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  • 1351.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Cultural camouflage: a critical study of how artefacts are camouflaged and mental health policy subverted2015In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 30, no 2, p. 111-126Article in journal (Refereed)
    Abstract [en]

    This study identifies hidden artefacts in a public organisation. In contrast to earlier studies, itfocuses on artefacts as concealing rather than conveying meaning. Negligent behaviour causedby an unpopular culture was recognised in five psychiatric wards at a Swedish universityhospital. Data comprising observations (87 h) and interviews (n = 60) were collected over aperiod of 48months (2008–2011). Four different items used in everyday work representing adeeper meaning of the organisation were identified during the observations. The items selectedwere work attire, nametags, keys and restraint beds. These were considered particularly promisingwhen it came to the aim of the study, namely, to find out how artefacts are camouflaged. Theobservations and the interviews revealed that these were controversial and contested artefacts inthe organisation. The study uses the term ‘cultural camouflage’ for behaviour that ignores andconsciously conceals symbols that have negative values. This concept contrasts with previousresearch that shows how artefacts are emphasised and how they contribute to the character ofthe activity in a transparent way. Conservative and backward-looking behaviour among staffprovided one explanation as to why artefacts were concealed. Another was the need to establishharmonious internal interactions.

  • 1352.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Dolda artefakters betydelse: -En kritisk studie av kulturella uttryck inom psykiatrin2010In: Nordiske organisasjonsstudier, ISSN 1501-8237, Vol. 12, no 2, p. 27-44Article in journal (Refereed)
  • 1353.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    From artefact to effect: the organising effects of artefacts on teams2010In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 24, no 4, p. 412-427Article in journal (Refereed)
    Abstract [en]

    Purpose – Earlier studies have identified artefacts, but have only to a lesser degree looked at theireffects. The purpose of this paper is to investigate how artefacts contribute to organisation. Design/methodology/approach – A trauma team at a university hospital has been observed andits members interviewed. Findings – The trauma team showed itself to be rich on artefacts since it had strong internal drivingforces, high legitimacy, and tried to live up to high expectations from the outside. Its members were motivated to be in the forefront of trauma care. Through renewal, the team succeeded in maintaining demarcation. It also succeeded in systemising internal work tasks and made for itself a position in relation to the outside. The team's capacity, however, came to be limited by internal conflicts and battles for prestige. Practical implications – The study shows that informal logic has a strong influence on teams.Teamwork contributed to the development of organisational structure and motivation for the personnel. Originality/value – Earlier studies advocate the important role of artefacts in order to communicate, collaborate, negotiate or coordinate activities. The conclusion is that artefacts also have an organising and developing effect on teams in a fragmented and differentiated healthcare.

  • 1354.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Från mekanistisk till organisk samverkan mellan blåljusorganisationer2013In: Om samverkan: för utveckling av hälsa och välfärd / [ed] Axelsson, Runo, Bihari Axelsson, Susanna, Lund: Studentlitteratur, 2013, 1, p. 237-254Chapter in book (Refereed)
  • 1355.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, EricSahlgrenska Akademin, Göteborgs universitet.
    Guest editors | Special Issue: Management control, organisation and leadership in the healthcare sector2013Collection (editor) (Refereed)
  • 1356.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Health Sciences, Specialist Nursing programme. University of Gothenburg.
    Learning and usefulness of collaboration exercises: A study of the three level collaboration (3LC) exercises between the police, ambulance and rescue services2015In: International Journal of Mass Emergencies and Disasters, ISSN 0280-7270, Vol. 33, no 3, p. 428-467Article in journal (Refereed)
    Abstract [en]

    In this article, we studied collaboration exercises (3LC) between the rescue services, ambulance services, and police force, which were developed to enhance learning and usefulness. The exercises’ structure was based on identified deficiencies in previous collaboration exercises. The purpose was to test the exercise model in terms of learning and usefulness. Ten 3LC exercises were observed. A total of 65 semi-structured interviews were conducted (2011–2014) in connection with the exercises. The exercises contained across-boundary elements, seminars, and interactive documentation. The participants were given the opportunity to discuss, analyze, and critically reflect on their efforts. During the seminars, the individual actions were analyzed, which led to alternative strategies that were subsequently tested in a repeated exercise. Our results demonstrate that repetitive features and seminars during collaboration exercises promote learning toward an organic behavior and usefulness in the actual incident work.

  • 1357.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Samverkan mellan blåljusorganisationer2011 (ed. 1)Book (Other academic)
    Abstract [sv]

    Samverkan mellan olika yrkesprofessioner på en olycksplats är komplicerat. Mycket på grund av att förväntningarna inte alltid överensstämmer med förutsättningarna. I boken problematiseras agerandet på olycksplatsen. Friktionen mellan yrkesprofessioner lyfts fram och olika beteendemönster diskuteras.I boken tar författarna samverkan från retorik till ett praktiskt redskap, något som är möjligt att konkretisera och utföra praktiskt i det dagliga arbetet. Boken utgör samtidigt en introduktion till övningstekniken 3-nivåsamverkan (3-NS).I den här boken bjuds på flera närgångna beskrivningar. Medarbetare från fältet berättar om sina erfarenheter av samverkan, hur den tillämpas, om vilka möjligheter som finns och vilka svårigheter som behöver hanteras.Boken riktar sig till alla som arbetar i eller i anslutning till blåljusorganisationer. Den kan med fördel användas som lärobok för universitets- och högskolestuderande som läser till yrken inom polis, räddningstjänst eller ambulanssjukvård. Boken passar också för vidareutbildning av redan yrkesverksamma. Den kan även med fördel läsas av forskare, tjänstemän och politiker med intresse för hur framtidens blåljusorganisationer ska ledas, organiseras och styras.

  • 1358.
    Berlin, Johan
    et al.
    Göteborgs universitet / Sahlgrenska akademin.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Samverkan på olycksplatsen: om organisatoriska barriäreffekter2009Book (Other academic)
  • 1359.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska akademin.
    Samverkansövningar: Om lärande och nytta2015 (ed. 1)Book (Other academic)
    Abstract [en]

    This study relates to collaboration exercises, with particular focus on the full-scale exercises between the police, rescue services and ambulance. To succeed in a complex situation, it requires that the personnel’s ability to collaborate across organisations be developed and refined.

    The overall aim of this study was to examine how collaboration is practised and how exercises lead to learning and usefulness. A research summary was initially done in this study. Based on that, a number of key concepts were developed that proved helpful when we followed the Swedish collaboration exercises through interviews and observations. The collected analysis has since been the basis for the design of a new exercise model, 3LC, three-level collaboration. It is based on the experiences we have had in studies of traditional exercises.

    The 3LC exercises that were conducted consisted of two practical sessions and three seminars. Each session was followed by an evaluative seminar with the aim that participants themselves would reflect and develop their patterns of behaviour. The two practical sessions were identical. It gave the participants the opportunity to rehearse and methodically try new approaches. The first exercise session was carried out according to the procedures that normally apply and govern the actions at an actual event. The second exercise session was preceded by a self-critical seminar where participants themselves identified what could be improved for the next exercise session.

    The research project was carried out from 2011 to 2014. A total of 19 collaboration exercises were studied, including 16 full-scale exercises. A total of 97 interviews and 125 hours of observation were carried out in this study. A questionnaire (CLU instrument) was developed, which was answered by 272 exercise participants.

    The study shows that collaborative sessions in the exercises contributed to the participants learning more and having greater usefulness from the exercises. 3LC exercises were perceived to enhance learning by 26 per cent and usefulness by 17 per cent, compared with traditional exercises. Collaborative exercises are benefitted when participants analyse their weaknesses themselves. Repetitive elements where participants try out alternative strategies improve preparedness prior to actual events.

  • 1360.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Carlström, Eric
    Sjuksköterskan som chef och ledare: en utmaning2017In: Pedagogik för sjuksköterskor / [ed] Håkan Sandberg, Lund, 2017, 1, p. 295-313Chapter in book (Refereed)
  • 1361.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    The dominance of mechanistic behaviour: A critical study of emergency exercises2013In: International Journal of Emergency Management, ISSN 1471-4825, E-ISSN 1741-5071, Vol. 9, no 4, p. 327-350Article in journal (Refereed)
    Abstract [en]

    In this paper, the focus is on emergency exercises between the police, rescue services and ambulance. By practising, it is assumed that the conditions improve for a quick normalisation after an incident. The purpose of this paper is to identify whether the exercises are designed after organic action logic and therefore can be assumed to strengthen the ability to handle emergencies. Data have been collected at two large, regional, full-scale exercises (2008 and 2012). Data collection has been done through observations and document studies. The study shows that mechanistic behaviour is quite prevalent in the two studied exercises. They are time consuming and put little emphasis on practising organic behaviour. Too complex exercise scenarios contribute to a low tempo, long waiting periods and slow implementation. To succeed, the exercises need to have a non-linear time sequence and limited scenarios that invite participants to focus on organisational interfaces.

  • 1362.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    The yellow line:  a critical study of the symbolic value of artefacts in health care teams2010In: Cognition, Technology & Work, ISSN 1435-5558, E-ISSN 1435-5566, Vol. 12, no 4, p. 251-261Article in journal (Refereed)
    Abstract [en]

    Artefacts reveal an organisation's ''inner life'' and they contribute to its image and reputation. They also play a decisive role for an organisation's development. In this article, similar artefacts from two different health care teams—a trauma team and a psychiatric team—in the same hospital, are compared. The team members were interviewed and their work observed over the course of several years. It was demonstrated that identical pieces of equipment in a trauma team and a psychiatric team signalled opposite values. The psychiatric team was backwardlooking, conservative and contradictory. Modern technology and pieces of equipment were associated with an abandoned and previously criticised activity. The corresponding equipment in the trauma team, on the other hand, signalled a forward looking, developing and unified culture. The trauma team was a relatively new and powerfully idealised phenomenon, which attracted attention. The analysis points out how the symbolic values signal that one activity is attractive and pleasing while another has a low external legitimacy. 

  • 1363.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Traumateam - förenklat flöde eller försvårande hinder?2006In: Hälso- och sjukvårdens ekonomi och logistik (HEL), Göteborg: Sahlgrenska akademin vid Göteborgs universitet , 2006, p. 202-209Chapter in book (Other academic)
  • 1364.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    Sahlgrenska akademin, Göteborgs universitet.
    Trender som utmanar traditioner: En hälso- och sjukvård i metamorfos2012In: Offentlig Förvaltning. Scandinavian Journal of Public Administration, ISSN 2000-8058, E-ISSN 2001-3310, Vol. 16, no 2, p. 3-23Article in journal (Refereed)
    Abstract [en]

    This article reviews the traditions of the health care industry while challenged by trends. Strong professions, ambiguous and contradictory aims, and a lack of resources have contributed to difficulties managing contradictory needs. One way to handle the situation is to introduce systems based on freedom of choice, inter organisational and professional work, and an improved degree of flexibility. The trends are mainly influenced by New Public Management control models. The mixture of new and traditional types of management control has produced organisational hybrids. These organisational hybrids have contributed to organisational tensions from the old as well as the new in an inconsistent but regenerating way.

  • 1365.
    Berlin, Johan
    et al.
    Göteborgs universitet / Sahlgrenska akademin. University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vad övas vid samverkansövningar: - om första initiativeffekt och parallellitet2008In: Nordiske organisasjonsstudier, ISSN 1501-8237, no 4, p. 23-39Article in journal (Other academic)
  • 1366.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture.
    Why is collaboration minimised at the accident scene?: A critical study of a hidden phenomenon2011In: Disaster Prevention and Management, ISSN 0965-3562, E-ISSN 1758-6100, Vol. 20, no 2, p. 159-171Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this paper is to study why collaboration among police, fire, and ambulance services is minimised at accident scenes. Design/methodology/approach - Observations and semi-structured interviews were carried out during 2007-2008. The data material comprises a total of 248 hours of observations on 20 occasions and 57 interviews with 80 people.Findings - The study identifies the difference between rhetoric and practice in connection with accident work. Collaboration is seen as a rhetorical ideal rather than something that is carried out in normal practice. Asymmetry, uncertainty and lack of incentives are important explanations as to why only limited forms of collaboration are actually implemented.Research limitations/implications - The paper shows a distinction between collaboration as rhetoric and practical collaboration at accident scenes. Practical implications The article proposes a multi-faceted collaboration concept. In this way, collaboration can be developed and refined.Originality/value - The results of the study show that police, fire, and ambulance services want to develop excellent forms of collaboration at the accident scene, but avoid this as it leads to uncertainty and asymmetries and because of a lack of incentives. However, simpler forms of collaboration may be realistic in the organisation of everyday work at accident scenes. 

  • 1367.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Blåljusövningar och lärande: - en ny typ av samverkansövning2011Conference paper (Refereed)
  • 1368.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Göteborgs universitet, Sahlgrenska Akademin, Institute of Health and Care Sciences.
    The Three-Level Collaboration Exercise: Impact of Learning and Usefulness2015In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 23, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).

  • 1369.
    Berlin, Johan
    et al.
    Göteborgs universitet / Sahlgrenska akademin.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sandberg, Håkan S.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Typifiering eller normering?: En kritisk studie av teamteoretiska modeller2009In: Företagsekonomisk ämneskonferens 2009: Företagsekonomin i samhället: forskning, ulbildning, relevans 11-12 november 2009, 2009, p. 1-15Conference paper (Refereed)
    Abstract [sv]

    I den här studien fokuseras den starka passion som finns för typologier inom teamforskningen. Det finns typologier av teamprocesser, strukturella teamtyper och modeller för implementering av teamarbete. Vid första anblicken kan man i vissa fall få intrycket av att modellerna utvecklats utan att vara baserade på empiriska fynd och i andra fall att modeller blir en sorts självuppfyllande profetior som döljer möjligheten att urskilja variationer ur empiriska fynd.

    Syftet med denna artikel är att granska samband mellan ett antal typologier och diskutera varför teamarbete uttrycks som stegvisa utvecklingsmodeller. Speciellt fokus läggs på trestegsmodeller, så kallade triader.

    Vi har identifierat och analyserat fem teoretiska triader som beskriver teamarbete. Forskningsfrågan för denna artikel är: Är teamtypologierna värderande på så sätt att de särskiljer excellenta team från mindre framgångsrika, eller klassificerar de utan att värdera teamens grad av excellens? Är de teoretiska modellerna sorterande eller värderande?

  • 1370.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    Sahlgrenska akademin, Göteborgs universitet.
    Sandberg, Håkan
    Akademin för hälsa, vård och välfärd, Mälardalens högskola.
    Models of teamwork: ideal or not?: A critical study of theoretical team models2012In: Team Performance Management, ISSN 1352-7592, E-ISSN 1758-6860, Vol. 18, no 5/6, p. 328-340Article in journal (Refereed)
    Abstract [en]

    Purpose - There is a tendency in team research to employ concepts of stepwise models, reachingfrom the primitive to the excellent, to suggest that a higher level of evolution is better than the basic and simple. This tendency includes typologies of teams. This article aims to question the relevance of this view.

    Design/methodology/approach - Data were collected in three steps. In the first step, articles and books analyzing teams and teamwork from stepwise analytical models were collected. In the second step the collected data were classified into different themes. Each stepwise model was classified into one essential denomination. This classification resulted in eight themes. In the third step each theme was analyzed, which led to the fusion of some of the themes.

    Findings - The conclusion is that a synchronous, complementary or mature team is not necessarily optimal. Contrary to this, a differentiated, sequential or multi team approach can be optimal for some purposes. Team research needs to establish a more open, inductive and critical attitude than at present.

    Originality/value - The paper highlights the need to observe and use team theories in a balanced and critical way.

  • 1371. Berlin, Johan
    et al.
    Carlström, EricUniversity West, Department of Nursing, Health and Culture, Division of Nursing.Sandberg, Håkan
    Team i vård, behandling och omsorg: erfarenheter och reflektioner2009Collection (editor) (Other academic)
  • 1372.
    Berlin, Johan
    et al.
    Göteborgs universitet / Sahlgrenska akademin.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sandberg, Håkan
    Mälardalens högskola.
    Team i vård, behandling och omsorg: erfarenheter och reflektioner2009In: Team i vård, behandling och omsorg: erfarenheter och reflektioner / [ed] Johan Berlin, Eric Carlström, Håkan Sandberg, Lund: Studentlitteratur , 2009, p. 15-24Chapter in book (Other academic)
  • 1373.
    Berlin, Johan
    et al.
    Göteborgs universitet / Sahlgrenska akademin.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sandberg, Håkan
    Varför team?2009In: Team i vård, behandling och omsorg: erfarenheter och reflektioner / [ed] Johan Berlin, Eric Carlström, Håkan Sandberg, Lund: Studentlitteratur , 2009, p. 263-276Chapter in book (Other academic)
  • 1374.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Jensen, Christian
    Göteborgs universitet.
    Löfström, Mikael
    Högskolan i Borås .
    Nilsson, Viveka
    Kommunforskning i västsverige (KFi).
    Chefers strategier för att implementera samverkan2016Report (Refereed)
    Abstract [sv]

    Den här studien handlar om interorganisatorisk samverkan inom vård och omsorg. Här studeras vilka strategier som första och andra linjens kommunala chefer använder för att få till stånd en fungerande samverkan. Hur ser hindren ut och vilka strategier och överväganden gör cheferna för att övervinna dem. Den fråga som därför behandlas i denna rapport är; vilka strategier an-vänder kommunala chefer inom vård och omsorg för att implementera samverkan? I studien har data samlats in genom att 21 chefer inom vård och omsorg intervjuats. De chefer som medverkat i studien har alla varit verksamma i kommuner som deltagit i det Nationella kommunforskningsprogrammet, vilka är Borås, Göteborg, Lund, Norrköping, Piteå, Sjöbo och Stockholm. I studien har tre centrala iakttagelser gjorts. Dessa handlar om; 1) att cheferna väljer en form av situationsanpassad strategi beroende på vad sam-verkan har för syfte och med vilka aktörer som samverkan ska genomföras, 2) att cheferna behöver hantera den upplevda intressekonflikten som finns mellan att ta ansvar för den "egna verksamheten" samtidigt som de förväntas ta ansvar för samverkan med andra organisationer och 3) att cheferna har svårt att hantera sitt chefsansvar vid samverkan. Samverkan där linjestyrningen utmanas eller kompletteras med horisontell styrning är lösare reglerad vilket kan leda till oklar ansvarsfördelning och diffus arbetsdelning. Här kan chefer behöva tillägna sig andra uttryck för att utöva sitt ledarskap då den traditionella chefsrollen inte är lika väl anpassad till styrning vid samverkans-situationer.

  • 1375.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Kastberg, Gustaf
    Lunds universitet, Institutionen för Sevice management.
    Styrning av hälso- och sjukvård2011 (ed. 1)Book (Other academic)
    Abstract [sv]

    I den här boken får du möjlighet att bekanta dig med de styrmodeller som har tillämpats inom vården under de senaste decennierna. Författarna ger en bild av vad de olika modellerna tenderar att leda till på kort respektive lång sikt. Trender, regler, resultat, arbetsfördelning och de speciella förutsättningar som gäller för styrning i professionella organisationer behandlas.Boken riktar sig till utbildningar inom hälso- och sjukvårdsadministration, vårdvetenskap, socialt arbete, arbetsvetenskap, offentlig förvaltning, företagsekonomi och service management samt till praktiskt yrkesverksamma. Den kan även med fördel läsas av forskare, tjänstemän och politiker med intresse för hur framtidens hälso- och sjukvård ska organiseras och styras.

  • 1376.
    Berlin, Johan M
    et al.
    Göteborg University, School of Public Administration,.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    The 20-minute team: a critical case study from the emergency room2008In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 14, no 4, p. 569-576Article in journal (Refereed)
  • 1377.
    Berlin, Johan M.
    et al.
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    The 90-Second Collaboration: A Critical Study of Collaboration Exercises at Extensive Accident Sites2008In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 16, no 4, p. 177-185Article in journal (Refereed)
  • 1378.
    Berlin, Johan M
    et al.
    University West, Department of Social and Behavioural Studies.
    Carlström, Eric D
    Sahlgrenska Akademin, Göteborgs universitet.
    Collaboration exercices; what do they contribute?: a study of learning and usefulness2015In: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 23, no 1, p. 11-23Article in journal (Refereed)
    Abstract [en]

    This article aims to study whether exercises contribute to learning that can be useful in actual emergency work. It reports the findings of a study about professional emergency personnel’s perceptions of the impact of collaboration exercises. Surveys were distributed and collected from emergency personnel in conjunction with three collaboration exercises that took place in Sweden in spring 2012. The survey included personnel holding different positions within the police department, fire department and ambulance services. Among them were also operational personnel such as officers. A total of 94 professional emergency personnel agreed to participate by answering the survey. The response rate was 95%.The study shows that collaborative elements in exercises contribute to perceived learning (R2 = 0:53), and that learning, in turn, has a perceived beneficial effect on actual emergency work (R2 = 0:26).The perceived results of collaboration,learning and their impact on actual emergency work, however, are moderate.The exercises were characterised by long waiting times and gave few opportunities to practise different strategies. Only a few respondents felt that they learned something about the collaborating organisations’ ways of communicating and prioritising. Many also thought that the exercises were more useful for command officers than for operational personnel.Thus, the study shows that by strengthening the collaborative elements of the exercises, the perception of the participants’ actual emergency work can be developed.

  • 1379.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Sandberg, Håkan
    Team i vård, behandling och omsorg: Erfarenheter och reflektioner2016Collection (editor) (Refereed)
    Abstract [sv]

    Team är populära, inte minst inom vård, behandling och omsorg.Trots att det börjar bli en väl etablerad företeelse tycks teamfortfarande stå för förnyelse och nytänkande. Teamarbete harsåledes kommit att få en allt viktigare roll.

    I denna antologi behandlas frågor som: Varför uppstår team? Vadgör team nödvändiga? Vad är utmärkande för olika typer av team? Vad skapar väl fungerande team? Vilka effekter får teamarbete förverksamheten? Du som läsare bjuds på både kritiska betraktelser,utvecklingsspår och verktyg.

    Boken vänder sig till studerande och forskare vid högskolor ochuniversitet samt till praktiskt verksamma inom vård-, behandlingsochomsorgsorganisationer. De olika kapitlen kan läsas friståendeoch ger var för sig en god bild av teamets funktion.

    ---

    Team i vård, behandling och omsorg förmedlar en unikinsikt och förståelse kring teamarbetes betydelse, funktionssätt och utmaningar baserad på omfattande och mångårig forskning. Boken förtjänar därför attanvändas inom alla utbildningar på högskolenivå som är inriktade mot vård- och omsorg.

    Stefan Tengblad, professor i företagsekonomi

  • 1380.
    Berling Bengtsson, Kristina
    University West, Department of Social and Behavioural Studies.
    Flickor och dataspel2008Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Uppsatsen behandlar flickors dataspelande. Det övergripande syftet med uppsatsen är att undersöka flickors värderingar och attityder kring dataspelande och kring de dataspel de spelar. Utgångspunkten för uppsatsen ligger i det kvalitativa empiriska perspektivet. Undersökningen bygger på fyra intervjuer. De teorier och den tidigare forskning som jag sett varit mest användbart behandlar attityder och värderingar kring kön, och hur pojkar och flickor förhåller sig till varandra när de spelar dataspel. Flickornas identifiering med dataspelandet och dataspelen har främst varit gemenskapen och interaktionen med andra spelare. Flickorna har olika värderingar och åsikter om, och vad det väljer att identifiera sig med i spelen och dem de spelar med.

  • 1381.
    Bern, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Saltell, Mikaela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Motivation till livsstilsförändringar: en utmaning för distriktssköterskan2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension increases all over the world and with the disease there is a risk för complications and personal suffering. The treatment involves lifestyle changes and pharmacological treatment. The district nurse has an important role in care of patients with hypertension and through health interviews, the district nurse can create possibilities for lifestyle changes. Motivation plays an essential role in implementing lifestyle changes and it varies in between individuals.

    Aim: The aim of the study was to examine district nurse's perceptions of what motivates and what creates obstacles and holds back patients with hypertension to implement lifestyle changes.

    Method: Eight district nurses who on daily bases worked with patients with hypertension and lifestyle changes were interviewed. The interviews were analyzed by qualitative content analysis with an inductive approach to reach the aim of the study.

    Results: The district nurses experienced that both positive as well as negative factors were found to have an impact on a patient's motivation for lifestyle changes. These factors were both found in the district nurse and in the patient. The patient's inner drive force and the district nurse's professionalism created conditions for patients to implement lifestyle changes while as a patient's own negative attitude and a district nurse's lack of commitment and understanding created barriers for patients to implement lifestyle changes.

    Conclusion: The district nurses experienced that both the district nurse and the patient's involvement in health interviews influenced the patient's motivation for lifestyle changes.

  • 1382.
    Berndtsson, Adam
    et al.
    University West, Department of Economics and IT, Division of Business Administration.
    Kourieh, Gabriel
    University West, Department of Economics and IT, Division of Business Administration.
    Förändring och strategi inom organisationer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    We have this report studied change and strategy within organizations. The purpose of this report is to show how organizations can work with their changes and their strategy. Theory of these subjects has been developed with the help of scientific articles. Interviews with staff at the organization Innovatum have been done in order to create our own empirical data about changes and strategy. Innovatum is an experience center which is located in the town of Trollhattan. Innovatum is owned by the Foundation Innovatum, Trollhättan city and municipal Fyrbodals. To collect data to the empiricism the chosen method was qualitative interviews, this is because this method was considered to be most suitable and we wanted to have a deep and comprehensive data. Interviews were done with seven people, four women and three men. One of the interviewed was an operations manager, one was an economist and the rest were teachers. Theory and the empiricism has been analyzed in the report's discussion section

    The conclusion of our completed study was that for successful change requires that the organization focuses on creating positive attitudes and behavior towards change. To succeed with changes it is also important that the organization gives priority to a clear and effective communication. Competent leaders are also something that is important during change. The results of our study reinforced previous theories about what is important to improve the changes within an organization

    The conclusion of our completed study was that for the success of the strategy process in organizations, the organization is required to have an overall picture when deciding on strategies. An effective strategic planning is also something that is important for the strategies. It is also important that the organization is willing to take new ideas from their employees when designing strategies. The organization must not only make use of a single strategy. To succeed in the strategy process, the organization must work to make the strategic implementation properly functioning. The results of our study reinforced previous theories about what is important to improve the strategy process within an organization.

  • 1383.
    Berndtsson, Adam
    et al.
    University West, Department of Economics and IT, Division of Business Administration.
    Svensson, Kenneth
    University West, Department of Economics and IT, Division of Business Administration.
    Jämställdhet i bolagsstyrelser2015Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Med denna rapport ville författarna undersöka jämställdhetsdebatten angående bolagsstyrelser, hur pass viktig denna egentligen är och om organisationerna kan gagnas utav denna diskussion. Frågan undersöktes med hjälp av teori från vetenskapliga rapporter samt egen empiri som skapades med hjälp av intervjuer.

    För att reda ut diskussionen om jämställdhet i bolagsstyrelser undersöktes vad jämställdhet egentligen är, där det togs fram att det absolut inte handlar om hur könsfördelningen för tillfället ser ut i en organsation. Om det är jämställdhet eller inte, handlar snarare om en individ vid en rekrytering blivit bortvald utav den orsaken vilken grupp denna individ tillhör.

    Anledningar till varför det är få kvinnor i bolagstyrelser togs också fram i rapporten där mycket tydde på att det inte är något ”glastak” som skapar den låga andelen kvinnor i bolagstyrelser. Istället var det orsaker som att det finns färre kvinnor med den utbildning och de erfarenheter som krävs för att sitta i en bolagstyrelse. Orsaker som att kvinnor i större utsträckning inte är lika intresserade av att göra karriär togs också upp. Enligt teorin i rapporten tydde också mycket på att kvinnor i större utsträckning ogillar konkurrens och att detta är en bidragande orsak till att det finns färre kvinnor i bolagstyrelser.

    I rapporten undersöktes också hur en tvingande könskvotering kan påverka organisationer, där resultatet var väldigt enhetligt att organsationer med största sannolikhet inte har någonting att vinna på att använda sig av en tvingande könskvotering i sina bolagsstyrelser. Det undersöktes också om bolag som har en jämn könsfördelning kan gagnas utav detta gentemot bolag som har mestadels män, resultatet som uppvisades var att det förmodligen inte finns något att vinna på att försöka ha en jämn könsfördelning. Vad som krävs av en individ som sitter i en bolagstyrelse skrevs också ned i rapporten, där bland annat följande saker utmärktes: Högskoleutbildning i ekonomi, teknik eller juridik, ledarerfarenheter, erfarenheter av att vara VD, kunnig inom området bolaget bedriver samt strategisk förmåga.

    Slutsatsen blev den att jämställdhetsdebatten kan vara viktig i den mån det handlar om att de som tillsätter styrelserna skall bortse från vilket kön eller grupp individen tillhör. Det enda som skall vara avgörande för vilken individ som rekryteras till en styrelse skall vara hur stor potential denna individ har att skapa lönsamhet och att utveckla organsationen. Det viktigaste för organisationerna är att de tillsätter de individerna som är bäst lämpade för uppgiften och då spelar det ingen roll vilken grupp eller kön dessa individer tillhör.

  • 1384.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Bukaortascreening in och ut på fem minuter: Hur upplevs undersökningsförfarandet av de screenade och av personalen2010Conference paper (Refereed)
    Abstract [sv]

    Etiska aspekter vid screening av bukaortaaneurysm - en delutvärdering vid införandet i Västra Götaland

     

    Regionstyrelsen har beslutat om införande av screening av 65-åriga män för buk-aortaaneurysm (fortsättningsvis benämnt AAA) i Västra Götalandsregionen. Syftet är, i likhet med andra screeningundersökningar, att ställa diagnos i ett tidigt skede, redan innan sjukdomen har börjat ge symtom. Utvärderarna, liksom den helt övervägande delen av de kallade och intervjuade medarbetarna, anser att detta är en riktig satsning. Utvärderingsgruppen ställer sig således bakom införandet och huvuddragen i genomförandet av AAA screening i Västra Götalandsregionen. De kunskaper vi har om screening i allmänhet och AAA i synnerhet indikerar helt enkelt att det vore oetiskt att inte screena denna grupp personer. Det finns dock en risk för oro och ångest i samband med förfarandet. Det är därför viktigt att minimera negativa upplevelser hos de kallade. Utvärderingen är gjord med detta som utgångspunkt och har således ansatsen att finna förbättringsmöjligheter i det framväxande förfarandet.

     

    Under 2009 kallades 10 361 män och av dessa avstod 14,5 % . Till SU/Östra och SU/Mölndal avstod ca 20 % att komma medan de som kallades till SÄS, SKAS och NU avstod i mindre utsträckning (ca 11 %).

     

    Förbättringsförslagen i rapporten bygger på enkätsvar, telefonintervjuer från såväl de som kom som de som uteblev. Det genomfördes också fokusgruppsintervjuer med den personalen som undersökte de kallade (ST-läkare, sjuksköterskor och biomedicinska analytiker) på de kliniskt fysiologiska mottagningarna vid Sahlgrenska universitetssjukhuset Mölndal och Östra, Kungälvs sjukhus (röntgen), Södra Älvsborgs sjukhus (SÄS), Norra Älvsborgs sjukhus (NÄL) och Skaraborgs sjukhus (SkaS).

    Kort om resultaten

    De kallade och personalen var i allmänhet positiva till att sjukvården gjorde screeningundersökning av 65-åriga män. Kallelse och informationsbrev upplevdes av de flesta som bra. Avståndet till screeningorten påverkade inte deltagandet i screeningen negativt trots kommentarer om lång resväg. De som hade längst resväg undersöktes på NÄL och SkaS. Att få ett påminnelsebrev gjorde att flera som glömt eller var bortresta kunde undersökas. Egenavgiften (100 kr) hade inte betydelse för deltagandet. Undersökningen medförde inga obehag och gick snabbt (5 min). Undersökningens korta tid kunde dock vara ett besvär för den som behövde mer omfattande information eller omhändertagande. Informationen om undersökningen var bra men besked om hur vanligt tillståndet var och normalgränserna saknades av de undersökta.

     

    Av dem som avstod från undersökning förekom fysisk psykisk sjukdom eller handikapp som orsak till att det var svårt eller omöjligt att undersökas. Flera hade negativa attityder till massundersökningar och som exempel angavs svininfluensa-vaccinationen för inställningen. Andra orsaker till att man avstod var inställningen ”det drabbar inte mig”. Några hade dålig erfarenhet av sjukvård eller läkarskräck. Det förekom också transportproblem, som att man inte hade egen bil. Den största andel som avstod bodde i Göteborgsregionen (22 %).

     

    Screeningpersonalen upplevde att de flesta var positiva och nöjda med informationen i kallelsen, förutom att man trodde att hela bukaortaavsnittet skulle undersökas. Personalen fick påpekanden från män att egenavgiften (100 kr) utgjorde ett problem för dem som inte hade internet då en betalningsavgift tillkommer. Speciell tid var avsatt för undersökningarna, på två ställen på kvällstid för att det skulle vara lättare med parkering. Ofta räckte undersökningstiden till (5 min) men ibland, om undersökningen var mer komplicerad eller om någon hade svårt att röra sig eller behövde prata, upplevdes tiden för kort.  Principen var att det skulle ges besked om bukaorta var normal eller förstorad, men beskedet gavs på olika sätt, en del fick muntligt besked, andra också skriftligt. Några fick reda på måttet när det var normalt men inte om det var förstorat. Vid upptäckt av vidgad aorta skulle personalen faxa uppgifter till kärlkirurgen i Göteborg. Personalen upplevde att de inte hade klara besked på hur informationen till patienten skulle ges om vidgad aorta upptäcktes. Det var även osäkert om och när patienten skulle bli omhändertagen både beroende på tillgång till mottagningstid till kärlkirurg och beroende på hur stor vidgning aorta hade.

     

    Utvärderingsgruppen har reflekterat över de etiska aspekterna av screeningen. Gruppen anser att tillvägagångssättet visat sig vara hållbart och föreslår endast förbättringar av förfarandet och rekommendationer om alternativa förhållningssätt.

    Sammanfattning av etiska reflektioner vid bukaortascreeningen i Västra    Götaland

    • Information och undersökning byggde på ett rationalistiskt perspektiv där 65-åriga män ansågs vara friska, svensktalande och utan hjälpbehov.
    • Vid komplicerad undersökning eller vidgad aorta var det brist på tidsmarginal vilket innebar att kravet på ett fullgott omhändertagande riskerade att inte kunna uppfyllas.
    • Förfarandet vid beskedet av mätresultat, både skriftligt och muntligt, var inte samstämmiga mellan screeningorterna.
    • Yrkeskategori som inte var utbildad för eller hade erfarenhet av omhändertagande vid besked kunde skapa oro och ångest.
    • Beskeden till männen om och när läkarkontakt skulle fås varierade.
    • Osäkerhet och frustration över att inte ha tillgång till läkare/psykolog fanns bland screeningpersonalen.
  • 1385.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Livskvalitet och sexualitet efter stomioperation2010Conference paper (Refereed)
    Abstract [sv]

    Fysiska och psykiska besvär kan påverka hälsan och i förlängningen sexualiteten. Ett exempel är patienten som har diarréer, ont i magen och förlorar vikt och energi orsakat av en inflammatorisk tarmsjukdom.  Medan att ha en cancer i colon eller rektum ger oftast inga besvärliga symtom, inte i början. Men för patienten med cancer påverkar behandlingen i form av strålning, kirurgi och cytostatika bla. sexualiteten.

    Det är viktigt att sjuksköterskan är medveten om patienten påverkas även sexuellt. Sjuksköterskan kan vanligtvis prata med patienten om privata saker som tex. avföringsvanor och om döden. Sjuksköterskan skall även ges information om sexualiteten, och frågor skall kunna ställas av patienten och eventuell partner. Sexualiteten betyder olika mycket för olika personer och vid olika tidpunkter i livet. Att negligera patientens behov om att prata om detta eller resonera som att de får någon annan ta upp om (läkaren) är inte rätt. Människan är en sexuell varelse.

  • 1386.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Patients experience of fast track: ”operates on Tuesday and getting home at Thursday2008In: 17th Biennial Congress of the World Council of Enterostomal Therapists, Ljubljana, 2008, 2008Conference paper (Refereed)
    Abstract [en]

    Background

    Today is length of staying at the hospital only some days even after large surgery. In the literature it is well-known how many days the patients stayed at hospital, how much pain they had after surgery and how many days they felt sick. But we didn't know the patients experienced the first hours at the nursing ward after surgery and who get through the first time at home after early getting home.

     

    Aim

    The aim was to describe patients experience of ”early getting home” after intestine surgery.

     

    Patients and method

    Seven women and three men who had been operated with large intestine surgery was included in the study. They was stay between two and four days after surgery at the hospital. After the patient getting home a nurse had a telephone call after a couple of days. They have a visit at outpatient clinic visit by three to five weeks later at the surgeon. At the same time interviews were making about 30 minute, the interview was typewriter exactly. The analyse method was on data was phenomenology.

     

    Result

    The patients felt trust to the caregivers, but the strongest supports were experienced from the relatives who had involved and engaged in their situation. The study showed that all patients trusted in caring, staff and doctors but they also said that they didn’t ha any other choice. The patients experienced the treatment from the nursing staff often as good. Throw the caregivers attention the patients felt that they had been seen and felt confirmed. The patients experienced fear and worry which come from loosing their control over the situation. The patients described health was the same as quality of life, to be with family or to have friends and be active in life.

     

    Conclusion

    All patients who had relatives support at home experienced their early getting home as positive. The following telephone call home from nurses were imported and was a part of satisfaction, but the largest support they had were the relatives who had involved in their situation.

  • 1387.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Rektalcancer och sexualitet2009In: Patientkanalen, ISSN 1403-7149, no 2, p. 12-14Article in journal (Other (popular science, discussion, etc.))
  • 1388.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sexualitet och fertilitet vid inflammatorisk tarmsjukdom2008Other (Other academic)
  • 1389.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma therapist education on internet2008In: Proceedings with congress programme, 2008Conference paper (Refereed)
    Abstract [en]

    Internet is a good help and save time in the daily work for most of us registrar nurses. In the stoma therapist (ET) education where students often live in different places, is internet education a good alternative. In a digital classroom as community on internet the student collect tasks, send answers, have contact with the teacher and other students in the course. It is like a classroom and with a webb camera or video a lesson can be hold. The lessons can also be prerecorded so the students can look on it any time. The big different and advantage from a real classroom this community is opened 24 hours a day. Advantage and another positive effect is that student and teacher can communicate and answer the task when it suites them best.

    To participants an internet course does not mean less work, all communications must be written and read. This will take more time then verbally communication. One important thing, all communication is written, so it hade to be clear to avoid misunderstanding. To learn and understand each other the student and teacher have to have a two way communication.

    The practical educations can the students carry through on the hospital in the home city with support from the local ET- nurse and the practical examination can be done with instruction from the ET- course. When the students report the examination paper to other students they have to comment and discuss the result in the community. All students most give written comments and ask questions to the other students. The student can not “be seated” quiet, all comments and answers has to be documented. All students become attend.

    The stoma therapist education in a community on internet has great opportunities and is a good alternative.

  • 1390.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma-related complications after stoma construction in emergency surgery.2009In: 10th European congress for nurses with interest in stomacare. Portugal, Porto, June 14-17, 2009., 2009Conference paper (Refereed)
    Abstract [en]

    PURPOSE; Prospectively longitudinal study of the frequency and type of stoma-related complications after stoma construction in emergency surgery. METHOD; 153 patients were operated acutely with a colostomy, ileostomy or loop-ileostomy formation between April 2003 and March 2005 at the Sahlgrenska University Hospital in Gothenburg, Sweden. The postoperative follow up took place in the ward and another five times two years after discharge. On these occasions diameter, height and shape of the ostomy were recorded. Peristomal skin problems, necrosis, leakage due to low ostomy, stenosis, granuloma, prolapse and peristomal hernia were evaluated. Use of convexity appliance was also documented. RESULTS were based on 144 patients 85 women and 59 men with a median age of 67 (range 23-98) years. The ostomy diameter size was postoperatively on the ward median 34 (r 22-80) mm but had reduced to 25 (r 22-60) mm in two weeks. Postoperatively on the ward 31% of colostomy was oval, and 24% of the ileostomy. After 12 months was 21% of the colostomy oval. Irrespective of ostomy types the most common complication was skin problems, most frequent in those with loop ileostomy (48%) hernia was most common in patients with colostomy (26%) at 12 months of follow-up. A patient may have developed more complications such as necrosis of stomin as the cause of this even skin problems. The patients with ileostomy used convexity appliance common in 6 month (67%) and the patients with colostomy in one year (29%). CONCLUSION This study shows that while skin problems dominated in ileostomy patients (48% in loop ileostomies) peristomal hernia was the most common complication in colostomy patients (26%). Early stoma nurse assistance in the acute phase and regular postoperative follow-up subsequently is very important.

  • 1391.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stomiteknik- och terapi i ett historiskt perspektiv2008In: Stomi- och tarmopererad : Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 17-22Chapter in book (Other academic)
  • 1392.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    To be an ostomate or not to be, is the question!2012Conference paper (Refereed)
  • 1393.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Vårdvetenskap och Hälsa Sahlgrenska Akademin Göteborgs Universitet.
    Concerns and Quality of life in patients with rectal cancer preoperatively and and six months postoperatively2008In: Proceedings with congress programme; Biennialcongress of the world council of Enterostomal Therapists. Slovenia. 2008., 2008Conference paper (Refereed)
    Abstract [en]

    Background: The concerns of patients with rectal cancer are not well known. Prospective studies following patients pre and postoperatively are rare.

    Aim: The aim of the study was to assess worries and concerns, Quality of life (QOL) preoperatively, one, three and six months postoperatively in patients operated for rectal cancer with a stoma.

    Methods: Patients operated for rectal cancer between April 2003-March 2005 were asked to participate in the prospective study. Sixty-four patients participated with a median age of 67, range 30-87, (F/M = 25/39). Fifty patients were operated with a colostomy and 14 patients with a loop-ileostomy. Worries and concerns were assessed using Rating form of patient concerns (RFIPC).  Patients´ definition of QOL as well as perceived QOL and health on a visual analogue scale was evaluated.

    Results: The overall concern was greater on all items (RFIPC) preoperatively than six months postoperatively. Greatest concerns preoperatively were fear of cancer and being a burden (or dependent on others) followed by, dying early, the uncertain nature of the disease, loss of bowel control, producing unpleasant odour, being operated on, and having an ostomy.  

    Patients perceived health improved from preoperatively until six months postoperatively whereas QOL was perceived similar preoperatively as six months postoperatively. Patients´ definitions of QOL concerned mainly family, friends, social life and health.

    Conclusion: Knowledge of the specific responses of these patients could be useful in assisting health professionals to understand better patients´ fears and uncertainties as well as determine issues for which counselling might be of value.

    Learning objectives:To increase the knowledge of factors influencing life in patients with rectal cancer and a stoma. How to implement aspects of concerns and QOL in the care of patients with rectal cancer and a stoma.

  • 1394.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Persson, Eva
    Framtida forskning2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 217-222Chapter in book (Other academic)
  • 1395.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Persson, Eva
    School of Health Sciences, University of Borås, Borås.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Long-Term Adjustment to Living With an Ileal Pouch-Anal Anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life.

    METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Oresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis.

    RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care.

    CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 1396.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lindholm, E
    Oresland, T
    Börjesson, L
    Long-term outcome after ileal pouch-anal anastomosis: function and health-related quality of life2007In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 50, no 10, p. 1545-52Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This study was designed to investigate long-term pouch function and health-related quality of life in a single, large cohort of patients with ileal pouch-anal anastomosis for ulcerative colitis. METHODS: Data from 370 patients were included in the study. Thirty-nine patients (11 percent) did not have a functioning pouch (failures) but were included in the health-related quality of life analyses. Pouch function (Oresland score) and health-related quality of life (Short Form-36) were evaluated by postal questionnaires. A total of 88 percent of the patients with a functioning ileal pouch-anal anastomosis returned the questionnaires vs. 76 percent of the failures. Median follow-up time after ileal pouch-anal anastomosis was 15 years vs. 11 years after failure. An age-matched and gender-matched reference sample (n = 286) was randomly drawn from the Swedish Short Form-36 database. RESULTS: Median bowel frequency was six per 24 hours: 76 percent emptied the reservoir at night, 23 percent had urgency, 12 percent had evacuation difficulties, and 17 percent experienced soiling during the day. Fifty-two percent of the males and 32 percent of the females suffered from soiling at night. More than one-half of the patients had occasional perianal soreness, 6 percent considered the pouch to be a social handicap, and 94 percent were satisfied with their pouch. Patients with a functioning ileal pouch-anal anastomosis did not differ from the reference sample on any Short Form-36 domain, except for a reduced score in General Health (P = 0.02). Pouch function was positively correlated to health-related quality of life. Patients with pouch failure had reduced health-related quality of life in most domains. CONCLUSIONS: Patients' satisfaction is high and functional outcome is good after ileal pouch-anal anastomosis. Poor pouch function affects health-related quality of life negatively. Patients with failure after ileal pouch-anal anastomosis are substantially limited in a variety of health-related quality of life domains.

  • 1397.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Persson, Eva
    Carlsson, Eva
    Sexualitet och fertilitet2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, 1:1, p. 187-208Chapter in book (Other (popular science, discussion, etc.))
  • 1398.
    Berndtsson, Jesper
    et al.
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    By, Mathias
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    Analyzing and improving a wireless network2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This report is about how a site survey is carried out using software and how a site survey can collect the information needed to improve the existing wireless networks. The report provides both general information about wireless networks and practical examples with authentic measurements in the corporate environment.

    Problems can arise in a wireless network if the planning is not properly done. A measurement have been made in second floor, where company X is located.

    The results of the survey is presented in images that show the strength of Company X wireless networks, on the second floor. Images also shows noise, overlapping channels and how the signal strength related to these.

  • 1399.
    Berndtsson, Jesper
    et al.
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    By, Mathias
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    Analyzing and improving a wireless network2015Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This report is about how a site survey is carried out using software and how a site survey can collect the information needed to improve the existing wireless networks. The report provides both general information about wireless networks and practical examples with authentic measurements in the corporate environment.

    Problems can arise in a wireless network if the planning is not properly done. A measurement have been made in second floor, where company X is located.

    The results of the survey is presented in images that show the strength of Company X wireless networks, on the second floor. Images also shows noise, overlapping channels and how the signal strength related to these.

  • 1400.
    Berndtsson, Jesper
    et al.
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    By, Mathias
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    Cactuz: The modular toolbox for evaluating Intrusion Prevention Systems2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Intrusion prevention systems are a widely used today to protect the local network from threats on the world wide web by blocking unwanted packets, but still be able to forward desirable traffic. Before placing the intrusion prevention system in a live network, the system can be tested with it capabilities in a test environment.

    This paper is about the build of the toolbox "Cactuz", developed with 11 different test sce-narios with the availability to expand. The report contains general information about threats and attacks but also the software and tools included in the build. The result of the build is presented as the toolbox which includes multiple attacks and tests with a user interface. Cac-tuz is evaluated by Snort IPS where the evaluation of each attack is presented and analyzed.

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