Kvalitetsuppföljningar och sjuksköterskans omvårdnadsprioriteringar i särskilt boende : En kvalitativ intervjustudie

Syfte: Att undersöka hur sjuksköterskor inom särskilt boende resonerar kring kvalitetsuppföljningar och dess eventuella konsekvenser för omvårdnaden. Metod: Semistrukturerade intervjuer efter öppen intervjuguide med sex sjuksköterskor. Kvalitativ innehållsanalys enligt Graneheim och Lundmans metod. Huvudresultat: I vilken grad kvalitetsregistren och kvalitetsuppföljningarna integreras i omvårdnadsarbetet och dess utveckling är centralt för om dessa uppfattas som stöd eller hinder för god kvalité i omvårdnaden. Dubbel dokumentation bidrar till att sjuksköterskorna omprioriterar arbetstiden och arbetar mer konsultativt och administrativt. Detta minskar tiden för omvårdnadsobservationer och handleding av omvårdnadspersonal samt gör att kvalitetsregistreringar snarast uppfattas som ett hinder. Sjuksköterskorna använde sin professionella kunskap och kliniska erfarenhet i högre grad än registerdata vid omvårdnadsbedömningar. Dessa sågs som alltför komplexa för att kunna fångas i kryssfrågeformulär. Mer kliniska observationer efterfrågas i kvalitetsuppföljningarna för ökad medvetenhet om hög arbetsbelastning och dess eventuella konsekvenser samt för att garantera de boende god omvårdnadskvalité. Konklusion: Sjuksköterskorna upplever att de arbetar under svår tidspress. Tiden anges som essentiell för vilken omvårdnadskvalité som erbjuds. Vid beslut om registreringar av kvalitetsindikatorer bör sjuksköterskornas totala arbetsbörda beaktas. Registreringarna bör integreras i befintliga journalsystem så att sjuksköterskornas omprioriteringar inte får negativa konsekvenser för omvårdnadskvaliten.

Spridning av innovation i högre utbildning : En studie av spridningen av Videochat vid Högskolan Dalarna

Syftet med denna uppsats har varit att beskriva och analysera spridningen av en innovation, Videochat, inom Högskolan Dalarna för att utifrån det lägga förslag på fortsatt arbete för att öka spridningen av Videochat. Frågorna som legat till grund för uppsatsen är: Vad är Videochattens spridningstakt inom Högskolan Dalarna? På vilka grunder har Videochat anammats inom Högskolan Dalarna? I de fall man inte har anammat Videochat, på vilka grunder man gjort det valet? Var och hur kan åtgärder sättas in för att stimulera spridningen av Videochat? Undersökningen har baserats på ett webbaserat frågeformulär bland Högskolan Dalarnas undervisande personal och frågorna i formuläret utarbetades med hjälp av förberedande intervjuer med nyckelpersoner inom Högskolan Dalarna. Undersökningen visar att användningen av Videochat har spridits olika långt på de olika akademierna och på två av fyra akademier anses det finnas ett behov av särskilda åtgärder för att stimulera spridningstakten. Den främsta anledningen till att börja använda Videochat är möjligheten att föreläsa för nätstudenter och campusstudenter samtidigt. Undersökningen visar samtidigt att anledningarna för att använda Videochat skiljer sig mellan de olika akademierna. Ett antal åtgärder föreslås för att stimulera spridning på de två akademier med lägst andel användare av Videochat där de viktigaste går ut på att öka kunskapen om Videochat och dess fördelar.

Fotografers och föräldrars attityder kring skönhetsretuschering i skolfotografier : En semistrukturerad intervjustudie

Through semi-structured interviews with 8 school photographers and 10 parents,this study attempted to clarify what photographers and parents of children(aged 1–5) in preschool think of photography business in the current situationprovides retouching children’s school photographs and what they considers tobe acceptable. The result shows that companies do not offer photo retouchingfrequent, but performs this service at the direct request of the customer. Themajority of parents agreed that dirt and food was accepted to be removed fromthe photograph, and that this does not affect the child's self image. The photographersbelieve that one should be very careful when it comes to children andretouching, and that the debate is important.

Talangfabriken : Om organisation av kunskap och kreativitet i skivindustrin

The purpose of this dissertation is to describe, explain and understand how record companies identify and develop new music and new talent. The analysis is carried out on three levels: individual, organizational and sector level. In a record company, this task formally goes to A&R (Artist and Repertoire). This dissertation takes its point of departure in how the capacity for discovering new talent can be understood in terms of knowledge, creativity and competence and how this capacity is affected in the meeting between the record company and the industry. The theoretical framework of the dissertation spans two sociological fields: the sociology of organizations and the sociology of knowledge. While it takes its organizational starting point in the Knowledge Company Approach, it employs a practice-based approach to discuss knowledge. I argue that within the Knowledge company approach there are two contrasting ways to understand knowledge; a distinction is made between knowledge- and creativity-intensive enterprises. The results show that the record industry’s polarized structure can be seen as a result of the Knowledge Company’s typical problems. The A&R’s work is described as including two phases, one intuitive and one analytical. The intuitive assessment is direct, unconscious and without reflection. This ability has been described as "intuition" and "gut feeling". The analytical phase adds analysis and reflection based on knowledge. The results from the interviews with A&R’s reveal the limit of formal and explicit knowledge not only in the choice of music but also in the marketing strategies. The overarching picture is one in which record companies move in a space characterized by tension between dichotomous forces – art and commercialism, creativity and knowledge, culture and economy, chaos and order, but where opposite poles are not mutually exclusive but complementary.

När lanthandeln stänger : En studie av lanthandelns betydelse för flyttning in och ut och för människorna i byn

In Sweden the number of rural food shops has decreased for more than 50 years. Often the closing of a village shop is supposed to affect the migration patterns in the area it has been serving. However, according to this study, neither in- nor out-migration in the area affected by the closing is affected. The deficits of migration usual in those areas are established at least 10-12 years before the closing year. Thus, the typical closing takes place subsequent to a long term population decline. On the other hand, localities hosting a shop that survived during the study period 1990-2004 have a bigger total population and show tendencies towards decreasing deficit of migration at any potential closing year. These statistical results are supported by interviews carried out in three villages where the last shop has closed. They indicate that the shop has already lost its importance as supplier when it closes. By then the village shop is primarily used as complement to nearby towns or shopping centres. Each of the two studies accounted for here point at a relative un-importance of the village shop as a service point at the closing time. However, as it often offer the last public space in the village the village shop serves a key function as a meeting point for some households. When the shop has closed, the village holds private homes only. That is a situation increasing loneliness to some inhabitants.

Fyra röster om människan vid dopet : Fyra representanter från Svenska kyrkan och Pingstkyrkan om människosynen i doptraditionen

The purpose of this study was to investigate what view of humans that emerges when priests/reverends talk about man in relation to baptism. The study consists of qualitative interviews with four priests/reverends. There were two representatives from the church of Sweden, and two from the Pentecostal church. The aim and questions in the study focus on what view of humans that emerges. Will there be similarities and differences in the view of humans, and is it possible to refer the result to the respective church. The theory that is being used focusses on so called components of how humans are viewed and these components can be seen as building blocks in how a view of humans is formed. The background comes from the varying view of the baptism tradition that exists in Christianity. The church of Sweden mainly baptizes children, whereas the Pentecostal church practices believer´s baptism. The result demonstrates that the reflected view of humans in different ways can prove what each church of the interviewee represents.

Undersökande arbetssätt i NO-undervisningen i grundskolans tidigare årskurser

This thesis deals with the use of inquiry-based approaches in primary school science. The aim is to investigate the goals and purposes that are constituted by the curriculum and by the teachers in interviews and through their teaching in the classroom. The results are used to develop conceptual tools that can be used by teachers’ in their work to support students’ learning of science when using an inquiry-based approach. The thesis is comprised of four papers. In paper one a comparative analysis is made of five Swedish national curricula for compulsory school regarding what students should learn about scientific inquiry. In paper two 20 teachers were interviewed about their own teaching using inquiry. Classroom interactions were filmed and analyzed in papers three and four, which examine how primary teachers use the various activities and purposes of the inquiry classroom to support learning progressions in science. The results of paper one show how the emphasis within and between the two goals of learning to carry out investigations and learning about the nature of science shifted and changed over time in the different curricula. Paper two describes the selective traditions and qualities that were emphasized in the teachers’ accounts of their own teaching. The results of papers three and four show how students need to be involved in the proximate and ultimate purposes of the teaching activities for progression to happen. The ultimate purposes are the scientific purposes for the lesson (as given by the teacher or by the curriculum), whereas the proximate purposes are the more student-centered purposes that through different activities should allow the students to relate their own experiences and language to the ultimate purpose. The results show the importance of proximate purposes working as ends-in-viewin the sense of John Dewey, meaning that the students see the goal of the activity and that they are able to relate to their experiences and familiar language.

Selektiva traditioner i grundskolans tidigare år : Lärares olika betoningar av kvalitéer i NO-undervisningen

The aim of this study was to elucidate the selective traditions of Swedish primary school teachers in using inquiry-based learning.  Material from thirteen interviews where teachers described their own inquiry practice was used to study the selective traditions along with the qualities these traditions emphasized. Four different selective traditions were identified: the fact oriented, the activity oriented, the collaboration oriented and the community oriented traditions. Different qualities were emphasized in the different traditions, for instance regarding whether teaching and inquiry should be difficult, correct, free or fun.

”Varför tar man för givet att feminismen måste vara sekulär?” : En studie om muslimska feminister i svensk kontext

The purpose of this study is to examine how two Muslim feminists perceive themselves to betreated by the Swedish majority society and within the secular feminist movement. Thesurvey was conducted using qualitative method with a total of two interviews. For the study'stheoretical perspectives, I have used postcolonialism and postcolonial feminism. The result ofthe survey and the analysis show that the informants say that they face an image of Muslimwomen as considered being under oppression. The informants believe that this stereotypicalimage has its origin from the colonial period. The question that is most important for themwithin feminism is to be treated as a feminist and as a Muslim without being questioned. Theyfeel like it's hard to identify with the Swedish secular feminism, but they also feel that thegroup of Swedish secular feminists have a difficulty identifying themselves with Muslimwomen too. Consider this, one of the informants does not feel welcome among Swedishsecular feminism while the other one never had an interest in becoming a member of itbecause she did not consider them to strive for the same goal as herself. The informantsclaims that there are opportunities for them to speak in the public debate, but as Muslimfeminists they are facing a bigger struggle.

Skicklig läs- och skrivundervisning i åk 1-3 : Om lärares möjligheter och hinder

This study focuses on teachers’ opportunities and obstacles to perform skillful reading and writing instruction. It’s about the ability to accurately identify where students are in their reading and writing process and to help them develop good reading skills. It is also about the ability to recognize signs of difficulties that students may have in their written language development and to know what efforts are needed to help them advance their reading and writing skills. The research is based on teachers’ own statements and survey responses on the external conditions for teaching and on their approach, attitudes and knowledge in reading and writing. The empirical material consists of interviews, surveys and test data. The interview study was conducted with eight teachers. The questionnaire was answered by 249 teachers, while the knowledge test was conducted of 269 teachers and 31 special education teachers. Many of the teachers in this study have lack knowledge in the structure of language and common Swedish spelling rules. Furthermore, it appears that a large part of them are unaccustomed to explaining, in detail, students’ reading development and find it difficult to systematically describe the aspects of daily literacy instruction. The overall picture is that many teachers teach without having tools to reflect on how their education really affects students’ reading and writing. These shortcomings make it difficult to conduct effective literacy instruction. Once students have learned to decode or if they have reading difficulties, many teachers seem to one-sidedly focus on getting students to read more. The consequence could be that those who would need to practice more on the technical basic of reading or comprehension strategies are left without support. Lack of variety and individuality in fluency and comprehension training can challenge the students’ reading and writing development. The teachers in the study, who have the old junior school teacher and elementary teacher education, have the highest amount of knowledge of reading and writing (the test). Good education can provide student teachers with professional skills that they may develop further in their careers. Knowledge of the meaning of phonological and phonemic awareness as well as knowledge of how to count phonemes seem to be important for knowledge of reading and writing (the test). Knowledge of basic reading processes can be obtained by systematic and structured work with students’ linguistic development, and through continuous dialogues with experienced colleagues on how and why questions. This is one important way to work also in teacher training. When essential professional skills are established in the teacher education, in practice students will obtain the school’s learning goals.

Riskfyllt vatten : Hur individen skapar sig en förståelse av oväntad parasitförekomst i dricksvattnet

Risky water How the individual makes sense of unexpected parasites in the drinking water This quick response study was carried out with the aim to study how individuals made sense of the outbreak of the parasite Cryptosporidium in the drinking water in Ostersund. In total 24 interviews were made with people in Ostersund. The result shows that the interviewees related to social as well as spatial dimensions when they made sense of this risky situation, which can be understood in relation to the concept of sensemaking of risk. Six groups among the interviewees emerged in the analysis, illustrating how different aspects of the risk where focused in the process of sensemaking. Further, the study shows that the process of sensemaking was built upon direct as well as indirect social relations, where the interviewees made sense of the risk by relating to people who were close to them as well as to people to whom they had no personal relation. These indirect social relations were defined as: elderly, children and people in other countries, which also points at the fact that the interviewees made sense of the risk in a global context. Finally, the results suggest that social relations could be further explored in future studies in sensemaking of risk.

Pedagoger i det sociala uppdragets gränstrakter : Att hantera familjerättsliga processer, hot och våld

Pedagogues in the borderland of their social task: dealing with family law proceedings, threats and violence Drawing upon an explorative study of family law proceedings from a school perspective, the aim of this paper is to examine the school staff’s strategies for solving or coping with problematic situations in this context. Gendered conflicts between adults and violence are extreme cases for pedagogues in school and preschool. How do the staff cope with their own and the children’s vulnerability? Based upon interviews with 22 informants, the staff’s strategies are outlined and discussed in relation to organizational and professional circumstances and intersecting social relations of power. An analytical construction of six types of proactive and reactive strategies, ranging from distance keeping to normalization of own exposure, is utilized in the analysis. Findings suggest that the staff’s strategies to handle challenging events in this context vary with the parent’s gender, class position and ethnicity. Further, it is argued that creating a sense of safety and promoting learning among the children may be obstructed by lack of support from the school’s organization, demands on staff to perform customer oriented attitudes towards parents and lack of clarity concerning the limits of the social task. Conflicts between the organization and profession on the one hand and the educational and the social task on the other hand, are thus illuminated. In conclusion, a further aim of this article is to contribute to broader discussions on men’s violence against women and children – in families as well as in workplaces and in the intersection between these two areas. 

Barns strategier och ekonomisk utsatthet : knappa resurser som utgångspunkt för en förhandling av positionerna i familjen

Economic hardship and children’s strategies – scarce resources as a starting point for negotiating family positions The aim of this article is to discuss how children and adolescents experience everyday life in economic hardship and how a negotiation of the family positions can be linked to these experiences. The article takes its theoretical starting point in childhood sociology, and is based on an interview study involving 17 children between the ages of 6–18 in families living on or below the limit for receiving welfare benefits. The purpose of these interviews is to explore how these children experience economic hardship at home and among friends, focusing their own strategies and agency. I argue that the financial situation in these families do indeed challenge the way that the child position is traditionally understood, which also has implications for the children’s identity work. Including children as participants in research therefore becomes crucial in order to fully understand the ramifications of child poverty. 

”En aktiemarknad för alla” : Integritet och marknadsomsorg i (själv)regleringen av den svenska värdepappersmarknaden

”A stock market for all”. Integrity and concern for the market in the (self-)regulation of the Swedish securities market This article deals with the transformation process that led to the substantial growth of the securities markets, and also led to a situation where Sweden became one of the leading countries when it comes to ordinary people investing in shares and mutual funds. The article discusses how social control and regulation of the market changed as a result of this process. A sudden and strong unanimity for knowledge tests in order for a stockbroker to be allowed to conduct brokerage, advisory services and asset management was the significant change in this transformation process. Knowledge tests were first introduced on a voluntary basis by the industry itself, but is now a mandatory requirement by the State. This article argues that the unanimity for knowledge tests best can be understood by studying the broadening of the financial markets. The broadening meant that more groups in society – with very varying capabilities – had started to place their assets in the security markets. They were encouraged to do so since this was considered to be the solution to the growing number of socioeconomic problems. This article is mainly based on market statistics and document analysis supplemented by interviews.

Elitutbildning: en strategi för erkännande? : En studie om anti-diskrimineringsstrategier bland juriststudenter med ursprung i Mellanöstern

Elite Education: a strategy for recognition? A study on anti-discrimination strategies among law-students of Middle Eastern background While research show that individuals of foreign background are being discriminated against and stigmatized in Sweden, an increasing number of them still choose higher education and also show a tendency towards choosing an elite education. In this article, I examine if there is a link between experiences of discrimination and the choice of elite education. The study is based upon semi-structured interviews with five female and five male law students of Middle Eastern background. The findings show that discrimination, either against the students or their parents, has led to a high study motivation where the choice of elite education can be understood as an anti-discrimination strategy. Other anti-discrimination strategies are to resist a victim mentality and to destigmatize by challenging stereotypes. These anti-discrimination strategies can be understood as strategies for recognition, that is, striving for equality by being ascribed a positive status.