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  • 12151.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Malmström, M. M.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Patients' experiences of postoperative information after oesophageal or gastric cancer: an interview studyArticle in journal (Refereed)
  • 12152.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Melgaard, Dorte
    Danmark.
    The Minimal Eating Observation Form – II (MEOF-II) Danish Version2019Conference paper (Refereed)
  • 12153.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Melgaard, Dorte
    The Minimal Eating Observation Form – II (MEOF-II) Danish Version – Psychometric and Metrological Perspectives.2019Conference paper (Refereed)
  • 12154.
    Westergren, Albert
    et al.
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Melgaard, Dorte
    Danmark.
    The minimal eating observation form-II Danish version: psychometric and metrological aspects2020In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 28, no 1, p. 168-184Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND PURPOSE: The Minimal Eating Observation Form - II (MEOF-II) is a screening and research tool for eating difficulties. We assess psychometric and metrological aspects of the Danish version of the tool.

    METHODS: This study includes MEOF-II data from 302 acute geriatric patients. Analyses were based on Classical Test Theory and Rasch Model Analysis.

    RESULTS: 51.3% of the patients had eating difficulties. The MEOFII items belonged to one higher order factor, and three lower level factors: deglutition; ingestion; and energy/appetite. The hierarchical structure of the items was revealed. The MEOF-II had a good fit with Rasch model expectations.

    CONCLUSION: The study provides support for the reliability and validity of the Danish version of the MEOF-II. MEOF-II total and subscale scores are reliable and valid for use in nursing practice and research.

  • 12155.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Nilsson, M.
    Edfors, Ellinor
    Kristianstad University, School of Health and Society.
    Lindskov, Susanne
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Adaptation of "Seniors in the community: risk evaluation for eating and nutrition , version ll" (SCREEN ll) for use in  Sweden: report on the translation process and field test2010Conference paper (Refereed)
  • 12156.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Nilsson, Maria
    Lund University.
    Hagell, Peter
    Lund University.
    Adaptation of "Seniors in the community risk evaluation for eating and nutrition, Version II" (SCREEN II) for use in Sweden: report on the translation process2010Report (Other academic)
    Abstract [en]

    This report describes the initial stages of the Swedish adaptation of "Seniors in the community: Risk evaluation for eating and nutrition, Version II" (SCREEN II) that has been developed by Heather Keller.

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  • 12157.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Norberg, Erika
    Central Hospital, Kristianstad.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Diagnostic performance of the Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) and Nutritional Risk Screening 2002 (NRS 2002) among hospital inpatients – a cross-sectional study2011In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 10, p. 24-Article in journal (Refereed)
    Abstract [en]

    Background: The usefulness of the nutritional screening tool Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) relative to Nutritional Risk Screening 2002 (NRS 2002) remains untested. Here we attempted to fill this gap by testing the diagnostic performance and user-friendliness of the MEONF-II and the NRS 2002 in relation to the Mini Nutritional Assessment (MNA) among hospital inpatients. Methods: Eighty seven hospital inpatients were assessed for nutritional status with the 18- item MNA (considered as the gold standard), and screened with the NRS 2002 and the MEONF-II. Results: The MEONF-II sensitivity (0.61), specificity (0.79), and accuracy (0.68) were acceptable. The corresponding figures for NRS 2002 were 0.37, 0.82 and 0.55, respectively. MEONF-II and NRS 2002 took five minutes each to complete. Assessors considered MEONF-II instructions and items to be easy to understand and complete (96- 99%), and the items to be relevant (87%). For NRS 2002, the corresponding figures were 75-93% and 79%, respectively. Conclusions: The MEONF-II is an easy to use, relatively quick and sensitive screening tool to assess risk of undernutrition among hospital inpatients. With respect to user-friendliness and sensitivity the MEONF-II seems to perform better than the NRS 2002, although larger studies are needed for firm conclusions. The different scoring systems for undernutrition appear to identify overlapping but not identical patient groups. A potential limitation with the study is that the MNA was used as gold standard among patients younger than 65 years.

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  • 12158.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Norberg, Erika
    Departments of Nutrition and Health, Central Hospital, Kristianstad.
    Vallén, Christina
    Departments of Nutrition and Health, Central Hospital, Kristianstad.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Cut-off scores for the Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) among hospital inpatients2011In: Journal of Food and Nutrition Research, ISSN 1336-8672, E-ISSN 1338-4260, Vol. 55, p. 7289-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND OBJECTIVE:

    The newly developed Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) has shown promising sensitivity and specificity in relation to the Mini Nutritional Assessment (MNA). However, the suggested MEONF-II cut-off scores for deciding low/moderate and high risk for undernutrition (UN) (>2 and >4, respectively) have not been decided based on statistical criteria but on clinical reasoning. The objective of this study was to identify the optimal cut-off scores for the MEONF-II in relation to the well-established MNA based on statistical criteria.

    DESIGN:

    Cross-sectional study.

    METHODS:

    The study included 187 patients (mean age, 77.5 years) assessed for nutritional status with the MNA (full version), and screened with the MEONF-II. The MEONF-II includes assessments of involuntary weight loss, Body Mass Index (BMI) (or calf circumference), eating difficulties, and presence of clinical signs ofUN. MEONF-II data were analysed by Receiver Operating Characteristics (ROC) curves and the area under the curve (AUC); optimal cut-offs were identified by the Youden index (J=sensitivity+specificity-1).

    RESULTS:

    According to the MEONF-II, 41% were at moderate or high UN risk and according to the MNA, 50% were at risk or already undernourished. The suggested cut-off scores were supported by the Youden indices. The lower cut-off for MEONF-II, used to identify any level of risk for UN (>2; J=0.52) gave an overall accuracy of 76% and the AUC was 80%. The higher cut-off for identifying those with high risk for UN (>4; J=0.33) had an accuracy of 63% and the AUC was 70%.

    CONCLUSIONS:

    The suggested MEONF-II cut-off scores were statistically supported. This improves the confidence of its clinical use.

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  • 12159.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Norberg, Erika
    Departments of Nutrition and Health, Central Hospital, Kristianstad.
    Vallén, Christina
    Departments of Nutrition and Health, Central Hospital, Kristianstad.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Cut-off scores for the Minimal Eating Observation and Nutrition Form - Version ll (MEONF ll) among hospital inpatients2011Conference paper (Refereed)
  • 12160.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Nyberg, Maria
    Kristianstad University, School of Education and Environment, Avdelningen för Mat- och måltidsvetenskap. Kristianstad University, Research Environment Food and Meals in Everyday Life (MEAL).
    När villkoren för ätandet förändras2016In: Svensk Geriatrik, ISSN 2001-2047, no 4, p. 32-34Article, review/survey (Other academic)
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  • 12161.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Petersson, K.
    Lindholm, Christina
    Kristianstad University College, School of Health and Society.
    Axelsson, Carolina
    Kristianstad University College, School of Health and Society.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    "Study circles" improves nutritional care and body mass index2008In: Clinical nutrition supplements, Volume 3, Supplement 1, 2008, page 61: 30th ESPEN Congress, 13-16 sept, 2008. Florence, Italy, 2008, p. 61-Conference paper (Refereed)
    Abstract [en]

    The staffs’ knowledge, experiences and motivation are likely to be important and so is an adaptation to each unit’s context to achieve positive changes in nutritional practice. How do study circles (SCs) and policy documents (PD) affect nutritional interventions for persons with moderate or high risk for undernutrition (UN-risk) in special accommodations (SAs)?

     

    All SAs within six municipalities were involved. UN-risk was defined as the occurrence of at least two of; involuntary weight loss, Body Mass Index below limit (<20 if /=70 yrs) and/or presence of eating difficulties. In year 2005 and 2007 it was 361 (27%) out of 1337 and 322 (35%) out of 920 persons respectively that were at UN-risk and included in this study. Interventions: In 18 of the departments 39 SCs were implemented, involving 8 staff each, in total 315 persons. Each group met for 3 occasions (3 hours each time) to discuss eating and nutrition based on a manual (www.vardalinstitutet.net/scn). The SCs did not focus on the above definition of UN-risk. In four other SAs a PD was politically anchored. No intervention was implemented in the other SAs.

     

    SCs and PD increased the precision in provided nutritional actions significantly for persons at UN-risk.

     

    The precision (percent) in the provision of nutritional actions.

    Intervention

    Year 2005

    Year 2007

    P-value

    No intervention

    n=229, 86 y

    n=202, 87 y

     

      E-food

    10

    11

    .875

      Food supplement

    31

    29

    .751

      Eating assistance

    65

    67

    .611

     

     

     

     

    Study circles

    n=92, 87 y

    n=82, 87 y

     

      E-food

    16

    32

    .012 *

      Food supplement

    24

    39

    .045 *

      Eating assistance

    67

    69

    .870

     

     

     

     

    Policy document

    n=40, 86 y

    n=38, 85 y

     

      E-food

    5

    24

    .023 *

      Food supplement

    52

    53

    .999

      Eating assistance

    72

    68

    .805

    y = mean age in years, * = significant increase in provision (p<0.05), E-food = Energy Enriched

     

    Both study circles and policy documents improves the precision in the provision of correct nutritional actions for those at moderate or high risk for undernutrition. It is likely that a combination of study circles and policy documents can improve the precision of provision of nutritional actions even more.

  • 12162.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Petersson, Karin
    Kost- och restaurangverksamheten, Kristianstads kommun.
    "Från Utspisning till Restaurang": tre år med studiecirklar fokuserade på ätande och näring: personalens erfarenheter, attityder, kunskap samt effekter för vårdtagarna2009Report (Other academic)
    Abstract [en]

    Aim

    The aim with this project was to evaluate study circles with focus on eating and nutrition from different perspectives.

    Method

    Several different methods have been used, for instance did participants in the study circles continuously evaluate their experiences (structured form), comparisons between the first study circles and the later ones were made, comparisons between participants and non-participants were also made, undernourishement and care actions were surveyed before and after implementation of study circles and finally a focus group interview was made with project leaders, participants and study circle leaders.

     

    Results and conclusions

     

    When comparing the early study circles with later ones it was shown that a full day study circle leader education gave a better outcome than a short introduction to leading study circles. It was also indicated that by systematically carrying through study circles by the time it is created a better climate at the place of work which also contributes to a more positive view on what the study circles bring about to oneself and to the team. A metaphor for this could be that the study circles create “circles on the water”, i.e. more study circles with the same focus at the working place – the better results.

     

    When comparing the views from persons that participated in study circles and those who did not it was shown that attitudes and knowledge with respect to food and mealtimes were affected in some aspects in a positive way among those that had participated in a study circle.

     

    In comparisons between three interventions, i.e. no intervention, implementation of a policy document and implementation of study circles to increase the competence among the staff it was concluded that a combination of study circles and implementation of a policy document for screening and treatment/prevention of undernourishment might be the intervention that can give the best outcome by increasing the precision in nutritional care and decreasing the number of residents having a low BMI. In the same way the precision might increase if there is a specific focus on what method to use for detecting undernutrition risk and on what actions that should be taken for persons being at risk for undernutrition. In any intervention it is important to also consider residents being overweight or being at risk for developing overweight.

     

    In total it was 592 persons divided on 71 study circles that participated. Of those it was 98% that regarded the content in the study circles as very interesting/interesting, 94% thought that the content was very relevant/relevant and 92% that the degree of difficulty was just right/easy. When the participants self rated their knowledge about eating and nutrition as it was before and after having participated in the study circle a significant improvement was seen. Before participating it was 72% that thought they had enough/great knowledge and afterwards it was 96%.

     

    The focus group interview showed that study circles contributed to that the staff contemplated eating and nutrition in an equivalent way, prerequisites for and effects from study circles could be described and the need for a continuation was stressed. Many results was shown that are important to consider when implementing study circles as an intervention for improving eating, mealtimes and nutrition. Some of the results confirm what has been shown in the continuous evaluations described above. The study circles were regarded as an outstanding pedagogic method by getting the staff from the same unit to focus on a specific area and setting goals adapted to the working place context. It was expressed that one person alone has difficulties to achieve changes in an organisation, a group has better chances, and if many groups/teams have gone through the same study circles one becomes stronger and have a better chance to achieve changes, one gets the same view.

     

    It was also clear that homogenous groups were to prefer instead of heterogeneous groups, i.e. the participants should come from the same working place. It was also a huge advantage that staff from the kitchens participated. The communication between the staff at the wards and the staff in the kitchens improved, and that was one of the main gains achieved with the intervention.

     

    The study circle seems to be the ideal pedagogic method to achieve improvements in meal, mealtimes and nutrition in special accommodations. One person has little chance to achieve changes at the ward but together the chances increase. It is also described as difficult to alone transform the knowledge from an education day to the own context. Of course, the choice between study circles or any other education must also depend on the aim of the education and of participating in it.

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    FULLTEXT01
  • 12163.
    Westergren, Albert
    et al.
    Kristianstad University College, Department of Health Sciences.
    Petersson, Karin
    Kost- och restaurangverksamheten, Kristianstads kommun.
    Kunskaper och attityder hos personal som deltagit i studiecirklar kring ätande & näring2007Report (Other academic)
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    FULLTEXT01
  • 12164.
    Westergren, Albert
    et al.
    Kristianstad University College, Department of Health Sciences.
    Petersson, Karin
    Kost- och restaurangverksamheten, Kristianstads kommun.
    Utvärdering av studiecirklar på temat "Ätande och näring": genomförda vår och höst 2006 samt vår 20072007Report (Other (popular science, discussion, etc.))
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    FULLTEXT01
  • 12165.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Petersson, Karin
    Lindholm, Christina
    Kristianstad University College, School of Health and Society.
    Axelsson, Carolina
    Kristianstad University College, School of Health and Society.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Overweight and risk for undernutrition among persons within special accommodations and hospital care – Year 2005 and 20072008In: Clinical nutrition supplements, Volume 3, Supplement 1, 2008, page 160-161.: 30th ESPEN Congress, 13-16 sept, 2008. Florence, Italy, 2008, p. 160-161Conference paper (Refereed)
    Abstract [en]

    Rationale: Both undernutrition and overweight have major impacts on morbidity and mortality and are thus important to prevent. This study explores the prevalence of undernutrition and overweight among persons in special accommodations (SAs) and hospital care in the year of 2005 and 2007. Methods: Six hospitals and all of the SAs within six municipalities were involved. In the year of 2005, 2600 (88%) out of 2945 persons agreed to participate in the study, and in 2007 there were 2255 (81%) out of 2784 persons participating. Risk for undernutrition was defined as the occurrence of at least two of the following; involuntary weight loss, Body Mass Index (BMI) below limit (<20 if /=70 yrs) and/or presence of eating difficulties. Overweight was defined based on BMI (if /=25: if >/=70 yrs: BMI >/=27)[1]. Nursing students, clinical tutors and staff collected the data. Results: The mean age and the risk for undernutrition increased significantly in SAs between the two years. The prevalence of overweight increased with three percent in hospitals as well as in SAs although this increase was not statistically significant. Table:

    Percent of persons at risk for undernutrition and with overweight

     

    SAs2005 (n=1726)

    SAs2007 (n=1526)

    P-value

    Hospitals2005 (n=874)

    Hospitals2007 (n=728)

    P-value

     

    Agemean (SD)

    85 (8)

    86 (8)

    <0.001

    69 (18)

    69 (16)

    0.987

    At risk forundernutrition

    27

    35

    <0.001

    27

    28

    0.947

    Overweight

    30

    33

    0.089

    39

    42

    0.182

     

    SAs = Special Accommodations

    Conclusion: The society in general and health care professionals in specific needs to consider not only prevention for persons at risk for undernutrition, but also the prevention for persons becoming overweight. Reference(s) Only 3 Lines maximum: 1. Westergren A, Lindholm C, Axelsson C & Ulander K. Prevalence of eating difficulties and malnutrition among persons within hospital care and special accommodations. The Journal of Nutrition Health and Aging 2008, Vol 12, Number 1, Page 39-43.

  • 12166.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Stuhr Olsson, Gunnel
    Findus Sverige AB.
    Debattinlägg: fallolyckor handlar också om vad vi äter2017In: Sydsvenskan, ISSN 1652-814X, no 12 oktoberArticle in journal (Other (popular science, discussion, etc.))
  • 12167.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Stuhr Olsson, Gunnel
    Fallolyckor och näringsbrist2017Other (Other (popular science, discussion, etc.))
  • 12168.
    Westergren, Albert
    et al.
    Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Stuhr Olsson, Gunnel
    Findus Sverige AB.
    Kost och näring borde ta en större del av diskussionen om äldres livskvalitet2017In: Landskronaposten, ISSN 2001-7162, no 12 oktober, p. A3-Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Fokus på motion och läkemedel är givetvis bra för att förebygga fallolyckor bland äldre. Tyvärr har kost- och näringsaspekten fallit bort ur diskussionen. Det skriver Albert Westergren, professor vid Högskolan Kristianstad och Gunnel Stuhr Olsson, Findus Sverige AB.

  • 12169.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Stuhr-Olsson, Gunnel
    Findus Sverige AB.
    Kost och näring borde ta en större del av diskussionen om äldres livskvalitet2017In: SydsvenskanArticle in journal (Other (popular science, discussion, etc.))
  • 12170.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Stuhr-Olsson, Gunnel
    Findus Sverige AB.
    Kost och näring borde ta en större del av diskussionen om äldres livskvalitet2017In: Helsingborgs DagbladArticle in journal (Other (popular science, discussion, etc.))
  • 12171.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Torfadóttir, Olina
    Akureyri University Hospital.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Inter- and intrarater reliability of Minimal Eating Observation and Nutrition Form - version II (MEONF-II) nurse assessments among hospital inpatients2014In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 13, p. 18-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Minimal Eating Observation and Nutrition form - version II (MEONF - II) is a recently developed nursing nutritional screening tool. However, its inter- and intrarater reliability has not been assessed.

    METHODS: Inpatients (n = 24; median age, 69 years; 11 women) were assessed by eight nurses (interrater reliability, two nurses scored each patient independently) using the MEONF-II on two consecutive days (intrarater reliability, each patient was scored by the same nurse day 1 and day 2).

    RESULTS: Six patients were at moderate/high undernutrition risk. Inter- and intrarater reliabilities (Gwet's agreement coefficient) for the MEONF-II 2-category classification (no/low risk versus moderate/high risk) were 0.93 and 0.81; for the 3-category classification (no/low - moderate - high risk) reliabilities (Gwet's weighted agreement coefficient) were 0.98 and 0.88; and total score inter- and intrarater reliabilities (intraclass correlation) were 0.92 and 0.84.

    CONCLUSION: Reliability of MEONF-II nurse assessments among adult hospital inpatients was supported and the tool can be used in research and clinical practice.

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  • 12172.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.
    Torfadóttir, Ólina
    Akureyri University Hospital.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
    Malnutrition and nutritional care in an Icelandic teaching hospital2014In: Research, ISSN 2334-1009, no 1, p. 1270-Article in journal (Refereed)
    Abstract [en]

    Background: About 30% of hospital inpatients are at undernutrition (UN) risk and it is important that sufficient nutritional treatment and care is provided in order to avoid a decline in health. Aim: To explore the prevalence of UN risk, the associations between UN-risk and other factors, and describe the nutritional treatment/care towards those at UN-risk at an Icelandic teaching hospital. An additional aim was to evaluate the user friendliness of a nutritional screening tool. Methods: Inpatients (n=56; median age 69 years; 29 women) were assessed by eight nurses using the Minimal Eating Observation and Nutrition form – version II (MEONF-II), a recently developed nursing nutritional screening tool. Results: In total 23% (n=13) were at moderate/high UN-risk. The prevalence of overweight/obesity was 57%. Among patients at UN-risk, 61% received energy dense food, oral nutritional supplements, and/or artificial nutrition; this figure was 35% among those at no/low risk. MEONF-II total scores correlated with dependency in activities of daily living (rs, 0.350), and UN-risk categories correlated with tiredness (rs, 0.426). The MEONF-II was regarded as easy to use and relevant. Conclusion: There is a need for interventions connecting the nutritional screening with individualised nutritional treatment and care in order to narrow the gap between screening and intervention. The Icelandic version of the MEONF-II is perceived as user-friendly.

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  • 12173.
    Westergren, Albert
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Torfadóttir, Ólina
    Akureyri Hospital, Iceland.
    Ulander, Kerstin
    Kristianstad University, School of Health and Society.
    Axelsson, Carolina
    Kristianstad University, School of Education and Environment, Avdelningen för Naturvetenskap. Kristianstad University, Research Environment PRO-CARE.
    Lindholm, Christina
    Kristianstad University, School of Health and Society.
    Malnutrition prevalence and precision in nutritional care: an intervention study in one teaching hospital in Iceland2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 13-14, p. 1830-1837Article in journal (Refereed)
    Abstract [en]

    Aim. The aim of this study was to explore the point prevalence of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk before and after an intervention. Background. Malnutrition risk and the precision in targeting nutritional treatment are indicators of quality of care. Knowledge regarding the in-hospital prevalence of malnutrition and nutritional treatment is meagre for Iceland. Design. Pre- and postintervention study. Methods. The study was performed during one day in 2006 (March) and one day in 2007 (April). In total, 95 (89%) and 92 (88%) patients agreed to participate. Moderate/high undernutrition risk was defined as the occurrence of at least two of the following: involuntary weight loss, body mass index below limit and eating difficulties according to Minimal Eating Observation Form - Version II. Being overweight was graded based on body mass index. Specific nutritional care actions were recorded. Intervention: A five-point programme for nutrition and eating was implemented. Results. Moderate/high risk for undernutrition was found in 25 and 17% in the two years (ns, not significant). A high body mass index was found in 53 and 54% (ns). The number of patients with a documented body mass index significantly increased between the two surveys (1 and 30%, p-value < 0 center dot 0005). The use of oral supplements increased from 11-40% (p < 0 center dot 0005) and especially among those at no/low undernutrition risk, with ingestion or deglutition difficulties (p < 0 center dot 0005 in both cases) but not among those with appetite and energy problems (ns). Conclusion. Implementing a nutritional programme does not necessarily affect the number of in-patients with malnutrition, but it is likely to increase the precision of nutritional care to some extent. Relevance to clinical practice. Greater efforts need to be taken to increase the precision of nutritional care among patients at moderate/high undernutrition risk and among those with appetite and energy problems.

  • 12174.
    Westergren, Albert
    et al.
    Kristianstad University College, School of Health and Society.
    Wann-Hansson, Christine
    Faculty of Health and Society, Malmö University and Malmö University Hospital.
    Bergh Börgdal, Elisabet
    Department of Medicine, Malmö University Hospital.
    Sjölander, Jeanette
    Department of Clinical Nutrition, Lund University Hospital.
    Strömblad, Rosmarie
    Hospital Management, Blekinge Hospital.
    Klevsgård, Rose-Marie
    Hospital Management, Lund University Hospital.
    Axelsson, Carolina
    Kristianstad University College, School of Health and Society.
    Lindholm, Christina
    Kristianstad University College, School of Health and Society.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Malnutrition prevalence and precision in nutritional care differed in relation to hospital volume: a cross-sectional survey2009In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 8, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: To explore the point prevalence of the risk of malnutrition and the targeting of nutritional interventions in relation to undernutrition risk and hospital volume. METHOD: A cross-sectional survey performed in nine hospitals including 2 170 (82.8%) patients that agreed to participate. The hospitals were divided into large, middle, and small sized hospitals. Undernutrition risk and overweight (including obesity) were assessed. RESULTS: The point prevalence of moderate/high undernutrition risk was 34%, 26% and 22% in large, middle and small sized hospitals respectively. The corresponding figures for overweight were 38%, 43% and 42%. The targeting of nutritional interventions in relation to moderate/high undernutrition risk was, depending on hospital size, that 7-17% got Protein- and Energy Enriched food (PE-food), 43-54% got oral supplements, 8-22% got artificial nutrition, and 14-20% received eating assistance. Eating assistance was provided to a greater extent and artificial feeding to a lesser extent in small compared to in middle and large sized hospitals. CONCLUSIONS: The prevalence of malnutrition risk and the precision in provision of nutritional care differed significantly depending on hospital volume, i.e. case mix. It can be recommended that greater efforts should be taken to increase the use of PE-food and oral supplements for patients with eating problems in order to prevent or treat undernutrition. A great effort needs to be taken in order to also decrease the occurrence of overweight.

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  • 12175.
    Westergren, Maja
    et al.
    Kristianstad University College, Department of Health Sciences.
    Södergren, Oscar
    Kristianstad University College, Department of Health Sciences.
    Spiritual and Existential needs in palliative care2006Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Background: Previous research has shown that the understanding and knowledge about the spiritual needs is not given high priority among nursing staff. During the latest years the body and its functions has controlled the healthcare and the spiritual needs has been placed in the background. All humans have spiritual needs that must be satisfied irrespective of religious background. Aim: The aim of this study was to in a caring perspective illustrate patients’ spiritual and existential needs in palliative care. Method: The study is a literature review where 12 articles has been analyzed and summarized to give an overview of rescent research. The approach for the work of the analysis of the articles was qualitative content analysis. Results: The spiritual needs increase in palliative care. To handle the increased needs coping strategies are needed. Nursing staff, relatives and religion are considered by the patient to be important resourses in order to handle the situation. The spiritual needs are not always payed attention to because of lack of knowledge among health care personal. Discussion: The older generation are most likely more spiritual and religious convinced. The sum of this becomes that most of the palliative care patients have a religious belief, that might explain the meaning of spirituality in palliative care. Conclusion: The spiritual needs increase in palliative care and the most important as a nurse is to pay attention to and answer these needs. Through education and increased awareness of spiritual needs, the palliative care could improve considerably.

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  • 12176.
    Westergård, Ingela
    Kristianstad University College, Department of Teacher Education.
    Lek och lekfulla aktiviteter i barnskolan - möjligheter och hinder2007Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Uppsatsen redovisar en studie vars syfte är att studera pedagogers inställning till lekens betydelse för barns lärande och utveckling, samt deras föresatser när det gäller att ge leken utrymme och använda den som redskap för lärande. Dessutom undersöks hur pedagogernas förklarade föresatser i detta ämne överensstämmer med den faktiska situationen i en barnskoleklass, samt vilka möjligheter och hinder som påverkar lekens utbredning i denna verksamhet. Intervjuer av de fyra pedagoger som arbetar i denna klass har tillsammans med observationer av verksamheten använts som kvalitativ forskningsmetod. Resultaten av intervjuer och observationer har kopplats samman och analyserats utifrån problempreciseringen. Slutresultatet av studien visar att pedagogerna är väl medvetna om lekens betydelse för barns lärande och utveckling, samt att deras strävan är att ge lek och lekfulla aktiviteter utrymme, men olika hinder begränsar möjligheterna till detta.

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  • 12177.
    Westergård, Sandra
    et al.
    Kristianstad University, School of Education and Environment.
    Schmidt, Annika
    Kristianstad University, School of Education and Environment.
    Pedagogisk dokumentation: Vad, hur och varför?2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Efter att den reviderade läroplanen för förskolan, Lpfö98/10, trätt i kraft har kravet på pedagogisk dokumentation i förskolan ökat. Denna studie undersöker förskollärares tankar om, och arbete med pedagogisk dokumentation i förskolan, med fokus på de didaktiska frågorna vad, hur och varför? Resultatet visar på en övervägande positiv syn hos förskollärare. Även negativa aspekter så som tidsbrist, kompetensbrist samt olika synsätt på vad den pedagogiska dokumentationen är har framkommit i undersökningen.

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  • 12178.
    Westerlin, Sofia
    et al.
    Kristianstad University, School of Health and Society.
    Elgemark, Caroline
    Kristianstad University, School of Health and Society.
    Hundens påverkan på äldre personer på ett särskilt boende2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every individual regardless of age have human needs that has to be taken in consideration in order to experience well-being. Sometimes an individual has to move to a nursing home, related to special needs. To some people this can be a hard thing to adjust to and may lead to loneliness and depression. Services offered to the elderly should provide for the physical, psychological and social needs. This is why it’s in our interest to increase the knowledge, to be able to provide a positive change, which could be a dog. Objective: The aim of this study was to investigate if and how dogs affect elderly people when they are living in a nursinghome.  Method: A literature study based on the 13 scientific papers. Results: The result presented three categories of Social impact, Psychological impact and Physical impact. Conclusion: The scientific studies showed different results, but assumptions can be made regarding dogs impact on people needs in their everyday life. 

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  • 12179.
    Westerman, Linda
    et al.
    Kristianstad University College, Department of Health Sciences.
    Ohlsson, Sofia
    Kristianstad University College, Department of Health Sciences.
    Patienters beskrivning av att vårdas på isoleringsrum -en litteraturstudie2006Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Background: Every day patient´s get isolated in hospitals as a consequense of infection control purposes. Physical isolation can result in lack of human contact and a new unknown environment for the patient. Those two factors can easily cause stress within the patient and create anxiety for the future. Aim: The aim of the study was to describe patient´s experience of being nursed in an isolation room. Method: The method that was used was a literature research, where earlier research findings were read and put together. Results: In most studies patient´s experience negative feelings such as depression, anxiety and other mood disturbances. Positive feelings like being alone was also described. Other categories that occurred was the need for information, the environment and contact with staff and relatives. Discussion: The nurse has a big influence on the patient´s experience and it´s important to have a close relationship with the patient. It´s also important that she can sit down quietly with the patient and have an open discussion regarding the patient´s care and give room for eventual questions. Through knowledge and understanding she can hopefully reduce the negative effects of isolation that might occur.

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  • 12180.
    Westford, Marie
    Kristianstad University College, Department of Health Sciences.
    Bjud på en kopp kaffe: .. En fallstudie ur klientperspektiv/ Let´s talk over a cup of coffee A case studie from a clientperspective2006Student thesis
    Abstract [sv]

    The purpose of this essay at bachelor level was to increase the understanding regarding the experiences of a client’s meetings with different public authorities. The method used was a case study viewed from a client’s perspective and based upon three qualitative interviews with one client. Theories were used to create order and to analys the empiric material. The interviewed person talked about feelings such as dishonour, unfair treatment and feeling powerless.

    The informant wanted to reclaim the power of her life, to have influence and self-determination. Being a client and turn to different authorities for help can lead to divergent.

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  • 12181.
    Westin, J.
    et al.
    Computer Science, Dalarna University.
    Stenberg, Georg
    Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap. Kristianstad University, Forskningsmiljön ForFame.
    Development of a test for spatial working memory in Parkinson's disease: sensitivity to medication induced periodic performance changes2012In: European Journal of Neurology, ISSN 1351-5101, E-ISSN 1468-1331, Vol. 19, no Suppl. 1, p. 551-551Article in journal (Refereed)
    Abstract [en]

    Introduction: Spatial working memory is susceptible to impairment early on in Parkinson’s disease (PD). Later on, the wearing off phenomenon of motor function during dopaminergic treatment seems to carry over into working memory.

    Aim: To initialize development of a test capable of capturing the variation in spatial working memory within a patient’s daily functioning.

    Methods: The test consisted of 192 instances of n-back, yes/no tasks, with correctness and latency of response automatically recorded. We collected data from two persons, one PD patient and one healthy control, relatively evenly sampled regarding time-of-day. The patient took levodopa once every three hours and performed tests on 70 occasions (the healthy control on 33 occasions). A frequency band containing period lengths from 2 to 4 hours was defined as the region of interest in regard to the medication cycle. The resulting  time  series  were  digitally  band-pass  filtered allowing only the relevant frequencies to pass. Reasoning that filtering would preserve essential information if the time series were periodic, but eradicate it if they were not, we used as our primary outcome measure the correlations between filtered and unfiltered data.

    Results: Correlations between the pass-band relating to the levodopa intake schedule and the full data were positive and significantly larger for the patient than for the control. These differences applied to both latency and accuracy.

    Conclusion: This supports the hypothesis that the test is able to detect levodopa-dependent variations in spatial working memory.

  • 12182. Westman, A.-K.
    et al.
    Ljung-Djärf, Agneta
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik. Kristianstad University, Research environment Learning Design (LeaD). Kristianstad University, Research environment Learning in Science and Mathematics (LISMA). Kristianstad University, Forskningsmiljön Forskning Relationell Pedagogik (FoRP).
    Åberg-Bengtsson, L.
    Ottosson, Torgny
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik. Kristianstad University, Research environment Learning in Science and Mathematics (LISMA).
    Beach, D.
    Animationer och illustrationer i datorbaserade läromedel med ett naturvetenskapligt innehåll: studier bland femteklassare och förskoleelever2014Conference paper (Other academic)
  • 12183.
    Westny, Amanda
    Kristianstad University, Faculty of Health Science.
    Emotioner i domstol: en studie om känslors betydelse vid sexualbrottsdomar2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie handlar om hur emotioner synliggörs och värderas i rättsprocessen. Studien behandlar och analyserar tre stycken rättsfall mellan år 2009 och år 2017. Samtliga rättsfall innefattar sammateman i form av bevisvärdering i sexualbrottmål.

    Frågeställningarna utgår därför ifrån vilka emotionsnormersom återfinns i domar för respektive gärningsman och brottsoffer. Frågeställningarna tar också upp vilka känslor som syns och vems känslor som uppvisas. Materialet har analyserats med hjälp av Hoschilds teori om emotionsregler samt Nils Christies teori om det ideala offret.

    Metoden för arbetet har varit kvalitativ innehållsanalys för tolkandet av domarna. Resultatet för arbetet visade att olika typer av känslor uppvisas samt att de i olika fall ligger till grund för ett juridiskt beslutsfattande.

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  • 12184.
    Wetterlöv, Johan
    Kristianstad University College, Department of Behavioural Sciences.
    KBT på behandlingshem: Utkomst av behandling för unga kvinnor med multimodal psykiatrisk problematik.2007Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Den psykiska ohälsan ökar bland unga kvinnor och därmed också behovet av evidensbaserade effektiva behandlingsmetoder. Kognitiv beteendeterapi (KBT) är den behandlingsmetod som visat sig vara effektivast för en rad olika psykiatriska problem. För unga kvinnor med multimodal problematik är inte alltid poliklinisk-behandling tillräcklig utan en institutionsbehandling kan vara nödvändig. Forskningen av institutionsbehandlingar ger slutsatsen att de ska grundas på kognitiva och inlärningsteoretiska principer även om väldigt få studier gjorts på målgruppen; unga kvinnor med multimodalproblematik. Målet var att göra en sådan studie och se hur självskadebeteende, mående, psykofarmaka användande och behovet av sluten psykiatrisk vård påverkas hos unga kvinnor med multimodalproblematik som genomgått en KBT behandling på ett behandlingshem. Studien, genomförd som en självskattningsstudie med 19 deltagare, visade signifikanta resultat på dessa problem förutom på behovet av sluten psykiatrisk vård. Studien visade även ökad funktionsgrad hos de behandlade unga kvinnorna. En replikering av studien med andra parametrar och bättre uppföljning vore önskvärd.

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  • 12185.
    Wetterstrand, Marie
    Kristianstad University, Faculty of Education.
    ”Han kommer att blomma, det är jag helt övertygad om!”: En fallstudie om maktaspekter, hinder och möjligheter när nyanlända elever tas emot och undervisas i en gymnasiesärskola2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studier av svenska nyanlända gymnasieelever med utvecklingsstörning har rönt i stort sett obefintlig vetenskaplig uppmärksamhet. I syfte att synliggöra elevkategorin och hinder, möjligheter och maktaspekter när dessa elever tas emot och undervisas genomfördes en fallstudie. Datainsamlings-metoderna var intervju, gruppintervju och observation och resultatet analyserades ur ett intersektionellt perspektiv för att ge en djupare förståelse för hur dimensionerna funktionalitet och etnicitet samverkar och hur detta påverkar elevkategorin. Resultatet visar att elevkategorin marginaliseras och att de dimensioner den tillhör ofta förstärker varandra, vilket komplicerar utredningsarbetet, mottagandet och undervisningen. Trots detta trivs eleverna och utvecklas kunskapsmässigt, vilket kan bero på att skolpersonalen kompenserar för systemets brister. De är emellertid kringskurna av brist på överblick, rutiner, uppföljning, fortbildning och kompetensutveckling samt en godtycklighet kring vilken elev som får vad och varför, särskilt när det gäller språkutvecklingsinsatser. I detta sammanhang har den flerspråkiga resurspersonalen en viktig men komplicerad roll i förhållande till elevkategorin och deras vårdnadshavare, eftersom de ofta fungerar som både språk- och kulturtolkar. Ytterligare forskning behövs för att utveckla förståelse för de utmaningar som dessa elever möter, vilka påverkas av intersektionen av funktionalitet och etnicitet.

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  • 12186.
    Wetterstrand, Marie
    Kristianstad University College, School of Teacher Education.
    Jag kan alltså finns jag!: Om praktisk kunskap i bild- och slöjdundervisningen på gymnasiesärskolans individuella program2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den praktiska kunskapen synliggörs inte i lika stor utsträckning som den teoretiska,

    och vikten av praktiska kunskaper för ungdomar med utvecklingsstörning

    uppmärksammas sällan.

    Uppsatsens syfte är därför att undersöka den praktiska kunskapen i praktisktestetiska

    ämnen på gymnasiesärskolan samt att verka för att synliggöra denna

    praktiska kunskap och dess mervärden. Uppsatsen ger en översikt av vad praktisk

    kunskap är, vilka diskurser som finns kring praktisk kunskap idag, samt fakta om

    utvecklingsstörning och särskola, och skapande i praktiskt-estetiska ämnen.

    Genom att göra två semistrukturerade intervjuundersökningar, en med en grupp

    pedagoger som undervisar i praktiskt-estetiska ämnen på gymnasiesärskolan, och en

    med 9 verksamhetsträningsprogramselever ville jag skaffa mig en uppfattning om

    hur undervisningen ser ut i praktiskt-estetiska ämnen på gymnasiesärskolan idag.

    Sammanfattningsvis kom jag fram till att skapande verksamhet på

    gymnasiesärskolan ger eleverna glädje, bättre självförtroende och många olika

    sorters kunskaper och färdigheter, viktiga både för nuet och vuxenlivet, och eftersom

    många särskoleelever har begränsade möjligheter att uttrycka sig i tal och skrift är

    det viktigt för dem att få uttrycka sig genom att skapa i praktiskt-estetiska ämnen.

    Jag kom också fram till att det finns en tudelning mellan praktiska och teoretiska

    ämnen på gymnasiesärskolan och att eleverna kan göra kunskapsvinster om

    pedagogerna arbetar mer ämnesöverskridande. Vidare fann jag att många personer

    med utvecklingsstörning har ett speciellt och personligt uttryck i sina alster.

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  • 12187.
    Wetterstrand, Martin
    Danmark.
    Collaborative sketching – co-authoring future scenarios with bits and pieces of ethnography2006In: CoDesign - International Journal of CoCreation in Design and the Arts, ISSN 1571-0882, E-ISSN 1745-3755, Vol. 2, no 3, p. 179-189Article in journal (Refereed)
    Abstract [en]

    Sketching is a most central activity within most design projects. But what happens if we adopt the ideas of collaborative design and invite participants that are not trained to sketch in to the design process, how can they participate in this central activity? This paper offers an introduction to how design material based on ethnography can be understood as sketching material. It suggests a process where the sketching tools are constructed within the scope of the project. Some practical details of how the design material has been co-authored will be explored. Finally, this paper shows how the design material has been used to co-author possible futures within the scope of design sessions.

  • 12188.
    Wetterstrand, Martin
    Danmark.
    Design games: reinstalling the designer in collaborative design2006Conference paper (Refereed)
  • 12189.
    Wetterstrand, Martin
    Malmö University.
    Exploring the future: ethnographic field material in design work2003In: Searching voices: towards a canon for interaction design / [ed] Ehn, Pelle, Löwgren, Jonas, Malmö: School of Arts and Communication, Malmö University , 2003Chapter in book (Other academic)
  • 12190.
    Wetterstrand, Martin
    et al.
    Interactive Institute, Malmö.
    Fröst, Peter
    Chalmers tekniska högskola.
    Brandt, Eva
    Danmark.
    Binder, Thomas
    Danmark.
    Messeter, Jörn
    Malmö högskola.
    Partner engaged design: new challanges for workplace design2002In: Proceedings of PDC2002, 2002Conference paper (Refereed)
    Abstract [en]

    The spatial organization of the workplace affects the work going on there. The technology used, changes the work practice. This paper describes a design process where different aspects of workplace design for project-based office work have been combined into one multi-stakeholder project, integrating the spatial aspects, the furniture, the information technology, and the IT-services that are connected to work. To have several different partners with different interests and competencies collaborating in a future oriented design process puts certain demands on the setup of the process and the tools being used. Taking a starting point in existing work practice, we have driven this project with techniques most often used for user-involvement. Scenario building played a crucial role in tying the process together. The concrete result is a completed concept proposal for an actual “office of the future” layout, which integrates advanced information technology and service solutions. The case shows that it is possible to reach innovative consensus-anchored results with the described design method.

  • 12191.
    Wetterstrand, Martin
    et al.
    Malmö University.
    Halse, Joachim
    Danmark.
    Binder, Thomas
    Danmark.
    Between estrangement and familiarization2005In: Design Spaces / [ed] Binder, Thomas, Hellström, Maria, Helsinki: EDITA IT Press , 2005Chapter in book (Other academic)
  • 12192.
    Wetterstrand, Martin
    et al.
    Malmö University.
    Linde, Per
    Malmö University.
    Playful collaborative exploration: new research practice in participatory design2005In: Journal of Research Practice, ISSN 1712-851X, Vol. 1Article in journal (Refereed)
    Abstract [en]

    Within the Participatory Design community as well as the Computer Supported Cooperative Work tradition, a lot of effort has been put into the question of letting field studies inform design. In this paper, we describe how game-like approaches can be used as a way of exploring a practice from a design point of view. Thinking of ethnographic fieldwork as a base for sketching, rather than descriptions, creates openness that invites collaborative authoring. The concept of playful collaborative exploration suggests certain ways of interacting with material from field studies so that it becomes a design material for an open-ended design process. We have carried out field studies, transformed the field material into design material, and set up a design game for working with it together with the people we followed in the field. The design game builds on an idea about the power of narratives and the benefits of constraining rules. We believe that this framework for collaboration opens for playfulness, experimentation, and new design ideas.

  • 12193.
    Wetterstrand, Martin
    et al.
    Danmark.
    Messeter, Jörn
    Malmö University.
    Present-ing the user: constructing the persona2005In: Digital Creativity, ISSN 1462-6268, E-ISSN 1744-3806, Vol. 16, no 4, p. 231-243(13)Article in journal (Refereed)
    Abstract [en]

    During the last few years personas has become an established design technique within the IT-design field. Using personas has proven itself as a valuable approach for designers to switch between a developer's perspective and a user's perspectivein the design process. The technique is claimed to help designers in keeping a clear focus and shaping a consistent user-interface by making ‘the user’ present in the design work. In this paper we report on a number of projects where we have elaborated on the persona approach for collaborative design. With the goalof creating ‘user presence’ in the design process, we have developed an approach building on a combination of ethnographic exploration, participatory inquiry, and collaborative design. This paper carries two interrelated points: the grounding of personasin existing practice; and the notion that ‘the user’ is created as an ongoing process throughout the design work.

  • 12194.
    Wetterstrand, Martin
    et al.
    Interactive Institute, Malmö.
    Pettersson, Mårten
    Kristianstad University, School of Health and Society, Avdelningen för Design och datavetenskap.
    Activity and artifact: the symbiosis of truck drivers’ work and navigational systems2001In: Proceedings of IFIP INTERACT01: human-computer interaction 2001, IFIP Technical Committee No 13 on Human-Computer Interaction , 2001, p. 399-406Conference paper (Refereed)
    Abstract [en]

    This paper outlines design ideas from a project dealing with different interaction concepts for the design of a computer based navigation system for truck drivers. The incentive for thinking about interaction concepts is that programming of navigation systems often occurs while driving, since that is when the support is needed. We have been working with ethnographical studies of truck drivers driving both over short and long distances. There has been quite a lot of work done in the field of cars and navigation, in this paper however the main theme is not navigation in cars as such, but the truck environment as an example of a high-demanding room for work activities. This lead to a design situation where the artifact and the activity has to go together, the artifact has to ‘melt-in’ to the work practice. We discuss how the design of computational power can melt-in to the work-practice without demanding too much of the attention needed for driving the truck safely.

  • 12195.
    Wetterstrand, Martin
    et al.
    Malmö University.
    Pettersson, Mårten
    University of Karlskrona/Ronneby, Soft Center.
    Eyes on the road: augmenting traffic information2000In: Proccedings of DARE2000 Denmark Aarhus, New York: ACM Press, 2000, p. 147-148Conference paper (Refereed)
    Abstract [en]

    This position paper outlines design ideas gained from a project dealing with different interaction concepts when designing a computer based navigation systems for truck drivers working over large areas and where the delivery and pick-up points from time to time are unfamiliar to the driver. The extension of this previous project includes more ’untraditional’ technology, but has the same approach and uses the same basic concepts. Both the original design and the new design are based on an empirical study of truck drivers work practice.

  • 12196. Whelan, M. J.
    et al.
    Van Egmond, R.
    Guymer, I.
    Lacoursière, Jean O.
    Kristianstad University, School of Education and Environment, Avdelningen för Naturvetenskap.
    Vought, Lena B. M.
    Kristianstad University, School of Education and Environment, Avdelningen för Naturvetenskap.
    Finnegan, C.
    Fox, K. K.
    Sparham, C.
    O'Connor, S.
    Vaughan, M.
    Pearson, J. M.
    The behaviour of linear alkyl benzene sulphonate under direct discharge conditions in Vientiane, Lao PDR2007In: Water Research, ISSN 0043-1354, E-ISSN 1879-2448, Vol. 41, no 20, p. 4730-4740Article in journal (Refereed)
    Abstract [en]

    Direct discharge of untreated sewage to surface waters is a common practice in many parts of the world. However, relatively little is known about the behaviour of synthetic organic pollutants under these conditions. This paper describes a sampling campaign designed to track changes in water quality in a surface water system in Vientiane (Lao PDR) receiving significant quantities of untreated waste water. The study was based on following in-channel transport using a fluorescent tracer injected as a pulse, with a focus on the anionic surfactant linear alkylbenzene sulphonate (LAS) and ammonia. Water samples were collected at a number of stations with sampling times estimated to coincide with solute time-of-travel. The reduction in LAS concentration with flow-time could be approximated by first-order kinetics with a half life of about 7 h. Free ammonia concentrations decreased more slowly than LAS and remained above the level believed to be toxic for sensitive aquatic species along the entire channel. Changes in the ratios of LAS alkyl chain homologues to total LAS concentrations suggest a preferential removal of longer chain lengths. The role of biodegradation in the removal of LAS was confirmed by the presence of LAS metabolites (sulphophenylcarboxylates, SPCs) which increased systematically (as a fraction of LAS remaining) with flow-time.

  • 12197.
    Wiberg, Björn
    et al.
    Kristianstad University College, Department of Mathematics and Science.
    Gustavsson, Patrik
    Kristianstad University College, Department of Mathematics and Science.
    Linux vs: Windows - är Linux KDE möjlig ersättare till Microsoft Windows XP i en likvärdig konkurrenssituation sett ur ett användbarhetsperspektiv?2005Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Syfte

    Syftet med denna uppsats var att genomföra en kvalitativ undersökning kring om KDE kan ersätta Windows XP som användargränssnitt för normalanvändare på en persondator. Vi ville även ta fram de fördelar och nackdelar som KDE har i jämförelse med Windows XP, med eventuella förslag till förbättring.

    Metod

    Primärdata hämtades genom att testa operativsystemet på 25 personer som fick "tänka högt". Detta för att få en anblick om var det kan finnas problem. Även sekundärdata i form av litteratur inom området, tidskrifter, artiklar, rapporter och information från Internet har använts.

    Slutsats

    Resultatet visade klart och tydligt att testpersonerna var nöjda med Linux KDE efter det att de testat det men majoriteten skulle ej kunna tänka sig ersätta Windows XP med Linux KDE. Alltså är inte Linux KDE en möjlig ersättare till Windows XP.

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  • 12198.
    Wiberg, Emelie
    Kristianstad University, Faculty of Health Science.
    Förekomst av depressiva symtom hos pappor2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Edinburgh Postnatal Depression Scale är en screeningmetod som fungerar för att fånga upp mammors symtom på förlossningsdepression, men även pappor kan drabbas av depression i samband med att de blir föräldrar. En Screeningmetod som fångar upp depressiva symtom hos pappor saknas i dagsläget.

    Syfte: Syftet var att; a) undersöka förekomst av depressiva symtom bland  pappor med barn under sex månader, b) jämföra utfallen mellan förstagångs och icke förstagångspappor, c) samt testa reliabiliteten av instrumentet Edinburgh Postnatal Depression Scale hos pappor.

    Metod: En pilotstudie med tvärsnittsdesign genomfördes. En kvantitativ ansats valdes och datainsamlingen genomfördes med hjälp av en enkät. Ett reliabilitetstest av instrumentet Edinburgh Postnatal Depression Scale genomfördes.

    Resultat: Två av 31 pappor visar tecken till depression, flergångspappor visar fler tecken än förstagångspappor och skillnaden var signifikant. Edinburgh Postnatal Depression Scale har god reliabilitet med en Chronbach's alfa på 0,83.

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    fulltext
  • 12199.
    Wiberg, Karin
    Kristianstad University, Faculty of Education.
    Political bias in hiring: people consider political opponents as less hireable than others without weighting criteria to justify why2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous studies have shown that characteristics like gender and ethnicity can affect the possibility to be hired. Decisions in hiring may also be justified by weighting the importance of hiring criteria and can thus seem unbiased. In other areas, bias due to political affiliation have been noted to be even more pronounced than bias due to ethnicity. However, effects of candidates’ political affiliation in hiring are not equally researched. This study aimed to fill this blank. Participants (N= 283) were randomized to a between-subjects design; A third read a resumé from a candidate affiliating with the The Left Party, a third read a resumé from a candidate affiliating with The Sweden Democrats, a party at the right end of the spectrum, and a third read a resumé from a candidate with no political affiliation. After reading the resumés, participants evaluated the hireability of their candidate. They also stated which hiring criteria, experience or education, was considered most important in this evaluation. Results showed that participants evaluated candidates with divergent political affiliation from the own as less hireable than candidates with unknown political affiliation, or a politicalaffiliation more similar to the own. Cues of political affiliation may thus be a disadvantage for an individual, applying for a job. However, biased evaluations were not justified to seem unbiased by weighting criteria. It is suggested that social norms do not imply hiding political bias to the same degree as bias due to for example gender or ethnicity.

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    fulltext
  • 12200.
    Wiberg, Sandra
    Kristianstad University College, Department of Health Sciences.
    Upplevelse av arbetsglädje och känsla av sammanhang - en enkätstudie bland anställda på en högskola 2006Independent thesis Advanced level (degree of Magister)Student thesis
    Abstract [sv]

    Man spends most part of the day at work and is therefore influenced by it’s ambience. That’s why it’s important that the environment at work is health promoting and can function as a supportive environment. The purpose of this study was to describe job satisfaction among employees and to analyse a possible connection between job satisfaction and employees experiences of SOC. The approach in this study was quantitative and the method used was a questionnaire. The sample consisted of employees at a university in the south of Sweden. The response rate of the questionnaire was 65,5 % meaning that 133 individuals answered. The result revealed a significant difference between employees with low SOC and employees with high SOC according to experience of job satisfaction. Employees with a high SOC did in fact enjoy going to work daily in a higher rate then employees with low SOC. This study shows that there is a relation between job satisfaction and high SOC. A high SOC is an important factor because employees with high SOC experience more meaningfulness, development, excitement and they also experience more involvement in the job.

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