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  • 101.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Bisholt, Birgitta
    Karlstads universitet, Institutionen för hälsovetenskaper.
    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.

    Method:

    Data 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.

  • 102.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Blomberg, Ann-Catrin
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Rörelsen mellan teori och praxis2013In: Vård i fokus, ISSN 0781-495X, no 2, p. 26-28Article in journal (Other academic)
  • 103.
    Abelsson, Anna
    et al.
    Karlstads universitet, Avdelningen för omvårdnad.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Att som ambulanssjuksköterska vara förberedd i samband med svårt sjuk patient.2013Conference paper (Other academic)
  • 104.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students2018In: International Journal of Ethics Education, ISSN 2363-9997, Vol. 3, no 2, p. 181-192Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe specialist ambulance nurse students’ experiences of ethical conflicts and dilemmas in prehospital emergency care. In the autumn of 2015, after participating in a mandatory lecture on ethics, 24 specialist ambulance nurse (SAN) students reported experiences and interpretations concerning conflicts and ethical dilemmas from prehospital emergency care. The text consisted of 24 written critical incidents which were interpreted using hermeneutic text interpretation. The text revealed three themes: Not safeguarding a patient’s body and identity; Not agreeing on the care actions; and Not treating the patient with dignity. The SANs experiences ethical dilemmas and conflict of values when they witness how others violate a patient’s dignity. Discussion and reflection is based on ethical conflicts and dilemmas experienced when students see how caregivers do not safeguard the patient’s body or identity. When caregivers have a conflicting will, it results in patients not being treated in an ethical manner. Also, seeing how caregivers put themselves in a power position over patients is described as an ethical dilemma that students experience when they choose not to intervene.

  • 105.
    Abelsson, Anna
    et al.
    Karlstads universitet, Avdelningen för omvårdnad.
    Lindwall, Lillemor
    Karlstads universitet, Avdelningen för omvårdnad.
    The prehospital assessment of severe trauma patients’ by specialist ambulance nurse in Sweden-a phenomenographic study2012In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 20, p. 67-Article in journal (Refereed)
    Abstract [en]

    Background

    A common feature of prehospital emergency care is the short and fragmentary patient encounters with increased demands for efficient and rapid treatment. Crucial decisions are often made and the premise is the specialist ambulance nurse’s ability to capture the situation instantaneously. The assessment is therefore a pre-requisite for decisions about appropriate actions. However, the low exposure to severe trauma cases in Sweden leads to vulnerability for the specialist ambulance nurse, which makes the assessment more difficult. Our objective was to describe specialist ambulance nurses’ perceptions of assessing patients exposed to severe trauma.

    Methods

    This study had a phenomenographic approach and was performed in 2011 as an interview study. 15 specialist ambulance nurses with a minimum of 2.5 years of experience from praxis were included. The analysis of data was performed using phenomenography according to Marton.

    Results

    The perceptions of assessing patients exposed to severe trauma were divided into: To be prepared for emergency situations, Confidence in one’s own leadership and Developing professional knowledge.

    Conclusions

    This study reveals that the specialist ambulance nurse, on the scene of accident, finds the task of assessment of severe trauma patients difficult and complicated. In some cases, even exceeding what they feel competent to accomplish. The specialist ambulance nurses feel that no trauma scenarios are alike and that more practical skills, more training, exercise and feedback are needed.

  • 106.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    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.

  • 107.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Suserud, Björn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen-Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ambulance nurses’ competence and perception of competence in prehospital trauma care2018In: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, Vol. 2018, 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.

  • 108.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    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.

  • 109.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lundberg, Lars
    Centre for Defence Medicine, Swedish Armed Forces, Sweden.
    Cardiopulmonary resuscitation quality during CPR practice versus during a simulated life-saving event2018In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 24, no 4, p. 652-655Article in journal (Refereed)
    Abstract [en]

    Introduction. As a part of the emergency medical services, the Swedish fire brigade can increase the survival rate in out-of-hospital cardiac arrests.

    Aim. To compare the quality of cardiopulmonary resuscitation (CPR) performed by firefighters at a routine CPR practice versus when involved in a simulated life-saving event.

    Methods. In this study, 80 firefighters divided into two groups performed CPR according to guidelines: one group indoors during a routine training session; the other group outdoors during a smoke diving exercise wearing personal protective clothing and self-contained breathing apparatus. Descriptive and inferential statistics were used to analyze the data.

    Results. The results showed a tendency for the outdoor group to perform CPR with better ventilation and compression quality, as compared to the indoor group. The ventilation of the manikin was not hampered by the firefighters wearing personal protective clothes and self-contained breathing apparatus, as the Swedish firefighters remove their facial mask and ventilate the patient with their mouth using a pocket mask.

    Conclusions. Overall, the results in both groups showed a high quality of CPR which can be related to the fire brigade training and education traditions. CPR training is regularly performed, which in turn helps to maintain CPR skills.

  • 110.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Sweden.
    CPR performed in battlefield emergency care2019In: Australasian Journal of Paramedicine, ISSN 2202-7270, Vol. 16, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Introduction

    During military missions medical care is provided to military personnel as well as civilians. Although cardiopulmonary resuscitation (CPR) may not be a common task in a military field hospital, all personnel need to be trained to deal with cardiac arrest.

    Methods

    This study was a comparative simulation study. Participants (n=36) from the Swedish armed forces performed CPR for 2 minutes at one of three different locations: at ground level, a military bed, or a transportable military stretcher. Compression depth and rate after 2 minutes of CPR and at the time of the participants’ own request to be relieved were measured. Descriptive and inferential analysis was conducted.

    Results

    There is a direct correlation between compression depth and working level, concluding that the higher working level, the lower the compression depth. There is in total an overall low percentage of participants within limits for correctly conducted CPR regarding both compression depth and rate. Time to fatigue is related to working level, where increased level results in early fatigue.

    Conclusion

    The quality of CPR is affected by the level at which it is performed. The quality of CPR was satisfactory when working at ground level, but suboptimal when working at hospital bed level or military stretcher level. When working at raised levels, participants appeared to misjudge their own compression depth and rate. This may indicate that changes are needed when CPR is practised in the military hospital setting. Future studies regarding the use footstools are required due to the height of military beds and transportable stretchers.

  • 111.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Lundberg, Lars
    CPR performed in the military environment2016In: Society in Europe for Simulation Applied to Medicine Lisbon 16/6 2016., Lisabon, 2016Conference paper (Refereed)
  • 112.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lundberg, Lars
    University of Borås, Prehospen-Centre for Prehospital Research, Borås, Sweden.
    Prehospital CPR training performed with visual feedback2018In: Disaster and Emergency Medicine Journal, ISSN 2451-4691, Vol. 3, no 2, p. 41-45Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Swedish firefighters are a part of the emergency medical services. Therefore, they perform prehospital cardiopulmonary resuscitation (CPR) on a regular basis. Training becomes crucial for maintaining the CPR skills and increasing the patients’ chances of survival. Training with visual feedback is for Swedish firefighters a new way of training CPR. The aim of this study was to evaluate firefighters’ perception of a CPR manikin with visual feedback.

    METHOD: This study had a qualitative approach. Data were collected by interviews with 16 firefighters after performing CPR on a manikin with visual feedback. The data were analyzed with a manifest content analysis.

    RESULTS: Visual feedback makes it easy to identify and maintain correct compression rate. There is a need for identifying too deep compressions. Uncertainty regarding the closeness to the stomach arises when using the whole hand during compressions instead of just the wrist. To accomplish an open airway requires a bit of adjustment of the manikins’ head.

    DISCUSSION: To train and learn CPR is feasible with visual feedback. The firefighters can maintaing a correct compression rate and correct compression depth during the sessions. Ventilating a patient with bag-valvemask or pocket mask may require training with visual feedback to guarantee the firefighters being able to secure an open airway of the patient. All these skills are essential and improve the chance of survival for the patients.

  • 113.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Gothenburg, Sweden.
    Simulation as a means to develop firefighters as emergency care professionals2019In: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, p. 1-25Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate the simulated emergency care performed by firefighters and their perception of simulation as an educational method.

    METHODS: This study had a mixed method with both a quantitative and a qualitative approach. Data were collected by simulation assessment, a questionnaire, and written comments. Descriptive analysis was conducted on the quantitative data whereas a qualitative content analysis was conducted on the qualitative data. Finally, a contingent analysis was used where a synthesis configured both the quantitative and the qualitative results into a narrative result.

    RESULTS: The cognitive workload that firefighters face during simulated emergency care is crucial for learning. In this study, the severity and complexity of the scenarios provided were higher than expected by the firefighters. Clearly stated conditions for the simulation and constructive feedback were considered positive for learning. Patient actors induced realism in the scenario, increasing the experience of stress, in comparison to a manikin.

    CONCLUSION: To simulate in a realistic on-scene environment increases firefighters' cognitive ability to critically analyze problems and manage emergency care. Simulation of emergency care developed the firefighters as professionals.

  • 114.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Experiences of simulation in prehospital emergency care settings, the paramedic and ambulance nurses` point of view2014Conference paper (Refereed)
  • 115.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    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.

  • 116.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Suserud, Björn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen - Centre for prehospital Research, University of Borås, Borås, Sweden.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    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 complex situations, 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 simulation in prehospital emergency care. The study had a qualitative design. Interviews were conducted with 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographic method. The result indicates that simulation establishes, corrects, and confirms knowledge and skills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily available in memory and can be quickly retrieved in a future trauma situation. 

  • 117.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björn-Ove
    Högskolan i Borås.
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Simulation of high-energy trauma makes knowledge readily available from memoryManuscript (preprint) (Other academic)
  • 118.
    Abelsson, Anna
    et al.
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Rystedt, Ingrid
    Karlstads universitet, Institutionen för hälsovetenskaper.
    Suserud, Björ-Ove
    Lindwall, Lillemor
    Karlstads universitet, Institutionen för hälsovetenskaper.
    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 place during the real situation, with the patient as the object for the learning process. Such training could instead be carried out in the context of simulation, out of danger for both patients and personnel. The aim of this study was to 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 research methods were included, resulting in a comprehensive overview of existing published research. For published articles to be included in the review, the focus of the article had to be prehospital care providers, in prehospital settings. 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 prehospital care 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. It provides opportunities to train assessment, treatment and implementation of procedures and devices under realistic conditions. 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 integral role in this. The current state of prehospital care, which this review reveals, includes inadequate skills of prehospital staff regarding ventilation and CPR, on both children and adults, the lack of skills in paediatric resuscitation and the lack of knowledge in assessing and managing burns victims. These circumstances suggest critical areas for further training and research, at both local and global levels.

  • 119.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Appelgren, Jari
    Faculty of Arts and Social Sciences, Karlstad University, Karlstad, Sweden.
    Axelsson, Christer
    Prehospen – Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Low-dose, high-frequency CPR training with feedback for firefighters2019In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, no 1, p. 64-72Article in journal (Refereed)
    Abstract [en]

    Purpose

    The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month.

    Design/methodology/approach

    The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance.

    Findings

    There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment.

    Originality/value

    Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

  • 120.
    Abelsson, Anna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Göteborg, Sweden.
    Trauma simulation in prehospital emergency care2018In: Journal of Trauma Nursing, ISSN 1078-7496, Vol. 25, no 3, p. 201-204Article in journal (Refereed)
    Abstract [en]

    Well-educated ambulance staff is a prerequisite for high-quality prehospital trauma care. The aim of this study was to examine how nurses in the ambulance service experienced participation in trauma simulation. Sixty-one nurses, working in an emergency ambulance service, performed simulated trauma care on four different occasions and afterward rated three statements on a 5-point Likert scale. A descriptive and inferential analysis was conducted. There are statistically significant increases between the pre- and posttests regarding all three statements: I think simulation of severe trauma with manikins is realistic (0.23 or 6% increase), Simulation is a suitable method for learning severe trauma care (1.3 or 38% increase), and I am comfortable in the situation learning severe trauma care through simulation (0.74 or 19% increase). With the experience of realism in simulation, participants become more motivated to learn and prepare for future events. If the participants instead feel uncomfortable during simulation training, they focus on their own feelings instead of learning. In a realistic simulated environment, participants are prepared to understand and manage the emergency care situation in clinical work. Participants learn during simulation when they are outside their comfort zone but without being uncomfortable or experiencing anxiety.

  • 121. Aberg, Anna Cristina
    et al.
    Sidenvall, Birgitta
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Hepworth, Mike
    O'Reilly, Karen
    Lithell, Hans
    On loss of activity and independence, adaptation improves life satisfaction in old age: a qualitative study of patients' perceptions.2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 4, p. 1111-1125Article in journal (Refereed)
  • 122.
    Abghari, Shahrooz
    et al.
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Boeva, Veselka
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Lavesson, Niklas
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Grahn, Håkan
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Gustafsson, Jörgen
    Ericsson AB.
    Shaikh, Junaid
    Ericsson AB.
    Outlier Detection for Video Session Data Using Sequential Pattern Mining2018In: ACM SIGKDD Workshop On Outlier Detection De-constructed, 2018Conference paper (Refereed)
    Abstract [en]

    The growth of Internet video and over-the-top transmission techniqueshas enabled online video service providers to deliver highquality video content to viewers. To maintain and improve thequality of experience, video providers need to detect unexpectedissues that can highly affect the viewers’ experience. This requiresanalyzing massive amounts of video session data in order to findunexpected sequences of events. In this paper we combine sequentialpattern mining and clustering to discover such event sequences.The proposed approach applies sequential pattern mining to findfrequent patterns by considering contextual and collective outliers.In order to distinguish between the normal and abnormal behaviorof the system, we initially identify the most frequent patterns. Thena clustering algorithm is applied on the most frequent patterns.The generated clustering model together with Silhouette Index areused for further analysis of less frequent patterns and detectionof potential outliers. Our results show that the proposed approachcan detect outliers at the system level.

  • 123.
    Abghari, Shahrooz
    et al.
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Boeva, Veselka
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Lavesson, Niklas
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Grahn, Håkan
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Ickin, Selim
    Ericsson, SWE.
    Gustafsson, Jörgen
    Ericsson, SWE.
    A Minimum Spanning Tree Clustering Approach for Outlier Detection in Event Sequences2018In: The 17th IEEE International Conference on Machine Learning and Applications Special Session on Machine Learning Algorithms, Systems and Applications, IEEE, 2018Conference paper (Refereed)
    Abstract [en]

    Outlier detection has been studied in many domains. Outliers arise due to different reasons such as mechanical issues, fraudulent behavior, and human error. In this paper, we propose an unsupervised approach for outlier detection in a sequence dataset. The proposed approach combines sequential pattern mining, cluster analysis, and a minimum spanning tree algorithm in order to identify clusters of outliers. Initially, the sequential pattern mining is used to extract frequent sequential patterns. Next, the extracted patterns are clustered into groups of similar patterns. Finally, the minimum spanning tree algorithm is used to find groups of outliers. The proposed approach has been evaluated on two different real datasets, i.e., smart meter data and video session data. The obtained results have shown that our approach can be applied to narrow down the space of events to a set of potential outliers and facilitate domain experts in further analysis and identification of system level issues.

  • 124.
    Abghari, Shahrooz
    et al.
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    García Martín, Eva
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Johansson, Christian
    NODA Intelligent Systems AB, Sweden.
    Lavesson, Niklas
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Grahn, Håkan
    Blekinge Tekniska Högskola, Institutionen för datalogi och datorsystemteknik.
    Trend analysis to automatically identify heat program changes2017In: Energy Procedia, Elsevier, 2017, p. 407-415Conference paper (Refereed)
    Abstract [en]

    The aim of this study is to improve the monitoring and controlling of heating systems located at customer buildings through the use of a decision support system. To achieve this, the proposed system applies a two-step classifier to detect manual changes of the temperature of the heating system. We apply data from the Swedish company NODA, active in energy optimization and services for energy efficiency, to train and test the suggested system. The decision support system is evaluated through an experiment and the results are validated by experts at NODA. The results show that the decision support system can detect changes within three days after their occurrence and only by considering daily average measurements.

  • 125.
    Abid, Muhammad
    et al.
    Jönköping University, School of Engineering, JTH. Research area Industrial Engineering and Management.
    Özkan, Senol
    Jönköping University, School of Engineering, JTH. Research area Industrial Engineering and Management.
    The Relation between Lean Manufacturing & Customer's Demand Uncertainty2009Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Customer Demand Uncertainty is a big obstacle for companies to sustain their competitiveness in the market that responding customer requirements becomes essential. Besides companies need to consider also their cost structures which should have in high consistency to survive as well. Lean and Agile terminologies have been investigated so far in cost and responsiveness to customer manner within internal system perspective i.e. product volume and variety. This thesis aims to link lean manufacturing steps with customer demand uncertainty condition following information systems, marketing issues and human factor for management level in framework that firm’s (manufacturer) current condition can be tested according to answers from questionnaires and implementation of assessment tables since it is used as guideline and provides on which level firms are in demand uncertainty, lean and agile manufacturing. This support enables to firms to create their own flexible leagile decoupling point according to their interior characteristics and capabilities in the market.

  • 126.
    Abid, Saad Bin
    et al.
    Jönköping University, School of Engineering, JTH, Computer and Electrical Engineering.
    Wei, Xian
    Jönköping University, School of Engineering, JTH, Computer and Electrical Engineering.
    Development of Software for Feature Model Rendering2006Independent thesis Advanced level (degree of Magister), 20 points / 30 hpStudent thesis
    Abstract [en]

    This Master’s thesis is aimed at improving the management of artifacts in the context of a joint-project between Jönköping University with the SEMCO project and industrial partner, a company involved in developing software for safety components. Both have a slightly distinct interest but this project can serve both parties.

    Nowadays feature modelling is efficient way for domain analysis. The purpose of this master thesis is to analysis existing four popular feature diagrams, to find out commonalities between each of them and conclude results to give suggestions of how to use existing notation systems efficiently and according to situations.

    The developed software based on knowledge established from research analysis. Two notation systems which are suggested in research part of the thesis report are implemented in the developed software “NotationManager”. The development procedures are also described and developer choices are mentioned along with the comparisons according to the situations

    Scope of the research part as well as development is discussed. Future work for developed solution is also suggested.

  • 127.
    Abidin, Crystal
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Department of Sociology, National University of Singapore, Singapore.
    #Familygoals: Family influencers, calibrated amateurism, and justifying young digital labor2017In: Social Media and Society, ISSN 2056-3051, Vol. 3, no 2Article in journal (Refereed)
    Abstract [en]

    Following in the celebrity trajectory of mommy bloggers, global micro-microcelebrities, and reality TV families, family Influencers on social media are one genre of microcelebrity for whom the “anchor” content in which they demonstrate their creative talents, such as producing musical covers or comedy sketches, is a highly profitable endeavor. Yet, this commerce is sustained by an undercurrent of “filler” content wherein everyday routines of domestic life are shared with followers as a form of “calibrated amateurism.” Calibrated amateurism is a practice and aesthetic in which actors in an attention economy labor specifically over crafting contrived authenticity that portrays the raw aesthetic of an amateur, whether or not they really are amateurs by status or practice, by relying on the performance ecology of appropriate platforms, affordances, tools, cultural vernacular, and social capital. In this article, I consider the anatomy of calibrated amateurism, and how this practice relates to follower engagement and responses. While some follower responses have highlighted concerns over the children’s well-being, a vast majority overtly signal their love, support, and even envy toward such parenting. I draw on ethnographically informed content analysis of two group of family Influencers on social media to illustrate the enactment and value of calibrated amateurism in an increasingly saturated ecology and, investigate how such parents justify the digital labor in which their children partake to produce viable narratives of domestic life.

  • 128.
    Abidin, Crystal
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). National University of Singapore, Singapore.
    ‘Just Asian’?: inscribing east Asian ‘mixed race’ in Australia2017In: Mixed Race Identities in Australia, New Zealand and the Pacific Islands / [ed] Kirsten McGavin, Farida Fozdar, New York: Routledge, 2017, p. 84-99Chapter in book (Other academic)
  • 129.
    Abidin, Crystal
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Curtin University, Bentley, WA, Australia.
    The Semiotics of Emoji: The Rise of Visual Language in the Age of the Internet2018In: Discourse & Communication, ISSN 1750-4813, E-ISSN 1750-4821, Vol. 12, no 4, p. 450-453Article, book review (Other academic)
  • 130.
    Abidin, Crystal
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). National University of Singapore, Queenstown, Singapore.
    Vote for my selfie: Politician selfies as charismatic engagement2017In: Selfie Citizenship / [ed] Adi Kuntsman, Springer, 2017, p. 75-87Chapter in book (Refereed)
    Abstract [en]

    Taking Singaporean Member of Parliament (MP) Baey Yam Keng as a case study, this chapter analyses how charismatic engagement can be mediated through social media and selfie tropes. In the wake of online campaigns since the General Elections 2011, and with the ruling party garnering its lowest share of electoral votes since state independence, MP Baey, aged 47, has emerged as a press-branded 'selfie king', 'social media celebrity' and 'Twitter influencer' for engaging with the online citizenry since publishing his first selfie in March 2013. Drawing on his Instagram and Twitter feed and selfie-related engagements up till 2015, this chapter demonstrates how politician selfies can be exercised to solicit affect and mobilise public sentiment among voters.

  • 131.
    Abidin, Crystal
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC).
    Young people and digital grief etiquette2019In: A Networked Self and Birth, Life, Death / [ed] Zizi Papacharissi, Routledge, 2019, p. 160-174Chapter in book (Other academic)
  • 132.
    Abidin, Crystal
    et al.
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Centre for Culture and Technology (CCAT), Curtin University, Perth, Australia.
    Cover, Rob
    The University of Western Australia.
    Gay, famous and working hard on YouTube: Influencers, queer microcelebrity publics and discursive activism2019In: Youth, sexuality and sexual citizenship / [ed] P. Aggleton, R. Cover, D. Leahy, D. Marshall, & M. L. Rasmussen, Abingdon, Oxon: Routledge, 2019, p. 217-231Chapter in book (Refereed)
    Abstract [en]

    Ordinary digital media users who gained large public followings, also known as Influencers, emerged as micro-celebrities in the early 2000s, with many working for a living directly through online content creation and the self-representation of their everyday lives. Capitalising on high visibility, many Influencers also engage in social justice activities. As a result, they have become important nodes in LGBTQ networks online, including through personal and organisational collaborations. In this chapter, we draw on digital ethnography to analyse a gay-identifying Australian YouTube Influencer, Troye Sivan, focussing on how his status as an Influencer creating digital content has fostered queer support by way of a creative work orientation that simultaneously promotes both a rights-based activism and his own career.

  • 133.
    Abidin, Crystal
    et al.
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). National University of Singapore, Queenstown, Singapore.
    Gwynne, Joel
    National Institute of Education, Singapore.
    Entrepreneurial selves, feminine corporeality and lifestyle blogging in Singapore2017In: Asian Journal of Social Science, ISSN 1568-4849, E-ISSN 2212-3857, Vol. 45, no 4-5, p. 385-408Article in journal (Refereed)
    Abstract [en]

    The making of the entrepreneurial self is a dominant trope of contemporary media culture, and a multitude of media formats across divergent national contexts showcase the contemporary obsession with media visibility and the attainment of celebrity status as the most aspirational form of social mobility. In Singapore, commercial lifestyle blogs are prime examples of entrepreneurial identity-making as websites almost exclusively created by young women, showcasing user-generated content oriented around the pleasures of consumption as a means of empowerment, self-actualisation and individualisation. By analysing content on a selection of blogs, this article aims to answer the following questions: To what extent are Singaporean women’s identities contingent upon material consumption as a means of identity creation? How do blogs created by women demonstrate an entrepreneurial investment in their appearance and feminine corporeality as the means of perceived empowerment, even at the expense of more formal and structured forms of individualisation, such as education?

  • 134.
    Abidin, Crystal
    et al.
    University of Western Australia.
    Ots, Mart
    Jönköping University, School of Education and Communication, HLK, Media and Communication Studies. Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Consumer-led innovation in social media advertising formats2016Conference paper (Refereed)
    Abstract [en]

    On Instagram, Twitter, Facebook, and weblogs, consumer activity is increasingly institutionalized, guarded by rules and norms. Consumers take on tasks previously performed by trained media workers, but they also create new activities, emerging as a new breed of media workers, institutionalizing new fields of the media and advertising industries and their associated practices (Dolbec and Fischer 2015). It has been described how amateur workers develop new ethical norms and rules for publishing, by taking journalistic/editorial decisions on what content to publish and how, within their new institutional domain (Abidin & Ots, 2015).

     

    This paper is focused on a specific group of stakeholders – everyday Internet users who manufacture themselves into a new form of social media microcelebrity known as the ‘Influencer’ (Abidin 2015). Since 2005, many young women have taken to social media to craft ‘microcelebrity personas’ as a career – “a new style of online performance that involves people ‘amping up’ their popularity over the Web using technologies like video, blogs and social networking sites” (Senft 2008: 25). In their most basic capacity, Influencers produce advertorials on blogs and social media platforms in exchange for payment or sponsored products and services (Abidin 2015). Owing to their power to shape purchase decisions, their clients have progressed from small home businesses to bluechip companies including Canon, Gucci, and KLM. Until recently, the most effective advertorials are those that are seamlessly woven into the daily narratives Influencers publish on their blogs and social media, such that readers are unable to tell apart ‘paid opinions’ from ‘unpaid’ sentiments (Abidin 2014). However, along with the maturity of the field, there is a gradual standardization of new advertising formats.

     

    The conducted study explores how semi-professional microcelebrity Influencers create advertising market innovations. Researchers have previously described how consumer fans help firms innovate (e.g. Füller et al 2008), and how fan cultures celebrate their favourite brands by creating their own advertisements (Muniz & Schau 2005; for overview see Ots & Hartmann 2015). This paper takes a slightly different approach – rather than seeing consumers as co-creators, it demonstrates how new actors outside the traditional media and advertising industries, make innovations that compete with the incumbents. We focus on these vernacular advertising innovations in the age of social media, and seek to understand how Influencers orientate towards a youth market in the saturated, visually dominated attention economy of Instagram. The findings include a typology of innovative advertising formats emerging outside the traditional media companies, along with their associated publishing rules as defined by the semi-professional Influencers.

     

    The data draws on a larger study of social media Influencers in Singapore since mid-2010, including over a year of intensive participant observation conducted with these Influencers in the flesh in the capacity of various roles. These interactions and observations were archived in extensively detailed field diaries. 120 personal interviews were conducted with Influencers, Influencer management agencies, (prospective) clients, readers, and friends and family of Influencers between December 2011 and July 2013. Social media content from blogs, Twitter, Facebook, Instagram, YouTube, AskFM, and popular public forums was archived until December 2015. Fieldwork entailed continued interaction with other actors involved in the Influencers’ social milieu, including their peers, backend production management, sponsors and advertisers, and readers. As such, although the data is drawn mainly from the textual and visual content of publically accessed blogs and associated social media platforms including Instagram, Twitter, and Facebook, the analysis is highly contextualised and shaped by long-term ethnographic work among these Influencers. 

  • 135.
    Abidin, Crystal
    et al.
    University of Western Australia.
    Ots, Mart
    Jönköping University, Jönköping International Business School, JIBS, Business Administration. Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Jönköping University, School of Education and Communication, HLK, Media and Communication Studies.
    Influencers Tell All?: Unravelling Authenticity and Credibility in a Brand Scandal2016In: Blurring the lines: Market-driven and democracy-driven freedom of expression / [ed] Maria Edström, Andrew T. Kenyon & Eva-Maria Svensson, Nordicom, 2016, p. 153-161Chapter in book (Other academic)
    Abstract [en]

    This chapter discusses the emerging practices of social media Influencers. In focus are six influential Instagram Influencers who were ‘exposed’ for involving themselves in campaigns aiming to discredit telecommunications providers in Singapore. In the absence of enforced legal boundaries and industry norms regarding advertising formats and advertising ethics, brand scandals are frequent, causing concern among regulators, brand managers, and platform owners. When starting to accommodate commercial brands and contents in social media posts, Influencers are constantly at risk of breaching their contract of trust with their followers. The case study shows how Influencers, followers, and eventually also the brand clients, are sensitive to what they experience as deceptive and unethical behaviours that will put normative pressures onto the Influencers to conform to certain ethical standards.

  • 136.
    Abidin, Crystal
    et al.
    University of Western Australia.
    Ots, Mart
    Jönköping University, School of Education and Communication, HLK, Media and Communication Studies. Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Microcelebrity influencers and advertorial disclosure: Practicing the advertising/editorial divide on Instagram2016Conference paper (Refereed)
  • 137.
    Abidin, Crystal
    et al.
    University of Western Australia.
    Ots, Mart
    Jönköping University, Jönköping International Business School, JIBS, Media, Management and Transformation Centre (MMTC). Jönköping University, Jönköping International Business School, JIBS, Business Administration. Jönköping University, School of Education and Communication, HLK, Media and Communication Studies.
    The Influencer’s dilemma: The shaping of new brand professions between credibility and commerce2015Conference paper (Refereed)
    Abstract [en]

    The new "liquid" media environment involves a range of new professions, practices and practitioners (Deuze 2011). Based on a rich ethnographic study containing personal interviews and participant observation, this paper looks at semi-professional Influencers in the social media marketing industry and asks how these new branding professions and their practices emerge and institutionalize. Specifically, the material draws on data collected between 2011 and 2015 among women Influencers in the ‘lifestyle’ genre in Singapore who advertise products and services in the industry verticals of Fashion, Beauty, and Electronic goods on blogs, Twitter, and Instagram.

  • 138.
    Abiib, Mulki
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Cvetkovic, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Utvärdering av instrumentet UF-5000 för automatiserad urinpartikelanalys i en metodjämförelse med manuell mikroskopering av urinsediment2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Microscopy is gold standard for urine sediment analysis, although the method is often insufficiently standardized. Several automated instruments, such as UF-5000, are commercially available on the market. Urine sediment analysis is crucial for diagnosis of kidney and urinary tract diseases where elements such as erythrocytes, leukocytes, epithelial cells, casts and crystals can be identified. Aim: The aim was to evaluate the performance of UF-5000 and compare the method with manual microscopic analysis of urine sediment. Method: Analysis with UF-5000 and microscopy was conducted on 69 samples. Data were processed with Passing Bablok-regression, Bland-Altman bias plot and Spearman's rank order correlation. Result: Comparison showed statistical significance between the two methods. Performance evaluation showed high accuracy apart from the coefficient of variation for low concentration of leukocytes and systematic error for linearity. Discussion: Since microscopy of urine sediment is an insufficiently standardized method, differences were acknowledged caused by discrepancies in the reference method. Further studies where UF-5000 is compared to a more standardized manual microscopy with a larger amount of pathological urine samples is of great importance. Reduction for cut-off may also be relevant. For further analysis of linearity, an additional instrument should be used as a complement.

  • 139.
    Abi-Khalil, Pierre
    et al.
    Jönköping University, School of Engineering, JTH, Civil Engineeering and Lighting Science.
    Abdulahad, Zuhair
    Jönköping University, School of Engineering, JTH, Civil Engineeering and Lighting Science.
    Stadsutveckling i mellanstora städer: En studie om förtätning i centrala Norrköping ur ett socialt och ekologiskt perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Planners in Norrköping municipality today facing a challenge to meet Norrköping'sneeds in the housing market, while at the same time achieving demand for public places and areas such as parks, squares and nature areas. When existing areas within the city's borders are built, so-called densification takes place in the city, whichcan have both positive and negative consequences. The aim of this study is to investigatehow the densification has affected Norrköping's inner city from a social and ecologicalperspective with a focus on free space, and present proposals for measures forbetter management of the densification in central Norrköping.

    This study has mainly been carried out using a qualitative research method.A qualitative study is based on soft data such as interviews, document analysis and literature studies. The interviews have been conducted with respondents from Norrköpings municipality and the document analysis consists of steering documents obtained from Norrköpings municipality and Pontarius AB. Some data is obtained from documents and studies where results are presented in the form of tables, diagrams, figures and GIS analysis, which means that quantitative methods are also applied.

    To perform a safer densification, it is important that the municipality establishes safe guidelines and steering documents to relate to. These control documents should be used as a framework for efficient exploitation and ensure that the city's freeareas are developed from a sustainable perspective and that a good quality is includedin the development.

    It is advantageous that the development of the densification takes placeaccording to guidelines and documentation prepared by the municipality. To ensure maximum efficiency in exploitation, these guidelines should be followed at an early stage. It is also important that there is a balance of free space size and their quality. Too small a surface leads to a higher load and larger surfaces can be perceived as superfluousand a feeling of unsecure. It is recommended to study how the densification developsin connection with the infrastructure and how it will affect free and green areas in the long run.

    This study is limited to only the inner city of Norrköping. The study also delimits economic and political factors that can influence the planning of the densification and the development of the city’s infrastructure and public transport.

  • 140.
    Abildgaard Nielsen, Søren
    et al.
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Köhler, Florian
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Exploring Organizational Identity as a Potential Process: A multiple case study on employee-oriented companies2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of this study is to explore organizational identity as a potential process.

     

    Design/Methodology/Approach: We applied a qualitative method and followed an inductive approach that was applied to a multiple-in-depth-case study for which we conducted semi-structured interviews with 26 members of two organizations, the Swedish consulting company REACH and the Swiss digital agency WONDROUS. Following a narrative approach, both for structuring the empirical findings, as well as conducting the analysis, we used over 16 hours of interviews to create company narratives and subsequently analyzed them in multiple steps in the fashion of a narrative analysis.

     

    Findings: Based on our empirical findings and the empirical analysis, we developed a conceptualization, the Flux Model. We contribute to the existing body of literature by proposing that the Flux Model visualizes the dynamics of how organizational members socially construct organizational identity on the premise of their own (self-)perceptions. By presenting the different parts of the model and their multiple layers, the process of how organizational identity is continuously becoming is illustrated.

     

    Research Limitations/Implications: The scope of our study is restricted to the two case companies in question. If our abstractions from the cases in form of the Flux Model help to better understand the process of organizing, managers become liberated to make deliberate choices about their organizations’ identities. For research this means an even tighter connection to individual psychology and a deepening of the perspective that organizational identity can not only be viewed as something companies have.

     

    Originality/Value: Out of skepticism towards the usefulness of viewing organizational identity as a process, we applied a symbolic interpretivist perspective and allowed for the possibility that we might not find a process after all. The primary value of this study we believe to be found in the extensive presentation of empirical data, together with our narrative analysis and our conceptual contribution (the Flux Model).

  • 141.
    Abo Elnasr, Mohammed
    et al.
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Magnusson, Henrik
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Sprycha, Magnus
    Jönköping University, Jönköping International Business School, JIBS, Business Administration.
    Förmånsrätt och Företagsinteckning: Konsekvenser av den nya lagstiftningen2005Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Banks lends money to companies through so called floating charges, which are significant for Sweden. Assets, such as stocks, machines and customer claims are used as collateral. If a company went bankrupt, before the new priority right law was used, the bank was in favour to get the entire loan back. Now, after the law reform, the bank only can insist on getting 55% of the given security. Other creditors are now better prioritised than the banks. The purpose with the law reform is to minimize the unnecessery bankruptencies, for example suppliers that cannot handle the loss when a big customer goes bankrupt.

    The purpose of this thesis is to emphasize what expected consequenses the new law will have on the bank’s granting of credit to small and medium sized companies and how these effects will affect the companie’s credit support.

    To answer the purpose with this report a qualitative research was made involving interviews with banks. Further a quantitative research, consisting of a inquiry research, addressed to 250 production companies in the Jönköping region was made.

    The new priority right law brings several consequences affecting the relationship between banks and companies. Most of the consequences are negative for both banks and companies, as the majority of both parts believes that the banks will demand more securities in the future to ensure their loans. To solve this, new lending out forms, especially factoring and leasing, will be used.

    The result of this research shows that most of the purposes with the law reform will not be fulfilled. The largest positive expected effect of the change is that the suppliers will take a smaller damage when a customer goes bankrupt.

  • 142.
    Abolhosseini, Shahrouz
    et al.
    TEMEP, Seoul National University.
    Heshmati, Almas
    Jönköping University, Jönköping International Business School, JIBS, Economics, Finance and Statistics.
    The Main Support Mechanisms to Finance Renewable Energy Development2014Report (Other academic)
    Abstract [en]

    Considering that the major part of greenhouse gases is carbon dioxide, there is a global concern aimed at reducing carbon emissions. Additionally, major consumer countries are looking for alternative sources of energy to avoid the impact of higher fossil fuel prices and political instability in the major energy supplying countries. In this regard, different policies could be applied to reduce carbon emissions, such as enhancing renewable energy deployment and encouraging technological innovation and creation of green jobs. There are three main support mechanisms employed by governments to finance renewable energy development programs: feed-in-tariffs, tax incentives, and tradable green certificates. Considering that many of the promising technologies to deploy renewable energy require investment in small-scale energy production systems, these mechanisms could be used to enhance renewable energy development at the desired scale. Employing a carbon emission tax or emission trading mechanism could be considered ideal policies to mitigate emissions at the lowest cost. The comparison of feed-in-tariffs and renewable portfolio standard policies showed that the former is good when a policy to develop renewable energy sources with a low level of risk for investors is considered. However, the latter is an appropriate policy when a marketview policy is applied by the government.

  • 143.
    Abolhosseini, Shahrouz
    et al.
    College of Engineering, TEMEP, Seoul National University, Seoul, South Korea.
    Heshmati, Almas
    Jönköping University, Jönköping International Business School, JIBS, Economics, Finance and Statistics.
    The main support mechanisms to finance renewable energy development2014In: Renewable & sustainable energy reviews, ISSN 1364-0321, E-ISSN 1879-0690, Vol. 40, p. 876-885Article, review/survey (Refereed)
    Abstract [en]

    Considering that the major part of greenhouse gases is carbon dioxide, there is a global concern aimed at reducing carbon emissions. In addition, major consumer countries are looking for alternative sources of energy to avoid the impact of higher fossil fuel prices and political instability in the major energy supplying countries. In this regard, different policies could be applied to reduce carbon emissions, such as enhancing renewable energy deployment and encouraging technological innovation and the creation of green jobs. This study compares three main support mechanisms employed by governments to finance renewable energy development programs: feed-in-tariffs, tax incentives, and tradable green certificates. Considering that many of the promising technologies to deploy renewable energy require investment in small-scale energy production systems, these mechanisms could be used to enhance renewable energy development at the desired scale. Employing a carbon emission tax or emission trading mechanism could be considered ideal policies to mitigate emissions at the lowest cost. The comparison of feed-in-tariffs and renewable portfolio standard policies showed that the former is good when a policy to develop renewable energy sources with a low level of risk for investors is considered. However, the latter is an appropriate policy when a market view policy is applied by the government. Finally, considering technological progress and the cost reduction for power generation by renewable energy sources, we suggest that support mechanism policies should be reconsidered from the financial point of view. (C) 2014 Elsevier Ltd. All rights reserved.

  • 144.
    Abolhosseini, Shahrouz
    et al.
    Seoul National University.
    Heshmati, Almas
    Sogang University.
    Altmann, Jorn
    International University of Bruchsal.
    The Effect of Renewable Energy Development on Carbon Emission Reduction: An Empirical Analysis for the EU-15 Countries2014Report (Other academic)
    Abstract [en]

    The increased concerns about climate change have made renewable energy sources an important topic of research. Several scholars have applied different methodologies to examine the relationships between energy consumption and economic growth of individual and groups of countries and to analyze the environmental effects of energy policies. Previous studies have analyzed carbon emission savings, using renewable energy usage as an individual source or in combination with traditional sources of energy (e.g., hybrid plants) in connection with lifecycle analysis methods. It is shown that after a certain period, economic growth leads to the promotion of environmental quality. However, econometric modelling critiques have opposed the results of these studies. One reason is that the effectiveness of governance-related parameters has previously been neglected. In this research, we analyze the impact of renewable energy development on carbon emission reduction. We estimate a model to evaluate the effectiveness of renewable energy development, technological innovation, and market regulations in carbon emission reduction. The empirical results are based on a panel data estimation using the EU-15 countries data observed from 1995 to 2010. The elasticities of CO2 emissions are estimated, in order to evaluate the effectiveness of each parameter. The findings show that the effects of a negative climate change could be mitigated by governance-related parameters instead of economic development.

  • 145.
    Abolhosseini, Shahrouz
    et al.
    TEMEP, Seoul National University.
    Heshmati, Almas
    Jönköping University, Jönköping International Business School, JIBS, Economics, Finance and Statistics.
    Altmann, Jörn
    TEMEP, Seoul National University.
    A Review of Renewable Energy Supply and Energy Efficiency Technologies2014Report (Other academic)
    Abstract [en]

    Electricity consumption will comprise an increasing share of global energy demand during the next two decades. In recent years, the increasing prices of fossil fuels and concerns about the environmental consequences of greenhouse gas emissions have renewed the interest in the development of alternative energy resources. In particular, the Fukushima Daiichi accident was a turning point in the call for alternative energy sources. Renewable energy is now considered a more desirable source of fuel than nuclear power due to the absence of risk and disasters. Considering that the major component of greenhouse gases is carbon dioxide, there is a global concern about reducing carbon emissions. In this regard, different policies could be applied to reducing carbon emissions, such as enhancing renewable energy deployment and encouraging technological innovations. Two main solutions may be implemented to reduce CO2 emissions and overcome the problem of climate change: replacing fossil fuels with renewable energy sources as much as possible and enhancing energy efficiency. In this paper, we discuss alternative technologies for enhancing renewable energy deployment and energy use efficiency.

  • 146.
    Abolhosseini, Shahrouz
    et al.
    Petr Univ Technol, Natl Iranian Oil Co, Int Affairs, Tehran, Iran.
    Heshmati, Almas
    Jönköping University, Jönköping International Business School, JIBS, Economics. Sogang Univ, Seoul, South Korea.
    Rashidghalam, Masoomeh
    Univ Tabriz, Tabriz, Iran.
    Energy security and competition over energy resources in Iran and Caucasus region2017In: AIMS Energy, ISSN 2333-8326, E-ISSN 2333-8334, Vol. 5, no 2, p. 224-238Article in journal (Refereed)
    Abstract [en]

    Energy security as a dominant factor in international stability is of great importance for major economies. The global energy market with its current level of supply and demand relies on energy sources in the Middle East, Caucasus, Central Asia and Russia. After the Fukushima disaster nuclear powers in Europe view renewable energy sources as a serious alternative. Europe’s energy vulnerability has deteriorated due to the Russia-Ukraine conflict. However, renewable energy sources are not large enough to replace nuclear power completely. This trend will continue with climbing demand especially in the natural gas sector as clean energy. In this research, Caucasus and Iran are considered the main sources and routes for energy transmission to the global market, including Europe. Caucasus plays a key role in bridging Europe and Asia. Also, Iran is an alternative for energy transmission to Europe after lifted sanctions. As part of the European active supply diversification policy Iran has capacity to reduce Europe’s energy dependency on Russia. However, changes in US new administration America First Policy is harmful for the EUs energy security. Caucasus aims to catch a large share of the European energy market since the Baku-Tbilisi-Ceyhan pipeline has started operations and Iran is also trying to expand its market to become a sustainable source of energy for major consumers. Therefore, Iran and Caucasus are considered reliable energy suppliers for Europe. In this regard, we analyze the best motivation for changing the direction new suppliers’ energy policies towards Europe and suggest alternative solutions to compete with rival countries in order to enhance energy security.

  • 147.
    Abona, Emil
    Jönköping University, Jönköping International Business School, JIBS, Economics.
    The Relationship between Swedish Equity Funds´Management Fees and Performance2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    An increasing number of people in Sweden and in the rest of the world are becoming more interested in the mutual fund sector. Investments in mutual funds have grown rapidly these past few years. Nilsson (2004) wrote that 85 percent of the Swedish population invested in mutual funds in 2004. The Swedish Investment Fund Association also found an increase in investments in mutual funds; 83 billion Swedish crowns were invested in mutual funds in 2005, an increase from 56 billion in 2004.

    The purpose of this thesis is to evaluate whether or not there is a relationship between low fee, middle fee, and high fee charging Swedish Equity funds and their respective performance (unadjusted and risk-adjusted returns). The Modigliani & Modigliani (1997) risk-adjusted performance measurement was used to calculate the risk-adjusted performance of the 130 mutual funds. And the linear regression was used to analyze whether or not there was a relationship between the variables (management fee vs. returns/risk-adjusted returns). The mutual funds were also divided into three different categories, based on their management fees; low, middle and high fee mutual funds.

    The analysis illustrated that there was no clear relationship between the management fee and the returns/risk-adjusted returns. There was some connection found between the management fee and the low, middle fee category. However, this research confirms that investors should not believe that a mutual fund which charges higher fees necessarily generate higher returns.

  • 148.
    Abosh, Shilan
    Jönköping University, Jönköping International Business School, JIBS, Accounting and Law.
    Societas Unius Personae: Is there a need for a new European company form?2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In 2008, the European Commission proposed a regulation for a new European private company, called the Societas Privata Europeaea. This proposal did not get unanimous approval and was therefore withdrawn after five years of attempt to find a compromise. In 2014, the European Commission proposed a directive on single-member private limited liability companies, called the Societas Unius Personae. The aims of the new proposal have a few similarities as the European private company, as will be mentioned in the introduction. However, the proposed directive introduces a few changes, which the European Commission hopes will make this proposal successful.

    The purpose with this thesis is mainly to examine whether there is a need of a new European company form on the market today. The conclusion is taken by examining who would benefit the most with this company form.

    This thesis contains an explanation of the proposed directive, a comparison between this new company form and the corresponding Swedish company, as well as opinions on this directive. In the end there is a discussion regarding this subject and lastly my conclusions.

    The result has shown that there are still great amount of uncertainties that are in need of further discussion in order for this proposal to eventually pass unanimous consent. My conclusions are that there is not an urgent need of a new European company form on the market right now. However, it is a work in progress, and I believe a European company form like this one is a good way towards the aim of uniting the Member States of the European Union.

  • 149.
    Aboutouk, Rana
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Forsberg, Fredrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Erfarenheter av egenvård hos personer med diabetes typ 22017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

    Bakgrund: Antalet personer med diabetes Mellitus typ 2 växer snabbt i världen. Egenvård krävs för att bromsa progressionen av DMT2 och förhindra eller fördröja komplikationer. Många personer med DMT2 sköter emellertid inte sin egenvård enligt rekommendationer.

    Syftet: Att beskriva erfarenheter av egenvård hos personer med DMT2.

    Metod: Med hjälp av Fribergs femstegsmodell gjordes en litteraturöversikt av elva kvalitativa studier om erfarenheter av egenvård hos personer med DMT2.

    Resultat: Att integrera egenvården i vardagen är en utmaning. Familjen och vårdpersonalen har en nyckelroll och kan utgöra såväl ett hinder som ett stöd för egenvården. Andra personer med diabetes upplevs som ett entydigt positivt stöd. Att acceptera sjukdomen är en förutsättning för att kunna bedriva egenvården. Brist på förståelse och okunskap kring DMT2 utgör ett hinder mot egenvård. Personliga mål och feedback är avgörande för motivationen.

    Slutsatser: Socialt stöd, acceptans av sjukdomen, positiv feedback och individualiserad information upplevs underlätta egenvård.

  • 150.
    Abraham, Ben Mathew
    et al.
    Jönköping University, Jönköping International Business School.
    Kumar, Rohit
    Jönköping University, Jönköping International Business School.
    Trust Among Partners in Startups2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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