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  • 1151.
    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.

  • 1152.
    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.

  • 1153.
    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.

  • 1154.
    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. 

  • 1155.
    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.

  • 1156.
    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.

  • 1157.
    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.

  • 1158.
    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.

  • 1159.
    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.

  • 1160.
    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.

  • 1161.
    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.

  • 1162.
    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.

  • 1163.
    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)
  • 1164.
    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.

  • 1165.
    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.

  • 1166.
    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.

  • 1167.
    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.

  • 1168.
    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.

  • 1169.
    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.

  • 1170.
    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.

  • 1171.
    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.

  • 1172.
    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.

  • 1173.
    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.

  • 1174.
    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.

  • 1175.
    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

  • 1176.
    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. 

  • 1177.
    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.

  • 1178.
    Bergkvist, Anders
    et al.
    Biochemistry and Biophysics, Department of Chemistry, Göteborg University, Sweden / Department of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, USA.
    Ejdebäck, Mikael
    University of Skövde, Department of Natural Sciences. Biochemistry and Biophysics, Department of Chemistry, Göteborg University, Sweden.
    Ubbink, Marcellus
    Leiden Institute of Chemistry, Leiden University, Gorlaeus Laboratories, The Netherlands.
    Karlsson, B. Göran
    Department of Molecular Biotechnology, Chalmers University of Technology, Göteborg, Sweden.
    Surface interactions in the complex between cytochrome f and the E43Q/D44N and E59K/E60Q plastocyanin double mutants as determined by (1)H-NMR chemical shift analysis2001In: Protein Science, ISSN 0961-8368, E-ISSN 1469-896X, Vol. 10, no 12, p. 2623-2626Article in journal (Refereed)
    Abstract [en]

    A combination of site-directed mutagenesis and NMR chemical shift perturbation analysis of backbone and side-chain protons has been used to characterize the transient complex of the photosynthetic redox proteins plastocyanin and cytochrome f. To elucidate the importance of charged residues on complex formation, the complex of cytochrome f and E43Q/D44N or E59K/E60Q spinach plastocyanin double mutants was studied by full analysis of the (1)H chemical shifts by use of two-dimensional homonuclear NMR spectra. Both mutants show a significant overall decrease in chemical shift perturbations compared with wild-type plastocyanin, in agreement with a large decrease in binding affinity. Qualitatively, the E43Q/D44N mutant showed a similar interaction surface as wild-type plastocyanin. The interaction surface in the E59K/E60Q mutant was distinctly different from wild type. It is concluded that all four charged residues contribute to the affinity and that residues E59 and E60 have an additional role in fine tuning the orientation of the proteins in the complex.

  • 1179.
    Bergkvist, Krister
    et al.
    University of Skövde, School of Life Sciences.
    Lundberg, Pär
    University of Skövde, School of Life Sciences.
    Icke-farmakologiska Smärtlindrande Omvårdnadsåtgärder Inom Prehospital Akutsjukvård: En Kvalitativ Beskrivning av olika tillvägagångssätt2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    One of the most common complaints of patient’s in need of prehospital emergency care is pain of some sort. Since November 1 2005 a big portion of the ambulance personnel is no longer allowed to administer drugs of any kind. Hence it is reasonable to assume that pain treatment nowadays is carried out with both pharmacological and non-pharmacological methods. Therefore the authors saw an interest in investigating how the ambulance personnel look at the concept of, and treatment of pain.

    The aim of this study was to, with focus on non-pharmacological measures, describe how Swedish ambulance personnel treat the patient in pain.

    The study was conducted with 5 interviews with ambulance personnel. The interviews were transcribed verbatim and analyzed. The analysis revealed four main themes with a number of sub themes. The theme opinions of pain disclose the informant’s view of pain as an individual phenomenon and what changes the patients perception of pain. Refuting and behavior in tending patients describes the informant’s opinions that a calm refuting and a good relationship with the patient could divert the patient’s thoughts about the pain. Assessment and treatment describes the need for individual adaptation when treating patients in pain. Combination therapy is successful revealed the informants thoughts that a combination of both pharmacological and non-pharmacological gives the best result.

  • 1180.
    Berglind, Lotta
    University of Skövde, Department of Computer Science.
    Användbarhetsexpertens roll som representant och medlare i systemutvecklingsprocesser2003Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    I denna rapport talas det om användbarhetsexpertens roll som representant för användaren,medlare av termen användbarhet samt medlare mellan användaren och andra yrkesroller i en systemutvecklingsprocess. Denna roll har många gånger en tendens till att inte få tillräckligt med gehör av andra yrkesroller i utvecklingsprojekt. Det finns flera olika faktorer som kan bidra till detta. Vad som framkom i resultatet var en bekräftelse på att användbarhetsexpertens

    roll är viktig i fråga om representering och medling. Vad gäller faktorn samarbete anser respondenterna att samarbetet för det mesta fungerar bra mellan dem och andra yrkesroller. Samarbete ses därmed inte som en faktor som påverkar gehöret för en användbarhetsexperts roll i systemutvecklingsprocesser. Respondenterna tycker däremot att de inte alltid får gehör för sin roll som användbarhetsexpert fast att de tycker att samarbetet med andra yrkesroller fungerar bra. En faktor som bidrar till

    detta är den svårdefinierade termen användbarhet.

  • 1181.
    Berglund, Emmie
    et al.
    University of Skövde, School of Business.
    Bergquist, Linnéa
    University of Skövde, School of Business.
    ATT MOTIVERA GENERATION Y: En fallstudie baserad på hur chefer inom friskvårdsbranschen kan behålla sina unga medarbetare2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A workplace that is not considered sufficiently motivating for an individual can lead to an employee voluntary choosing to leave a company, resulting in high unpredictable employee turnover costs and inconvenience for the operation. Therefore, Employee retention is considered to be of great importance. Motivation in work may also be associated with the experience of satisfaction that creates positive working attitudes, this term can be seen to be integrated with the work of retaining employees. However, in order to maintain motivation in work, it is important that managers understands how generation differences can affect the needs of individuals in the workplace. Because young employees, so-called generation Y, are individuals who are more likely to leave a company than previous generations this study has a specific focus on the healthcare industry, which has shown a high number of young employees. The aim of this study was to create an understanding of how managers can work to motivate their employees, belonging to generation Y, in order to keep them in a company within the healthcare industry.

    The study takes a starting point in the generation theory of Mannheim (1927) and motivational theories of Maslow (1943) and Vroom (1964), which have worked out as a scientific support in the search for the answer to the study’s problem formulation and questionnaire. In order to find the answer of the founded question a qualitative researching method has been used, with a complementary descriptive element in form of a ranking method. The collection of the empirical data was conducted using a case study against two different healthcare companies and a triangulation method. In total, 13 qualitative interviews were conducted with managers and employees, as well as a qualitative text analysis based on the case materials and policy documents, which together formed a triangulation method.

    The result of this study present a difference between what managers believe motivates generation Y and what they are actually motivated by in practice. The motivational factors that was shown distinctive and important for employees belonging to generation Y to stay within the healthcare industry were Personal development, Cohesion and community and Safe employment conditions. However, it should be noted that this result was a generalization of the collected empirical data and does not constitute a presentation of what these employees individually are motivated by. Therefore, it is also considered essential that managers are working to identify the individual’s need of motivation at the workplace.

  • 1182.
    Berglund, Eric
    et al.
    University of Skövde, School of Business.
    Källström, Richard
    University of Skövde, School of Business.
    Hur rättfärdigar multinationella oljeföretag sin oljeutvinning?: En studie om multinationella oljeföretags hållbarhetsrapportering i Afrika2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The oil industry is one of the most controversial industries because it is destroying both immediate environments and large ecosystems. At the same time it is also one of the key industries for the world economy. The companies use sustainability reports to show stakeholders what they are doing to help the environment and society. The African continent is very rich in the natural resource of oil. Many of the oil-exporting countries have been affected by the “resource curse” which means that the countries have not managed to use this resource to develop communities and a better standard of living. For a long time multinational oil companies have made great gains in Africa. Companies must compensate the population for the extraction and the damage done to the environment and communities.

    The purpose of this paper is to see what differences and similarities there are in the multinational oil companies’ sustainability reporting in Africa. In order to answer this purpose, the following research questions were asked: what questions do multinational oil companies in Africa focus on? What differences can we identify? And what similarities can we identify?

    Using qualitative data analysis we have been able to answer the purpose. This approach has helped us to see what the multinational oil companies focus on in its sustainability reporting. This gives us an understanding of what is important for stakeholders on the continent. In the theoretical framework have theories about CSR been used. Stakeholder Theory has been lifted in to see the interaction between companies and their stakeholders. Legitimacy theory is used to show which indicators companies focus on to create legitimacy.

    In the empirical part the study's results are presented by using charts to make it easier to see the differences and similarities that exist among the nine companies that were included in the study. The results were then analysed in order to reach a conclusion. In our study, we concluded that the companies where much involved in local communities. Similarities were seen in investment in infrastructure and jobs to the local population is a high priority among African communities. Differences were seen mainly in the category of human rights, several companies chose not to inform about this. The indicator communication with indigenous people was rare, only 3 companies did this and it was with the Nigerian indigenous people.

  • 1183.
    Berglund, Eva
    University of Skövde, School of Humanities and Informatics.
    Kritiska framgångsfaktorer vid e-handelsinförande2005Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Den snabba utvecklingen de senaste åren inom informationstekniken har ändrat organisationers arbetssätt. Målet med e-handelsinförande för en organisation är ofta att bibehålla eller öka sin konkurrenskraft. För organisationer som bedriver e-handel är det viktigt att förstå hur kritiska framgångsfaktorer skall identifieras och hur dessa framgångsfaktorer i sin tur påverkar implementationsprocessen.

    Det finns ett behov av undersökningar som studerar hur organisationer hanterar problem med e-handelsinförande och vilka kritiska framgångsfaktorer som är förknippande med framgångsrikt e-handelsinförande. Syftet med denna undersökning är att utifrån företag verksamma i Sverige jämföra ett antal kritiska framgångsfaktorer vilka anses vara viktiga för företag vid e-handelsinförande. Enkätundersökning användes vid insamling av material kring de identifierade kritiska framgångsfaktorerna vilka framkom under den inledande litteraturstudien.

    Resultatet blev en sammanställning över kritiska framgångsfaktorer som visar att företag verksamma i Sverige anser att stabilitet i systemet är mest nödvändig och att utvärdering av e-handel är minst nödvändig vid e-handelsinförande.

  • 1184.
    Berglund Kristiansson, Elisabeth
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Källman, Ulrika
    Research Department, Region Västra Götaland, South Älvsborg Hospital, Borås, Sweden.
    Healthcare staff's views on the patients' prerequisites to be co-creator in preventing healthcare-associated infections2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    Background Every year, patients are affected by suffering and death caused by adverse events in connection with health care and the most common adverse events are healthcare-associated infections (HAI). The Swedish Patient Act from 2015 strengthens the patient's position in health care; however, there is lack of knowledge of how healthcare staff experience the possibilities to make the patient involved in the preventive work of HAI. Aim To describe healthcare professionals' views on the patient's prerequisites to be co-creator in preventing HAI in connection with hospital care. Method This study had a qualitative descriptive design with semi-structured individual interviews. Qualitative inductive content analysis was used to analyse the transcribed interview data. The study setting was a hospital in Sweden in 2015. Interviews were carried out among six healthcare professionals. Results In the analysis, 5 themes and 14 categories were identified in three different domains: Organisation, Healthcare staff and Patient. The result indicates an obstacle in each domain for the patient to become co-creator in preventing HAI. In Organisation domain, a lack of organizational structure such as elaborated working methods to involve the patient was pointed out. In the domain Healthcare staff, it showed that the professionals allocate the responsibility of preventing HAI to the patient but only if they had to or if they trusted the patient. In the Patient domain, the result states that the patient was perceived as passive; they did not take own initiatives to get involved. Conclusion The patient has an important role in successful HAI prevention work and should be considered as an obvious co-creator. Nevertheless, this study shows that neither organisation nor healthcare staff are sufficiently prepared for this. The organisation must make an anchored, structured and systematic work centred on the patient's needs and give more support both to healthcare professionals and patients.

  • 1185.
    Berglund, Linda
    University of Skövde, School of Humanities and Informatics.
    KOGNITIVA ARBETSMILJÖPROBLEM OCH TEKNIKSTRESS I EN KOMPLEX VÅRDMILJÖ2012Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    En god arbetsmiljö kan anses vara nyckeln till en välfungerande verksamhet. Arbetsmiljö som begrepp är dock oerhört komplext där många olika problemaspekter samverkar och påverkar arbetsplatsens miljö. Vissa arbetsmiljörelaterade problem kan härröras till egenskaper som inte tillåter individen att utnyttja sina kognitiva förmågor och benämns därmed som kognitiva arbetsmiljöproblem. Andra faktorer som tekniska arbetsverktyg som skall vara de anställda behjälpliga, kan i de fall de brister, också påverka och störa tankeprocesserna hos individen. Den här rapportens syfte är att utveckla en förståelse om hur komplexa arbetsmiljöer samt interaktion med teknik kan skapa en stress som i förlängningen kan leda till kognitiva arbetsmiljöproblem och teknikstress. En kvalitativ fallstudie utfördes för att få en holistisk överblick över arbetsflödet. Studien genomfördes på en avdelning på ett äldreboende med hjälp av datainsamlingsteknikerna observation och intervju. Resultatet tyder på att kognitiva arbetsmiljöproblem och teknikstress är nära sammanlänkande och förutom tidigare identifierade kognitiva arbetsmiljöproblem, framträdde även en ny dimension.

  • 1186.
    Berglund, Linus
    University of Skövde, School of Informatics.
    Optimeringsstrategier för en sökalgoritm i javascript2015Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Det blir allt vanligare med att använda webbläsare som plattform för applikationer istället för de konventionella som måste installeras lokalt. Frågan är hur pass bra JavaScript står sig när det kommer till intensiva och tunga algoritmer såsom sökalgoritmer för spel. Finns det optimeringar som kan förbättra tidsåtgången för sökalgoritmer så att användaren i slutändan inte tröttnar på att det tar för lång tid? Med hjälp av ett antal tekniker såsom Typed Arrays försöker det här arbetet påvisa huruvida Typed Arrays kan användas som optimeringsstrategi för en applikation handskriven i JavaScript för att sänka tidsåtgången.

    Detta arbete syftar till att utvärdera hur användbart av optimeringsstrategier såsom Typed Arrays påverkar tidsåtgången för en förutbestämd sökväg. Flera versioner av en applikation implementeras för att se vilken optimering som är mest lämpad och utvärderas sedermera genom prestandamätning. Resultatet visar att ingen av de valda optimeringsstrategierna gav någon nämnvärd förbättring utan var till vissa delar en försämring jämfört med referensmätningen.

  • 1187.
    Berglund, Malin
    University of Skövde, School of Humanities and Informatics.
    "¿Mailing, por necesidad o por lujo?. Un estudio sobre anglicismos en prensa española2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [es]

    Síntesis:

    En la prensa española hay periodistas que utilizan anglicismos en ausencia de palabras españolas, pero también lo hacen por factores culturales y estilísticos. Esta tesina es el resultado de un estudio de anglicismos en artículos del periódico El País publicados entre octubre y diciembre de 2007.

    El estudio tiene tres hipótesis como punto de partida y se ha respondido a ellas con un método cuantitativo-cualitativo, incluido allí la medición de la frecuencia de los anglicismos encontrados. Las hipótesis implican estudiar la frecuencia de diferentes anglicismos, cómo se utilizan los anglicismos y, también, en cuáles secciones del periódico se usan asiduamente.

    Como delimitación en la investigación, se estudian artículos provenientes de las secciones de economía, tecnología y sociedad.

    Muchos estudios anteriores dicen que la influencia de los anglicismos es un resultado de la internacionalización, y de que hay muchas maneras y orientaciones de cómo se los puede estudiar. También muestran que hay diferentes grupos de anglicismos para analizarlos como, por ejemplo, los anglicismos que se usan por lujo o los por necesidad. El resultado de la tesina muestra que se usan más anglicismos en la sección de tecnología que en las de sociedad y economía, y también que los anglicismos de informática son los más frecuentes en el corpus. Asimismo, el resultado exhibe que, en general, los periodistas del periódico usan los anglicismos porque no hay palabras en español que se relacionan con los conceptos que quieren escribir.

    Hipótesis:

    En el presente trabajo se formulan tres hipótesis, a saber:

    1. En artículos periodísticos de tecnología se usan préstamos ingleses más frecuentemente de lo que se hace en artículos de economía y de sociedad.

    2. Se usan préstamos ingleses en el lenguaje periodístico porque no hay palabras en español que correspondan al sentido que los periodistas quieren mediar.

    3. Los anglicismos del corpus que vienen del dominio informático son más frecuentes que los anglicismos que vienen del campo económico o del social.

     

  • 1188.
    Berglund, Marcus
    et al.
    University of Skövde, School of Engineering Science.
    Karlgren, Martin
    University of Skövde, School of Engineering Science.
    DEVELOPING A FURNITURE TEST MACHINE ACCORDING TO NATIONAL STANDARDS: ENSURING QUALITY AND CREDIBILITY FOR THE SMEES IN SOUTH AFRICA2019Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    In South Africa where the unemployment is immense, Small Micro and Medium enterprises (SMMEs) provide more than half of all job opportunities. Furntech, a non-profit organisation that works with vocational training and incubation within the furniture manufacturing sector in South Africa, wants to expand their testing laboratory with a machine to test mattresses according to local standards. The aim of this project is to develop a machine design to test innerspring mattresses by using product development methodology. Observations, interviews, and visits at companies in the furniture manufacturing sector is conducted to understand the needs from the user- and mechanical aspects. Existing and required additional parts to support the functionality for the test bedding machine has been evaluated by calculations and simulations by using for example ABAQUS and JACK.

    A design is produced that meets the local standards by developing the existing table test machine in Furntech’s laboratory and is presented in a CAD-model. A scissor lift controls the vertical adjustment of the platform and an electric ball screw cylinder controls the compression of the mattresses. Instruction manuals, a graphical interface design, flowcharts and drawings of some of the parts has also been produced.

  • 1189.
    Berglund, Mattias
    University of Skövde, School of Humanities and Informatics.
    Semiautomatisk spridning av vegetation i dataspel2007Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Dagens spel kräver hela tiden mer resurser i en konstant växande och mer detaljerad spelvärld. Det är därför intressant att titta på alternativ till att designers manuellt placerar ut innehåll i en värld. Problemet som tas upp är om det är möjligt att kombinera generering av procedurellt innehåll i form av en skog med att låta en användare kunna påverka denna generering. Problemet delas upp i två delar där en utveckling av en arkitektur sker genom att utvärdera existerande skogsmodeller och sedan implementera arkitekturen. Slutligen sker en utvärdering av modellen genom att analysera ett antal scenarier. Resultaten visar att det är möjligt att låta en användare kunna påverka en evolvering av en skog genom att ändra egenskaper på ett specifikt område, men påverkas i stor grad av hur pass komplex skogsmodellen är. Arbetet visar att det är möjligt att enkelt kunna styra och påverka generering av procedurellt innehåll.

  • 1190.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att lära sig stödja patienters lärande2015In: Reflektion i lärande och vård: En utmaning för sjuksköterskan / [ed] Mia Berglund & Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, p. 187-198Chapter in book (Refereed)
  • 1191.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Att ta rodret i livet med långvarig sjukdom2011In: CF-bladet - Medlemsblad för Riksförbundet Cystisk Fibros i Sverige, no 3, p. 18-19Article in journal (Other (popular science, discussion, etc.))
  • 1192.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Att ta rodret i livet med långvarig sjukdom: Lärande utmaningar vid långvarig sjukdom2011In: Dialäsen, ISSN 1104-4616, no 5, p. 37-40Article in journal (Other (popular science, discussion, etc.))
  • 1193.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Att ta rodret i sitt liv: Lärande utmaningar vid långvarig sjukdom2011Doctoral thesis, monograph (Other academic)
    Abstract [en]

    A starting point for this thesis is that patients’ learning has not received sufficient attention and thus has not featured in the study programmes in the field of caring. Focus has instead been placed on patients being given information and advice about their illness and treatment, advice that they are then expected to comply with. Too little attention has been paid to the individual who lives with his/her illness and who should be considered to have significant experiences. The overall aim has been to analyze and describe the phenomenon of learning to live with long-term illness as well as to develop a didactic model that can help carers to support patients’ learning processes.

    The theoretical perspective in the thesis is lifeworld theory, which permeates ontological, epistemological and methodological standpoints and also the view on learning. The design and carrying out of the research is based on a reflective lifeworld approach. The empirical study consists of interviews with people who live with different types of long-term illnesses.

    The learning that follows life with a long-term illness is generated in such a way as to respond to the will to live the well-known everyday life. A greater understanding of the empirical results has been achieved by a lifeworld philosophical elucidation, with a particular focus on learning turning points and the importance of reflection. Based on the empirical results, the lifeworld philosophical elucidation and the caring science lifeworld didactics a didactic model has been formulated. This model is entitled: The challenge – to take charge of one’s life with long-term illness. The model contains four theses: 1) Confronting one’s life situation and challenging to make a change, 2) Positioning oneself at a distance when creating a new whole, 3) Developing self-consciousness and taking responsibility, 4) Making learning visible with the aim of providing development and balance in life.

    The results in the thesis show that a genuine learning is something that differs from the learning of information and that the learning must be supported at an existential level based on the sufferer’s situation and for a long period of time.

  • 1194.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Lärande vid långvarig sjukdom: Utmaningar för patient och vårdare2012 (ed. 1)Book (Other academic)
  • 1195.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Nu satsar Högskolan i Skövde på omvårdnadshandledning2010In: Medlemsbladet, Handledning i omvårdnad, no 1, p. 10-11Article in journal (Other (popular science, discussion, etc.))
  • 1196.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Senaste nytt från Skövde2011In: Medlemsbladet, Handledning i omvårdnad, no 2, p. 7-7Article in journal (Other (popular science, discussion, etc.))
  • 1197.
    Berglund, Mia
    University of Skövde, School of Life Sciences.
    Utmaningen - att ta rodret i livet med långvarig sjukdom2012In: Njurfunk, ISSN 0347-1365, Vol. 1, no 39, p. 36-38Article in journal (Other (popular science, discussion, etc.))
  • 1198.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andersson, Susanne
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kjellsdotter, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att drabbas av långvarig sjukdom2017In: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, p. 93-116Chapter in book (Refereed)
  • 1199.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ek, Kristina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att förstå de didaktiska redskapen i utbildningen2015In: Reflektion i lärande och vård: En utmaning för sjuksköterskan / [ed] Mia Berglund & Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, p. 47-68Chapter in book (Refereed)
  • 1200.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekebergh, MargarethaHögskolan i Borås.
    Reflektion i lärande och vård: En utmaning för sjuksköterskan2015Collection (editor) (Refereed)
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