undersöktes var om noise kunde påverka förmågan att tillgodogöra sig visuell information mer än vad vitt brus gjorde. För att få ett svar på frågan skapades två versioner av ett enkelt spelmoment där testpersonerna, indelade i två grupper, fick se en siffersekvens som sedan skulle skrivas ner. Samtidigt spelades i spelmomentet antingen noise eller vitt brus upp. Resultatet av undersökningen visar att noise gör det något svårare att ta till sig visuell information än vad vitt brus gör. Detta sätts bland annat i relation till forskningsetiska aspekter. Framtida arbeten som bygger på detta föreslås framförallt inkludera fler testpersoner men även att på lång sikt ta resultatet och applicera det på ljuddesign i spel.

  • 1159.
    Bergenholtz, Sanna
    et al.
    University of Skövde, School of Humanities and Informatics.
    Wall, Fanny
    University of Skövde, School of Humanities and Informatics.
    Utomhuspedagogikens påverkan på barn med koncentrationssvårigheter: En intervjustudie ur förskollärarperspektiv2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children with concentration difficulties are to a great extent a problem in schools and therefore it becomes interesting to see how possibilities around these children can appear in pre-school. From a pre-school teacher’s perspective, the study aims to provide a deeper understanding of how outdoor education can influence children with concentration difficulties. The method of the study is a qualitative research run-up with interviews that intends to describe pre-school teachers’ views. What we applied for requires experience-based answers, and therefore, pre-school teachers with at least a couple of years experience of daily pre-school activity were selected. The result shows, among other things, how outdoor education is an important part of daily activities. Specific for children with concentration difficulties, outdoor education gives increased  possibilities for movement, fresh air and recovery. The concept of concentration difficulties is not used in pre-school in order to describe these children. In connection with outdoor education there should be rich variations of outdoor environment. In conclusion reflected outdoor environment that provides both free play and planned activities gives children with concentration difficulties possibilities to increase their power of concentration.

  • 1160.
    Bergenius, Mikaela
    et al.
    Swedish University of Agricultural Sciences, Department of Aquatic Resources, Institute of Marine Research, Lysekil, Sweden.
    Boje, Jesper
    The National Institute of Aquatic Resources Section for Fisheries Advice, Charlottenlund, Denmark.
    Casini, Michele
    Swedish University of Agricultural Sciences, Department of Aquatic Resources, Institute of Marine Research, Lysekil, Sweden.
    Degel, Henrik
    The National Institute of Aquatic Resources Section for Fisheries Advice, Charlottenlund, Denmark.
    Eero, Margit
    The National Institute of Aquatic Resources Section for Management Systems, Charlottenlund, Denmark.
    Florin, Ann-Britt
    Swedish University of Agricultural Sciences, Department of Aquatic Resources, Institute of Coastal Research, Öregrund, Sweden.
    Gasyukov, Pavel
    AtlantNIRO, Kaliningrad, Russian Federation.
    Grygiel, Wlodzimierz
    Sea Fisheries Institute, Gdynia, Poland.
    Gröhsler, Tomas
    Thünen Institute of Baltic Sea Fisheries (TI-OF), Rostock, Germany.
    Hjelm, Joakim
    Swedish University of Agricultural Sciences, Institute of Marine Research, Sweden.
    Horbowy, Jan
    Sea Fisheries Institute, Gdynia, Poland.
    Holmgren, Noél
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre.
    Norrström, Niclas
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre.
    Kaljuste, Olavi
    Swedish University of Agricultural Sciences, Department of Aquatic Resources, Institute of Coastal Research, Öregrund, Sweden.
    Karpushevskiy, Igor
    AtlantNIRO, Kaliningrad, Russian Federation.
    Karpushevskaia, Anastasiia
    AtlantNIRO, Kaliningrad, Russian Federation.
    Kornilovs, Georgs
    Latvian Fish Resources Agency, Riga, Latvia.
    Krumme, Uwe
    Thünen Institute of Baltic Sea Fisheries (TI-OF), Rostock, Germany.
    Luzenczyk, Anna
    National Marine Fisheries Research Institute, Gdynia, Poland.
    Lövgren, Johan
    Swedish University of Agricultural Sciences, Department of Aquatic Resources, Institute of Marine Research, Lysekil, Sweden.
    Pönni, Jukka
    Finnish Game and Fisheries Research, Institute Kotka Unit, Kotka, Finland.
    Oeberst, Rainer
    Thünen Institute of Baltic Sea Fisheries (TI-OF), Rostock, Germany.
    Raid, Tiit
    Estonian Marine Institute, University of Tartu, Tallinn, Estonia.
    Raitaniemi, Jari
    Finnish Game and Fisheries Research Institute Turku Game and Fisheries Research, Turku, Finland.
    Statkus, Romas
    Division of fishery research and science, Fishery service under Ministry of Agriculture, Klaipeda, Lithuania.
    Stoetera, Sven
    Thünen Institute of Baltic Sea Fisheries (TI-OF), Rostock, Germany.
    Storr-Paulsen, Marie
    DTU Aqua - National Institute of Aquatic Resources Section for Fisheries Advice, Charlottenlund, Denmark.
    Ustups, Didzis
    Institute of Food Safety, Animal Health and Environment (BIOR), Fish Resources Research Department, Riga, Latvia.
    Walther, Yvonne
    Swedish University of Agricultural Sciences, Institute of Marine Research, Karlskrona, Sweden.
    Report of the Baltic Fisheries Assessment Working Group (WGBFAS): 14-21 April 2015, ICES HQ, Copenhagen, Denmark2015Report (Refereed)
    Abstract [en]

    The ICES Baltic Fisheries Assessment Working Group (WGBFAS) met 14-21 April 2015 (Chair: Mare Storr-Paulsen, Denmark), with 28 participants and 9 countries represented. The objective of WGBFAS was to assess the status of the following stocks:

    1 ) Sole in Division IIIa, SDs 20-22

    2 ) Cod in Kattegat, Cod in SD 22-24, Cod in SD 25-32

    3 ) Herring in SD 25-27, 28.2, 29 and 32, Herring in SD 28.1 (Gulf of Riga), Herring in SD 30, Herring SD 31.

    4 ) Sprat in SD 22-32

    5 ) Plaice 21-23, Plaice 2425

    6 ) Flounder 22-23; 24-25; 26+28 and 27+29-32, Brill 2232, Dab 2232, and Turbot 2232 (survey trends)

    WGBFAS also identified the data needed, for next year’s data call with some suggestions for improvements in the data call as well as in InterCatch. The report contains an introduction with the summary of other WGs relevant for the WGBFAS, country specific fishery description, the methods used, and ecosystem considerations. The results of the analytical stock assessment or survey trends for the species listed above are then presented with all the stocks with the same species in the same sections. The report ends with references, list of Working Documents, recommendations and Stock Annexes. In first quarter 2015 the Baltic cod stocks and the plaice stocks were benchmarked. As a result the Baltic cod stocks now have to apply a splitting key in SD 24 were both stocks are present. This has changed the assessment from being an area based assessment to now being a stock based assessments and has implications for the advice. The principle analytical models used for the stock assessments were XSA and SAM. For most flatfishes, CPUE trends from bottom trawl surveys were presented (except plaice 2425 and her31 using relative SSB from SAM and XSA, respectively). Ecosystem changes have been analytically considered in the following stock assessments: Herring in SD 25-27, 28.2, 29 and 32, and Sprat in SD 22-32, in form of cod predation mortality. Last year a very large retrospective pattern in the Eastern Baltic cod stock caused that the WG rejected the analytic assessment. Several uncertainties in the data lead to this conclusion i.a age reading problems with large inconsistency between and within nations as well as a change in growth and natural mortality. However, even though a data compilation workshop and a benchmark have been conducted in the intermediate time it was not possible to solve the main issue on growth. The lack of knowledge on growth caused to that even the length based data required in the data call was very uncertain for the models and in the end the WG was not able to produce a better model than was presented last year which is based on survey trends. The Her-30 (Herring in the Botnian Sea) was by the working group down scaled from a category 1 stock to a category 3 stock due to the commercial tuning fleet used in the assessment having very uncertain estimates in the last couples of years. However, during the Baltic ADG an alternative assessment was suggested were the stock is still considered a category 1 stock but the last 8 years of the commercial tuning fleet was terminated. This assessment was conducted after the working group but has been included in the report.

  • 1161.
    Bergenius, Mikaela
    et al.
    Swedish University of Agricultural Sciences.
    Cadigan, Noel
    Memorial University of Newfoundland, Canada.
    Gröhsler, Tomas
    Johann-Heinrich von Thünen-Institute, Germany .
    Holmgren, Noél
    University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre.
    Morgado, Cristina
    International Council for the Exploration of the Sea, Denmark.
    Pönni, Jukka
    Finnish Game and Fisheries Research Institute, Finland.
    Raitaniemi, Jari
    Finnish Game and Fisheries Research Institute, Finland.
    Storr-Paulsen, Marie
    DTU Aqua - National Institute of Aquatic Resources, Denmark.
    Trenkel, Verena
    Ifremer Nantes Centre, France.
    Report of the Inter-Benchmark Protocol for Herring in Subdivision 30 (IBP Her30): 11–15 March 2013, By correspondence2013Report (Refereed)
    Abstract [en]

    The Inter-Benchmark Protocol for Herring in Subdivision 30 (IBP-Her30) worked by correspondence  between  February  28  and  March  28  2013. Verena Trenkel  (France) served as Chair with invited expert Noel Cadigan (Canada). There were six participants. The objectives of the groups were to review the work carried out in response to the benchmark working group WKPELA in 2012.

  • 1162.
    Bergenius, Mikaela
    et al.
    Swedish University of Agricultural Sciences, Institute of Coastal Research, Öregrund.
    Holmgren, Noél
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Comparison of methods and results for the estimation of a sustainable harvest rate for the Bothnian Sea herring2012In: Report of the Benchmark Workshop on Pelagic Stocks (WKPELA 2012): 13–17 February 2012, Copenhagen, Denmark, International Council for the Exploration of the Sea (ICES) , 2012Chapter in book (Refereed)
  • 1163.
    Berger, Jesper B.
    et al.
    University of Siegen, Siegen, Germany.
    Rose, Jeremy
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre. Aalborg University, Aalborg, Denmark / Judge Business School, University of Cambridge, Cambridge, UK.
    Nine Challenges for e-Government Action Researchers2015In: International Journal of Electronic Government Research, ISSN 1548-3886, E-ISSN 1548-3894, Vol. 11, no 3, p. 57-75Article in journal (Refereed)
    Abstract [en]

    Action research is widespread in many of the background disciplines that underpin the e-Government field andis beginning to take root as a legitimate e-Government research method. Canonical Action Research (CAR)is the most widely used form of action research; however it relies on premises that can be problematic in thee-Government context. This article details some of those underlying assumptions, and shows the difficulties that result when applied to a relatively typical e-Government case study: the implementation of an advanced email system in Danish public administration. The empirical experience calls many of the standard premises into question, and these are categorised. The authors summarize the resulting experience as nine challenges for action researchers working in the e-Government field, and investigate some possible responses.

  • 1164.
    Bergfeldt André, Frans
    University of Skövde, School of Humanities and Informatics.
    Från abstraktion till hyperrealism: En historisk exposé av stridsvagnsanimationer i elektroniska spel2009Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Denna uppsats presenterar en historisk exposé kring den visuella och tekniska utvecklingen av stridsvagnsanimationer. Detta med fokus på perception och kognition utifrån definitionerna abstraktion, realism och hyperrealism. Uppsatsen ämnar förklara i bild, text och rörlig media hur utvecklingen sett ut och hur långt den har nått. För att åstadkomma detta har en analysmatris tagits fram, ur vilken valda beståndsdelar i spelen Battlezone, Battle Tank och Battlefield 1942 dissekeras. För att ytterligare påvisa kontrasten i utvecklingskurvan, har jag haft Craft Animations och deras verktyg till min hjälp. Verktyget och resultaten detta genererar, analyseras med hjälp av samma analysmatris som för spelen.

    Resultatet visar en tydlig kontrast i utvecklingen, där Craft Animations verktyg representerar vad vi idag kan kalla för hyperrealism.

  • 1165.
    Bergfeldt, Ellinor
    University of Skövde, School of Informatics. ellinor.bergfeldt@gmail.com.
    Bikinirustning för män?: En studie av normöverskridande klädsel för manliga och kvinnliga spelkaraktärer2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Detta arbete fokuserar på de normer som förekommer gällande mäns och kvinnors klädsel i spel. Hur upplevs normöverskridande klädsel, och hur styr normer upplevelsen av klädseln baserad på karaktärens könstillhörighet? Resultaten av undersökningen visade att könsöverskridande klädsel upplevdes olika beroende på om den bars av en manlig eller kvinnlig karaktär. När den kvinnliga karaktären bar könsöverskridande klädsel identifierade de allra flesta att den var just könsöverskridande. Trots detta var det ingen som upplevde att klädslarna inte passade på kvinnan. När det däremot gällde de könsöverskridande klädslarna för den manliga karaktären var det få som ansåg att klädseln passade på mannen, den kunde även ses som humoristisk.

  • 1166.
    Bergfeldt, Niclas
    et al.
    University of Skövde, School of Humanities and Informatics.
    Hansson, Andreas
    University of Skövde, School of Humanities and Informatics.
    Evolutionary pressure on developing simple languages2004Report (Other academic)
    Abstract [en]

    The interest for studying the origin and development of language has increased greatly in the last decades. For a language to be developed the production and understanding of it must co evolve, otherwise the users will not be able to understand each other. Here, we show that the co-evolution of language production and understanding promotes the development of an efficient language, where the efficiency is measured in terms of number of symbols needed to transmit a message and distinguish it from other possible messages. We also show how agents evolve a very simple language in order to solve the task at hand, even though the simplicity is never enforced in any way.

  • 1167.
    Bergfeldt, Niklas
    University of Skövde, Department of Computer Science.
    Cooperative Robotics: A Survey2000Independent thesis Advanced level (degree of Master (One Year))Student thesis
    Abstract [en]

    This dissertation aims to present a structured overview of the state-of-the-art in cooperative robotics research. As we illustrate in this dissertation, there are several interesting aspects that draws attention to the field, among which 'Life Sciences' and 'Applied AI' are emphasized. We analyse the key concepts and main research issues within the field, and discuss its relations to other disciplines, including cognitive science, biology, artificial life and engineering. In particular it can be noted that the study of collective robot behaviour has drawn much inspiration from studies of animal behaviour. In this dissertation we also analyse one of the most attractive research areas within cooperative robotics today, namely RoboCup. Finally, we present a hierarchy of levels and mechanisms of cooperation in robots and animals, which we illustrate with examples and discussions.

  • 1168.
    Bergfeldt, Niklas
    University of Skövde, Department of Computer Science.
    Överföring av program från värddator till målmiljö1999Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Detta arbete tar upp olika överföringstekniker för att uppdatera ett program på en målmiljö. De tre överföringstekniker som analyseras är moduluppdelning, patchning och komprimering. En litteraturstudie har genomförts för att ta fram för- och nackdelar med de olika teknikerna och för att beskriva hur de fungerar. En praktisk applicering av överföringsteknikerna har även gjorts på ett specifikt PLC-system för att se vad dessa kan göra för uppdateringstiden i denna miljö. Resultatet av arbetet visade att moduluppdelning är att föredra i de fall där uppdelning av programmet är möjlig. Patchning är däremot mest lämpad då varje uppdatering av programmet är mycket liten och det således inte skiljer mycket mellan de olika versionerna av programmet. Komprimering är att föredra då det ofta är frågan om stora modifieringar i programmet eftersom komprimering ger en näst intill konstant vinst sett ur procentuell synvinkel, även om denna vinst endast är runt 50%.

  • 1169.
    Berggren, Beatrice
    et al.
    University of Skövde, School of Health and Education.
    Hultman, Veronica
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda patienter med HIV i utvecklingsländer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: HIV är en kronisk sjukdom som innebär att immunförsvaret försvagas. Symtom som förekommer kan liknas vanliga infektionssjukdomar, exempelvis feber och halsont. Idag lever 30–50 miljoner människor i världen med sjukdomen. Sjukdomen är en av de ledande orsakerna till mortalitet i utvecklingsländer. Syfte: Att undersöka sjuksköterskors erfarenheter av att vårda patienter med HIV i utvecklingsländer. Metod: En litteraturöversikt som baseras på kvalitativa (n=10) och kvantitativa artiklar (n=1) samt kombinerat kvalitativ och kvantitativt (n=2). Resultat: Ur analysen framkom två kategorier; Bygga ömsesidig tillit och Brister i organisationen med fem underkategorier. Konklusion: Sjuksköterskor i utvecklingsländer upplever en utmanande arbetsmiljö kring patienter med HIV. De upplever känslor av stress, otillräcklighet och maktlöshet. Trots mycket negativitet upplevdes glädje i att vårda patienter med HIV.

  • 1170.
    Berggren, Christoffer
    et al.
    University of Skövde, School of Technology and Society.
    Larsson, Staffan
    University of Skövde, School of Technology and Society.
    Kan man skapa en världsportfölj baserad på inhemska aktier2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vi har undersökt hur globaliseringen påverkar aktiemarknaden. Ett sätt att ta reda globaliseringens effekter kan vara att jämföra avkastning och risk för olika marknader. För att kunna göra en jämförelse har vi skapat aktieportföljer baserade på olika marknader och jämfört dessa med ett index som motsvarar världen.

    Genom några enkla urvalskriterier har vi skapat fyra portföljer med börsnoterade aktier från Norden, Europa, Japan och USA.

    Portföljerna har vi jämfört med ett världsindex för att se vilka samband som finns och hur de utvecklar sig över tiden. Sambanden vi fann var att korrelationen mellan några av portföljerna och världsindexet är relativt starka samt ökar med tiden. Att korrelationen ökar kan tyda på att företagen blir mer internationellt verksamma med tiden. Det verkar som ländernas ekonomier knyts samman och att deras konjunkturer blir mer och mer lika.

    Ur ett nordiskt perspektiv kan en investerare få en bra riskspridning internationellt genom att bara vända sig mot den nordiska marknaden. De företag som vi har använt i den nordiska portföljen är multinationella storföretag som har verksamhet i flera länder utanför Norden. Investerare i Europa och USA får också bra riskspridning internationellt, och även här ökar sambandet med tiden.

    Av de undersökta marknaderna är Japan den enda marknaden som avviker. I ett japanskt perspektiv har det varit fördelaktigt att investera internationellt under den undersökta perioden.

  • 1171.
    Berggren, Elisabeth
    University of Skövde, School of Life Sciences.
    Daily life after Subarachnoid Haemorrhage: Identity construction, patients' and relatives' statements about patients' memory, emotional status and activities of living2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to describe patients’ experience and reconstruction regarding the onset of, and events surrounding being struck by a Subarachnoid Haemorrhage (SAH), and to describe patients’ and relatives’ views of patients’ memory ability, emotional status and activities of living, in a long-term perspective.

    Methods: Both inductive and deductive approaches were used. Nine open interviews were carried out in home settings, in average 1 year and 7 seven months after the patients’ onset, and discourse analysis was used to interpret the data. Eleven relatives and 11 patients, 11 years after the onset, and 15 relatives and 15 patients, 6 years after the onset, participated in two studies. Interviews using a questionnaire with structured questions and memory tests were used to collect data. Fischer’s exact test and Z-scores were used for the statistical analysis.

    Results: Patients with experience of a SAH were able to judge their own memory for what happened when they became ill. The reconstruction of the illness event may be interpreted as an identity creating process. The process of meaning-making is both a matter of understanding SAH as a pathological event and a social and communicative matter, where the SAH is construed into a meaningful life history, in order to make life complete (I). Memory problems, changes in emotional status and problems with activities of living were common (II-IV). There was correspondence between relatives’ and patients’ statements regarding the patients’ memory in general and long-term memory. Patients judged their own memory ability better than relatives, compared with results on memory tests. Relatives stated that some patients had meta-memory problems (II). The episodic memory seemed to be well  reserved, both concerning the onset and in the long-term perspective (I, II). There were more problems with social life than with P- and I-ADL (III), and social company habits had changed due to concentration difficulties, mental fatigue, and  patients’ sensitivity to noisy environments and uncertainty (IV). Relatives rated the patients’ ability concerning activities of living and emotional status, and in a similar manner to patients’ statements (III-IV).

    Conclusions: The reconstruction of the illness event can be used as a tool in nursing for understanding the patient’s identity-construction. Relatives and patients stated the patients’ memory, emotional status and activities of living in a similar manner, and therefore both patients’ and relatives’ statements can be used as a tool in nursing care, in order to support the patient. However, the results showed: meta-memory problems (relatives’ statements) and that the patients’ judged their own memory ability better than relatives in comparison with results on memory tests. Nevertheless, there was a high degree of concordance between relatives’ and patients’ evaluations concerning patients´ memory ability, emotional status, emotional problems, social company habits and activities of living. Therefore both relatives’ and patients’ statements can be considered to be reliable. However, sometimes the patients and the relatives judge the patients’ memory differently. Consequently, memory tests and formalized dialogues between the patient, the relative and a professional might be required, in order to improve the mutual family relationship in a positive way. Professionals however, must first assume that patients can judge their own memory, emotional status and ability in daily life.

  • 1172.
    Berggren, Elisabeth
    University of Skövde, School of Life Sciences.
    Identity construction and memory after Subarachnoid Haemorrhage: Patients' accounts and relatives' and patients' statements in relation to memory tests2010Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: A Subarachnoid haemorrhage (SAH) is a complex pathophysiological event and most patients have, before the onset, felt completely well. Being stricken by a SAH is a dramatic event, often followed by unconsciousness and memory problems. This may influence the adjustment to daily life. Supporting patients and relatives in nursing care therefore requires knowledge concerning patients' experience of the onset of the SAH event, and knowledge concerning patients' memory after a SAH.

    Aim: The general aim of this thesis was to study patients' experiences and reconstruction of the onset of, and events surrounding, a SAH and to study patients' and relatives' experience of patients' memory ability, in a long-term perspective.

    Specific aims:

    (I) The aim of this study was to analyse people's accounts of SAH, and to describe how they initiate and create meaning for the onset and events surrounding the SAH. The specific questions were : (i) What is highlighted in the accounts of SAH? (II) How is the illness reconstructed? (iii) How is meaning created through communicative interaction with others about SAH?

    (II) The aim was to describe memory after a SAH from the perspective of relatives and patients in two cohorts. In this study, the researchers also aimed to evaluate the application of relatives' statements as a tool in nursing care and rehabilitation, in order to support the patients. This was achieved by comparing: (i) Relatives' statements with patients' statements and (ii) Relatives' and patients' statements with the patients' memory test results.

    Methods: Both an inductive and a deductive approach were used. Nine open interviews were carried out in home settings, 1 year and 7 months (ranging 14-24 months) after the patients' onset and discourse analysis was used to interpret the data (I). Eleven relatives and 11 patients, 11 years and 15 relatives and 15 patients, 6 years after the onset participated in two studies. Interview questions and memory tests were used to collect data. Fischer's exact test was used for the statistical analysis (II).

    Findings:Patient with experience of a SAH were able to judge their own memory for what happened when they became ill. Both conscious irrational and rational actions were expressed in relation to experienced sensations. Critical events related to SAH were "existential insights" and "time as waiting and time as structuring meaning". The reconstruction of the illness event may be interpreted as an identity ceating process. The process of meaning-making is both a matter of understanding SAH as a pathological event, and a social and communicative matter, where the SAH is constructed into a meaningful life history, in order to make life complete (I). Memory problems were common according to relatives' and patients' statements and from memory test results. There was correspondence between relatives' and patients' statements regarding the patients' memory in general and long-term memory. Patients judged their own memory ability better than relatives, compared with results on memory tests. Both relatives and patients underestimated older patients' memory ability and underrated younger patients' memory problems, when compared with results on memory tests. Relatives stated that some patients had meta-memory problems (II). The episodic memory seemed to be well preserved, both concerning the onset (I) and in the long-term perspective (II).

    Conclusions: The reconstruction of the illness is a tool in nursing for understanding the patient's self-positioning and identity-construction. (I) Relatives' and patients' statements regarding patients' memory can also be used as tools in nursing care. However, the results showed: meta-memory problems (relatives' statements); that patients' judged their own memory ability better than relatives in comparison with results on memory tests. Consequently, memory tests and formalized dialogues, between the patient, the relative and a professional are required in order to prevent complications in the patient's mutual family relationships. However, professionals must assume that patients can judge their own memory (II). Dialogues between the patient, the relative and a professional, with focus on how to manage daily life in patients' home context, due to the patient's experience of the onset of the SAH and possible memory problems after the SAH, will probably improve the mutual family relationship in a positive way (I,II).

  • 1173.
    Berggren, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Sidenvall, Birgitta
    Jönköping University.
    Hellström Muhli, Ulla
    University of Skövde, School of Life Sciences.
    Identity construction and meaning-making after subarachnoid haemorrhage2010In: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 6, no 2, p. 86-93Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to analyse people's accounts of subarachnoid haemorrhage (SAH) and to describe how they initiate and create meaning for the onset and events surrounding the SAH.

    Background: Being struck by a SAH is a dramatic event, often followed by unconsciousness. There is therefore a special need for a patient to try to create some kind of meaning for the event during recovery and afterwards.

    Method: Nine interviews were carried out in home settings and discourse analysis was used to interpret the data.

    Findings: People stricken by SAH seem to be able to judge from memory for when they were becoming ill. Critical events related to SAH were existential threats and existential insights; and time as 'waiting' and time as 'structuring meaning'. The reconstruction of the illness event may be interpreted as an identity-creating process.

    Conclusion: The reconstruction of the illness is a tool that can be used by nurses and other health professionals to understand a patient's self-positioning and identity-construction.

  • 1174.
    Berggren, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Sidenvall, Birgitta
    Jönköping University.
    Larsson, Dennis
    University of Skövde, The Systems Biology Research Centre. University of Skövde, School of Life Sciences.
    Subarachnoid haemorrhage has long-term effects on social life2011In: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 7, no 1, p. 429-435Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe memory after a subarachnoid haemorrhage (SAH) from the perspective of relatives and patients in two cohorts and also to evaluate the application of relatives' statements as a tool in nursing care and rehabilitation, in order to support the patient. Background: Cognitive sequelae due to SAH are a large disability and may influence the adjustment to daily life. Supporting patients and relatives requires knowledge concerning the patients' memory both from the perspective of patients and relatives. Method: Eleven relatives and 11 patients (Cohort 1), 11 years after the onset of an SAH and 15 relatives and 15 patients (Cohort 2) 6 years after the onset of an SAH, participated in the study. Interview questions and memory tests were used to collect data. Findings: Problems with memory, including meta-memory problems regarding relatives' statements, were common. Relatives and patients stated patients' menory in a similar manner. However, patients' statements concerning their memory corresponded in higher degree with memory test results, in comparison with relatives' statements. Conclusions: Relatives' and patients' statements are useful as tools in nursing care and rehabilitation. However, from results showing meta-memory problems and that patients' statements concerning their memory corresponded better with memory test results (in comparison with relatives' statements), it is vital to offer patients memory tests in order to prevent complications in mutual family relationships.

  • 1175.
    Berggren, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Lundin, Sabina
    University of Skövde, School of Life Sciences.
    Barn och ungas psykosomatiska besvär: Hur tar de sig uttryck och vilka är de bakomliggande orsakerna? - en litteraturstudie2012Independent thesis Basic level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine psychosomaticsymptomsissuesamongst children and adolescents between the ages of 0-18 years and to clarify the underlying factors.Method: Literature study based on 10 scientific articles.Results: Psychosomatic issues amongst children and adolescents, due to stress, were common in Europe and Scandinavia. The symptoms varied between gender and age. The underlying factors were mainly school environmental issues, home conditions, socio-economic situations and disputes with teachers and peers. The symptoms varied from headache, gastro intestinal problems and insomnia to eating disorders, depression and pounding heart.               Conclusion: The future of children’s psychosomatic health depends on interventions on all levels of society since they are affected by everything from school environment and home conditions to unemployment and recession.

  • 1176.
    Berggren, Hanna
    et al.
    University of Skövde, School of Business.
    Eskilsson, Emeli
    University of Skövde, School of Business.
    Anställdas upplevelser av psykosocial arbetsmiljö med inriktning stress: En undersökning av undersköterskor inom sektor vård och omsorg i en mellanstor kommun i Västra Götaland2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The background to this study is the increasing sick leave in Sweden due to mental illness. The problem derives from issues related to work environment and the fact that work-related stress causes more than 50 per cent of all sick leave in the European Union. Stress is not only an individual health problem but also an economic burden to society. Increased workload and stress haves been observed to be main reasons behind sick leave in the health- and social sector.

    This study examines nurses’ experiences in old age care. The focus is on demand, control and support in relation to psychosocial work environment and stress. The analysis draws on the model made by Karasek and Theorell (1990). The examination was performed on a municipality in Västra Götaland. A quantitative method based on questionnaires has been used to collect data.

    The empirical result shows that nurses experience high demands, low control and high social support. The nurses experience high strain which is mentally exhausting for the individual who cannot encounter the high demands because of the low acting space.

    The finding of high social support however separates from several previous studies and has led to the conclusion that social support cannot be analyzed detached from the other factors if the aim is to understand the full context of a work situation. Previous research has proved that social support works as an insurance against work-related stress; this study presents that work-related stress can arise regardless of nurses’ experience of high social support. Therefore the study demonstrates that a combination of demand, control and support is essential to the understanding of an organization’s psychosocial work environment.

  • 1177.
    Berggren, Johan
    et al.
    University of Skövde, School of Health and Education.
    Palmqvist, Mikael
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter vid vård av vuxna i livets slutskede: En litteraturbaserad studie2016Independent thesis Basic level (degree of Bachelor), 12 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan arbetar nära vuxna patienter i livets slutskede där försök till läkande behandling gått över till en palliativ behandling. Många av dessa patienter har en komplicerad symtombild som kräver kunskaper i symtomhantering och de har också ofta oro, ångest och funderingar kring existentiella frågor som sjuksköterskan kan behöva hantera.Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av att vårda vuxna patienter i livets slutskedeMetod: Metoden som valdes var en litteraturbaserad studie grundat på kvalitativ forskning, baserat på tolv vetenskapliga artiklar. 

    Resultat: Ur analysen framträdde tre kategorier såsom Frustration, skicklig kommunikatör, få till ett nära samarbete med åtta underkategorier.

    Slutsats: Sjuksköterskors erfarenheter vid vård i livets slutskede påvisar betydelsen av att relationer mellan patienten, anhöriga och vårdpersonal skapas. 

  • 1178.
    Berggren, Josefin
    et al.
    University of Skövde, School of Technology and Society.
    Fröberg, Malin
    University of Skövde, School of Technology and Society.
    Butiksatmosfären och kundens uppfattning2008Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Konkurrensen om kunderna blir allt hårdare och numera konsumerar vi inte bara det som är nödvändigt utan även ur ett nöjesperspektiv, shopping har blivit en fritidsysselsättning och ett sätt att umgås för många. När det gäller nöjesshopping så blir själva upplevelsen och intrycken i butiken en avgörande faktor för om kunden väljer att handla i butiken, butikskommunikationen är där med ett viktigt konkurrensmedel vid kampen om kunderna.

    Uppsatsens undersökning grundar sig på att vi har besökt fyra stycken butiker som ingår i en specifik franchisekedja inom heminredningsbranschen. Vi ville med detta granska hur kedjan jobbar med att ge samma intryck till kunderna oavsett läge och placering samt hur kunderna uppfattar butiksatmosfären och därifrån komma fram till vad som kan förbättras. Vi intervjuade ett antal besökande kunder från vardera butik för att få fram hur de uppfattade butiksmiljön. Vi har även intervjuat butikernas respektive butikschefer samt kedjans butikskommunikations ansvarige, detta för att få fram hur de tänker och arbetar kring ämnet butikskommunikation.

    Vår uppsats bygger både på kvalitativ samt kvantitativ undersökningsmetod, detta anser vi har varit en fördel eftersom detta säkrade upp att vi fick med alla delar. De centrala slutsatser vi har dragit efter vår undersökning är att alla delar i butikens atmosfär är viktiga element att arbeta med. Kunderna påverkas av de intryck den får i butiken och svarar upp emot dem på ett eller annat sätt. Som butik är det viktigt att man förstår vilken betydelse dessa delar har. Vi kunde av vår undersökning se att de butikerna som upplevdes som störst var de som fick bäst genomsnittsvärden på många frågor som vi ställde till kunderna. De största skillnaderna kunde vi se när det gällde hur bekväma kunderna kände sig i butikerna samt hur inspirerande de ansåg att butikerna var. Av detta kunde vi dra slutsatserna att de butiker som hade störst butiksyta också hade mer rum att arbeta med utställningsmiljöer, specialexponeringar och andra inspirerande åtgärder som hjälper till att skapa den ultimata butiksatmosfären. De butikerna som kunderna upplevde som varmast och mest välkomnande var de butikerna som hade centrumläge med gamla gedigna butikslokaler. Något som stämmer väl in på det koncept som kedjan vill sända ut till kunden.

  • 1179.
    Berggren, Karin
    University of Skövde, School of Humanities and Informatics.
    IT i skolan - på vilket sätt och varför i matematik och NO-ämnen: - Några lärares reflektioner -2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate how some teachers in Mathematics and Science subjects use IT in their lessons for grades 7-9, their motives for using IT as a teaching tool, and if there was anything that they feel restricted or otherwise affected their use of IT.

    Interviews were conducted with four teachers from two different schools. How often the teachers used IT in their teaching varied depending on the subject. IT was most commonly used in the science subjects to introduce a new area of study, searching for information on the Internet, to illustrate something with the help of a film or filming their own sequence of events. The IT-information was also discussed and examined with the pupils, and a memorandum of the lesson could also be created. The reasons the teachers' used IT was to facilitate the pupils' learning as a way to diversify their teaching methods, to aid pupils with reading difficulties and to save the notes from the lesson for later use. Other reasons were to provide information through their homepage, to show other possibilities and pedagogical ways of using a computer and to teach the pupils to become critical of Internet sources. The greatest influences on the teachers' use of IT were, according to them, how much time they had and whether the IT equipment was in working order. The teachers also indicated that their own ability in IT, and how intrigued the students became in IT, played a role.

  • 1180.
    Berggren, Malin
    et al.
    University of Skövde, School of Health and Education.
    Berglund, Johanna
    University of Skövde, School of Health and Education.
    När hjärtat slutat slå: patientens upplevelse att överleva ett hjärtstopp. En litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To suffer from cardiac arrest can be experienced as a dramatic event that affects both the health and life world. All of the patients have an existential coherency that affects the health, life and the patient itself. As a nurse you will be able to see the patient's life world and understand how different contexts affects the patient's experienced health. Purpose: The purpose was to describe the patient’s experience of surviving cardiac arrest. Method: The chosen method was a literature based study with a qualitative approach that included 11 articles that was analyzed using a method described by Friberg. Results: Through analysis of the data material three main themes was generated with associated sub themes. From the analysis of the data emerged three main themes a new every day life, a changed life and a life changing limitation with an inoperable defibrillator with ten undertheme. Conclusion: The majority of the patients experienced worry, fear and anxiety in their everyday life. They needed to develop new strategies to cope with their new life with the help of routines and planning to decrease stress in their everyday life.

  • 1181.
    Berggren, Melinda
    et al.
    University of Skövde, School of Business.
    Stensgaard, Simon
    University of Skövde, School of Business.
    Goodwillnedskrivningarnas värderelevans: En studie på den svenska marknaden2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this study 97 companies from Nasdaq Stockholm´s Large Cap has been examined for the financial years 2016 and 2017. The purpose of the study has been to explain the correlation between goodwill impairment loss and market value for companies on the Swedish market and to analyze and compare the study´s results with previous research that has been found on foreign markets. This means that the value relevance of goodwill impairments has been examined to see if the companies´ market value is affected when goodwill impairment loss is made and if the information affects the investors decision. A model previously used by other researchers has been applied to examine this. The model includes the variables market value, book value, pre-tax profit, carrying value of goodwill and goodwill impairment loss; and information about these has been collected from the companies’ annual reports. The study was done using a multiple regression analysis. The positive correlation between market value and the variables of book value and pre-tax profit means that we could assume that the stock market is value relevant. In order to investigate the value relevance of goodwill impairment loss it was required that reported goodwill was a value relevant variable, which the result showed. A positive correlation could be demonstrated between impairment of goodwill and market capitalization, which indicates that it is not value relevant. This indicates that these impairment losses do not give investors any reliable information in investment decisions.

  • 1182.
    Berggren, Peter
    et al.
    Linköping University, Sweden.
    Lundberg, Molly
    Linköping University, Sweden.
    van Laere, Joeri
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Johansson, Björn J.E.
    Linköping University, Sweden.
    Community resilience towards disruptions in the payment system2019In: Proceedings of the 16th International Conference on Information Systems for Crisis Response And Management / [ed] Z Franco, J.J. González, J. H. Canós, Valencia, Spain: ISCRAM, 2019, Vol. 16, p. 1070-1076Conference paper (Refereed)
    Abstract [en]

    This paper presents a study where nine Swedish citizens were interviewed about their concerns and expectations, from a customer perspective, in relation to a 10 day disruption in the payment system. The purpose of the study was to understand the customer’s perspective in order to provide input to the development of a simulation environment. This simulation environment aims at allowing different stakeholders to experience how a disruption in the payment system affects the local community and thereby create understanding of how resilience is built and affected. The research questions were: What do customers expect to get access to? When? What are customers prepared for? How does this differ among different customer groups? The results indicate some understanding of how such a crisis affects the local community and what the informants expects to happen. The respondents represented a diversity of socio-economic backgrounds from rural and urban parts of the municipality.

  • 1183.
    Berggren, Peter
    et al.
    Linköping University.
    van Laere, Joeri
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Johansson, Björn J. E.
    Linköping University.
    Using a mixed-methods assessment approach in a gaming-simulation environment to increase resilience2018In: Proceedings of the 36th European Conference on Cognitive Ergonomics (ECCE 2018), ACM Digital Library, 2018, p. 1-4, article id 20Conference paper (Refereed)
    Abstract [en]

    Critical infrastructures for fuel, food, transport and the payment system become inceasingly entangled. Disruptions in the payment system can quickly lead to cascading effects and even the responses of actors in the various sectors are interrelated, which can cause escalation if the collaborative responses are not well-aligned. Our contribution to the track of Human Factors and simulation discusses how gaming-simulation can be used as a training environment where groups of practitioners can learn to develop in-depth understanding of system behaviour (i.e. cascading effects of disruptions) and learn how to develop collaborative resilience across many different critical infrastructures. More specifically, our paper focuses on the development and application of a mixed-methods assessment approach in the simulation-game. The assessment method captures qualitative as well as quantitative aspects of resilience and team-work. It can be used to assess the value of our simulation-game and to increase insight in what collective resilience actually implies.

  • 1184.
    Berggren Quintana, Clara
    et al.
    University of Skövde, School of Business.
    Consoli, Isabella
    University of Skövde, School of Business.
    Ledarskapets betydelse för medarbetarnas sjukfrånvaro: En komparativ fallstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sickness absence have long been a central and political societal problem in Sweden. One factor that has caused employee’s ill health is job strain and psychic stress which may be influenced by leadership. There are different leadership styles that managers can apply which have different effects on employee health. These are transformative and transactional leadership styles as well as democratic or relationship-oriented leadership styles and authoritarian or task-oriented leadership styles. Advantageously for employee health is leaders who apply Kaizen as a working method. Kaizen can be described as continuous improvements. Thus, leadership is significant for employees' psychosocial health in the workplace.

    Purpose: The purpose of this study is to describe and analyze the difference between managers' leadership in departments with high and low sick leave. To answer the purpose, the study is based on theories of leadership styles and the Kaizen method.

    Method: To answer the purpose of this study, both managers and employees have given their perspective to the problem. They have participated in the survey through a qualitative and quantitative study with an iterative interaction between deductive and inductive approach. The study has been carried out using a comparative method by studying two comparable departments with reported high or low sickness absence.  

    Conclusion: The result of this study is that the leadership differs according to the leadership styles applied and to what extent managers work according to Kaizen. Managers with different leadership also have employees with different sickness absence. Thus, manager’s leadership can be important for employees' sickness absence.

  • 1185.
    Bergh, Eric
    et al.
    University of Skövde, School of Engineering Science.
    Niklasson, Ludwig
    University of Skövde, School of Engineering Science.
    Konstruktion av förvaringsenhet för transport av bearbetningsverktyg2019Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Brodit is a manufacturing industry that develops equipment for mobile units in which the design, processing, assembly and sale of products occur. In order to optimize the processing process, Brodit wants to introduce automated systems that standardize handling, transport and installation of CNC tools.

    The main objective of the project was defined to produce a proposal for a standardized storage and transport solution. The results are presented using a CAD model that visualizes the final concept and its substructures. Frequency and strength analyzes have been performed with the finite element method to ensure quality and minimize risks with the design. Discussion on remaining uncertainties regarding automation aspects, alternative solutions and other surrounding factors was conducted. As a conclusion, the initial goals set for the project are compared with the results achieved. Proposals for future development areas and continued work were listed.

  • 1186.
    Bergh, Ingrid
    University of Skövde, School of Life Sciences.
    Pain in the elderly: rating scales, prevalence and verbal expression of pain and pain relief2003Doctoral thesis, comprehensive summary (Other academic)
  • 1187.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Björk, Maria
    University of Skövde, School of Life Sciences.
    Sense of coherence over time for parents with a child diagnosed with cancer2012In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 12, p. Article number 79-Article in journal (Refereed)
    Abstract [en]

    Background: When a child is diagnosed with childhood cancer this creates severe stress in the parents. The aim of the study was to describe the sense of coherence and its change over time in a sample of parents of children diagnosed with cancer.

    Methods: The Swedish version of SOC (29 items) was used to measure the parents’ (n = 29) sense of coherence. Data were collected at four time-points: Time-point 1 at the time of diagnosis; time-point 2 during the treatment; time-point 3 after the child had completed their treatment and time-point 4 when the child had been off treatment for some years or had died.

    Results: The results showed that SOC in the investigated population is not stable over time. The parents decreased in total SOC between time-points 1, 2 and 3. Mothers had significantlyweaker total SOC score including the components Manageability and Meaningfulness at time-points 1 as well time-point 2 compared to the fathers. However, for the component Comprehensibility no significant differences were shown between mothers and fathers. This study indicates that mothers’ and fathers’ SOC scores change over time during the child’s cancer trajectory. However, the pattern in these changes varies between mothers and fathers.

    Conclusions: This study indicates that mothers and fathers may have different support needs during their child’s cancer trajectory.

  • 1188.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Gunnarsson, Magnus
    Department of Linguistics, Göteborg University, Göteborg, Sweden.
    Allwood, Jens
    Department of Linguistics, Göteborg University, Göteborg, Sweden.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden.
    Descriptions of pain in elderly patients following orthopaedic surgery2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 2, p. 110-118Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to investigate what words elderly patients, who had undergone hip surgery, used to describe their experience of pain in spoken language and to compare these words with those used in the Short-Form McGill Pain Questionnaire (SF-MPQ) and Pain-O-Meter (POM). The study was carried out at two orthopaedic and two geriatric clinical departments at a large university hospital in Sweden. Altogether, 60 patients (mean age =77) who had undergone orthopaedic surgery took part in the study. A face-to-face interview was conducted with each patient on the second day after the operation. This was divided into two parts, one tape-recorded and semi-structured in character and one structured interview. The results show that a majority of the elderly patients who participated in this study verbally stated pain and spontaneously used a majority of the words found in the SF-MPQ and in the POM. The patients also used a number of additional words not found in the SF-MPQ or the POM. Among those patients who did not use any of the words in the SF-MPQ and the POM, the use of the three additional words 'stel' (stiff), 'hemsk' (awful) and 'räd(d)(sla)' (afraid/fear) were especially marked. The patients also combined the words with a negation to describe what pain was not. To achieve a more balanced and nuanced description of the patient's pain and to make it easier for the patients to talk about their pain, there is a need for access to a set of predefined words that describe pain from a more multidimensional perspective than just intensity. If the elderly patient is allowed, and finds it necessary, to use his/her own words to describe what pain is but also to describe what pain is not, by combining the words with a negation, then the risk of the patient being forced to choose words that do not fully correspond to their pain can be reduced. If so, pain scales such as the SF-MPQ and the POM can create a communicative bridge between the elderly patient and health care professionals in the pain evaluation process.

  • 1189.
    Bergh, Ingrid H. E.
    et al.
    University of Skövde, School of Life Sciences.
    Ek, Kristina
    University of Skövde, School of Life Sciences.
    Mårtensson, Lena B.
    University of Skövde, School of Life Sciences.
    Midwifery students attribute different quantitative meanings to "hurt", "ache" and "pain": A cross-sectional survey2013In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 26, no 2, p. 143-146Article in journal (Refereed)
    Abstract [en]

    Background: Assessment of women's labor pain is seldom acknowledged in clinical practice or research. The words "aching" and "hurting" are frequently used by women to describe childbirth pain. The aim of this study was to determine the quantitative meanings midwifery students attribute to the terms "hurt", "ache" and "pain". Data was collected by self-administered questionnaire from students at seven Swedish midwifery programs. A total of 230 filled out and returned a completed questionnaire requesting them to rate, on a visual analog scale, the intensity of "hurt", "ache" or "pain" in the back, as reported by a fictitious parturient. Results: The midwifery students attributed, with substantial individual variation, different quantitative meanings to the studied pain descriptors. Conclusions: To be able to communicate about pain with a woman in labor, it is essential that the midwife be familiar with the value of different words and what they mean to her as this may affect her assessment when the woman describes her pain. © 2012.

  • 1190.
    Bergh, Ingrid H. E.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Johansson, Anna
    Univ Hosp Örebro, Dept Obstet, Örebro, Sweden.
    Bratt, Annelie
    Skaraborgs Hosp, Dept Obstet & Gynecol, Skövde, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Assessment and documentation of women's labour pain: A cross-sectional study in Swedish delivery wards2015In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 28, no 2, p. E14-E18Article in journal (Refereed)
    Abstract [en]

    Background: A woman's pain during labour plays a dominant role in childbirth. The midwife's role is to assess the degree of pain experienced during labour. When professionals respond to labour pain with acknowledgement and understanding, the woman's sense of control and empowerment is increased, which could contribute to a positive experience of childbirth. The aim of this study is to describe how labour pain in Swedish delivery wards is assessed and documented. Methods: This quantitative descriptive study was designed as a national survey performed through telephone interviews with the representatives of 34 delivery wards in Sweden. Results and conclusion: The majority of the participating delivery wards assessed and documented women's labour pain, but in an unstructured manner. The wards differed in how the assessments and documentation were performed. In addition, almost all the delivery wards that participated in the survey lacked guidelines for the assessment and documentation of the degree of pain during labour. The findings also showed that the issue of labour pain was sometimes discussed in the delivery wards, but not in a structured or consistent way. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.

  • 1191.
    Bergh, Ingrid H. E.
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Stener-Victorin, Elisabet
    Institute of Neuroscience and Physiology/Endocrinology, Sahlgrenska Academy, University of Gothenburg.
    Wallin, Gunnar
    Institute of Clinical Sciences, Department of Obstetrics and Gynaecology, Sahlgrenska Academy, University of Gothenburg.
    Mårtensson, Lena
    University of Skövde, School of Life Sciences.
    Comparison of the PainMatcher and the Visual Analogue Scale for assessment of labour pain following administered pain relief treatment2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 1, p. E134-E139Article in journal (Refereed)
    Abstract [en]

    Objective: during childbirth, it is necessary to assess and monitor experienced pain and to evaluate the effect of pain relief treatment. The aim of this study was to compare the PainMatcher® (PM) with the Visual Analogue Scale (VAS) for the assessment of labour pain and the effect of pain relief treatment.Design: randomised controlled trial.Setting: labour ward with approximately 2500 childbirths per year in western Sweden.Participants: 57 women with labour pain treated with acupuncture or sterile water injections scored their electrical pain threshold and pain intensity with the PM. Pain intensity was also assessed with the VAS. Electrical pain threshold and pain intensity were assessed immediately after a uterine contraction before and 30, 60, 90, 120, 150 and 180 minutes after treatment.Measurements and findings: the results showed a weak correlation (r=0.13, p<0.05) between the pain intensity scores on the PM and the VAS. The PM detected changes (decrease) in pain intensity to a lower degree than the VAS. Surprisingly, in over 10% of sessions, women scored their pain intensity during a uterine contraction lower than their electrical pain threshold with the PM. However, electrical pain thresholds with the PM correlated well throughout all measurements.Conclusions: the PM is a reliable tool for the assessment of electrical pain threshold; however, the VAS is more sensitive than the PM for recording changes in pain intensity when assessing the effects of treatment on labour pain.Implications for practice: the PM and the VAS are not interchangeable in the case of labour pain, and there is still a need for research in this area to find a more suitable assessment instrument for the evaluation of labour pain.

  • 1192.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Jakobsson, Eva
    University of Skövde, School of Life Sciences.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Worst experiences of pain and conceptions of worst pain imaginable among nursing students2008In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 61, no 5, p. 484-491Article in journal (Refereed)
    Abstract [en]

    This paper is a report of a study to explore nursing students' own worst experiences of pain as well as their conceptions of the worst pain imaginable. Background.

    Pain is a personal experience, often assessed using a visual analogue scale. The endpoints of this scale are labelled with the extremes for pain experience (e.g. no pain to worst pain imaginable). People may understand the meaning of `no pain', but it is unclear what meaning they assign to `worst pain imaginable'. This indicates that a rating along the Visual Analogue Scale-line is dependent on the individual's previous experiences. Methods. Data were collected during the autumn of 2002. In total, 549 nursing students completed a questionnaire focusing on two main questions: `What is the worst experience of hurt, ache or pain you have had?' and `What is the worst pain imaginable for you?' Content analysis was used for data analysis. Results. The students' worst experience of pain was mostly related to acute or traumatic painful conditions, pain associated with female physiology, inflicted pain, psychological suffering and chronic painful conditions. The worst pain imaginable was described as condition-related pain, overwhelming pain, experiences of losses, deliberately inflicted pain, psychological suffering and as vicarious pain. Conclusion. The findings imply that nursing students, when they are imagining pain, include dimensions such as hope of relief, grief, control over the situation, powerlessness and empathy for and suffer with other people's pain. Further research is needed to explore why professional experience as a nurse diminishes the ability to imagine patients' pain.

  • 1193.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Jakobsson, Eva
    University of Skövde, School of Life Sciences.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Steen, Bertil
    University of Skövde, School of Life Sciences.
    Ways of talking about experiences of pain among older patients following orthopaedic surgery2005In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 52, no 4, p. 351-359Article in journal (Refereed)
    Abstract [en]

    Aim. The aim of this study was to examine how older patients who had undergone hip surgery described their experience of pain.

    Background. A verbal report of pain is considered to be the single most reliable indicator of a person's pain experience. When assessing pain, healthcare professionals must be able to interpret the content of pain reports in order to understand older patient's pain experiences.

    Methods. The study was carried out in two orthopaedic and two elder care wards in a large university hospital in Sweden in 2000. Altogether, 38 patients with hip replacement (mean age = 75) and 22 patients with hip fracture (mean age = 81) took part. A face-to-face interview was conducted with each patient on the second day after operation. Data were transcribed and analysed using descriptive qualitative content analysis.

    Findings. Participants expressed their pain in a nuanced and detailed way in everyday language. Four main themes with sub-themes emerged: (a) objectification (localizing; quantifying; characterizing; temporalizing); (b) compensating (substitution; picturing); (c) explaining (functionalizing pain and its relief; externalizing pain and its relief); (d) existentializing (present pain orientation; future pain orientation).

    Conclusions. Exploring the ways older patients talk about pain is expected to result in a better understanding of the older patient's need of empathic individualized care and in the optimization of pain management.

  • 1194.
    Bergh, Ingrid
    et al.
    Department of Geriatric Medicine, Göteborg University, Sweden.
    Sjöström, Björn
    Department of Geriatric Medicine, Göteborg University, Sweden.
    A comparative study of nurses' and elderly patients' ratings of pain and pain tolerance1999In: Journal of Gerontological Nursing, ISSN 0098-9134, E-ISSN 1938-243X, Vol. 25, no 5, p. 30-36Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to compare elderly patients' and nurses' ratings of pain and pain tolerance. Data were collected through structured interviews with the patients. The attending nurses completed a questionnaire after conducting a pain assessment. Independent of each other, patients and nurses were asked to rate on a VAS when pain should be treated (pain tolerance) and pain intensity. The VAS has been used both by patients and nurses. The initial selection consisted of 43 patients; however, 9% (n = 4) were unable to complete the VAS. These patients were not significantly older than those who completed the study (n = 39). The results shows that nurses tend to overestimate mild pain and underestimate severe pain. Nurses rated pain tolerance significantly lower than patients. The results also suggest that nurses with training beyond basic nursing education tend to assess patients' pain more accurately than those without additional training. For patients who reported that they had pain prior to hospitalization, the nurses' pain ratings showed a higher agreement than for those who reported that they did not have pain before being hospitalized. At the time of the interviews, 21% (n = 8) of patients felt that their pain was so great they needed treatment. Those patients also were recognized by the attending nurses as being in pain. To improve elderly patients' pain management, practicing nurses must collaborate with researchers to develop specific empirical research nursing knowledge within geriatric pain management. This research-based knowledge should be incorporated into nurses' clinical practice regarding pain management. Specific guidelines must be developed for the assessment, treatment, and documentation of elderly patients' pain.

  • 1195.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Quantification of the pain terms hurt, ache and pain among nursing students2007In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 2, p. 163-168Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to determine the quantitative meaning nursing students ascribe to the pain terms hurt (ont), ache (värk) and pain (smärta). In total, 549 nursing students filled in a questionnaire including questions about age, gender, and health care work experience. The students were also requested to rate response using a Visual Analogue Scale (VAS) rating for different statements about hurt, ache and pain. The results show that there were significant differences (p < 0.001) between rated intensity of the statements of hurt, ache and pain. There were, however, large variations in the students’ ratings of the pain terms; hurt ranged from 3 to 97 mm, ache from 7 to 97 mm and pain from 27 to 100 mm. There were no significant differences between male and female students regarding their ratings of hurt and ache when they were used to describe the worst self-experienced pain. Female students rated their experience of pain significantly higher (p < 0.001) on the VAS compared with male students. There was no significant correlation between previous experience of health care work and rated intensity of hurt, ache and pain. In conclusion, this study shows that there exist significant differences between the pain terms hurt, ache and pain according to a rating on a VAS. However, the results also demonstrate that there are large individual variations in how the students quantify the fictitious patient statements of hurt, ache and pain.

  • 1196.
    Bergh, Ingrid
    et al.
    University of Skövde, Department of Health Sciences. Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    Sjöström, Björn
    Department of Health Care Pedagogics, Göteborg University, Göteborg.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    An application of pain rating scales in geriatric patients2000In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 12, no 5, p. 380-387Article in journal (Refereed)
    Abstract [en]

    This study examined the applicability of three different pain rating scales, the Visual Analogue Scale (VAS), the Graphic Rating Scale (GRS) and the Numeric Rating Scale (NRS), in geriatric patients. Data collection was performed in a geriatric clinic at a university hospital. A structured interview was conducted with 167 patients (mean age = 80.5 years). Patients rated their current experience of pain twice with a 5-minute pause in-between on the VAS, GRS and NRS, and were then asked if they experienced pain, ache or hurt (PAH) or other symptoms. The correlations were high and significant both between the ratings of the VAS, GRS and NRS (r = 0.78-0.92; p < 0.001) (alternative-forms reliability), and between the test and retesting (r = 0.75-r = 0.83; p < 0.001) (test-retest reliability). A logistic regression analysis showed that the probability to accomplish a rating on the pain scales decreased with advancing age of the patient, and this was especially marked for the VAS. The probability of agreement between the patients' ratings of pain and the verbal report of PAH tended to decrease with advancing age; this was especially so for the VAS. Patients who verbally denied PAH but reported pain on the scales rated it significant lower (p < 0.001) than those who verbally reported PAH and rated the pain as well. Eighteen percent of patients who denied pain but rated a pain experience verbally expressed suffering or distress. The study suggests that pain rating scales such as the VAS, GRS and NRS can be used to evaluate pain experience in geriatric patients. However, agreement between verbally expressed experience of PAH, and the rated experience of pain tended to decrease with advancing age. This indicates that the pain-evaluating process will be substantially improved by an additional penetration supported by a wide variety of expression of hurt, ache, pain, discomfort and distress.

  • 1197.
    Bergh, Ingrid
    et al.
    University of Skövde, Department of Health Sciences. Department of Geriatric Medicine, Göteborg University.
    Sjöström, Björn
    University of Skövde, Department of Health Sciences.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University.
    Assessing pain and pain relief in geriatric patients with non-pathological fractures with different rating scales2001In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 13, no 5, p. 355-361Article in journal (Refereed)
    Abstract [en]

    Although pain is a frequent problem among elderly patients, they are often omitted in clinical trials and few studies have focused on assessing pain relief in this population. The aim of this study was to compare geriatric patients' verbally reported effect of analgesics with changes in pain experience rated with four different rating scales: the Visual Analogue Scale (VAS), the Graphic Rating Scale (GRS), the Numeric Rating Scale (NRS), and the Pain Relief Scale (PRS). Altogether 53 geriatric patients (mean=82 yrs) with non-pathological fractures in 4 geriatric units at a large university hospital were selected. In connection with the administration of analgesics, the patients were asked to "Mark the point that corresponds to your experience of pain just now at rest" on the VAS, GRS and NRS. This was repeated after 1.5-2 hours, and a direct question was asked about whether the analgesic medication given in connection with the initial assessment had had any pain-alleviation effect. Two comparisons were conducted with each patient. The results show that the probability of accomplishing a rating on the VAS, GRS, NRS, and PRS was lower with advancing age in these elderly fracture patients. The correlations between the ratings of the VAS, GRS and NRS were strong and significant (r=0.80-0.95; p<0.001) both at the initial assessments and at the re-assessments. However, the verbally reported effects of the analgesics were often directly opposite to the changes in rated pain. Therefore, application of the VAS, NRS, GRS and PRS for the purpose of assessing pain relief must be combined with supplementary questions that allow the patient to verbally describe possible experience of pain relief.

  • 1198.
    Bergh, Ingrid
    et al.
    University of Skövde, Department of Health Sciences. Avdelningen för geriatrik, Göteborgs universitet.
    Sjöström, Björn
    University of Skövde, Department of Health Sciences.
    Steen, Bertil
    Avdelningen för geriatrik, Göteborgs universitet.
    Smärta hos äldre: Skattningsskalor – förekomst och verbala uttryck för smärta och smärtlindring2003In: Incitament: för en hälso- & sjukvård i förvandling, ISSN 1103-503X, Vol. 12, no 7, p. 642-644Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    Smärta är inte en del av det normala åldrandet, men många äldre drabbas av sjukdomar som leder till smärta. Smärta är en subjektiv sensorisk och emotionell obehagsupplevelse med faktisk eller potentiell vävnadsskada. Varje person upplever smärta på sitt sätt och denna uppfattning får avgörande betydelse för hur hälso- och sjukvårdspersonal kan förhålla sig till människor med smärta.

    Utgångspunkten för denna avhandling var att studera smärtförekomst bland äldre och att evaluera användandet av smärtskalor. Våra resultat visar att skattningsskalor kan vara till hjälp.

    Artikeln baserad på Ingrid Berghs avhandling: Pain in the elderly - Rating scales, prevalence and verbal expression of pain relief

  • 1199.
    Bergh, Ingrid
    et al.
    University of Skövde, Department of Health Sciences. Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Steen, Gunilla
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Waern, Magda
    Institute of Clinical Neuroscience, Section of Psychiatry, Göteborg University, Gothenburg.
    Johansson, Boo
    Department of Psychology, Göteborg University, Gothenburg.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Sjöström, Björn
    University of Skövde, Department of Health Sciences. Department of Health Care Pedagogics, Göteborg University, Gothenburg.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Pain and its relation to cognitive function and depressive symptoms: A Swedish population study of 70-year-old men and women2003In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 26, no 4, p. 903-912Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the prevalence of pain and its characteristics, and to examine the association of pain with cognitive function and depressive symptoms, in a representative sample of 70-year-old men and women. Data were collected within the gerontological and geriatric population studies in Göteborg, Sweden (H-70). A sample of 124 men and 117 women living in the community took part in the study. A questionnaire was applied which included four different aspects of pain experience: prevalence, frequency of episodes of pain, duration and number of locations. In close connection to this, depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. The prevalence of pain during the last 14 days was higher in women (79%; n = 91) than in men (53%; n = 65) (P<0.001). Women (68%; n = 78) also reported pain that had lasted for >6 months to a greater extent than men (38%; n = 46) (P<0.001). The frequency of episodes of pain was also higher among women, 64% (n = 74) reporting daily pain or pain several days during the last 14 days while 37% of the men (n = 45) did so (P<0.001). Women (33%, n = 38) also reported pain experience from ≥3 locations more often than men (11%; n = 13) (P<0.001). On the other hand, the association between depressive symptoms and pain experience was more evident in men than in women. Women were taking significantly more antidepressants compared to men (P<0.03). The results show that pain is common in 70-year-old people and especially in women. However, associations between depressive symptoms and the four aspects of pain experience were more pronounced among men. 

  • 1200.
    Bergh, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Söderlund, Tina
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, SE-541 85 Skövde, Sweden.
    Vinterskog, Linda
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, SE-541 85 Skövde, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Life Sciences.
    Reliability and validity of the Acceptance Symptom Assessment Scale in assessing labour pain2012In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 5, p. e684-e688Article in journal (Refereed)
    Abstract [en]

    Objective: to investigate the reliability and validity of the Acceptance Symptom Assessment Scale (ASAS) in assessing labour pain.

    Design: a test-retest approach was used to assess reliability and validity.

    Setting: labour ward with approximately 2,400 deliveries annually in western part of Sweden.

    Participants: forty-seven pregnant women in the latent or active phase of labour.

    Methods: a total of five pain assessments with both the ASAS and the VAS were conducted in three sessions.

    Main outcome measures: correlation between ASAS and VAS.

    Findings: both scales demonstrated high and significant test–retest correlations (r=0.83–0.92; p<0.001). High and significant alternative-form reliability correlations (r=0.76–0.93, p<0.001) were found between ASAS and VAS ratings at all five assessments. Construct validity was established when both the ASAS and the VAS identified a pain reduction(p<0.001) 2 hrs after birth, compared to the previous assessment. Over two-thirds of the women preferred the ASAS to the VAS ,mainly(n=30) because the ASAS provided more choices relating to the pain experience, making it possible to label pain acceptable/unacceptable.

    Conclusions: the ASAS is interchangeable with the VAS for assessing labour pain. Over two-thirds of the women preferred it to the VAS.

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