Sepideh Olausson, VHB, spikade sin avhandling Intensivvårdsrummets betydelse för vårdande och välbefinnande – patienters, närståendes och vårdpersonalens perspektiv, på entréplanet i biblioteket idag.

Disputationen sker i Wicksell, campus Växjö med opponenten professor Febe Friberg, Universitetet i Stavanger, Norge. Datum för disputationen är den 13 juni, klockan 10:30-14:00.

Avhandlingens engelska abstract beskriver arbetet så här:

“Aim: The overall aim of the thesis was to illuminate the meanings of intensive care units’ patient rooms as a place of care for critically ill patients and their loved ones. Moreover, it was aimed to develop photovoice as a data collection method for research in ICU context. Methods and materials: Data has been collected using photovoice methodology in combination with research interviews for all three empirical studies. In total 37 people participated. Nine patients, fourteen loved ones and fourteen nurses from three ICU settings. Study I examined the perspective of loved ones, for this purpose a phenomenological hermeneutic method rooted in the philosophy of Ricoeur was chosen. Study II and III examined patients’ respectively nurses’ perspective. Both studies are phenomenologically orientated guided by a reflective lifeworld approach rooted in continental philosophy. Study IV is a theoretical paper focusing on employing photovoice as a data collection method in ICU context. Main findings: The tone and touch of caring is vital for how ICU patient room is materialized for patients. The interior design and furnishing has a great impact on the wellbeing of the loved ones and also the support they can offer the critically ill patient. One major finding is that the ICU patient room is a taken for granted place for health care providers and the impact of it upon caring, patients’ and loved ones wellbeing is not reflected over. It also seems unclear who is responsible for the environment of ICU once it has been built. The environment of ICU affects nurses’ ability to care for the patients and their family in a genuine way and to promote their wellbeing during a fragile time in life. Conclusions: There is an urgent need to translate research findings into clinical practice in order to improve the environment of ICU patient rooms. There is also need of further research and policies for transforming the hostile environment of the patient rooms to a healing environment more conductive to people’s recovering process.”

Pieta Eklund

Magnus Hagiwara, VHB, spikar sin avhandling Development and evaluation of a computerised decision support system for use in prehospital care, på entréplanet i biblioteket idag. Disputationen sker torsdagen den 5 juni 2014 kl.13.00 i sal M 204, Högskolan i Borås.

Från abstractet:

“The aim of the thesis was to develop and evaluate a Computerised Decision Support System (CDSS) for use in pre-hospital care. The thesis was guided by a theoretical framework for developing and evaluating a complex intervention. The four studies used different designs and methods. The first study was a systematic review of randomised controlled trials. The second and the last studies had experimental and quasi-experimental designs, where the CDSS was evaluated in a simulation setting and in a clinical setting. The third study included in the thesis had a qualitative case study design. The main findings from the studies in the thesis were that there is a weak evidence base for the use of CDSS in pre-hospital care. No studies have previously evaluated the effect of CDSS in pre-hospital care. Due to the context, pre-hospital care is dependent on protocol-based care to be able to deliver safe, high-quality care. The physical format of the current paper based guidelines and protocols are the main obstacle to their use. There is a request for guidelines and protocols in an electronic format among both clinicians and leaders of the ambulance organisations. The use of CDSS in the pre-hospital setting has a positive effect on compliance with pre-hospital guidelines. The largest effect is in the primary survey and in the anamnesis of the patient. The CDSS also increases the amount of information collected in the basic pre-hospital assessment process. The evaluated CDSS had a limited effect on on-the-scene time. The developed and evaluated CDSS has the ability to increase pre-hospital patient safety by reducing the risks of cognitive bias. Standardising the assessment process, enabling explicit decision support in the form of checklists, assessment rules, differential diagnosis lists and rule out worst-case scenario strategies, reduces the risk of premature closure in the assessment of the pre-hospital patient.”

Pieta Eklund

Monica Lassi vid Bibliotekshögskolan spikade sin avhandling Facilitating collaboration: Exploring a socio-technical approach to the design of a collaboratory for library and information science idag. Disputationen sker den 11 juni i E310 kl 1315-1530. Opponenten är professor Hazel Hall, Edinburgh Napier University, UK.

Avhandlingens korta sammanfattning:

“The thesis explores the potential of one way of facilitating and stimulating collaboration in Library and Information Science (LIS), through a specific scientific collaboration activity: creating, sharing and reusing data collection instruments, such as interview guides, questionnaires, and observation protocols. The four studies reported in the thesis can be read as a linear narrative, each study building on the previous and contributing to the following ones. Together the four studies describe the process exploring social and contextual aspects of LIS; developing requirements and designing a working prototype collaboratory; and evaluating how the prototype collaboratory was perceived by LIS professionals. Overall, the results show that whereas the benefits of an LIS collaboratory reported by the study participants focused on the greater good for LIS, the challenges reported focused on the individuals’ perspectives. Hence, a tension exists between supporting the greater good, and challenges for individuals concerning sharing and reusing data collection instruments in an LIS collaboratory. The thesis emphasizes the implications for the LIS discipline when new ways of working with data collection instruments would be introduced; the implications of addressing needs of a diverse target audience; and the implications for further design iterations of an LIS collaboratory, including rewarding contributions, and ensuring quality content in a collaboratory.”

Pieta Eklund