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  • 1.
    Bergström, Aileen
    et al.
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Occupat Therapy, Stockholm, Sweden..
    Borell, Lena
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Occupat Therapy, Stockholm, Sweden..
    Meijer, Sebastiaan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Guidetti, Susanne
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Occupat Therapy, Stockholm, Sweden..
    Evaluation of an intervention addressing a reablement programme for older, community-dwelling persons in Sweden (ASSIST 1.0): a protocol for a feasibility study2019Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 9, nr 7, artikkel-id e025870Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction Older persons with functional limitations often need assistance from home care staff to thrive and continue to live in their home environments. Reablement, a proactive, preventative approach administered by home care staff, stimulating active engagement of the older person, is often recommended. Even though reablement has a potential to become a new rehabilitation model and has been implemented in different countries in various degrees, there is a lack of knowledge regarding the process of establishing reablement, the theoretical underpinnings and the conditionality and outcomes in different contexts. This knowledge is needed before fullscale recommendations can be made for implementation in specific contexts. Aim This study protocol aims to present a feasibility study of the intervention, ASSIST 1.0, a theory-based reablement programme, which includes coaching of home care staff and digitally based smart products, in a Swedish context. Methods and analysis This feasibility study will evaluate the perceived value and acceptability of ASSIST 1.0 intervention programme regarding fidelity, reach and dose, and potential outcomes by using a pretest and post-test design involving an intervention group and a control group (n=30) of older persons living at home, needing home care services. Qualitative interviews with home care staff delivering ASSIST and the older adults receiving the intervention as well as their significant others will be conducted to explore aspects affecting the intervention. Ethics and dissemination This study has been approved by the regional ethics board. The results of the feasibility study will form the base for refinement of the ASSIST programme and for the subsequent planning of a full-scale randomised controlled trial investigating the effect of the programme on a larger scale. Dissemination will include peer-reviewed publications and presentations at national and international conferences as well as information to involved stakeholders.

  • 2. Brorsson, Anna
    et al.
    Ohman, Annika
    Lundberg, Stefan
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Nygard, Louise
    Being a pedestrian with dementia: A qualitative study using photo documentation and focus group interviews2016Inngår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 15, nr 5, s. 1124-1140Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to identify problematic situations in using zebra crossings. They were identified from photo documentations comprising film sequences and the perspectives of people with dementia. The aim was also to identify how they would understand, interpret and act in these problematic situations based on their previous experiences and linked to the film sequences. A qualitative grounded theory approach was used. Film sequences from five zebra crossings were analysed. The same film sequences were used as triggers in two focus group interviews with persons with dementia. Individual interviews with three informants were also performed. The core category, the hazard of meeting unfolding problematic traffic situations when only one layer at a time can be kept in focus, showed how a problematic situation as a whole consisted of different layers of problematic situations. The first category, adding layers of problematic traffic situations to each other, was characterized by the informants' creation of a problematic situation as a whole. The different layers were described in the subcategories of layout of streets and zebra crossings, weather conditions, vehicles and crowding of pedestrians. The second category, actions used to meet different layers of problematic traffic situations, was characterized by avoiding problematic situations, using traffic lights as reminders and security precautions, following the flow at the zebra crossing and being cautious pedestrians. In conclusion, as community-dwelling people with dementia commonly are pedestrians, it is important that health care professionals and caregivers take their experiences and management of problematic traffic situations into account when providing support.

  • 3.
    Buckley, Jeffrey
    et al.
    KTH, Skolan för industriell teknik och management (ITM), Lärande. Technol Univ Shannon Midlands Midwest, Fac Engn & Informat, Athlone, Ireland..
    Seery, Niall
    Technol Univ Shannon Midlands Midwest, Fac Engn & Informat, Athlone, Ireland..
    Kimbell, Richard
    Goldsmiths Univ London, London, England..
    A Review of the Valid Methodological Use of Adaptive Comparative Judgment in Technology Education Research2022Inngår i: Frontiers in Education, E-ISSN 2504-284X, Vol. 7, artikkel-id 787926Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    There is a continuing rise in studies examining the impact that adaptive comparative judgment (ACJ) can have on practice in technology education. This appears to stem from ACJ being seen to offer a solution to the difficulties faced in the assessment of designerly activity which is prominent in contemporary technology education internationally. Central research questions to date have focused on whether ACJ was feasible, reliable, and offered broad educational merit. With exploratory evidence indicating this to be the case, there is now a need to progress this research agenda in a more systematic fashion. To support this, a critical review of how ACJ has been used and studied in prior work was conducted. The findings are presented thematically and suggest the existence of internal validity threats in prior research, the need for a theoretical framework and the consideration of falsifiability, and the need to justify and make transparent methodological and analytical procedures. Research questions now of pertinent importance are presented, and it is envisioned that the observations made through this review will support the design of future inquiry.

  • 4. Campisi, T.
    et al.
    Tesoriere, G.
    Skoufas, Anastasios
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Byggvetenskap, Transportplanering.
    Zeglis, D.
    Andronis, C.
    Basbas, S.
    Perceived Pedestrian Level of Service: The case of Thessaloniki, Greece2022Inngår i: Transportation Research Procedia, Elsevier BV , 2022, s. 124-131Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Level of Service (LOS) is one of the most crucial components for the assessment of pedestrian facilities by mainly concerning the effective width as well as pedestrians’ flows. However, current research reveals that qualitative characteristics can also contribute to LOS estimation as perceived by pedestrians. Specifically, socio-demographic characteristics (i.e., age, gender) as well as characteristics related with perceived comfort and safety can be related with perceived LOS. A Revealed Preference (RP) face to face questionnaire-based survey (including 301 interviewees) was realized during October 2019 at a central pedestrian facility in the city of Thessaloniki, Greece. RP questionnaire survey assisted in gaining valuable knowledge concerning the factors that mainly affect pedestrians’ perceived LOS across the pedestrian facility. The examined pedestrian facility is one of the most important in Thessaloniki since it facilitates high pedestrian flows within the city center daily. The present survey considered pedestrians’ general mobility characteristics such as walking frequency along the facility and trip purpose. Additionally, the evaluation of the greater facility’ area in terms of land use attractiveness, comfort, personal and road safety, public transport, parking conditions and traffic delays, accessibility, pedestrians and bicycles were concerned as well. Ordinal regression was the main tool for the development of the ordinal regression model, and therefore, for the conclusions’ drawing of the present research. The findings regarding perceived LOS can pave the way towards the design of sustainable policy concerning pedestrian facilities as well as the encouragement of active transport in urban areas.

  • 5.
    Campo Woytuk, Nadia
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID.
    Søndergaard, Marie Louise Juul
    The Oslo School of Architecture and Design, The Oslo School of Architecture and Design.
    From Menstrual Care to Environmental Care2023Inngår i: interactions, ISSN 1072-5520, E-ISSN 1558-3449, Vol. 30, nr 4, s. 28-33Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 6.
    Chang, Fangyuan
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap. Shanghai Jiao Tong Univ, Sch Design, Shanghai, Peoples R China..
    Kuoppamäki, Sanna
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Östlund, Britt
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Technology scripts in care practice: A case study of assistant nurses' use of a social alarm system in Swedish nursing homes2022Inngår i: Digital Health, E-ISSN 2055-2076, Vol. 8, artikkel-id 20552076221089077Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Technologies such as social alarm systems contain expectations about how they should be integrated and used in practice. These expectations, also called technology scripts, usually fail to consider all the complexity in care practice. Shifting the focus from technology scripts to care practice, this paper examines how a social alarm system is used in assistant nurses' care practices in nursing homes. Methods The paper draws on observations of assistant nurses' daily tasks (32 h) and semi-structured interviews with assistant nurses (n = 12) in two Swedish nursing homes. The observation data were used to understand the care contexts and assistant nurses' technology-mediated care practices, while interviews were used to deeply understand assistant nurses' perceptions of the system, their care practices, and which aspects they considered during the provision of care. Findings We show the complexities involved in integrating a social alarm system into care practices based on assistant nurses' situational and personal interpretations of both technology scripts and quality of care. The technology-mediated care practices consist of receiving alarms from residents, checking alarms via alarm phones, responding to alarms via alarm phones, checking specific residents' situations in person, documenting all finished alarms, and documenting some finished alarms. In these practices, the assistant nurses defined technology scripts according to their expected requirements and outcomes, and meanwhile considered the quality of care by evaluating the priority of practical, moral or relational care in the situations at hand. Through further negotiations with the defined scripts and the considered quality of care, the assistant nurses decided on the final way of following (or not following) specific scripts in practice. Conclusion Results from our study portray the complexity of technology in care practices. The findings contribute to increased understanding of technology-mediated care practices in nursing homes, and research on technology scripts in institutional settings.

  • 7.
    Darwich, Adam S.
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Bostroem, Anne-Marie
    Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Karolinska Univ Hosp, Theme Inflammat & Aging, Huddinge, Sweden.;Stockholms Sjukhem, Res & Dev Unit, Stockholm, Sweden..
    Guidetti, Susanne
    Karolinska Inst, Div Occupat Hlth, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Occupat Therapy & Physiotherapy, Theme Womens Hlth & Allied Profess, Stockholm, Sweden..
    Raghothama, Jayanth
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Meijer, Sebastiaan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study2023Inngår i: JMIR Human Factors, E-ISSN 2292-9495, Vol. 10, artikkel-id e42283Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Home care is facing increasing demand due to an aging population. Several challenges have been identified in the provision of home care, such as the need for support and tailoring support to individual needs. Goal-oriented interventions, such as reablement, may provide a solution to some of these challenges. The reablement approach targets adaptation to disease and relearning of everyday life skills and has been found to improve health-related quality of life while reducing service use.Objective: The objective of this study is to characterize home care system variables (elements) and their relationships (connections) relevant to home care staff workload, home care user needs and satisfaction, and the reablement approach. This is to examine the effects of improvement and interventions, such as the person-centered reablement approach, on the delivery of home care services, workload, work-related stress, home care user experience, and other organizational factors. The main focus was on Swedish home care and tax-funded universal welfare systems.Methods: The study used a mixed methods approach where a causal loop diagram was developed grounded in participatory methods with academic health care science research experts in nursing, occupational therapy, aging, and the reablement approach. The approach was supplemented with theoretical models and the scientific literature. The developed model was verified by the same group of experts and empirical evidence. Finally, the model was analyzed qualitatively and through simulation methods.Results: The final causal loop diagram included elements and connections across the categories: stress, home care staff, home care user, organization, social support network of the home care user, and societal level. The model was able to qualitatively describe observed intervention outcomes from the literature. The analysis suggested elements to target for improvement and the potential impact of relevant studied interventions. For example, the elements "workload" and "distress" were important determinants of home care staff health, provision, and quality of care.Conclusions: The developed model may be of value for informing hypothesis formulation, study design, and discourse within the context of improvement in home care. Further work will include a broader group of stakeholders to reduce the risk of bias. Translation into a quantitative model will be explored.

  • 8.
    Eriksson, Andrea
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Jutengren, G.
    Dellve, L.
    Job demands and functional resources moderating assistant and Registered Nurses' intention to leave2021Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 2, s. 870-881Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: To investigate how job demands and resources interact with each other to predict intention to leave among assistant nurses and Registered Nurses. Design: Longitudinal study. Methods: Questionnaire data were collected yearly during three years (October 2012–December 2014) from Registered Nurses (RN) and assistant nurses (N = 840) employed in Swedish hospitals. Associations and interaction effects of demands and resources were assessed with correlation analyses and regression models. Results: Job demands predicted assistant nurses' intentions to leave, while resources predicted RNs' intention to leave. For RNs, several resources were functional in moderating the associations between demands and intention to leave: social support, vertical trust, and humanity moderated work pace and workflow moderated emotional demands. For assistant nurses, organizational clarity and interprofessional collaboration moderated emotional demands. None of the resources had a moderating effect on the associations between quantitative demands or illegitimate tasks and intention to leave.

  • 9. Fernández-Ardèvol, M.
    et al.
    Rosales, A.
    Loos, E.
    Peine, A.
    Beneito-Montagut, R.
    Blanche, D.
    Fischer, Björn
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Katz, S.
    Östlund, Britt
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Methodological Strategies to Understand Smartphone Practices for Social Connectedness in Later Life2019Inngår i: Proceedings 5th International Conference on Human Aspects of IT for the Aged Population, ITAP 2019, held as part of the 21st International Conference on Human-Computer Interaction, HCI International 2019, Springer Verlag , 2019, s. 46-64Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Digital practices in later life are not yet well understood. Therefore, this paper discusses the framework for a research design project that aims at tracing differences and similarities in how older adults use their smartphones in circumstances in and outside their homes in Spain, the Netherlands, Sweden, and Canada. The research questions of this international research project focus on the extent to which digital mobile practices relate to perceived social connectedness among older adults aged 55–79 years old. While studies have shown that the subjective experience of ‘being connected’ supports continued wellbeing in later life, there remains an insufficient understanding of the processes through which digital mediated social interaction is effective for social connectedness. The analytical framework of the project prioritizes the co-constituency of (digital) technology and ageing, and takes digital practices in everyday life as its entry point. The main data collection tool will be the tracking of smartphone activity of 600 older adults (150 per country) during four weeks. An online survey and qualitative interviews will gather data about the meanings of the quantified digital practices, and how they shape (if they do) the participants’ connection to the world. This approach will allow us not only to get insight into what older adults say how they used their smartphone but also to gain insight into their real-life daily use. The assessment of the challenges, strengths, and weaknesses of the methods contributes towards an accurate and appropriate interpretation of empirical results and their implications.

  • 10.
    Groth, Kristina
    et al.
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Lantz, Ann
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Sallnäs, Eva-Lotta
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Frykholm, Oscar
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Green, Anders
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Team Meetings within Clinical Domains: Exploring the Use of Routines and Technical Support for Communication2009Inngår i: HUMAN-COMPUTER INTERACTION - INTERACT 2009, PT II, PROCEEDINGS / [ed] Gross T; Gulliksen J; Kotze P; Oestreicher L; Palanque P; Prates RO; Winckler M, 2009, Vol. 5727, s. 975-976Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Today, it is common that a team of clinicians, from different disciplines, instead of one single doctor, care for a patient. This is especially true when it concerns more complicated diseases in highly specialised health care. Going from one doctor to a team of doctors raises new dimensions/problems/issues when deciding about the diagnosis and how to treat the patient. Instead of one person deciding, based on the information given from others, a group of people need to agree on a decision. How do the participants during such decision meetings argue for their experience and skill? What kind of technologies are available and how do they support the communication in the meeting? Måseide (2006), for example, focuses on how different forms of evidence influence and regulate the judgements and decisions of medical practitioners during such meetings. Groth et al. (2008), for example, focuses on the technology used during such meetings, with a focus on audio, video, and images.

  • 11.
    Halling, Bengt
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi. Department of Industrial Design, Industrial Management and Mechanical Engineering, University of Gävle, Gävle, Sweden.
    Bergman, Mikael
    Outokumpu, Avesta, Sweden..
    Wijk, Katarina
    Reg Gävleborg, Ctr Res & Dev, Gävle, Sweden.;Univ Gävle, Fac Hlth & Occupat Studies, Dept Occupat Hlth Sci & Psychol, Gävle, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Sense of Coherence and Lean-based leadership and alterations in sick leave and productivity at a steel wire manufacturing unit2021Inngår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 68, nr 4, s. 1211-1220Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Managers have an important role in the creation of workplace conditions that prevent sick leave and lead to high performance. In Lean, the assumption is that people are the source for continuous improvements. There is a need for more knowledge about what kind of leadership can help managers in a Lean context to create workplace conditions for less sick leave and higher performance. OBJECTIVE: The purpose of this study was to examine how productivity and rate of sick leave changed at a stainless wire manufacturing unit after implementing a new leadership approach based on Sense of Coherence theory (SOC) and Lean philosophy. METHODS: In this case study, interventions coupled with productivity, quality and sick leave evaluations through the company's key performance indicators were performed. The follow-up was also based on narrative descriptions from the management team in the course of four meetings during the intervention. Notes were taken and analyzed regarding perceived outcomes of the intervention. RESULTS: The results showed that leadership based on SOC and Lean philosophy is positively correlated with productivity per worker, as was the amount of yearly production that met the quality specifications. The amount of sick leave decreased during the period of the intervention compared to before the intervention. CONCLUSIONS: Changes in management contribute to productivity. Combining Lean tools and Lean philosophy with the Sense of Coherence theory (SOC) as a base for leadership can influence productivity and decrease the rate of sick leave.

  • 12.
    Hellstrand, Mikaela
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Kornevs, Maksims
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Raghothama, Jayanth
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Meijer, Sebastiaan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Tensions between real-world practices and the digitalization paradigm for data-driven services in eldercare: observations from an ethnographic study in Sweden2024Inngår i: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, nr 1, artikkel-id 98Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The implementation of a data-driven approach within the health care system happens in a rapid pace; including in the eldercare sector. Within Swedish eldercare, data-driven health approach is not yet widely implemented. In the specific context of long-term care for older adults, quality of care is as much determined by how social care is being performed as it is by what kind medical care that is provided. In particular, relational aspects have been proven to have a crucial influence on the experience of quality of care for the actors involved. Drawing on ethnographic material collected at a Swedish nursing home, this paper explores in what way the relational aspects of care could potentially become affected by the increased use of a data-driven health approach. Methods: An ethnographic approach was adopted in order to investigate the daily care work at a long-term care facility as it unfolded. Fieldwork was conducted at a somatic ward in a Swedish long-term care facility over 4 months (86 h in total), utilizing the methods of participant observation, informal interviews and document analysis. The material was analyzed iteratively throughout the entire research process adopting thematic analysis. Results: Viewing our ethnographic material through an observational lense problematising the policy discourse around data-driven health approach, two propositions were developed. First, we propose that relational knowledge risk becoming less influential in shaping everyday care, when moving to a data-driven health approach. Second, we propose that quality of care risk becoming more directed on quality of medical care at the expense of quality of life. Conclusion: While the implementation of data-driven health approach within long-term care for older adults is not yet widespread, the general development within health care points towards a situation in which this will become reality. Our study highlights the importance of taking the relational aspects of care into consideration, both during the planning and implementation phase of this process. By doing this, the introduction of a data-driven health approach could serve to heighten the quality of care in a way which supports both quality of medical care and quality of life.

  • 13.
    Jin, Hongyu
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Datavetenskap, Programvaruteknik och datorsystem, SCS.
    Papadimitratos, Panagiotis
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Datavetenskap, Programvaruteknik och datorsystem, SCS.
    Off-the-shelf Wi-Fi Indoor Smartphone Localization2021Inngår i: 17Th Conference On Wireless On-Demand Network Systems And Services (WONS 2022), IEEE , 2021Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Recently released Wi-Fi adapters, such as Intel AX200 802.11ax NIC, support both Channel State Information (CSI) measurement and Fine Time Measurement (FTM). Angle of Arrival (AoA) estimation with CSI, using MUltiple SIgnal Classification (MUSIC), and FTM are both promising localization methods. But each suffers from practical constraints pertinent to the specific hardware and firmware used. The result can be rather inaccurate localization if AoA or FTM alone were used. We identify the issues/challenges specific to AX200, and as a remedy, we propose a localization approach that combines both CSI-based AoA and FTM. Our approach does not require any modification of the localization target device. This makes the solution readily available for localizing smartphones or any WiFi devices with FTM functionality. Our experimental evaluation shows that our approach achieves a successful localization ratio of 80%, with localization error less than 1 m; and less than 0.5 m for 66% of the experiments.

  • 14.
    Johansson, Stefan
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID.
    Hedvall, Per Olof
    Per-Olof Hedvall is an Associate professor in Rehabilitation engineering and design and works as Director of Certec, Department of Design Sciences, Lund University. He is also a guest professor in Design at Mid Sweden University. His current research aims to create new knowledge regarding the implementation of Universal Design in Sweden.
    Gulliksen, Jan
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID.
    von Koch, Lena
    Lena von Koch, PhD, is a Professor in Health Services Research at Karolinska Institutet. Presently, Lena is involved in scientific inquiries, both in high and low-income countries, focusing on the development and evaluation of digital interventions for promotion of health and self-management..
    Gustavsson, Catharina
    Catharina Gustavsson is an Associate Professor in Medical Science at Dalarna University and Senior Researcher at Center for Clinical Research in the healthcare region Dalarna. Catharina leads the 'Co-design for Accessibility (CoDeAc)' research program, which uses co-design methods in collaboration with people with impairments to increase accessibility, participation and inclusion for all people in the society.
    Prerequisites for digital participation - the case of digital health technology and people with impairments2024Inngår i: The Routledge International Handbook of Disability and Global Health, Informa UK Limited , 2024, s. 552-564Kapittel i bok, del av antologi (Fagfellevurdert)
  • 15.
    Josefsson, Jonathan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem.
    Parametersökning i lagrat EKG2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Cardiolex Medical AB är ett medicintekniskt företag som säljer ett komplett EKG-hanterings system med tillhörande vakuumsystem. Produkten EC View med lagring i EC Store är idag de produkter som Cardiolex säljer till sina kunder för att kunna lagra och hantera EKG-undersökningar på sjukhus och vårdcentraler. Cardiolex önskade utöka EC View med fler sökfunktioner för användning i forskningssyfte. Parametermaterial har länge funnits, men hanteringen har varit manuell, vilket varit tidsineffektivt. Intresset av att kunna sortera ut specifika EKG-undersökningar efter enskilda mätvärden är stort och därmed är en utökad sökfunktion viktig att ha med i ny mjukvara.

    För att få en djupare inblick i vilka av de vanligaste mätvärdena är, studerades artiklar för att kunna fastställa att den sökfunktion som implementerades var ett användbart tillägg i befintlig produkt. Det mätvärde som ansågs mest attraktivt att skapa en sökfunktion för var ST-amplituden. Funktionen som plockar ut detta värde ur ett lagrat EKG är skapad i Visual Studio, med programspråket T-SQL, där funktionen anropas i en SQL-vy som sammanställer all information för användaren. Fördelen med att använda sig av en SQL-vy presentation är också att information kan sammanställas undertiden en sökning genomförs.

    Fulltekst (pdf)
    fulltext
  • 16.
    Kabir, Zarina Nahar
    et al.
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden..
    Leung, Angela Yee Man
    Hong Kong Polytech Univ, Sch Nursing, Ctr Gerontol Nursing, Hong Kong, Peoples R China..
    Grundberg, Åke
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden.;Sophiahemmet Univ, Dept Nursing Sci, Stockholm, Sweden..
    Boström, Anne-Marie
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden.;Karolinska Univ Hosp, Theme Aging, Huddinge, Sweden.;Stockholms Sjukhem, R&D Unit, Stockholm, Sweden..
    Laemas, Kristina
    Umeå Univ, Dept Nursing, Umeå, Sweden..
    Kallstroem, Ana Paula
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden..
    Moberg, Cecilia
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden..
    Cronfalk, Berit Seiger
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden.;Red Cross Univ Coll, Div Nursing, Stockholm, Sweden..
    Meijer, Sebastiaan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Konradsen, Hanne
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Alfred Nobels Alle 23, S-14183 Stockholm, Sweden.;Herlev & Gentofte Hosp, Dept Gastroenterol, Copenhagen, Denmark.;Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark..
    Care of family caregivers of persons with dementia (CaFCa) through a tailor-made mobile app: study protocol of a complex intervention study2020Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 20, nr 1, artikkel-id 305Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundGlobally, family members account for the main source of caregiving of persons with dementia living at home. Providing care to family members with dementia often has negative health consequences for caregivers such as stress, depression and low quality of life. Yet, formal support for family caregivers (FCs) is limited. Telehealth technology has the potential to provide health care and social support to FCs. This study aims to assess the effectiveness of providing support by healthcare professionals (HPs) through a mobile app in reducing stress, depressive symptoms and loneliness, and improving mental health and quality of life of FCs of persons with dementia.MethodsUsing a pragmatic intervention design, this study will use pre- and post-intervention assessment to evaluate the effectiveness of the proposed intervention in a sample of 78 FCs of persons with dementia (PWD). The intervention will be implemented by approximately 5 HPs specialized in dementia care based in the municipalities in Sweden. The main thrust of the intervention is to provide professional support, with help of an interactive mobile app, to family members in their caregiving role for PWDs. Qualitative interviews with HPs and FCs form the groundwork of the development of the mobile app. By using the app on smart phone or tablet, the FC, in groups of 8-10, will communicate with peers and a HP exchanging ideas on how to deal with PWD's behavioral and cognitive changes and get support. They will also be able to discuss stressful events and access mindfulness exercises focused on themselves. Quantitative data will be collected before and at three time points after the 8-week intervention to assess changes in the health outcomes of the FCs. In-depth interviews will be conducted after the intervention to capture the experiences of FCs and HPs regarding the ease of use and acceptability of the app.DiscussionThis tailor-made mobile app has the high potential to be a practical platform for supporting FCs to alleviate stress and improve mental health irrespective of distance to the nearest health care or social service center.Trial registrationISRCTN, ISRCTN46137262. Registered 10 October 2019.

  • 17.
    Laidsaar-Powell, Rebekah
    et al.
    Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Room 310,Level 3,Griffith Taylor Bldg A19,Manning, Sydney 2006, Australia.;Univ Sydney, Psychooncol Cooperat Res Grp, Sydney, Australia..
    Giunta, Sarah
    Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Room 310,Level 3,Griffith Taylor Bldg A19,Manning, Sydney 2006, Australia..
    Butow, Phyllis
    Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Room 310,Level 3,Griffith Taylor Bldg A19,Manning, Sydney 2006, Australia..
    Keast, Rachael
    Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Room 310,Level 3,Griffith Taylor Bldg A19,Manning, Sydney 2006, Australia..
    Koczwara, Bogda
    Flinders Med Ctr, Adelaide, Australia.;Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, Australia..
    Kay, Judy
    Univ Sydney, Sch Comp Sci, Sydney, Australia..
    Jefford, Michael
    Peter Maallum Canc Ctr, Hlth Serv Res & Implementat Sci, Melbourne, Australia..
    Turner, Sandra
    Westmead Hosp, Dept Radiat Oncol, Westmead, Australia.;Univ Sydney, Fac Med & Hlth, Sydney, Australia..
    Saunders, Christobel
    Univ Melbourne, Royal Melbourne Hosp, Dept Surg, Melbourne, Australia..
    Schofield, Penelope
    Peter Maallum Canc Ctr, Hlth Serv Res & Implementat Sci, Melbourne, Australia.;Swinburne Univ, Dept Psychol, Melbourne, Australia.;Swinburne Univ, Iverson Hlth Innovat Res Inst, Melbourne, Australia.;Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Australia..
    Boyle, Frances
    Univ Sydney, Fac Med & Hlth, Sydney, Australia.;Mater Hosp, Patricia Ritchie Ctr Canc Care & Res, Sydney, Australia..
    Yates, Patsy
    Queensland Univ Technol, Fac Hlth, Brisbane, Australia..
    White, Kate
    Univ Sydney, Daffodil Ctr, Susan Wakil Sch Nursing, Sydney, Australia..
    Miller, Annie
    Canc Council New South Wales, Sydney, Australia..
    Butt, Zoe
    Bonnaudet, Melanie
    KTH, Skolan för elektroteknik och datavetenskap (EECS). School of Computer Science, The University of Sydney, Sydney, Australia.
    Juraskova, Ilona
    Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making, Sch Psychol, Room 310,Level 3,Griffith Taylor Bldg A19,Manning, Sydney 2006, Australia.;Univ Sydney, Psychooncol Cooperat Res Grp, Sydney, Australia..
    Development of Web-Based Education Modules to Improve Carer Engagement in Cancer Care: Design and User Experience Evaluation of the e-Triadic Oncology (eTRIO) Modules for Clinicians, Patients, and Carers2024Inngår i: JMIR Medical Education, E-ISSN 2369-3762, Vol. 10, artikkel-id e50118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Carers often assume key roles in cancer care. However, many carers report feeling disempowered and ill -equipped to support patients. Our group published evidence -based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers. Objective: To facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence -based and interactive web -based education modules for oncology clinicians (e -Triadic Oncology [eTRIO]), patients with cancer, and carers (eTRIO for Patients and Carers [eTRIO -pc]). These were designed to improve carer involvement, communication, and shared decision -making in the cancer management setting. Methods: The eTRIO education modules were based on extensive research, including systematic reviews, qualitative interviews, and consultation analyses. Guided by the person -based approach, module content and design were reviewed by an expert advisory group comprising academic and clinical experts (n=13) and consumers (n=5); content and design were continuously and iteratively refined. User experience testing (including "think -aloud" interviews and administration of the System Usability Scale [SUS]) of the modules was completed by additional clinicians (n=5), patients (n=3), and carers (n=3). Results: The final clinician module comprises 14 sections, requires approximately 1.5 to 2 hours to complete, and covers topics such as carer -inclusive communication and practices; supporting carer needs; and managing carer dominance, anger, and conflicting patient -carer wishes. The usability of the module was rated by 5 clinicians, with a mean SUS score of 75 (SD 5.3), which is interpreted as good. Clinicians often desired information in a concise format, divided into small "snackable" sections that could be easily recommenced if they were interrupted. The carer module features 11 sections; requires approximately 1.5 hours to complete; and includes topics such as the importance of carers, carer roles during consultations, and advocating for the patient. The patient module is an adaptation of the relevant carer module sections, comprising 7 sections and requiring 1 hour to complete. The average SUS score as rated by 6 patients and carers was 78 (SD 16.2), which is interpreted as good. Interactive activities, clinical vignette videos, and reflective learning exercises are incorporated into all modules. Patient and carer consumer advisers advocated for empathetic content and tone throughout their modules, with an easy -to -read and navigable module interface. Conclusions: The eTRIO suite of modules were rigorously developed using a person -based design methodology to meet the unique information needs and learning requirements of clinicians, patients, and carers, with the goal of improving effective and supportive carer involvement in cancer consultations and cancer care. (JMIR Med Educ 2024;10:e50118) doi: 10.2196/50118

  • 18.
    Last, Torben
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Intelligenta system, Mikro- och nanosystemteknik.
    Winkler, Thomas
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Intelligenta system, Mikro- och nanosystemteknik. Tech Univ Carolo Wilhelmina Braunschweig, Braunschweig, Germany..
    Stemme, Göran
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Intelligenta system, Mikro- och nanosystemteknik.
    Roxhed, Niclas
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Intelligenta system, Mikro- och nanosystemteknik. Karolinska Univ Hosp, Bioclinicum, Solna, Sweden..
    Self-sealing MEMS spray-nozzles to prevent bacterial contamination of portable inhalers for aqueous drug delivery2022Inngår i: Biomedical microdevices (Print), ISSN 1387-2176, E-ISSN 1572-8781, Vol. 24, nr 3, artikkel-id 25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Pulmonary drug delivery by portable inhalers is the gold standard in lung disease therapy. An increasing focus on environmentally friendly inhalation currently spurs the development of propellant-free devices. However, the absence of propellants in the drug creates a need for suitable sealing systems that can ensure the pathogenic safety of devices. Traditionally, liquid drug inhalers incorporate a spray nozzle and a separate check valve. Here we show a fully integrated MEMS -based spray system for aqueous drug solutions and demonstrate its bacterial safety. The device comprises a thin silicon membrane with spray orifices, which self-seal against a compliant parylene valve seat underneath. This sealing system prevents bacterial ingrowth in its default closed state, while actuation lifts the membrane from the valve seat upon pressurization and sprays an inhalable aerosol from the nozzles. To seal against bacterial contamination effectively, we found that a contact force between the valve seat and the membrane (featuring the spray nozzles) is needed. In our testing, both self-sealing and an otherwise identical unvalved version of the spray chip can be bacterially safe in continued use when thoroughly cleaned of excess fluids and subjected to low bacterial loads for brief periods. However, when directly exposed to 10(7) CFU/ml of our test organism Citrobacter rodentium for 24 h, unvalved systems become contaminated in nearly 90% of cases. In contrast, self-sealing spray chips reduced contamination probability by 70%. This development may enable preservative-free drug formulations in portable inhalers that use propellant-free aqueous drug solutions.

  • 19.
    Ledin, Ellinor Rydhamn
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi. Swedish Red Cross Univ, Dept Hlth Sci, Huddinge, Sweden.
    Eriksson, Andrea
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Mattsson, Janet
    Univ South Eastern Norway, Dept Nursing & Hlth Sci, Campus Vestfold, Borre, Norway.;Kristianstad Univ, Dept Nursing & Integrated Hlth Sci, Kristianstad, Sweden..
    "What choice do you have knowing your child can't breathe?!": Adaptation to Parenthood for Children Who Have Received a Tracheostomy2024Inngår i: Sage Open Nursing, E-ISSN 2377-9608, Vol. 10, artikkel-id 23779608241245502Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction A growing number of parents are navigating parenthood influenced by medical complexity and technological dependency as the group of children with long-term tracheostomy grows. However, little is known regarding the parental experiences of parenthood for this heterogeneous group of children now surviving through infancy and intensive care.Objective This study aimed to analyze how parents of children who have received a tracheostomy adapted to parenthood.Methods Interviews were conducted and analyzed following a constructivist grounded theory approach. Ten parents of seven children living with a tracheostomy in Sweden were recruited via the long-term intensive care unit (ICU).Results The core variable of parenthood "Stuck in survival" was explained by two categories and six subcategories. The category "Unaddressed previous history" describes the experiences from being in the ICU environment and how the parents are not able, due to insufficient time and resources, to address these stressful experiences. The category "Falling through the cracks of a rigid system" describes how the parents found themselves and their children to be continuously ill-fitted in a medical system impossible to adapt to their needs and situation. Parents placed the starting point of parenthood with the birth of the child, whilst the tracheotomy only constituted a turning point and would lead to the loss of any previously held expectations regarding parenthood.Conclusion This study identified a previously undescribed period prior to tracheostomy placement, which may have long-lasting effects on these families. The care provided in ICUs following the birth of a child who will require tracheostomy may not be tailored or adapted to accommodate the needs of these families leading to long-lasting effects on parenthood.

  • 20.
    Lindblad, Marléne
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH).
    Flink, Maria
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Social Work, Stockholm, Sweden..
    Ekstedt, Mirjam
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden.;Linnaeus Univ, Sch Hlth & Caring Sci, Fac Hlth & Life Sci, Kalmar, Sweden..
    Exploring patient safety in Swedish specialised home healthcare: an interview study with multidisciplinary teams and clinical managers2018Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 8, nr 12, artikkel-id e024068Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective Home healthcare is the fastest growing arena in the healthcare system but patient safety research in this context is limited. The aim was to explore how patient safety in Swedish specialised home healthcare is described and adressed from multidisciplinary teams' and clinical managers' perspectives. Design An explorative qualitative study. Setting Multidisciplinary teams and clinical managers were recruited from three specialised home healthcare organisations in Sweden. Methods Nine focus group interviews with multidisciplinary teams and six individual interviews with clinical managers were conducted, in total 51 participants. The data were transcribed verbatim and analysed using qualitative content analysis. Results Patient safety was inherent in the well-established care ideology which shaped a common mindset between members in the multidisciplinary teams and clinical managers. This patient safety culture was challenged by the emerging complexity in which priority had to be given to standardised guidelines, quality assessments and management of information in maladapted communication systems and demands for required competence and skills. The multiple guidelines and quality assessments that aimed to promote patient safety from a macro-perspective, constrained the freedom, on a meso-level and micro-level, to adapt to challenges based on the care ideology. Conclusion Patient safety in home healthcare is dependent on adaptability at the management level; the team members' ability to adapt to the varying conditions and on patients being capable of adjusting their homes and behaviours to reduce safety risks. A strong culture related to a patient's value as a person where patients' and families' active participation and preferences guide the decisions, could be both a facilitator and a barrier to patient safety, depending on which value is given highest priority.

  • 21.
    Lindblad, Marléne
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH). Ersta Sköndal Bräcke Univ Coll, Dept Healthcare Sci, Stockholm, Sweden..
    Unbeck, Maria
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Karolinska Univ Hosp, Acute & Reparat Med Theme, Stockholm, Sweden..
    Nilsson, Lena
    Linköping Univ, Dept Anesthesiol & Intens Care, Dept Biomed & Clin Sci, Linköping, Sweden..
    Schildmeijer, Kristina
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Hlth & Caring Sci, Kalmar, Sweden..
    Ekstedt, Mirjam
    Linnaeus Univ, Fac Hlth & Life Sci, Dept Hlth & Caring Sci, Kalmar, Sweden.;Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden..
    Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology2020Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 20, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundPatient safety in home healthcare is largely unexplored. No-harm incidents may give valuable information about risk areas and system failures as a source for proactive patient safety work. We hypothesized that it would be feasible to retrospectively identify no-harm incidents and thus aimed to explore the cumulative incidence, preventability, types, and potential contributing causes of no-harm incidents that affected adult patients admitted to home healthcare.MethodsA structured retrospective record review using a trigger tool designed for home healthcare. A random sample of 600 home healthcare records from ten different organizations across Sweden was reviewed.ResultsIn the study, 40,735days were reviewed. In all, 313 no-harm incidents affected 177 (29.5%) patients; of these, 198 (63.2%) no-harm incidents, in 127 (21.2%) patients, were considered preventable. The most common no-harm incident types were "fall without harm," "deficiencies in medication management," and "moderate pain." The type "deficiencies in medication management" was deemed to have a preventability rate twice as high as those of "fall without harm" and "moderate pain." The most common potential contributing cause was "deficiencies in nursing care and treatment, i.e., delayed, erroneous, omitted or incomplete treatment or care."ConclusionThis study suggests that it is feasible to identify no-harm incidents and potential contributing causes such as omission of care using record review with a trigger tool adapted to the context. No-harm incidents and potential contributing causes are valuable sources of knowledge for improving patient safety, as they highlight system failures and indicate risks before an adverse event reach the patient.

  • 22.
    Lundström, Anders
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID. Umeå Univ, Umeå, Sweden.
    Ghebremikael, Sharon
    KTH.
    Fernaeus, Ylva
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID.
    Co-watching 360-Films in Nursing Homes2021Inngår i: Human-Computer Interaction, Interact 2021, PT I / [ed] Ardito, C Lanzilotti, R Malizia, A Petrie, H Piccinno, A Desolda, G Inkpen, K, Springer Nature , 2021, Vol. 12932, s. 502-521Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This work investigates experiences and practical aspects of co-located and co-watched 360-videos in head mounted displays by groups of older people at nursing homes. In a study involving 19 residents at two different nursing homes, co-watching screenings were arranged with 360-videos produced in the local area by filmmakers. Data was collected through non-participant observation and semi-structured interviews with the participants. Input from nurses and facilitators were also collected. We found this to be a much appreciated, feasible, and enjoyable immersive experience improving short-term well-being, expressed through (e.g.) new conversations, pride in participation, and spontaneous movements. However, the value of co-watching was mainly captured for residents who already knew each other, and we found limited indications of virtual co-presence. We further recognized the value of the videos themselves and the desire for new 360-video experiences. But also, a need for better headsets suitable for older people and shared use at nursing homes to avoid social isolation due to the introduction of VR technology.

  • 23.
    Morberg, Siv
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Karlsson, Birgitta
    Lagerström, Monica
    Sahlgrenska akademin, Göteborgs universitet.
    Constructed space and legitimacy for health work in the educational system: Perspectives of school nurses2006Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 1, nr 4, s. 236-244Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Increasing health problems among children place demands on school health care. It is unclear how contextual issues, e.g. reduced resources and low priority, impact the practising of health care work within the educational system. The aim was to gain a deeper understanding of school nurses' perceptions of their opportunities for practising and handling health support work within the educational system. A qualitative study in line with constructivist grounded theory based on data from six focus group interviews with 24 school nurses. The results explain the conditions in which school nurses practise health support work within the educational system, as described in a conceptual model. The core category in the model was labelled construction of space and legitimacy for individual health support work within the educational setting. The model comprised four additional categories: experiencing restricted conditions for practising health support work; working alone and in isolation: retaining individual health support; and compromising and negotiating position and legitimacy. Interests and positions of political and organisational leaders, the school personnel and children/parents, as well as the school nurse's own strategies, constructed a limited space and legitimacy for health support work.

  • 24.
    Morberg, Siv
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Lagerström, Monica
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    The perceived perceptions of head school nurses in developing school nursing roles within schools2009Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, nr 7, s. 813-821Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To gain a deeper understanding of how Swedish head school nurses perceive their leadership in developing school health care. Background: A well-functioning school health care is important for promoting the health of children and young people. Method: Constructivist-grounded theory was used to analyse 11 individual interviews with nine head school nurses. Results Head school nurses strive to find a balance between what they experience as vague formal goals and strong informal goals which leads to creating local goals in order to develop school health care. Conclusion: The head school nurse's job is experienced as a divided and pioneering job in which there is uncertainty about the leadership role. They provide individual support to school nurses, are the link between school nurses and decision makers and highlight the importance of school nurses' work to organizational leaders. Implications for nursing management This study shows that school health care needs to be founded on evidence-based methods. Therefore, a structured plan for education and training in school health care management, based on research and in cooperation with the academic world, would develop the head school nurses' profession, strengthen the position of school health care and advance the school nurses' work.

  • 25.
    Morberg, Siv
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Lagerström, Monica
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    The school nursing profession in relation to Bourdieu's concepts of capital, habitus and field2012Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 2, s. 355-362Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim was to define the work and professional role of school nurses, in terms of Bourdieu's key concepts of capital and habitus. Method: A qualitative study with a deductive approach, based on data from six focus-group interviews with 24 school nurses and 15 individual interviews with school nurses. Thus, a total of 39 school nurses participated in the study. The data were analysed using content analysis. Results: The results explain, in terms of Bourdieu's key concepts of capital and habitus, how school nurses experience their work in the educational setting. A model including different aspects of school nurses' work is shown. Conclusion: The new Swedish Education Act focuses on promoting students' general health, so that they are able to reach their academic potential. In this task, the school nurse is to be one of a group of several professionals working together. The present study shows how school nurses experience their professional role and their work in relation to Bourdieu's concepts of capital, habitus and field. To strengthen the school nursing profession, school nurses need to show their competence in promoting students' health.

  • 26.
    Nourozi, Behrouz
    et al.
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Byggvetenskap, Byggteknik och design.
    Wierzbicka, Aneta
    Ergonomics and Aerosol Technology, Lund University, Lund, Sweden.
    Yao, Runming
    Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, 400045, China; School of the Built Environment, University of Reading, UK.
    Sadrizadeh, Sasan
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Byggvetenskap, Byggteknik och design. School of Business, Society and Engineering, Mälardalen University, Västerås, Sweden.
    A systematic review of ventilation solutions for hospital wards: Addressing cross-infection and patient safety2024Inngår i: Building and Environment, ISSN 0360-1323, E-ISSN 1873-684X, Vol. 247, artikkel-id 110954Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Despite various preventive interventions, nosocomial cross-infection remains a significant challenge in healthcare facilities worldwide. Consequently, prolonged hospitalization, elevated healthcare costs, and mortality rates are major concerns. Proper ventilation has been identified as one of the possible interventions for reducing the risk of cross-infection between patients and healthcare workers in hospital wards by diluting infectious agents and their carrying particles. The use of air cleaners in conjunction with the ventilation system further reduces the concentration of indoor pathogens. This article presents a systematic review of the ventilation solutions employed in hospital wards where pathogen removal performance can be enhanced using air-cleaning techniques while maintaining the thermal comfort of patients and healthcare staff. We provide a comparative analysis of the performance of different ventilation strategies adopted in one-, two-, or multi-bed hospital wards. Additionally, we discuss the parameters that influence the aerosol removal efficiency of ventilation systems and review various air-cleaning technologies that can further complement the ventilation system to reduce contaminant concentrations. Finally, we review and discuss the impact of different ventilation strategies on the perceived thermal comfort of patients and healthcare workers. This study provides insights into the cross-contamination risks associated with various hospital ward setups and the vital role of the ventilation system in reducing the adverse effects of infection risk. The findings of this review will contribute to the development of effective ventilation solutions that ensure improved patient outcomes and the well-being of healthcare workers.

  • 27.
    Persson, Johanna
    et al.
    Lund Univ, Dept Design Sci, Lund, Sweden..
    Johansson, Gerd
    Lund Univ, Dept Design Sci, Lund, Sweden..
    Arvidsson, Inger
    Lund Univ, Div Occupat & Environm Med, Lund, Sweden..
    Östlund, Britt
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Holgersson, Charlotte
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.).
    Persson, Roger
    Lund Univ, Dept Psychol, Lund, Sweden..
    Rydenfalt, Christofer
    Lund Univ, Dept Design Sci, Lund, Sweden..
    A framework for participatory work environment interventions in home care - success factors and some challenges2022Inngår i: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, nr 1, artikkel-id 345Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Home care is beset with work environment issues and high staff turnover, while research concerned with interventions to improve the work environment is sparse. Few of the existing interventions apply a participative approach, despite this being associated with more positive outcomes and sustainable change. This paper presents a framework, rooted in action research and action learning, for participatory work environment interventions in home care, and demonstrates how this framework has been implemented in four Swedish home care organizations. Methods The framework has three phases (pre-intervention, intervention planning and intervention implementation) and consists of cycles of action and reflection in three constellations: a group of researchers, a reference group with labour market organization representatives and home care managers, and intervention work groups in the home care organizations. The work was documented and analysed with focus on the realization of the framework and challenges that were met on the way. The interventions were evaluated using a pre-/post-test questionnaire design. Results Parts of the framework were successfully implemented. The pre-intervention phase and the intervention planning phase, with intervention work groups, worked well. All four groups identified one intervention relevant to their own context. However, only two of the proposed interventions were fully implemented and evaluated. The high staff and management turnover, and the high rate of organizational changes made it impossible to evaluate the interventions statistically. Yet, data from open-ended questions in the post questionnaire showed that the two implemented interventions were perceived as successful. Conclusions The participatory framework, presented in this paper, seems promising for work environment interventions in home care. The framework was designed to reduce the risk of known disturbances affecting the process in unstable organizations. Despite this, it proved challenging to execute the framework, and especially the interventions, due to changes happening at high speed. In the two cases where organizational changes were not dominating, the interventions were implemented successfully. While the prerequisites for participation and successful implementation could be improved somewhat, the main issue, the instability of the organizational context, is hard for researchers or the individual home care units to tackle alone.

  • 28.
    Rasti, Reza
    et al.
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.;Karolinska Univ Hosp, Paediat Rheumatol Unit, Stockholm, Sweden.;Stockholm Healthcare Serv, CAP Res Ctr, Paediat Immunopsychiat Unit, Stockholm, Sweden..
    Brännstrom, Johanna
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Mårtensson, Andreas
    Uppsala Univ, Dept Womens & Childrens Hlth, Int Maternal & Child Hlth, Uppsala, Sweden..
    Zenk, Ingela
    South Gen Hosp, Sachs Children & Youth Hosp, Stockholm, Sweden..
    Gantelius, Jesper
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Proteinvetenskap, Nanobioteknologi. KTH, Centra, Science for Life Laboratory, SciLifeLab.
    Gaudenzi, Giulia
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Proteinvetenskap, Nanobioteknologi. KTH, Centra, Science for Life Laboratory, SciLifeLab. Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Alvesson, Helle Molsted
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Alfven, Tobias
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.;South Gen Hosp, Sachs Children & Youth Hosp, Stockholm, Sweden..
    Point-of-care testing in a high-income country paediatric emergency department: a qualitative study in Sweden2021Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 11, nr 11, artikkel-id e054234Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives In many resource-limited health systems, point-of-care tests (POCTs) are the only means for clinical patient sample analyses. However, the speed and simplicity of POCTs also makes their use appealing to clinicians in high-income countries (HICs), despite greater laboratory accessibility. Although also part of the clinical routine in HICs, clinician perceptions of the utility of POCTs are relatively unknown in such settings as compared with others. In a Swedish paediatric emergency department (PED) where POCT use is routine, we aimed to characterise healthcare providers' perspectives on the clinical utility of POCTs and explore their implementation in the local setting; to discuss and compare such perspectives, to those reported in other settings; and finally, to gather requests for ideal novel POCTs. Design Qualitative focus group discussions study. A data-driven content analysis approach was used for analysis. Setting The PED of a secondary paediatric hospital in Stockholm, Sweden. Participants Twenty-four healthcare providers clinically active at the PED were enrolled in six focus groups. Results A range of POCTs was routinely used. The emerging theme Utility of our POCT use is double-edged illustrated the perceived utility of POCTs. While POCT services were considered to have clinical and social value, the local routine for their use was named to distract clinicians from the care for patients. Requests were made for ideal POCTs and their implementation. Conclusion Despite their clinical integration, deficient implementation routines limit the benefits of POCT services to this well-resourced paediatric clinic. As such deficiencies are shared with other settings, it is suggested that some characteristics of POCTs and of their utility are less related to resource level and more to policy deficiency. To address this, we propose the appointment of skilled laboratory personnel as ambassadors to hospital clinics offering POCT services, to ensure higher utility of such services.

  • 29. Rydenfält, C.
    et al.
    Persson, R.
    Arvidsson, I.
    Holgersson, Charlotte
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.).
    Johansson, G.
    Östlund, B.
    Persson, J.
    Exploring Local Initiatives to Improve the Work Environment: A Qualitative Survey in Swedish Home Care Practice2021Inngår i: Home Health Care Management & Practice, ISSN 1084-8223, E-ISSN 1552-6739, Vol. 33, nr 3, s. 154-161Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Home care for the elderly constitutes a large and growing part of the social welfare system. Though, home care work is associated with a number of work environment-related challenges, including an increased risk for injuries, musculoskeletal disorders, high levels of sick leave and staff turnover, as well as stress and high workload, research is sparse. The present study explores local initiatives to improve the work environment initiated by the home care organizations themselves, and asks whether or not these initiatives affected gender equality. A qualitative web survey was sent to Swedish home care organizations, with open questions about change initiatives intended to have a positive effect on the work environment. There is an impressive amount of local work environment-related change initiatives going on. 80 categories of change initiatives were identified in answers from 178 units. However, these change initiatives were seldom evaluated or made accessible to stakeholders outside the organization. Main themes were concerned with work organization, digitalization, and planning, which largely follows trends in society (ie, digitalization, teamwork), rather than the actual needs identified by research (eg, musculoskeletal disorders). Despite apparent gender-related challenges, little of the work was associated with gender equality. The results indicates that there is a huge learning potential as the identified initiatives can serve as inspiration for others. However, to fully take advantage of these type of initiatives, more systematic evaluations are required.

  • 30.
    Smith, Adam
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem.
    Reduce Stress among Nurses through Gamification: A Study of Finding Stress Factors among Nurses and Suggesting Gamification to Reduce Stress2020Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    This study shows that stress is one of the important issues which may have a negative impactboth in physical and mental effects on a nurse's working life. Poor ergonomics of the hospitaland a poor behavior approach of nurses can cause stress. To reduce these stress factors, thisstudy suggests solutions based on gamification that imply activities to create a good workingenvironment and to reduce the stress to ensure the good health and well-being of the nurseswho work different shifts especially in night shifts. To achieve the purpose, qualitative researchis used as a method. For this study, nurses who work in hospitals were interviewed in differentshifts especially in night shifts with some open-ended questions related to stress andgamification. Based on their answers, trying to evaluate and analyze the problem and findings.Based on the findings, a gamification concept was developed to provide recommendations tohandle the stress and to be motivated and engaged to develop the well-being of life.

    Fulltekst (pdf)
    fulltext
  • 31.
    Stenberg Gleisner, Anna Klara
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Eriksson, Andrea
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Forsman, Mikael
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Rose, Linda
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi.
    Towards Innovative Bathroom Solutions for All - A Needs Analysis2021Inngår i: 21st Congress of the International Ergonomics Association, IEA 2021, Springer Science and Business Media Deutschland GmbH , 2021, s. 376-383Konferansepaper (Fagfellevurdert)
    Abstract [en]

    To be able to age in place, the home environment often needs to accommodate users’ needs throughout their life span. Bathrooms are an especially demanding space for the user, but also for those supporting the user, for example nursing assistants, in their daily life. This study investigated factors of importance for creating well-functioning bathrooms – for both nursing assistants and users, identifying needs concerning access to assistive devices for these groups. Semi-structured interviews were carried out. In total 13 nursing assistants, occupational therapists and users participated in the interviews. The overall results emphasize the importance of space, assistive devices and to be able to customize the bathroom to accommodate the user’s needs throughout their life span. These factors are of importance in order to enable independency and safety for the user in the bathroom, and at the same time, enable a safe work environment for those supporting the user. The results help us to understand the complexity of this problem and the results can be used in the work of reducing injury risks and create sustainable work environments. 

  • 32.
    Svarts, Anna
    et al.
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.), Management & Teknologi.
    Urciuoli, Luca
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.), Management & Teknologi.
    Thorell, Anders
    Engwall, Mats
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.), Management & Teknologi.
    Does Focus Improve Performance in Elective Surgery?: A Study of Obesity Surgery in Sweden2020Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, nr 18, artikkel-id 6682Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Recent studies have found positive effects from hospital focus on both quality and cost. Some studies indicate that certain patient segments benefit from focus, while others have worse outcomes in focused hospital departments. The aim of this study was to establish the relationship between hospital focus and performance in elective surgery. We studied obesity surgery procedures performed in Sweden in 2016 (5152 patients), using data from the Scandinavian Obesity Surgery Registry (SOReg) complemented by a survey of all clinics that performed obesity surgery. We examined focus at two levels of the organization: hospital level and department level. We hypothesized that higher proportions of obesity surgery patients in the hospital, and higher proportions of obesity surgery procedures in the department, would be associated with better performance. These hypotheses were tested using multilevel regression analysis, while controlling for patient characteristics and procedural volume. We found that focus was associated with improved outcomes in terms of reduced complications and shorter procedure times. These positive relationships were present at both hospital and department level, but the effect was larger at the department level. The findings imply that focus is a viable strategy to improve quality and reduce costs for patients undergoing elective surgery. For these patients, general hospitals should consider implementing organizationally separate units for patients undergoing elective surgery.

  • 33.
    Tanmina, Azad
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem.
    Promotion of Physical Activities of NightShift Nurses with Gamification: A Study of Investigating of Physical Activity among Night Shift Nurses and PromotingGamification2021Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    This study shows the investigation of physical activeness among the nurses whowork in night shifts in hospitals and motivates them to do physical activities in theform of gamification in their working place. A qualitative approach is applied forgathering the data in the form of interviewing nurses to inquiry the problems andtried to find out the real opinions and scenarios related with physical inactivenessbased on the nurse’s interpretation. Working-time, working-loads, leisure-time,behaviors towards physical activity, laziness, less knowledge about voluntarymovements are coming out from the findings of this study. This paper suggests someactions such as walking, doing physical exercises, playing games etc. to encouragenurses to do more physical activities in a fun way in the workplace. A fun game,called ‘Healthy steps’ is designed based on the suggested actions in the form ofgamification is presented in this paper to promote physical activity at workplace andto encourage the nurses to participate lo lead a healthy lifestyle.

    Fulltekst (pdf)
    fulltext
  • 34.
    Terio, Minna
    et al.
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Occupat Therapy, Alfred Nobels 23,B4, S-14183 Stockholm, Sweden..
    Perez-Rodriguez, Rodrigo
    Getafe Univ Hosp, Biomed Res Fdn, Getafe, Spain..
    Guevara, Tania Guevara
    Getafe Univ Hosp, Geriatr Serv, Getafe, Spain..
    Valdes-Aragones, Myriam
    Getafe Univ Hosp, Geriatr Serv, Getafe, Spain..
    Kornevs, Maksims
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Bjalevik-Chronan, Sanna
    Unit Dev Social Care Elderly, Stockholm, Sweden..
    Taloyan, Marina
    Karolinska Inst, Acad Primary Healthcare Ctr, Dept Neurobiol Care Sci & Soc, Div Family Med & Primary Care, Stockholm, Region Stockhol, Sweden..
    Meijer, Sebastiaan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Guidetti, Susanne
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Occupat Therapy, Alfred Nobels 23,B4, S-14183 Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Occupat Therapy & Physiotherapy, Theme Womens Hlth & Allied Hlth Professionals, Stockholm, Sweden..
    Preventing frailty with the support of a home-monitoring and communication platform among older adults-a study protocol for a randomised-controlled pilot study in Sweden2022Inngår i: Pilot and Feasibility Studies, E-ISSN 2055-5784, Vol. 8, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: POSITIVE (i.e. maintaining and imPrOving the intrinSIc capaciTy Involving primary care and caregiVErs) is a new intervention program consisting of home-monitoring equipment and a communication platform to support treatment of frailty symptoms initially in primary care and prevent disability in older adults. Methods: The primary objectives are to estimate the potential efficacy of the POSITIVE system on improving frailty in at least one point in Fried's criteria and five points in Frailty Trait Scale. The secondary objectives are to (A) assess the recruitment, retention, drop-out rates, compliance with the intervention and the intervention mechanisms of impact; (B) evaluate the usability and acceptance of the POSITIVE system, and to get estimations on; (C) the potential efficacy of the intervention on improving the participants' physical performance, cognitive functions, mood, independency level in activities in daily living, the impact on quality of life and number of falls during the follow-up period; (D) the impact on the caregiver quality of life and caregiver burden; and (E) on the consumption of health care resources, participants' perception of health and level of care received, and healthcare professionals' workload and satisfaction. A randomised controlled, assessor-blinded pilot study design recruiting from a primary care centre in Stockholm Region will be conducted. Fifty older adults identified as pre-frail or frail will be randomised into a control or an intervention group. Both groups will receive a medical review, nutritional recommendations and Vivifrail physical exercise program. The intervention group will receive the POSITIVE-system including a tablet, the POSITIVE application and portable measurement devices. The participants receiving the POSITIVE program will be monitored remotely by a primary care nurse during a 6-month follow-up. Data will be collected at baseline, 3 and 6 months into the intervention though the platform, standardised assessments and surveys. A process evaluation as per Medical Research Council guidance will be conducted after the 6-month follow-up period. Discussion:The implications of the study are to provide estimations on the potential efficacy of the POSITIVE system in improving frailty among older adults and to provide relevant data to inform powered studies of potential efficacy and effectiveness, as well as to inform about the feasibility of the current study design.

  • 35.
    Victor Tillberg, Ann-Charlotte
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.).
    Konsten att vårda och ge omsorg2007Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    A study on skills among healthcare workers investigates how healthcare workers use skills in difficult caring contexts, aiming to describe how practical knowledge is employed in decision making in occuring situations. The dialogue seminar method, with it’s elements of reading and writing to explore practical knowledge, was used to gather information. Contributing healthcare workers represent a multiplicity of experiences and perspectives. Their narratives on caring dilemmas are presented and used as framework for the study. The author creates an analogy between caring dilemmas and performing knowledge in professional art work. The narratives of the healthcare workers has been arranged in a documentary composition and on several occasion presented to a wider audience in order to make a reality-check on the study’s conclusions. The study shows how terms from professional art work such as presence, interpretation and reflexive techniques are useful in understanding skills of healthcare workers. The investigation also points out problems related to the inability of healthcare organizations to comprehend and acknowledge the practical dimension of healthcare workers skills. The study has been carried out within the KTH Advanced Programme for Reflective Practice presented at www.dialoger.se.

    Fulltekst (pdf)
    FULLTEXT01
  • 36.
    Victor Tillberg, Lotta
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.).
    Vård som konst: om yrkerskunnande i vård- och omsorgsarbete2005Licentiatavhandling, monografi (Annet vitenskapelig)
  • 37.
    Williamsson, Anna
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Ergonomi. RISE Res Inst Sweden, Life Long Learning, Stockholm, Sweden..
    Dellve, L.
    Gothenburg Univ, Dept Sociol & Work Sci, Gothenburg, Sweden..
    Developing Eldercare in Ageing Societies: A Qualitative Study on Misaligned Visions and Caged Change Agents2023Inngår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 2023, s. 1-10, artikkel-id 2798463Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Eldercare is facing current demands to develop due to changing demographics with increasing populations of elderly over the age of 85 combined with smaller populations of young people able to provide care and contribute to care via their taxes. The need for development of quality and safety was highlighted during the COVID-19 pandemic. Swedish government subsidies aimed at developing municipalities responsible for publicly managed eldercare have only been evaluated to a limited extent and the realisation of visions of future eldercare is shrouded in mystery. The study aims to explore the development work and strategies in Swedish municipal eldercare organisations, specifically in terms of alignment between democratic visions at political and strategic levels and operationalisation at operational levels. 28 interviews with development leaders were conducted in 14 Swedish municipality organisations between March and October 2021. The interviews focused on supporting roles and functions, responsibilities and collaborations, visions and operationalisations, and the follow-up and evaluation of eldercare development. A thematic analysis resulted in the main theme "top-down handling of unmanageable alignment" and the subthemes "shaping a high road for change;" "sticking to visions, hopes, and respect for practice;" and "self-serving focus on politics." The quality of alignment strategies and putting the strategic vision into practice were related to organisation size and resources. A gap between strategic and operational levels was accentuated in terms of inconsistent responsibilities in following through with development projects and development being characterised by top-down initiatives and resources at the strategic level but strained implementation abilities at operational levels. Peripherally located change agents with legitimacy at multiple organisational levels are suggested to ease top-down as well as bottom-up drive, which could increase a vertical alignment of visions and practice.

  • 38. Winger, Anette
    et al.
    Ekstedt, Mirjam
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation. Oslo University Hospital, Oslo, Norway .
    Wyller, Vegard B.
    Helseth, Solvi
    'Sometimes it feels as if the world goes on without me': adolescents' experiences of living with chronic fatigue syndrome2014Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, nr 17-18, s. 2649-2657Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objectives. To explore the experience of being an adolescent with chronic fatigue syndrome. Background. Despite ample research, chronic fatigue syndrome is still poorly understood, and there are still controversies related to the illness. Adolescents with chronic fatigue syndrome are often unable to attend school and lose social relations with friends. The challenges they face will affect their quality of life. Design. A qualitative, phenomenological hermeneutical design. Method. Six boys and twelve girls, aged 12-18, were interviewed, emphasising their own experiences living with chronic fatigue syndrome. Analyses were performed using a phenomenological hermeneutical method. Results. The core theme, 'Sometimes it feels as if the world goes on without me', encompasses the feelings an adolescent living with chronic fatigue syndrome might have about life. The core theme was supported by four subthemes: 'On the side of life - locked in and shut out'; 'the body, the illness and me'; 'if the illness is not visible to others, does it exist?'; and 'handling life while hoping for a better future'. The subthemes reflect the experience of social isolation, their own and others' understanding of the illness and hope for the future. Conclusions. Not being able to be with friends, or attend school, made the adolescents feel different and forgotten. They felt alienated in their own bodies and were struggling to be visible to themselves and to their surroundings. Spending less time with friends and more time with their parents constituted a threat to independence and development. Yet they managed to envision a better future despite all the difficulties. Relevance for clinical practice. To provide effective support and constructive relations to adolescents with chronic fatigue syndrome, all health professions involved need insight from the persons who are themselves ill. Health centres could function as resource centres for patients and healthcare professionals.

  • 39.
    Wormbs, Nina
    et al.
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Filosofi och historia, Historiska studier av teknik, vetenskap och miljö.
    Soderberg, Maria Wolrath
    Södertörn Univ, Div Rhetor, S-14189 Huddinge, Sweden..
    Knowledge, Fear, and Conscience: Reasons to Stop Flying Because of Climate Change2021Inngår i: Urban Planning, E-ISSN 2183-7635, Vol. 6, nr 2, s. 314-324Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Much research on the societal consequences of climate change has focused on inaction, seeking to explain why societies and individuals do not change according to experts' recommendations. In this qualitative study, we instead consider people who have changed their behaviour for the sake of the climate: They have stopped travelling by air. We first asked them to elaborate their rationales for the behaviour change. Then, using topos theory to find thought structures, we analysed their 673 open-text answers. Several themes emerged, which together can be regarded as a process of change. Increased knowledge, primarily narrated as a process by which latent knowledge was transformed into insight, through experience or emotional distress, was important. Contrary to certain claims in the literature, fear stimulated change of behaviour for many in this group. Climate change was framed as a moral issue, requiring acts of conscience. Children were invoked as educators and moral guides. Role models and a supportive social context played an important part. Alternatives to flying were brought forward as a motive to refrain from flying. Only a few mentioned shame as momentous. Instead, stopping travelling by air invoked a feeling of agency and responsibility, and could also result in a positive sensation.

  • 40.
    Yadav, Deepika
    et al.
    Stockholm Univ, Dept Comp & Syst Sci, Stockholm, Sweden.
    Balaam, Madeline
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Människocentrerad teknologi, Medieteknik och interaktionsdesign, MID.
    Lampinen, Airi
    Stockholm Univ, Dept Comp & Syst Sci, Stockholm, Sweden.
    Invisibility or Visibility in Intimate Care at the Workplace?: Examining the Use of Breast Pumps2023Inngår i: CHI '23: Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems, Association for Computing Machinery (ACM) , 2023Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Advances in intimate care technologies and on-body wearables are disrupting how and where we think about and care for our bodies. The boundaries between private and public are increasingly porous. This offers new sites for studying intimate care as technology-use-inpractice. We present a qualitative study on the use of breast pumps in the workplace, based on semi-structured interviews with 19 individuals. Through this, we contribute an illustration of the complexities in carrying out intimate care work at the workplace and what it means to be pumping at the workplace. Our analysis unpacks (in)visibility as a crucial tension in the use of breast pumps in the workplace. We discuss how (in)visibility of personal medical devices plays a mediating role in how individuals exercise bodily rights, and the norms of who fits into professional settings.

  • 41.
    Åkerlund, Cecilia
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Datavetenskap, Beräkningsvetenskap och beräkningsteknik (CST). Karolinska Institutet, Stockholm, Sweden.
    Holst, Anders
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Datavetenskap, Beräkningsvetenskap och beräkningsteknik (CST).
    Stocchetti, Nino
    Univ Milan, Fdn IRCCS Ca Granda Ospeda Maggiore Policlin, Neurosci Intens Care Unit, Dept Pathophysiol & Transplants, Milan, Italy..
    Steyerberg, Ewout W.
    Leiden Univ, Dept Biomed Data Sci, Med Ctr, Leiden, Netherlands..
    Menon, David K.
    Univ Cambridge, Dept Med, Div Anaesthesia, Cambridge, England..
    Ercole, Ari
    Univ Cambridge, Dept Med, Div Anaesthesia, Cambridge, England.;Univ Cambridge, Ctr Artificial Intelligence Med, Cambridge, England..
    Nelson, David W.
    Karolinska Inst, Dept Physiol & Pharmacol, Sect Perioperat Med & Intens Care, Stockholm, Sweden..
    Clustering identifies endotypes of traumatic brain injury in an intensive care cohort: a CENTER-TBI study2022Inngår i: Critical Care, ISSN 1364-8535, E-ISSN 1466-609X, Vol. 26, nr 1, artikkel-id 228Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: While the Glasgow coma scale (GCS) is one of the strongest outcome predictors, the current classification of traumatic brain injury (TBI) as'mild" 'moderate'or'severe' based on this fails to capture enormous heterogeneity in pathophysiology and treatment response. We hypothesized that data-driven characterization of TBl could identify distinct endotypes and give mechanistic insights. Methods: We developed an unsupervised statistical clustering model based on a mixture of probabilistic graphs for presentation (<24 h) demographic, clinical, physiological, laboratory and imaging data to identify subgroups of TBl patients admitted to the intensive care unit in the CENTER-TBI dataset (N= 1,728). A cluster similarity index was used for robust determination of optimal cluster number. Mutual information was used to quantify feature importance and for cluster interpretation. Results: Six stable endotypes were identified with distinct GCS and composite systemic metabolic stress profiles, distinguished by GCS, blood lactate, oxygen saturation, serum creatinine, glucose, base excess, pH, arterial partial pressure of carbon dioxide, and body temperature. Notably, a cluster with 'moderate'TBI (by traditional classification) and deranged metabolic profile, had a worse outcome than a cluster with 'severe'GCS and a normal metabolic profile. Addition of cluster labels significantly improved the prognostic precision of the IMPACT (International Mission for Prognosis and Analysis of Clinical trials in TBI) extended model, for prediction of both unfavourable outcome and mortality (both p <0.001). Conclusions: Six stable and clinically distinct TBI endotypes were identified by probabilistic unsupervised clustering. In addition to presenting neurology, a profile of biochemical derangement was found to be an important distinguishing feature that was both biologically plausible and associated with outcome. Our work motivates refining current TBI classifications with factors describing metabolic stress. Such data-driven clusters suggest TBI endotypes that merit investigation to identify bespoke treatment strategies to improve care.

  • 42.
    Östlund, Britt
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Digitalization of Later Life: What Prevents the Care Sector from Meeting the Rapid Digitalization of Older Populations?2021Inngår i: Lecture Notes in Networks and Systems book series (LNNS,volume 263), Springer Nature , 2021, s. 287-298Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The Corona pandemic has accelerated the digitalization of Swedish society showing that most new Internet users turn out to be 76 years and older. At the same time, digitalization of elderly care is progressing more slowly than expected. Why is this? In this paper, robots and personal emergency response systems are examples of digitalization of elderly care, discussed using result from Swedish and European research on social uptake of new technology and work conditions in the care sector. The result points out the contradiction between the high expectations and the large investments made in digital cutting-edge technology for the care sector and the fact that this issue is under-theorized. Also, what works is what is well organized and well integrated in the work and in daily habits and routines. Robots and PERS represent two opposites where the alarms are well integrated but robots based on expectations only. 

  • 43.
    Östlund, Britt
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Robots Entering the Care Sector. The Case of a New Curriculum for the Education of Assistant Nurses in Sweden2021Inngår i: Studies in Computational Intelligence, Springer Nature , 2021, s. 152-163Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Robots are entering care work but the development remains slow. One key issue is how to educate healthcare professionals in the use of robots. This paper explores robots in relation to the education of assistant nurses working in care for the elderly. How can we make robots part of the curriculum and what is it that future care workers really need to know? A collaboration between the Royal Institute of Technology, KTH, and 49 teachers at the College of Care and Welfare, VO-COLLEGE, in Sweden that includes teachers, two seminars, two course development meetings and one design workshop aims to explore teachers’ experiences of technology in care for the elderly work and in teaching technological matters. The results show that design workshops seem to be a more useful method to generate suggestions on how robots can be better adapted to care work, compared to seminars that brought up broader, though important, questions about care work and the role of assistant nurses and care receivers. The conclusion is that a greater awareness of technology used in care for the elderly is important to contribute to a relevant adaptation of robots and to be able to meet the challenges of an increased demand for care and care professionals. Increased responsibility for this development conveyed in education can help to broaden the view of technology, from being passive recipients of technology to being active co-creators.

  • 44.
    Östlund, Britt
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Teknisk vårdvetenskap.
    Malvezzi, Monica
    Univ Siena, Dept Informat Engn & Math, Siena, Italy..
    Frennert, Susanne
    Malmö Univ, Internet Things & People Res Ctr, Malmö, Sweden..
    Funk, Michael
    Univ Vienna, Fac Comp Sci, Cooperat Syst, Vienna, Austria..
    Gonzalez-Vargas, Jose
    Ottobock SE & Co, KGaA OBG, Duderstadt, Germany..
    Baur, Kilian
    Swiss Fed Inst Technol, CYBATHLON, Zurich, Switzerland..
    Alimisis, Dimitris
    European Lab Educ Technol EDUMOTIVA, Athens, Greece..
    Thorsteinsson, Freygardur
    OSSUR, Reykjavik, Iceland..
    Alonso-Cepeda, Antonio
    ACCIONA Construct, Dept Technol Innovat, Madrid, Spain..
    Fau, Guillaume
    Space Applicat Serv SA, Brussels, Belgium..
    Haufe, Florian
    Swiss Fed Inst Technol, Inst Robot & Intelligent Syst, Sensory Motor Syst Lab, Zurich, Switzerland..
    Di Pardo, Massimo
    Ctr Ric Fiat CRF, Res & Innovat Dept, SPW, Orbassano, Italy..
    Moreno, Juan C.
    CSIC, Cajal Inst, Neural Rehabil Grp, Madrid, Spain..
    Interactive robots for health in Europe: Technology readiness and adoption potential2023Inngår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, artikkel-id 979225Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    IntroductionSocial robots are accompanied by high expectations of what they can bring to society and in the healthcare sector. So far, promising assumptions have been presented about how and where social robots are most relevant. We know that the industry has used robots for a long time, but what about social uptake outside industry, specifically, in the healthcare sector? This study discusses what trends are discernible, to better understand the gap between technology readiness and adoption of interactive robots in the welfare and health sectors in Europe. MethodsAn assessment of interactive robot applications at the upper levels of the Technology Readiness Level scale is combined with an assessment of adoption potential based on Rogers' theory of diffusion of innovation. Most robot solutions are dedicated to individual rehabilitation or frailty and stress. Fewer solutions are developed for managing welfare services or public healthcare. ResultsThe results show that while robots are ready from the technological point of view, most of the applications had a low score for demand according to the stakeholders. DiscussionTo enhance social uptake, a more initiated discussion, and more studies on the connections between technology readiness and adoption and use are suggested. Applications being available to users does not mean they have an advantage over previous solutions. Acceptance of robots is also heavily dependent on the impact of regulations as part of the welfare and healthcare sectors in Europe.

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