Jönköping University
  • Jönköping, Joenkoeping, Sweden
Recent publications
Although work placement mentoring has been examined extensively in research, there are no studies drawing on critical discourse analysis combined with discourse theory, aiming to examine the discursive construction of quality aspects. Seven mentor pairs in Swedish teacher training schools were interviewed individually during student work placement. Focus group interviews were conducted with eleven student teachers. The results reveal a consensus on a general level. The significant discrepancies are intertwined to different subject positions among student teachers and mentors, thus linked to different role expectations. A likely explanation can be found in the differences between professional and academic knowledge traditions.
Background Health professionals’ attitudes towards addressing sexual health are important to promote patients’ sexual health. Therefore, measurement of health professionals’ attitudes towards addressing sexual health is essential. Aim This study aimed to adapt the questionnaire Students’ Attitudes towards Addressing Sexual Health (SA-SH-D) to health professionals working with rehabilitation in Danish municipalities and evaluated psychometric properties of the adapted questionnaire: The Danish Version of the Professionals’ Attitudes towards Addressing Sexual Health (PA-SH-D). Methods The SA-SH-D was adapted to PA-SH-D and a face validity evaluation focusing on phrasing, functionality, perception and relevance was done. In a pilot study, the PA-SH-D was answered by health professionals and internal consistency reliability and floor and ceiling effects were evaluated. Outcomes Face validity included phrasing, functionality, perception and relevance of the items in PA-SH-D, internal consistency with Cronbach's alpha in the total scale and floor and ceiling effects. Results Face validity of the PA-SH-D was acceptable. The sample size was 52 health professionals working with rehabilitation, the internal consistency reliability (Cronbach's alpha: 0.89 [lower confidence interval {CI}: 0.85]) and floor and ceiling effects (0.0%–13.7%) of the PA-SH-D were acceptable. Clinical translation As sexual health is important in human quality of life, the validation of the PA-SH-D is highly valuable as it evaluates health professionals’ attitudes towards addressing sexual health, and thereby is able to measure the need for education and training in sexual health and detect changes in attitudes following an educational intervention. Strengths and limitations Strengths were that the PA-SH-D measures both attitudes and competences and covered a need in clinical practice. The recruitment was broad and we used the work of others to orient this work. Limitations were that this study covered a preliminary psychometric evaluation and a thorough evaluation covering other aspects of psychometry should be done. We used both paper-based and online-based survey which possibly could cause bias. The study had a relatively small sample size. Comparing health professionals to students can be seen as both a limitation and a strength. Conclusion The results in face validity and internal consistency reliability indicate usefulness of the PA-SH-D to measure health professionals’ attitudes towards addressing sexual health. Further evaluation of psychometric properties of the PA-SH-D is recommended. Elnegaard CM, Christensen J, Thuesen J, et al. Psychometric Properties of the Danish Version of the Questionnaire Professionals’ Attitudes towards Addressing Sexual Health (PA-SH-D). Sex Med 2022;XX:XXXXXX.
Parental knowledge of adolescents’ whereabouts is central for healthy adolescent development. However, parents and their adolescent children often perceive parenting practices differently. Using data from matching parent and adolescent dyads (n = 477) from the longitudinal research program LoRDIA, we investigated in what way disagreement between parents’ and adolescents’ reports on parental knowledge, solicitation and behavioral control and adolescent disclosure, is longitudinally related to girls’ and boys’ psychological problems (internalizing and externalizing) and well-being. The adolescents’ mean age was 13.0 years (SD = .56) at T1 and 14.30 years (SD = .61) at T2, evenly distributed between boys (52.6 %) and (47.4 %) girls at baseline. The discrepancy scores were calculated by subtracting the adolescent’s scores from the parent’s scores. Parent-adolescent discrepancies had somewhat different patterns of associations with boys’ and girls’ psychological problems and well-being. Parental knowledge discrepancy was related to higher levels of girls’ externalizing problems while parental solicitation discrepancy was related to higher levels of boys’ externalizing problems and lower levels of girls’ wellbeing. Adolescent disclosure discrepancy was related to higher levels of girls’ internalizing problems and lower levels of well-being. Negative concurrent associations were shown between parental control discrepancy and adolescents’ internalizing problems. Parents’ overestimating the level of parent-adolescent communication, including adolescent disclosure, and parental solicitation in particular, is disadvantageous for adolescent psychological health.
Cyber security is a key enabler for safe Air Traffic Management (ATM). This paper presents results from an empirical study, in which we have investigated and evaluated the use of the Security Risk Assessment Methodology for SESAR (SecRAM) in European ATM research and development projects. The study was performed with the intention to find and document common issues and aspects that could be improved in the methodology. The results from the study reveal that while most of the practitioners had a positive perception of the methodology itself, they were less satisfied with the process of applying it in their projects. Based on the results, we provide a number of recommendations, which aim to improve the security risk assessment process in the ATM domain.
This case study explores an eye-gaze technology intervention for a young adult with severe physical and speech difficulties and visual impairments. Data were collected over a six-month intervention period encompassing measures on pupil’s occupational performance of computer activities and psychosocial impact, and interviews with the user, the parents, and the teacher on the technology acceptability. The results showed that the six-month intervention enhanced the pupil’s performance in three computer activities and led to a positive psychosocial impact. The parent and teacher described the intervention as appropriate to increase the pupil’s self-expression and interaction with others, and there was no adverse event during the study period. The pupil demonstrated motivation to use the eye-gaze technology after the intervention continuously. In conclusion, this study shows that a young adult with severe motor impairments and visual problems can benefit from using eye-gaze technology to increase participation in leisure activities, communication, and social interactions.
Background Artificial intelligence (AI) for healthcare presents potential solutions to some of the challenges faced by health systems around the world. However, it is well established in implementation and innovation research that novel technologies are often resisted by healthcare leaders, which contributes to their slow and variable uptake. Although research on various stakeholders’ perspectives on AI implementation has been undertaken, very few studies have investigated leaders’ perspectives on the issue of AI implementation in healthcare. It is essential to understand the perspectives of healthcare leaders, because they have a key role in the implementation process of new technologies in healthcare. The aim of this study was to explore challenges perceived by leaders in a regional Swedish healthcare setting concerning the implementation of AI in healthcare. Methods The study takes an explorative qualitative approach. Individual, semi-structured interviews were conducted from October 2020 to May 2021 with 26 healthcare leaders. The analysis was performed using qualitative content analysis, with an inductive approach. Results The analysis yielded three categories, representing three types of challenge perceived to be linked with the implementation of AI in healthcare: 1) Conditions external to the healthcare system; 2) Capacity for strategic change management; 3) Transformation of healthcare professions and healthcare practice. Conclusions In conclusion, healthcare leaders highlighted several implementation challenges in relation to AI within and beyond the healthcare system in general and their organisations in particular. The challenges comprised conditions external to the healthcare system, internal capacity for strategic change management, along with transformation of healthcare professions and healthcare practice. The results point to the need to develop implementation strategies across healthcare organisations to address challenges to AI-specific capacity building. Laws and policies are needed to regulate the design and execution of effective AI implementation strategies. There is a need to invest time and resources in implementation processes, with collaboration across healthcare, county councils, and industry partnerships.
Background In planned major surgery the duration of inpatient hospital care during the last decade has decreased because of a combination of different perioperative interventions. It is expected that patients can manage the needed pre- and postoperative self-care to a large extent on their own. This entails challenges to healthcare system to deliver appropriate information to patients in a safe and efficient manner. The aim of this study was therefore to describe healthcare workers’ perceptions of how eHealth applications can support patients’ self-care in relation to planned major surgery. Methods Semi-structured interviews were performed with sixteen healthcare workers from different disciplines. The interviews were transcribed and analysed using the phenomenography approach. Results Healthcare workers perceived both positive aspects and challenges with eHealth applications for self-care. eHealth applications can work as an information source, affect patients’ understanding of self-care, improve patients’ participation in self-care, streamline communication with healthcare professionals and improve patient safety during the pre- and postoperative period. The challenges included perceptions of that eHealth applications may have negative impact on personal interaction in care. eHealth applications may not be useful to all patients because of lack of equipment or knowledge and may increase patients’ suffering if physical visits are replaced by digital solutions. Conclusions This study improves our understanding of healthcare workers’ perceptions of how the use of self-care eHealth applications can support patients in performing pre- and postoperative self-care for major surgery. Access to appropriate and personalized information and instructions can improve patients’ understanding of self-care and enhance the participation and safety of those who can afford and handle digital tools. All these aspects must be considered in future digital development of eHealth applications to guarantee a person-centered care.
Manufacturing relocation decisions are complex because they involve combinations of location modes like offshoring or reshoring, and governance modes like insourcing or outsourcing. Furthermore, the uncertainty involved in the decision-making process makes it challenging to reach a right-shoring decision. This study presents a hybrid fuzzy-AHP-TOPSIS model to support generic relocation decisions. Industry experts were involved in a pairwise comparison of the competitive priorities’ decision criteria. A meta-synthesis of empirical studies is used to generate theoretical relocation scenarios. The presented hybrid model is used to rank the relocation scenarios in order to identify the most pertinent alternative. The resiliency of the solution is presented through a sensitivity analysis. The results indicate that the proposed hybrid model can simultaneously handle all the main relocation options involving governance modes. Based on the input data in this study, the competitive priorities criteria quality, time and cost are shown to have a strong impact, whereas the sustainability criterion has a weak impact on the choice of relocation option. The research presented in this paper contributes to the research field of manufacturing relocation by demonstrating the suitability of the hybrid fuzzy-AHP-TOPSIS model for relocation decisions and the resilience of the results. Furthermore, the research contributes to practice by providing managers with a generic relocation decision-support model that is capable of simultaneously handling and evaluating various relocation alternatives.
Objectives The aim of this retrospective study was to evaluate the clinical outcome of fixed tooth- and implant-supported protheses manufactured in porcelain veneered cobalt-chromium (CoCr) or titanium with a follow-up period of 5–9 years. Materials and methods This study included 63 patients with a total of 86 fixed dental protheses (FDPs) (53 implant-supported and 33 tooth-supported). In total, 67 were short-span FDPs (3–5 units) and 19 were long-span FDPs (6–12 units). The FDPs were evaluated using a modified version of the California Dental Association (CDA). Results The binary regression analysis indicated that neither CoCr nor titanium had a statistically significant effect on the odds of success or survival of either tooth- or implant-supported FDPs. However, the success of FDPs was negatively affected by greater FDP length and general tooth wear. The survival of FDPs was negatively affected by increased FDP longevity. Conclusions This study found no statistically significant effect on the odds of success and survival outcomes for any combination of tooth-supported, implant-supported, porcelain-veneered CoCr, or porcelain-veneered titanium FDPs. As the number of FDPs was limited, the results should be interpreted with caution. Clinical relevance This study shows that the choice between CoCr porcelain and titanium porcelain in fixed protheses did not have a statistically significant effect on the outcome.
To understand the school’s role in society and its works, it became essential to reevaluate its functions and importance for society after the aggressive attack of the COVID-19 pandemic. Thus, a new educational space design represents a powerful and required tool for stimulating creativity and increasing concentration, motivation, and assimilation of knowledge for future generations. The article will use appreciative inquiry as a method that works with perspective ideas readings doted by high positive human sensitivity. It also represents a powerful tool for the students’ opinions about the teaching spaces and environments. To improve the performance of educational institutions and schools, considering the sustainability concepts and biophilic designs has become an urgent necessity within the Scandinavian countries and in the world in general. The scientific research and theoretical analysis within the biophilic theory have been conducted to see how the designer can integrate the nature components holistically in the educational environment based on spatial, visual, and ecological integration concepts. The study aims to develop knowledge about applying biophilia as a phenomenon in educational institutes of Scandinavia where the students among others are the main decision-maker. The article’s main finding is that students dream of free open teaching spaces integrated with nature, where the biophilic theory frameworks are suitable to form this sustainable model that enables educational institutions and schools to improve their performance within different stages of the study.
Background Home rehabilitation programmes are increasingly implemented in many countries to promote independent living. Home rehabilitation should include a comprehensive assessment of functioning, but the scientific knowledge about the assessment instruments used in this context is limited. The aim of this study was to explore relationships between standardised tests and a self-reported questionnaire used in a home rehabilitation programme. We specifically studied whether there were gender differences within and between assessments. Method De-identified data from 302 community-dwelling citizens that participated in a municipal home rehabilitation project in Sweden was analysed. A Mann Whitney test and an independent t-test were used to analyse differences within the following assessment instruments: the Sunnaas Activity of Daily Living Index, the General Motor Function assessment scale and the European Quality of Life Five Dimension Five Level Scale. Spearman’s bivariate correlation test was used to analyse relationships between the instruments, and a Fischer’s Z test was performed to compare the strengths of the correlation coefficients. Result Gender differences were found both within and between the assessment instruments. Women were more independent in instrumental activities of daily living than men. The ability to reach down and touch one’s toes while performing personal activities of daily living was stronger for men. There was a difference between men’s self-reported performance of usual activities that included instrumental activities of daily living and the standardised assessment in performing instrumental activities of daily living. The result also showed an overall difference between the self-reported assessment and the standardised test of motor function for the total group. Conclusion The results indicate that a comprehensive assessment with the combination of standardised tests, questionnaires and patient-specific instruments should be considered in a home rehabilitation context in order to capture different dimensions of functioning. Assessment instruments that facilitate a person-centred home rehabilitation supporting personally meaningful activities for both men and women should be applied in daily practice. Further research about gender-biased instruments is needed to facilitate agreement on which specific instruments to use at both individual and organisation levels to promote gender-neutral practice.
Background Healthcare professionals’ attitudes to and knowledge of oral health are fundamental to providing good oral health care to older adults. One instrument that assesses healthcare professionals’ attitudes to and knowledge of oral health in a Swedish context is the “Attitudes to and Knowledge of Oral health” (AKO) questionnaire. Two of the three item-groups of the AKO have previously been validated in a Swedish context. However, it is crucial that all three item-groups are validated, and beneficial to design a shorter, easy-to-use questionnaire for healthcare professionals while maintaining adequate integrity of its reliability and validity. Therefore, the present study aims to develop a short-form version of AKO and to secure its psychometric properties. Methods Psychometric evaluation with Classical Test Theory and Item Response Theory to validate and shorten AKO with 611 healthcare professionals from a population of 1159 working in a municipality in an urban area in western Sweden. Results Of the original 16 items in the AKO, 13 were shown to warrant retention in the abbreviated/shortened form. These showed acceptable validity and reliability for assessing healthcare professionals’ attitudes to and knowledge of oral health. Conclusion This validated short-form version of AKO shows acceptable validity and reliability after being reduced to 13 items, structured in a 3-part scale. The items are consistent with the total scale, indicating that the internal consistency is acceptable. Future studies should be performed to evaluate AKO in other groups of healthcare professionals, across cultures, languages, and so on, to investigate its use and strengthen its validity and reliability.
Background In online environments, fear of missing out (FoMO) is where individuals become constantly preoccupied with what others are doing online and feel unable to log off in case they miss something. FoMO is a concept associated with the use of online social media (OSM; e.g., Facebook use, Instagram use) and various scales have been developed to assess the concept. One such scale is the Online Fear of Missing Out (On-FoMO) Inventory. The present study translated the On-FoMO Inventory into Turkish and its main aim was to test the validity and reliability of the scale. The secondary aim was to investigate the relationships between FoMO, social media addiction, smartphone addiction, and life satisfaction. Methods A total of 419 participants (289 females and 130 males, mean age = 25.43 years, SD = 6.37) completed a self-report questionnaire including the On-FoMO Inventory, Fear of Missing Out Scale, Bergen Social Media Addiction Scale, Smartphone Addiction Scale-Short Version, and Satisfaction with Life Scale. In the adaptation process of the On-FoMO Inventory, confirmatory factor analysis, concurrent validity, and reliability analyses were performed. Results The four-factor structure of the On-FoMO Inventory was confirmed and the Turkish version of the scale demonstrated good reliability. Online FoMO was positively related to social media addiction and smartphone addiction, and negatively related to life satisfaction. Conclusion The results showed that the Turkish version of the On-FoMO Inventory has strong psychometric properties.
The Paris Agreement marks a significant milestone in international climate politics. With its adoption, Parties call for non‐ and sub‐state actors to contribute to the global climate agenda and close the emissions gap left by states. Such a facilitative setting embraces non‐state climate action through joint efforts, synergies, and different modes of collaboration. At the same time, non‐state actors have always played a critical and confrontational role in international climate governance. Based on a systematic literature review, we identify and critically assess the role of non‐state climate action in a facilitative post‐Paris climate governance regime. We thereby highlight three constitutive themes, namely different state‐non‐state relations, competing level of ambition, and a variety of knowledge foundations. We substantiate these themes, derived from an inductive analysis of existing literature, with illustrative examples and propose three paradigmatic non‐state actor roles in post‐Paris climate governance on a continuum between compliance and critique. We thereby highlight four particular threats of a facilitative setting, namely substitution of state action, co‐optation, tokenism, and depoliticization. Future research should not limit itself to an effective integration of NSSAs into a facilitative climate regime, but also engage with the merits of contestation. This article is categorized under: Policy and Governance > Multilevel and Transnational Climate Change Governance
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2,705 members
Ulrika Lindmark
  • Centre for Oral Health
Timur Uman
  • Jönköping International Business School
Anna K Dahl Aslan
  • Institute of Gerontology
Johan Thor
  • Jönköping Academy for Improvement of Health and Welfare
Eleonor I Fransson
  • School of Health Sciences
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Address
Gjuterigatan 5, 55111, Jönköping, Joenkoeping, Sweden
Head of institution
Agneta Marell, President, Professor
Website
www.ju.se
Phone
+46 (0)36 1010 00
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