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  • 1. Abdel-Rehim, M.
    et al.
    Carlsson, Gunilla
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Paper Surface Centre. Karlstad University, Faculty of Technology and Science, Department of Chemistry and Biomedical Sciences. Karlstad University, Faculty of Technology and Science, Materials Science.
    Bielenstein, M.
    Arvidsson, T.
    Blomberg, Lars G
    Karlstad University, Faculty of Technology and Science, Department of Chemistry and Biomedical Sciences.
    Evaluation of Solid-Phase microextraction (SPME) for Study of the protein Binding in Human Plasma Samples,2000In: J. Chromatogr. Sci., 38 (2000) 458-464Article in journal (Refereed)
  • 2.
    Abdirashid, Abdulle
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Detektion av kloratreduktas och kloritdismutas med hjälp av 2D elektrofores2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    2 minuters träning per arbetspass.2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 4.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att ansvara för en annan människas liv2013Conference paper (Other (popular science, discussion, etc.))
  • 5.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att bedöma patienter utsatta för trauma2013Conference paper (Other academic)
  • 6.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att träna på en patient som går att starta om2015Conference paper (Other academic)
  • 7.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Att vara doktorand2014Conference paper (Other (popular science, discussion, etc.))
  • 8.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Den specialistutbildade ambulanssjuksköterskans uppfattning av att bedöma patienter utsatta för svårt trauma2013Conference paper (Other academic)
  • 9.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Developing ethical competence among students in nurse specialist programs2014Conference paper (Other academic)
  • 10.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Dom ser döda ut allihop: Att våga fatta svåra beslut2015In: Samverkan 112, ISSN 1650-7487, Vol. AprilArticle in journal (Other academic)
  • 11.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Full scale pre-hospital care scenario: Prehsopital workshop2015Conference paper (Refereed)
  • 12.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care2013Conference paper (Refereed)
  • 13.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Nästa gång du hör sirener vill jag att du skall tänka på mig2014In: Vård i fokus, ISSN 0781-495X, Vol. 1Article in journal (Other academic)
  • 14.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Prehospital simulation differs from others: Prehospital workshop2015Conference paper (Refereed)
  • 15.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Prehospital simulering2014Conference paper (Other academic)
  • 16.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering i ambulanssjukvården2013Conference paper (Other academic)
  • 17.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Simulering som lärande inom prehospital akutsjukvård2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

    Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

    Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

    Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

     

  • 18.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulering som pedagogisk metod: ett sätt att träna olika patientsituationer2015Conference paper (Refereed)
  • 19.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Så räddar du liv2014Conference paper (Other (popular science, discussion, etc.))
  • 20.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    The simulation used in prehospital care2013Conference paper (Refereed)
  • 21.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    To optimize prehospital CPR- performed by fire fighters2015Conference paper (Refereed)
  • 22.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Vad gör man när man jobbar på ett universitet och forskar om ambulansen?2013Conference paper (Other (popular science, discussion, etc.))
  • 23.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What do we need to train the ambulance staff in and how can we train them?2014In: Workshop vid Society in Europe for Simulation Applied to Medicine, Pre-Hospital Special Interest Group Pre-Conference Course., 2014Conference paper (Refereed)
  • 24.
    Abelsson, Anna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Öppet samtal mellan Sveriges prehospitala doktorander och representanter för nationell prehospital forskning2013Conference paper (Other (popular science, discussion, etc.))
  • 25.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Bisholt, Birgitta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Nurse students learning acute care by simulation: Focus on observation and debriefing2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 24, p. 6-13Article in journal (Refereed)
    Abstract [en]

    Introduction: Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings. Aim: To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing. Design: The study was designed as an observational study inspired by an ethnographic approach.MethodData was collected through observations and interviews. Data was analyzed using an interpretive qualitative content analysis.Results: Nursing students created space for reflection when needed. There was a positive learning situation when suitable patient scenarios were presented. Observations and discussions with peers gave the students opportunities to identify their own need for knowledge, while also identifying existing knowledge. Reflections could confirm or reject their preparedness for clinical practice. The importance of working in a structured manner in acute care situations became apparent. However, negative feedback to peers was avoided, which led to a loss of learning opportunity.Conclusion: High fidelity simulation training as a method plays an important part in the nursing students' learning. The teacher also plays a key role by asking difficult questions and guiding students towards accurate knowledge. This makes it possible for the students to close knowledge gaps, leading to improved patient safety.

  • 26.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Blomberg, Ann-Catrin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Rörelsen mellan teori och praxis2013In: Vård i fokus, ISSN 0781-495X, no 2, p. 26-28Article in journal (Other academic)
  • 27.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Att som ambulanssjuksköterska vara förberedd i samband med svårt sjuk patient.2013Conference paper (Other academic)
  • 28.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    What is dignity in prehospital emergency care?2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 3, p. 268-278Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation.

    OBJECTIVE: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care.

    RESEARCH DESIGN: The study had a qualitative approach.

    METHOD: Data were collected by Flanagan's critical incident technique. The participants were 26 specialist ambulance nurse students who described two critical incidents of preserved and humiliated dignity, from prehospital emergency care. Data consist of 52 critical incidents and were analyzed with interpretive content analysis.

    ETHICAL CONSIDERATIONS: The study followed the ethical principles in accordance with the Declaration of Helsinki.

    FINDINGS: The result showed how human dignity in prehospital emergency care can be preserved by the ambulance nurse being there for the patient. The ambulance nurses meet the patient in the patient's world and make professional decisions. The ambulance nurse respects the patient's will and protects the patient's body from the gaze of others. Humiliated dignity was described through the ambulance nurse abandoning the patient and by healthcare professionals failing, disrespecting, and ignoring the patient.

    DISCUSSION: It is a unique situation when a nurse meets a patient face to face in a critical life or death moment. The discussion describes courage and the ethical vision to see another human.

    CONCLUSION: Dignity was preserved when the ambulance nurse showed respect and protected the patient in prehospital emergency care. The ambulance nurse students' ethical obligation results in the courage to see when a patient's dignity is in jeopardy of being humiliated. Humiliated dignity occurs when patients are ignored and left unprotected. This ethical dilemma affects the ambulance nurse students badly due to the fact that the morals and attitudes of ambulance nurses are reflected in their actions toward the patient.

  • 29.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Suserud, Bjorn-Ove
    Högskolan i Borås.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Ambulance Nurses' Competence and Perception of Competence in Prehospital Trauma Care2018In: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, article id 5910342Article in journal (Refereed)
    Abstract [en]

    Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses' perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. Discussion. This study suggests there is no guarantee that the ambulance nurses' perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

  • 30.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Suserud, Bjorn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen, Centre for Prehospital Research, University of Borås, Sweden.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Effect of Repeated Simulation on the Quality of Trauma Care2017In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, no 12, p. 601-608Article in journal (Refereed)
    Abstract [en]

    Background: Simulation participants are not dependent on learning during an actual clinical situation. This allows for a learning environment that can be constructed to meet the knowledge and experience needs of the participant. Simulations in a prehospital emergency are an ideal way to address these needs without risking patient safety. Method: Nurses in prehospital emergency care (n = 63) participated in simulation interventions. During the simulation, the performed trauma care was assessed in two groups of participants with different frequency of simulation. Results: Several statistically significant differences and clinical improvements were found within and between the groups. Differences were noted in specific assessments, examinations, care actions, and time from assessment to action. Conclusion: The result suggested that repeated simulation may contribute to a clinical improvement in trauma care, and more frequent simulation may led to even greater improvements. (c) 2017 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc.

  • 31.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Lundberg, Lars
    CPR performed in the military environment2016In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Conference paper (Refereed)
  • 32.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Experiences of simulation in prehospital emergency care settings, the paramedic and ambulance nurses` point of view2014Conference paper (Refereed)
  • 33.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Learning by simulation in prehospital emergency care: an integrative literature review2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 2, p. 234-240Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Acquiring knowledge and experience on high-energy trauma is often difficult due to infrequent exposure. This creates a need for training which is specifically tailored for complex prehospital conditions. Simulation provides an opportunity for ambulance nurses to focus on the actual problems in clinical practice and to develop knowledge regarding trauma care. The aim of this study was to describe what ambulance nurses and paramedics in prehospital emergency care perceive as important for learning when participating in simulation exercises.

    METHODS: An integrative literature review was carried out. Criteria for inclusion were primary qualitative and quantitative studies, where research participants were ambulance nurses or paramedics, working within prehospital care settings, and where the research interventions involved simulation.

    RESULTS: It was perceived important for the ambulance nurses' learning that scenarios were advanced and possible to simulate repeatedly. The repetitions contributed to increase the level of experience, which in turn improved the patients care. Moreover, realism in the simulation and being able to interact and communicate with the patient were perceived as important aspects, as was debriefing, which enabled the enhancement of knowledge and skills. The result is presented in the following categories: To gain experience, To gain practice and To be strengthened by others.

    CONCLUSION: Learning through simulation does not require years of exposure to accident scenes. The simulated learning is enhanced by realistic, stressful scenarios where ambulance nurses interact with the patients. In this study, being able to communicate with the patient was highlighted as a positive contribution to learning. However, this has seldom been mentioned in a previous research on simulation. Debriefing is important for learning as it enables scrutiny of one's actions and thereby the possibility to improve and adjust one's caring. The effect of simulation exercises is important on patient outcome.

  • 34.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Centre for prehospital Research, University of Borås, Borås, Sweden.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Learning High-Energy Trauma Care Through Simulation2018In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 17, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Simulation provides the opportunity to learn how to care for patients in complexsituations, such as when patients are exposed to high-energy trauma such as motor vehicle accidents.The aim of the study was to describe nurses’ perceptions of high-energy trauma care through simulationin prehospital emergency care. The study had a qualitative design. Interviews were conductedwith 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographicmethod. The result indicates that simulation establishes, corrects, and confirms knowledge andskills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily availablein memory and can be quickly retrieved in a future trauma situation.

  • 35.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Simulation of high-energy trauma makes knowledge readily available from memoryManuscript (preprint) (Other academic)
  • 36.
    Abelsson, Anna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rystedt, Ingrid
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Suserud, Björ-Ove
    Lindwall, Lillemor
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mapping the use of simulation in prehospital care: a literature review.2014In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, no 22, p. 12-Article in journal (Refereed)
    Abstract [en]

    Background:High energy trauma is rare and, as a result, training of prehospital care providers often takes placeduring the real situation, with the patient as the object for the learning process. Such training could instead becarried out in the context of simulation, out of danger for both patients and personnel. The aim of this study wasto provide an overview of the development and foci of research on simulation in prehospital care practice.Methods:An integrative literature review were used. Articles based on quantitative as well as qualitative researchmethods were included, resulting in a comprehensive overview of existing published research. For publishedarticles to be included in the review, the focus of the article had to be prehospital care providers, in prehospitalsettings. Furthermore, included articles must target interventions that were carried out in a simulation context.Results:The volume of published research is distributed between 1984- 2012 and across the regions North America,Europe, Oceania, Asia and Middle East. The simulation methods used were manikins, films, images or paper, live actors,animals and virtual reality. The staff categories focused upon were paramedics, emergency medical technicians (EMTs),medical doctors (MDs), nurse and fire fighters. The main topics of published research on simulation with prehospitalcare providers included: Intubation, Trauma care, Cardiac Pulmonary Resuscitation (CPR), Ventilation and Triage.Conclusion:Simulation were described as a positive training and education method for prehospital medical staff. Itprovides opportunities to train assessment, treatment and implementation of procedures and devices under realisticconditions. It is crucial that the staff are familiar with and trained on the identified topics, i.e., intubation, trauma care,CPR, ventilation and triage, which all, to a very large degree, constitute prehospital care. Simulation plays an integralrole in this. The current state of prehospital care, which this review reveals, includes inadequate skills of prehospital staffregarding ventilation and CPR, on both children and adults, the lack of skills in paediatric resuscitation and the lack ofknowledge in assessing and managing burns victims. These circumstances suggest critical areas for further training andresearch, at both local and global levels

  • 37.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Östfold university Norway.
    Persenius, Mona
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Helgesen, Ann Karin
    Östfold university, Norway.
    The use of life stories and its influence on persons with dementia, their relatives and staff: A systematic mixed studies review2017In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 28, article id 28Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff.

    METHODS: A systematic mixed studies review was conducted. The literature searches were performed in the following databases: CINAHL, PubMed and PsycINFO and the Cochrane library, as well as by hand searching references in the studies included. An updated search was performed eight months after the first search. Data was synthesised inspired by integrative analysis.

    RESULTS: Three studies using quantitative design and two studies (presented in three papers) using qualitative design representing research from 2006 to 2015 were included in the review. Life stories generally had a positive influence on the persons with dementia, their relatives, and staff. The use of life stories might contribute to 'Maintenance of the person with dementia as a whole person rather than a demented patient'. On the other hand, enabling persons with dementia to tell their own story could be a challenge. For the staff it could be challenging when sensitive information emerged uninvited. Involving relatives could also be difficult as to whose story were uncovered.

    CONCLUSIONS: The use of person's life story might be of significance, but there is not enough evidence to make any statement about its importance as the research is scarce. Studies, including randomised controlled trials, are needed to measure the impact of life story work on the physiological and psychological aspects of persons with dementia, and also how it influences their relatives and staff.

  • 38.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study2013In: European Journal for Person Centered Healthcare, ISSN 2052-5656, Vol. 1, no 1, p. 185-192Article in journal (Refereed)
    Abstract [en]

    Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. 

    Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.

    Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients.

    Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care.  Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.

  • 39.
    Abrahamsson, Adam
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    de Bourgh, Simon
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Hållbarhetscertifieringssystem i anläggningsbranschen: En studie om upphandlingskrav kopplat till hållbarhetscertifieringar i offentliga upphandlingar2014Independent thesis Basic level (university diploma), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Sustainability rating schemes has come to be used extensively since it´s arrival to Sweden during the 21th century. Today, the number of sustainability certifications increases for projects in the construction industry while only a few projects has been certified in the civil engineering industry. The reasons of the interesting development has been studied by investigating how the construction industry clients in the public sector should be able to claim use of sustainability rating schemes without infracting the Swedish public procurement act.

    The study has been conducted by literature- and interview research. Interviews were conducted with various stakeholders in the industry. The purpose was to obtain an unambiguous opinion of how clients should require use of sustainability rating schemes in public procurements. The study also discussed how stakeholders monitor and evaluate their work. The literature research analyzes previous work in the topic and evaluates procurements which contains requirements of sustainability rating schemes.

    The overall conclusions from this study is:

    • The industry demands a standardized framework about how to phrase requirements. Public clients should procure likewise, regardless of their location in Sweden.

    • More pilot projects must be implemented to find out how to achieve maximum benefit with sustainability rating schemes.

    • The industry wants more clear and measurable requirements.

    • Not to be contrary to the Swedish public procurement act, clients can phrase functional requirements based on the manual of the sustainability rating scheme they wish to use.

    • The clients should not worry about appeals, since appealed procurements because of sustainability requirements is rare. It is important to have clearly phrased requirements where the choice of sustainability rating scheme, specified criteria and level is clarified.

    • By the new EU-directives comes an update of the Swedish procurement act, which will enforce in 2016 with the intention of making it easier to set requirements for sustainability rating schemes.

  • 40.
    Abrahamsson, Erika
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Gröna tak - potentialen för dagvattenreglering i Karlstad: Simuleringar i Mike Urban2015Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    As urban areas become more populated and denser, stormwater management becomes an important matter. Since natural areas are becoming exploited and green areas in cities are removed the stormwater flow increases due to the conversion of impermeable surfaces into hard surface areas. The increase in stormwater flow can cause flooding if the pipeline system is insufficient.

    Change in climate caused by anthropogenic emissions will expose our communities to difficult challenges. Urban flooding from sewers is one of them, and may become more frequent in parts of the world where precipitation is predicted to increase in the future. In order to develop our cities in a sustainable manner and create resilience, the urban drainage system has to be a part of this development. Many of the techniques related to sustainable urban drainage systems, like storage reservoirs and open channels, require access to land space. However, about 40-50 % of the impermeable surfaces in cities consist of roof. Consequently, an interesting alternative to decrease stormwater flow is green roof due to its ability to reduce and attenuate the flow.

    The aim of this thesis is to demonstrate the benefits of green roof’s stormwater management through simulations in Mike Urban. The simulations are made over two neighborhoods in Karlstad with future climate changes. The simulations indicated that green roof in these neighborhoods show good potential to lower the risk of flooding and the numbers of flooded wells by a 10- and 2-year rain is decreased by 42 and 58 %.

  • 41.
    Achberger, Christine
    et al.
    Göteborgs universitet.
    Chen, Deliang
    Göteborgs universitet.
    Rayner, David
    Göteborgs universitet.
    Nyberg, Lars
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Climate and Safety.
    Persson, Gunn
    SMHI.
    Future rainfall and flooding in Sweden: an integrative project to support climate-adaptation actions2013Conference paper (Refereed)
  • 42.
    Adamczyk, Krzysztof
    et al.
    Department of Materials Science and Engineering, Trondheim, Norway.
    Søndenå, Rune
    Department for Solar Energy, IFE, Kjeller, Norway.
    Stokkan, Gaute
    Sintef Materials and Chemistry, Trondheim, Norway.
    Looney, Erin
    Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
    Jensen, Mallory
    Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
    Lai, Barry
    Advanced Photon Source, Argonne National Laboratory, Lemont, Illinois 60439, USA.
    Rinio, Markus
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Engineering and Physics (from 2013).
    Di Sabatino, Marisa
    Department of Materials Science and Engineering, NTNU, A. Getz vei 2B, NO-7491 Trondheim, Norway.
    Recombination activity of grain boundaries in high-performance multicrystalline Si during solar cell processing2018In: Journal of Applied Physics, ISSN 0021-8979, E-ISSN 1089-7550, Vol. 123, no 5, p. 1-6, article id 055705Article in journal (Refereed)
    Abstract [en]

    In this work, we applied internal quantum efficiency mapping to study the recombination activity of grain boundaries in High Performance Multicrystalline Silicon under different processing conditions. Wafers were divided into groups and underwent different thermal processing, consisting of phosphorus diffusion gettering and surface passivation with hydrogen rich layers. After these thermal treatments, wafers were processed into heterojunction with intrinsic thin layer solar cells. Light Beam Induced Current and Electron Backscatter Diffraction were applied to analyse the influence of thermal treatment during standard solar cell processing on different types of grain boundaries. The results show that after cell processing, most random-angle grain boundaries in the material are well passivated, but small-angle grain boundaries are not well passivated. Special cases of coincidence site lattice grain boundaries with high recombination activity are also found. Based on micro-X-ray fluorescence measurements, a change in the contamination level is suggested as the reason behind their increased activity.

  • 43.
    Adamczyk, Krzysztof
    et al.
    Department of Materials Science and Engineering, Trondheim, Norway.
    Søndenå, Rune
    Department for Solar Energy, IFE, Kjeller, Norway.
    You, Chang Chuan
    Department for Solar Energy, IFE, Kjeller, Norway.
    Stokkan, Gaute
    Sintef Materials and Chemistry, Trondheim, Norway.
    Lindroos, Jeanette
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Engineering and Physics (from 2013).
    Rinio, Markus
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Engineering and Physics (from 2013).
    Di Sabatino, Marisa
    Department of Materials Science and Engineering, Trondheim, Norway.
    Recombination Strength of Dislocations in High-Performance Multicrystalline/Quasi-Mono Hybrid Wafers During Solar Cell Processing2018In: Physica Status Solidi (a) applications and materials science, ISSN 1862-6300, E-ISSN 1862-6319, Vol. 215, no 2, article id 1700493Article in journal (Refereed)
    Abstract [en]

    Wafers from a hybrid silicon ingot seeded in part for High Performance Multicrystalline, in part for a quasi-mono structure, are studied in terms of the effect of gettering and hydrogenation on their final Internal Quantum Efficiency.The wafers are thermally processed in different groups – gettered and hydrogenated. Afterwards, a low temperature heterojunction with intrinsic thin layer cell process is applied to minimize the impact of temperature. Such procedure made it possible to study the effect of different processing steps on dislocation clusters in the material using the Light Beam Induced Current technique with a high spatial resolution. The dislocation densities are measuredusing automatic image recognition on polished and etched samples. The dislocation recombination strengths are obtained by a correlation of the IQE with the dislocation density according to the Donolato model. Different clusters are compared after different process steps. The results show that for the middle of the ingot, the gettering step can increase the recombination strength of dislocations by one order of magnitude. A subsequent passivation with layers containing hydrogen can lead to a decrease in the recombination strength to levels lower than in ungettered samples.

  • 44.
    Adamsson, Annika
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Mathematics and Computer Science.
    En Montessori-inspirerad pedagogik utmanar högpresterande elever matematiskt: En kvalitativ studie om vilka strategier lärare som använder en Montessori- inspirerad pedagogik i årskurs 1-3 anser utmanar och stimulerar högpresterande elever i matematik.2016Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte var att ta reda på vilka strategier lärare som använder en Montessori-inspirerad pedagogik anser stimulerar och utmanar högpresterande elever i matematik samt om de upplevde några svårigheter eller problem med att undervisa högpresterande elever i matematik. För att undersöka det har sex kvalitativa intervjuer genomförts med lärare som har varit eller som är verksamma i årskurserna 1-3. Resultatet av intervjuerna visar att lärarna har en gemensam uppfattning om att en Montessori-inspirerad pedagogik utmanar och stimulerar högpresterande elever i matematik eftersom grundtanken i Montessori-pedagogiken är "eleven i centrum". Det här innebär att lärarna måste utgå från varje elevs förutsättningar, behov och aktuella kunskapsnivå. I resultatet framkommer också att lärarna använder sig av olika strategier i form av matematikbok från en högre årskurs, special- och fördjupningsområden, åldersintegrering och lärande med flera sinnen för att stimulera och utmana de högpresterande eleverna matematiskt. Det framgår också i resultatet att lärarna inte upplever några större problem eller svårigheter i undervisningen av högpresterande elever i matematik. De belyser ändå att den egna matematiska kompetensen, tidsbrist och eget kontrollbehov ibland kan utgöra hinder för att stimulera och utmana de högpresterande eleverna tillräckligt. Utifrån studien kan man dra slutsatserna att lärare som använder en Montessori-inspirerad pedagogik lägger stor vikt vid att hitta rätt strategi för rätt elev, vilket bidrar till att de högpresterande eleverna får utmaning och stimulans. De olika hindren som lärarna belyser skulle kunna minskas med fortbildning och samarbete mellan årskurserna. 

  • 45.
    Adolfsson, Anne Li
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Herke, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Vårdprofessioners erfarenheter, stöd och användning av ett kvalitetsregister inom demensvården-: vid Beteendemässiga och Psykiska Symtom vid Demens2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Persons with dementia diseases are today a large group that will increase significantly over the next few years. Behavioral and Psychological Symptoms of Dementia (BPSD) are very common and can cause major suffering. For dementia care professionals, persons with dementia suffering from BPSD may induce stress in the caregiving situation. With proper training and support, this stress may be reduced. In the BPSD register, the dementia care professionals may get information, advice and help suggesting non-pharmacological interventions that can help the person with dementia. Aim: The aim of the study was to investigate caregivers opportunities and experiences in implementing BPSD registration and follow up of non-pharmacological interventions in the caregiving situation within residential care for dementia. Furthermore, the aim was to compare if the dementia caregivers experience had significance for the experienced value of BPSD registration in Behavioral and Psychological Symptoms of Dementia. Method: A quantitative survey was conducted on residential care for dementia, N=5. The study- specific questionnaire covered possibility for BPSD- registration and interventions, considered value of BPSD estimation, and if non-pharmacological interventions are performed followed up, and considered to reduce BPSD. The results are presented using tables and diagrams. Kruskal Wallis test was used to compare variables between subgroups with varying working experience. Result: Most dementia caregivers considered that they had possibility to conduct BPSD registration 50% (n=28). They expressed 88% (n=49) that the non-pharmacological interventions that were initiated and performed decreased BPSD. Further they experienced BPSD follows up being important, 100% (n=56). There were no statistically significant differences between number of professional years and the compared variables (p-values ranged 0,266-0,981). Conclusion:The study found that dementia care professionals considered having possibilities to perform BPSD estimation, non-pharmacological interventions and follow- up. BPSD registration was experienced to be a helping tool for the dementia providers; and the length of the working experience had no significant relation to how they graded the value of the BPSD estimation.

  • 46.
    Adolfsson, Antonia
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Off grid boende: Dimensionering samt värdering av möjliga system för hantering av avlopp och energiförsörjning2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Bostadsbristen är ett ständigt faktum i Sverige idag och i takt med att boendepriserna ökar så ökar också intresset för att bygga sin egen bostad. Arkitektfirman Tengbom i Karlstad har startat upp ett projekt, Portable Empowerment, som bygger på visionen om att skapa en portabel bostad som ska kunna fungera som en lösning när ett plötsligt behov av bostäder uppstår. För att bostäderna ska kunna flyttas runt krävs det att lösningar för energi- och avloppssystem finns integrerade i bostaden och ska kunna flyttas med för att göra bostaden portabel. För att detta ska vara möjligt krävs det avlopps- och energisystem som är off grid.

    Off grid betyder att systemet inte är kopplat till kommunalt avlopp eller elnät. Det finns sedan länge sätt att lösa både avlopp och energiförsörjning off grid och några exempel där det tillämpas är husvagnen och den klassiska sommarstugan, men de är allt som oftast inte anpassade för bruk året runt. Målet med denna studie är att identifiera samt värdera avlopps- och energisystem som kan tillgodose behoven i en liten bostad som brukas året runt av två personer. Bostaden har sin utgångspunkt i de ritningar som tagits fram av Tengbom för deras projekt Portable Empowerment.

    För att identifiera system som kan tillgodose behoven i bostaden har modeller byggts upp och simuleringar skett där system lämpade för off grid inkluderats. Lösningarna har sedan jämförts med varandra med hjälp av värderingsmatriser där portabilitet, kostnad, miljö och användarvänlighet för varje system värderats.

    Resultatet av studien visar att det finns flera system för både energi och avlopp som kan tillgodose behoven i bostaden året om. Flera av systemen uppfyller kraven för en portabel bostad och det är med andra ord möjligt att uppfylla Tengboms vision om ett fullständigt portabelt boende. Jämfört med en ”vanlig” bostad som är ansluten till vatten- och elnät är dock off grid-lösningarna betydligt mer tidskrävande. Genom att installera ett eget system med lösningar för enbart den egna bostaden tar brukaren också på sig det fulla ansvaret, något som kan tänkas vara en belastning för vissa brukare och en frihet för andra.

    Ur ekonomisk synpunkt visar studien att på energisidan är det svårt att hitta ett off grid-system som är billigare än on grid-systemet där en luftvärmepump installerats. Däremot är anslutningen till ett kommunalt avlopp betydligt dyrare, mellan 100 000-150 000 kronor mer, än att anlägga till exempel en egen infiltrationsanläggning i anslutning till den egna bostaden.

    För att utveckla denna studie bör möjligheten att bygga off grid-byar undersökas. Genom att bygga upp ett samhälle om ett stort bostadsbehov skulle uppstå kan energi- och avloppsanläggningar delas. Anläggningarna har större kapacitet och genom att dela på dessa kan både ansvar och kostnad minskas.

  • 47.
    Adolfsson, Marie
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Borg, Therese
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    "När det skaver"- Skolsköterskans erfarenhet av psykisk ohälsa hos barn och tonåringar2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 48.
    Adolfsson, Oscar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Effekter av inkuberingstemperatur hos juvenil atlantlax (Salmo salar L.)2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Rising temperatures, because of climate change, will have major consequences for the world's fish populations, including the Atlantic salmon Salmo salar L. The greatest temperature changes are expected to occur during winter, which will affect S. salar since the eggs are developing during this time of year. Several studies have shown that elevated temperatures during embryogenesis cause morphological changes, in S. Salar, that are shown in later life stages. Some of these studies indicate that eggs incubated at high temperatures should generate parr with deeper bodies. To investigate whether high temperatures during the egg stage cause changes in body shape, parr from normal and high temperature incubated eggs, referred to as as “cold” and “warm” fish, respectively, were examined. A box-truss of euclidean distances between 10 landmarks on the fish body and a discriminant function analysis (DFA) was used to determine which of the distances best discriminated between the two groups. The test showed a significant discrimination between cold and warm parr regarding body shape where cold parr had greater heads and warm parr were deeper over the tail region and showed greater distances between the pelvic fin and the front attachment of the anal fin. 67,3 % of all parr where correctly classified by the test. These results support those notions that indicates that the incubation temperature is important for the morphological development of S. salar although it does not support the hypothesis.

  • 49.
    Adolfsson, Rasmus
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Utformning av en infästningsstandard: En utveckling av kvalitetsarbetet hos Nordmarkens Fasader AB2015Independent thesis Basic level (university diploma), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    As the construction industry today is increasing the demands on its actors and procedures to ensurethe quality of the final product, the work on quality assurance has increased in a greater degree.Quality assurance involves a systematic approach that often follow a specific quality system orquality mark. That this is conducted is often demonstrated by a certain certification.Nordmarkens Fasader in Töcksfors is a manufacturer and installator of windows, doors, walls androofs in aluminum and glass. To ensure the quality of their products, they work for the P-markingsystem that later allows them to P-label their products. The P-mark is the Science Partners ownquality mark and proves, among other things, that the product complies with statutory or regulatoryrequirements but also in most cases higher standards demanded by the market.In their work, Nordmarkens Fasader follows a quality manual, which in its turn is modeled after therules for P-marking. This is the official summarized description of the P-marking and contains orrefers to all the documents and document types included in the quality system of NordmarkensFasader.For the products of Nordmarkens Fasader to be developed a further step in working towards a goodquality and function, they want to establish drawings that deal with attaching elements in the wall, inthe quality manual. All this to get better track of what happens to the product after manufacture.Something that makes this even more important is that they do not always handle assembly of theirproducts. A standard of attachments in this case would result in that they can influence whathappens after manufacture. To achieve this it was necessary for a standard of attachments ofelements to be designed and then also integrated in the quality manual.Because there are many wall types to choose from, the most common and most abundant of thesewas elected. It all resulted in a number of standard drawings showing where some of the products ofNordmarkens Fasader should be attached in the selected wall. For this to be put into use in everydaylife it also had to be integrated into the quality manual. In addition to these standard drawings, themanual were changed while new documents also were created in this. All to achieve the best resultswith the quality work at Nordmarkens Fasader.This work will serve as a basis for future work on attachment drawings, in the quality manual, asthere is interest in bringing in multi-wall types in this.

  • 50.
    Adolfsson, Robin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Jönsson, Caroline
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Är SundaHus materialklassning kompatibel med Miljöbyggnads, BREEAMs och LEEDs materialkrav?: En studie om SundaHus miljöklassningar.2015Independent thesis Basic level (university diploma), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    We live in a society where there is a shortage of housing and the demand for new and sustainable buildings is growing. The houses that are being built today are focused on being energy efficient to save resources. Something that is forgotten is the choice of materials to house constructions. Materials can affect nature and people from the cradle to the grave by for example material hazardous components. The certification systems Miljöbyggnad, BREEAM and LEED have been checked and their material criteria have been defined. Through a selection of construction materials taken from SundaHus a review has been made of these materials towards the certification systems´ criteria on materials to see if they are compatible. The minority of the criteria were reviewed to separate materials and could be verified in SundaHus. Almost all materials passed the criteria that could be used of Miljöbyggnad and BREEAM regardless of classification in SundaHus. None of the LEED criteria were compatible with SundaHus for separate materials. The fact that the worse classifications in SundaHus could pass the criteria that were reviewed indicates that the requirements in environmental certification systems are too low. Higher and more demands should be made on individual materials and the hazardous substances in them.

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