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  • Bakunzibake, Pierre
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Improving Implementation of e-Government Services in Rwanda: An Organisational Perspective2019Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    As part of realising development programmes faster, developing countries have been adopting, from developed ones, modern ICTs and implementing e-government towards better public services. However, efforts of implementation of e-government services have been often resulting in unsatisfactory outcomes and even total failures. This is a big challenge particularly for Least Developed Countries which have fewer resources. Such outcomes are partly due to the lack of addressing organisational issues associated with implementations.

    This thesis addresses the question: How can the implementation of e-government services be improved from an organisational perspective in the context of Rwanda?

    The thesis adopts a socio-technical perspective and uses both qualitative case study methodology and a literature review approach. Two cases of implementation of e-government services were studied. The first case, an Enterprise Content Management system concerns the sharing and working on digital documents within government agencies. The second case, the onestop e-government is for providing online services by the central and local government agencies to the general public via a single portal, ‘Irembo’. This thesis shows that implementation of e-government services has been focusing on digitalisation of services superimposing ICT over existing structures with less attention to organisational change issues related to processes, organisational structure and policies. The thesis also identifies a deficit in implementation processes in terms of lacking clear goals and formal monitoring in the local government. Those insights on the implementation of e-government services of an LDC pinpoint a need for optimisation between technical and social aspects. This thesis makes an empirical contribution by bringing forth those insights. In order to help tackle a number of challenging issues found, a comprehensive model for improving the process of implementing e-government services, called Plan-Do-Evaluate-Resolve (PDER) was developed as a theoretical contribution based on a literature analysis.

    Delarbeid
    1. E-Government Implementation in Developing Countries: Enterprise Content Management in Rwanda
    Åpne denne publikasjonen i ny fane eller vindu >>E-Government Implementation in Developing Countries: Enterprise Content Management in Rwanda
    2016 (engelsk)Inngår i: Electronic Government and Electronic Participation, Amsterdam: IOS Press, 2016, s. 251-259Konferansepaper, Publicerat paper (Fagfellevurdert)
    Abstract [en]

    E-Government is now on the rise in developing countries. While developing countries can "leapfrog" technology generations, the necessary organizational change is another matter. In industrialized countries technical systems have been developed over long time in parallel with institutional development; developing countries hope to make that journey faster. Most of the e-Government implementation research focuses on developed countries. It is important to explore the relation between the literature and the findings in the context of developing countries as to come up with a gap to reduce. An interview study with 56 people in 10 government organizations involved in implementing a government-wide enterprise content management system was conducted to find out how critical success factors found in literature on implementation of information management systems relate to the situation in the Rwanda public sector to discover the step forward in Rwanda. We find a large gap between expectations and results due to a strong focus on the technical tool and little concerns about issues related to organizational change.

    sted, utgiver, år, opplag, sider
    Amsterdam: IOS Press, 2016
    Serie
    Innovation and the Public Sector, ISSN 1871-1073 ; 23
    Emneord
    e-Government, Implementation, ECM, Developing countries, Rwanda
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-53017 (URN)10.3233/978-1-61499-670-5-251 (DOI)000383380900026 ()978-1-61499-670-5 (ISBN)978-1-61499-669-9 (ISBN)
    Konferanse
    15th IFIP Electronic Government (EGOV) / 8th Electronic Participation (ePart) Conference, Univ Minho, Guimaraes, Portugal, September 5-8, 2016
    Tilgjengelig fra: 2016-10-18 Laget: 2016-10-18 Sist oppdatert: 2019-05-17bibliografisk kontrollert
    2. Organisational Challenges in the Implementation of ‘one-stop’ e-Government in Rwanda
    Åpne denne publikasjonen i ny fane eller vindu >>Organisational Challenges in the Implementation of ‘one-stop’ e-Government in Rwanda
    2019 (engelsk)Inngår i: Electronic Journal of e-Government, ISSN 1479-439X, E-ISSN 1479-439X, Vol. 17, nr 1, s. 1-19Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    One-stop e-government holds potential benefits in all contexts and especially in the context of developing countries and in the Least Developed Countries (LDCs). Implementation of one-stop e-government can be challenging as it normally requires addressing a number of organisational issues including those related to the integration of the individual government information systems of different departments which traditionally function as silos; tackling organisational issues can be difficult due to the nature of the public sector. However, the contemporary literature paints a picture of scarce research on the organisational issues that impede the implementation of one-stop e-government initiatives in LDCs. This paper explores the organisational issues underlying the implementation of ‘one-stop’ e-government initiatives in Rwanda, an LDC. The study explores the status of these elements as of and up to March 2017. The qualitative case study methodology used for this study involved data collection by means of documents and interviews with key managers from central government organisations, from a private company, and from local government service clerks. Template analysis was used as a method for data analysis. Even though the number of online services for citizens, businesses, and other agencies is growing rapidly and easy payment of service fees is available, a number of organisational issues were identified. These include the lack of a clear plan of ‘to-be’ service processes and a corresponding change management strategy. Service re-design was taking place very much ad hoc. There were also unclear systematic organisational learning mechanisms and unclear operational goals in the local government. Addressing these issues would contribute towards improving the implementation of one-stop e-government and its corresponding services in such a context. The paper contributes to research by providing insights into organisational issues in a country currently in an early stage of e-government development. For Rwandan e-government professionals, the paper suggests a way forward. It also helps decision makers in Rwanda and similar countries undertaking one-stop initiatives to understand the problem context of actions taken towards IT-driven institutional reform.

    sted, utgiver, år, opplag, sider
    Academic Conferences Limited, 2019
    Emneord
    One-stop e-government, e-government organisational challenges, Rwanda
    HSV kategori
    Forskningsprogram
    Informatik
    Identifikatorer
    urn:nbn:se:oru:diva-73592 (URN)
    Prosjekter
    Rwanda e-government project
    Tilgjengelig fra: 2019-04-09 Laget: 2019-04-09 Sist oppdatert: 2019-06-13bibliografisk kontrollert
    3. E-government implementation and monitoring: The case of Rwanda ‘one-stop’ E-government
    Åpne denne publikasjonen i ny fane eller vindu >>E-government implementation and monitoring: The case of Rwanda ‘one-stop’ E-government
    2019 (engelsk)Inngår i: Electronic Journal of Information Systems in Developing Countries, ISSN 1681-4835, E-ISSN 1681-4835Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
    Abstract [en]

    Taking the case of the “one‐stop” e‐government initiative in Rwanda, the present study aims to find out how the “one‐stop” e‐government initiative is monitored at different government levels and stages and the extent to which the initiative is monitored. Furthermore, the study also aims to identify potential areas for improvement in the monitoring process. An exploratory qualitative study was undertaken in Rwandana gencies. The findings show that the monitoring of the process of implementing and improving one‐stop e‐government is partly formal at central government level and informal at local government level. Furthermore, the focus of the monitoring at the stage of use and maintenance leans more towards the benefits of end users as service consumers than those of the service providers. Incorporating formal methodological approaches at local government level and in all stages of the implementation and improvement process at central government level, as well as paying increased attention to back‐end process performance aspects, could introduce additional improvements into the monitoring practice and, in turn, increase project benefits.

    sted, utgiver, år, opplag, sider
    John Wiley & Sons, 2019
    Emneord
    E‐government implementation, evaluation, monitoring, one‐stop e‐government, Rwanda
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-70145 (URN)10.1002/isd2.12086 (DOI)
    Tilgjengelig fra: 2018-11-12 Laget: 2018-11-12 Sist oppdatert: 2019-06-13bibliografisk kontrollert
    4. E-Government Implementation Process in Rwanda: Exploring Changes in a Socio-technical Perspective
    Åpne denne publikasjonen i ny fane eller vindu >>E-Government Implementation Process in Rwanda: Exploring Changes in a Socio-technical Perspective
    2019 (engelsk)Inngår i: Business Systems Research Journal, ISSN 1847-8344, E-ISSN 1847-9375, Vol. 10, nr 1, s. 53-73Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Failures in e-government projects to deliver expected results are frequent in the context of developing countries. These are partly attributed to the lack of balanced attention to both technical and social aspects in the implementation. However, there has been limited research on these aspects in the least Developed Countries.

    Objectives: Taking a socio-technical perspective, this study aims at exploring the extent of changes and effects in the implementation of e-government service-oriented initiatives in Rwanda, one of the Least Developed Countries.

    Methods/Approach: An empirical investigation was conducted, via interviews at 8 agencies during the period from January 2017 to May 2018. This involved two case projects, an Enterprise Content Management System and a One-Stop e-government system. Furthermore, government documents and online material were analyzed.

    Results: A number of changes in technology, processes and people aspects were faced in both projects. However, those changes are coupled with secondary effects; there is a need for a better fit between technical systems and social systems of organizations implementing e-government; a larger gap was identified in the first case project.

    Conclusions: Addressing the issues as a socio-technical system would contribute to improved work systems of agencies and better services.

    sted, utgiver, år, opplag, sider
    De Gruyter Open, 2019
    Emneord
    e-Government implementation, enterprise content management, ‘one-stop’ e-government, Rwanda, socio-technical theory
    HSV kategori
    Forskningsprogram
    Informatik
    Identifikatorer
    urn:nbn:se:oru:diva-73686 (URN)10.2478/bsrj-2019-0005 (DOI)000467633400005 ()2-s2.0-85065835760 (Scopus ID)
    Prosjekter
    Rwanda e-government project
    Tilgjengelig fra: 2019-04-12 Laget: 2019-04-12 Sist oppdatert: 2019-06-19bibliografisk kontrollert
    5. A Model for Process Improvement in the Implementation of e-Government Services: Plan-Do-Evaluate-Resolve (PDER)
    Åpne denne publikasjonen i ny fane eller vindu >>A Model for Process Improvement in the Implementation of e-Government Services: Plan-Do-Evaluate-Resolve (PDER)
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-74297 (URN)
    Tilgjengelig fra: 2019-05-17 Laget: 2019-05-17 Sist oppdatert: 2019-05-17bibliografisk kontrollert
  • Bakunzibake, Pierre
    et al.
    Örebro universitet, Handelshögskolan vid Örebro Universitet. University of Rwanda, Rwanda.
    Grönlund, Åke
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Klein, Gunnar O.
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Organisational Challenges in the Implementation of ‘one-stop’ e-Government in Rwanda2019Inngår i: Electronic Journal of e-Government, ISSN 1479-439X, E-ISSN 1479-439X, Vol. 17, nr 1, s. 1-19Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    One-stop e-government holds potential benefits in all contexts and especially in the context of developing countries and in the Least Developed Countries (LDCs). Implementation of one-stop e-government can be challenging as it normally requires addressing a number of organisational issues including those related to the integration of the individual government information systems of different departments which traditionally function as silos; tackling organisational issues can be difficult due to the nature of the public sector. However, the contemporary literature paints a picture of scarce research on the organisational issues that impede the implementation of one-stop e-government initiatives in LDCs. This paper explores the organisational issues underlying the implementation of ‘one-stop’ e-government initiatives in Rwanda, an LDC. The study explores the status of these elements as of and up to March 2017. The qualitative case study methodology used for this study involved data collection by means of documents and interviews with key managers from central government organisations, from a private company, and from local government service clerks. Template analysis was used as a method for data analysis. Even though the number of online services for citizens, businesses, and other agencies is growing rapidly and easy payment of service fees is available, a number of organisational issues were identified. These include the lack of a clear plan of ‘to-be’ service processes and a corresponding change management strategy. Service re-design was taking place very much ad hoc. There were also unclear systematic organisational learning mechanisms and unclear operational goals in the local government. Addressing these issues would contribute towards improving the implementation of one-stop e-government and its corresponding services in such a context. The paper contributes to research by providing insights into organisational issues in a country currently in an early stage of e-government development. For Rwandan e-government professionals, the paper suggests a way forward. It also helps decision makers in Rwanda and similar countries undertaking one-stop initiatives to understand the problem context of actions taken towards IT-driven institutional reform.

  • Shiraz, A.
    et al.
    Department of Electronic and Electrical Engineering, University College London, London, United Kingdom.
    Khodadad, Davood
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Nordebo, S.
    Department of Physics and Electrical Engineering, Linnaeus University, Växjö, Sweden.
    Yerworth, R.
    Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom.
    Frerichs, I.
    Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Schleswig-Holstein, Kiel, Germany.
    van Kaam, A.
    Department of Neonatology, Emma Children’s Hospital, Academic Medical Center, Amsterdam, The Netherlands; Department of Neonatology, VU Medical Center, Amsterdam, The Netherlands.
    Kallio, M.
    PEDEGO Research Unit, Medical Research Center Oulu, University of Oulu, Oulu, Finland; Department of Children and Adolescents, Oulu University Hospital, Finland.
    Papadouri, T.
    Bayford, R.
    Department of Electronic and Electrical Engineering, University College London, London, United Kingdom.
    Demosthenous, A.
    Department of Electronic and Electrical Engineering, University College London, London, United Kingdom.
    Compressive sensing in electrical impedance tomography for breathing monitoring2019Inngår i: Physiological Measurement, ISSN 0967-3334, E-ISSN 1361-6579, Vol. 40, nr 3, artikkel-id 034010Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Electrical impedance tomography (EIT) is a functional imaging technique in which cross-sectional images of structures are reconstructed based on boundary trans-impedance measurements. Continuous functional thorax monitoring using EIT has been extensively researched. Increasing the number of electrodes, number of planes and frame rate may improve clinical decision making. Thus, a limiting factor in high temporal resolution, 3D and fast EIT is the handling of the volume of raw impedance data produced for transmission and its subsequent storage. Owing to the periodicity (i.e. sparsity in frequency domain) of breathing and other physiological variations that may be reflected in EIT boundary measurements, data dimensionality may be reduced efficiently at the time of sampling using compressed sensing techniques. This way, a fewer number of samples may be taken.

    Approach: Measurements using a 32-electrode, 48-frames-per-second EIT system from 30 neonates were post-processed to simulate random demodulation acquisition method on 2000 frames (each consisting of 544 measurements) for compression ratios (CRs) ranging from 2 to 100. Sparse reconstruction was performed by solving the basis pursuit problem using SPGL1 package. The global impedance data (i.e. sum of all 544 measurements in each frame) was used in the subsequent studies. The signal to noise ratio (SNR) for the entire frequency band (0 Hz–24 Hz) and three local frequency bands were analysed. A breath detection algorithm was applied to traces and the subsequent error-rates were calculated while considering the outcome of the algorithm applied to a down-sampled and linearly interpolated version of the traces as the baseline.

    Main results: SNR degradation was generally proportional with CR. The mean degradation for 0 Hz–8 Hz (of interest for the target physiological variations) was below ~15 dB for all CRs. The error-rates in the outcome of the breath detection algorithm in the case of decompressed traces were lower than those associated with the corresponding down-sampled traces for CR  ⩾  25, corresponding to sub-Nyquist rate for breathing frequency. For instance, the mean error-rate associated with CR  =  50 was ~60% lower than that of the corresponding down-sampled traces.

    Significance: To the best of our knowledge, no other study has evaluated the applicability of compressive sensing techniques on raw boundary impedance data in EIT. While further research should be directed at optimising the acquisition and decompression techniques for this application, this contribution serves as the baseline for future efforts.

  • Quennerstedt, Ann ()
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Quennerstedt, Ann ()
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Tellgren, Britt ()
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Brantefors, Lotta ()
    Uppsala universitet, Uppsala.
    Thelander, Nina ()
    Karlstads universitet, Karlstad.
    Att undervisa om barns mänskliga rättigheter i förskolan och skolan: Utbildningens syften, innehåll och arbetsmetoder2019Rapport (Fagfellevurdert)
    Abstract [sv]

    Med startpunkt i växthusmetaforen har projektet utforskat utbildning som en plats där barn och unga utvecklas som innehavare och utövare av mänskliga rättigheter. Utifrån en didaktisk forskningsansats har projektets centrala vetenskapliga intresse varit att undersöka syften, innehåll och arbetssätt i undervisning och lärande om barns mänskliga rättigheter, i förskolan och grundskolan. I föreliggande rapport behandlas och besvaras forskningsfrågorna:

    -       Vilka syften vill man nå genom undervisning om barns mänskliga rättigheter? Vad är innehållet i undervisning om, i och genom mänskliga rättigheter och vilka arbetsmetoder används?

     

    För att besvara dessa frågor genomfördes klassrumsforskning i fyra åldersgrupper: förskolan och grundskolans tidiga, mellan- och sena år. Forskarna studerade undervisning om barns mänskliga rättigheter, och data skapades genom intervjuer med lärare och barn samt genom observationer av pågående undervisning. En didaktisk analys gjordes av materialet, med stöd av ett analysredskap som utvecklades ifrån de tre didaktiska frågorna varför, vad och hur.

     

    I rapporten ges först en bakgrund till förskolans och skolans uppdrag att utbilda barn och unga i och om mänskliga rättigheter. Utbildning för mänskliga rättigheter introduceras och placeras i svensk politik- och läroplanskontext. Tidigare utbildningsforskning om barns rättigheter och utbildning för mänskliga rättigheter beskrivs, och studiens teoretiska och metodologiska ramverk redovisas. Därefter presenteras resultaten från projektets fyra delstudier, var och en från en specifik åldersgrupp. I det sista kapitlet görs en sammanfattande analys och det samlade resultatet diskuteras.

  • Lidskog, Rolf
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap. Environmental Sociology Section.
    Johansson, Johanna
    School of Natural Sciences, Technology and Environmental Studies, Södertörn University, Huddinge, Sweden.
    Sjödin, Daniel
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap. Environmental Sociology Section.
    Wildfires, responsibility and trust: public understanding of Sweden’s largest wildfire2019Inngår i: Scandinavian Journal of Forest Research, ISSN 0282-7581, E-ISSN 1651-1891Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Wildfires present a growing risk to many countries, and climate change is likely to exacerbate this risk. This study analyzes how people directly affected by a wildfire understand its causes and consequences, as well as the future risk of wildfires. The point of departure is that social understanding of wildfires has an important influence on the consequences that emerge in the wake of a wildfire. The empirical case analyzed here is the largest forest fire in modern Swedish history, and the material basis of the study is a postal survey to all individuals directly affected by the fire. The results revealed a complex picture of the respondents’ understanding of the wildfire. Even if the fire was human caused, there was little blame toward forest companies and fire departments. Many positive consequences, such as a long-term increase in biodiversity, were attached to the disaster, and there was a belief that organizations will learn from it and take action to limit wildfires in the future. Simultaneously, the majority of the respondents believed that climate change may lead to an increased risk of forest fires in the future. These findings illustrate the complexity of people's perceptions of the fire and its aftermath.

  • Axelsson, Tobias
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    När män möts som pappor: Fadrandets politik och praktik i det jämställda och pappavänliga Sverige2019Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    This thesis analyses how fathering is done and how fathers are constructed through the separate organising of men as fathers in meeting places for fathers on parental leave in Sweden. The study is located within the Swedish gender regime, characterised by its dual-earner/dual-carer model, progressive parenthood and daddy politics, and universally-oriented parenting support, making it a relatively gender-equal and father-friendly society.

    Theoretically and methodologically, the thesis draws on a feminist perspective. It uses ‘doing gender’ theory, and is informed by critical realism. The material is based on 25 observations at two fathering spaces, seven semi-structured interviews with fathers, and six policy documents on parenting support. Qualitative content analysis is used to analyse the material.

    The findings show: first, meeting places for fathers on parental leave can be understood as fathering spaces. Second, these fathering spaces are child-oriented settings and constitute somewhat of an exception within gender-neutral gender regimes. Third, fathering spaces function as transitional sites in which fathers manage different aspects of responsibility and relations to their own selves, to children, to mothers, and to other fathers. Fourth, three approaches to separate organising of men as fathers are identified: a) anti-separate; b) pro-separate; and c) gender paradoxical. The identified arguments for separate organising can be located along two parallel continua: one that stretches from individual to collective argumentation, and another that stretches from general to gender-specific argumentation.

    The thesis contributes to research on childcare and masculinities, and fathers’ experiences of parental leave, and to knowledge about separate organising of men as fathers. It also contributes to research and policy debates on daddy politics and parenting support by critically discussing fathering in terms of autonomy, dependence, and masculinity politics.

  • Torpsten, Ann-Christin
    et al.
    Linnæus University, Växjö, Sweden.
    Warren, Anne Reath
    Stockholm University, Stockholm, Sweden.
    Straszer, Boglárka
    Dalarna University, Borlänge, Sweden.
    Lindahl, Camilla
    Stockholm University, Stockholm, Sweden.
    Siekkinen, Frida
    University of Gothenburg, Gothenburg, Sweden.
    Svensson, Gudrun
    Linnæus University, Växjö, Sweden.
    Rosén, Jenny
    Dalarna University, Borlänge, Sweden; Stockholm University, Stockholm, Sweden.
    Allard, Karin
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Wedin, Åsa
    Dalarna University, Borlänge, Sweden.
    Transspråkande: en holistisk syn på språk, språkanvändning och språkdidaktik2016Inngår i: Lisetten, ISSN 1101-5128, nr 2, s. 32-33Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • Kardeby, Caroline
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Studies of platelet signalling and endothelial cell responses using unique synthetic drugs2019Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Haemostasis is a complex and tightly regulated process which protects us from bleeding. Platelets are essential for maintained haemostasis. Under normal conditions platelets are calmed by antithrombotic substances release by the endothelium. During vascular injury, the platelets will activate and form a haemostatic plug to prevent bleeding. Inflammatory processes like atherosclerosis can disturb the haemostatic balance and lead to severe consequences like myocardial infarction and stroke. Inhibition of platelets and coagulation are common treatments to prevent unwanted blood clot formation. There is a great need for increased knowledge on the mechanisms of thrombosis and characterisation of new substances with possible therapeutic potential. This thesis used unique synthetic drugs to study platelet signalling and endothelial responses. Paper I showed that both sulfated polysaccharides from seaweed and synthetic glycopolymers which mimic their chemical properties caused platelet activation.

    Paper II elucidated the molecular mechanism underlying platelet activation by sulfated glycopolymers and polysaccharides. We found that human platelet activation took place via the Platelet endothelial aggregation receptor 1 (PEAR1), while mouse platelet activation was mainly via C-type lectin-like receptor 2. Aggregation was supported by Glycoprotein Ibα in both species.

    Paper III showed the effect of synthetic glycopolymers and natural polysaccharides on cultured human endothelial cells. We found that both the glycopolymers and polysaccharides caused a proinflammatory response after 24h.

    In Paper IV, the effect of a synthetic purine analogue with a nitrate ester motif was studied. We found that the purine analogue reduced platelet functions by inhibiting Rho-associated protein kinase (ROCK).

    This thesis describes unique synthetic drugs that can be used for further studies of the mechanisms underlying the biological processes of thrombosis and inflammation. The synthetic glycopolymers can be used to further elucidate the physiological role of PEAR1, a potential future therapeutic target.

    Delarbeid
    1. Fucoidan-Mimetic Glycopolymers as Tools for Studying Molecular and Cellular Responses in Human Blood Platelets
    Åpne denne publikasjonen i ny fane eller vindu >>Fucoidan-Mimetic Glycopolymers as Tools for Studying Molecular and Cellular Responses in Human Blood Platelets
    Vise andre…
    2017 (engelsk)Inngår i: Macromolecular Bioscience, ISSN 1616-5187, E-ISSN 1616-5195, Vol. 17, nr 2, artikkel-id UNSP 1600257Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The marine sulfated polysaccharide fucoidan displays superior ability to induce platelet aggregation compared to other sulfated polysaccharides. As such, it is an attractive tool for studying molecular and cellular responses in activated platelets. The heterogeneous structure, however, poses a problem in such applications. This study describes the synthesis of sulfated α-l-fucoside-pendant poly(methacryl amides) with homogeneous structures. By using both thiol-mediated chain transfer and reversible addition-fragmentation chain transfer polymerization techniques, glycopolymers with different chain lengths are obtained. These glycopolymers show platelet aggregation response and surface changes similar to those of fucoidan, and cause platelet activation through intracellular signaling as shown by extensive protein tyrosine phosphorylation. As the platelet activating properties of the glycopolymers strongly mimic those of fucoidan, this study concludes these fucoidan-mimetic glycopolymers are unique tools for studying molecular and cellular responses in human blood platelets.

    sted, utgiver, år, opplag, sider
    Weinheim, Germany: Wiley-VCH Verlagsgesellschaft, 2017
    Emneord
    biological applications of polymers; biomimetic; radical polymerization; reversible addition fragmentation chain transfer; structure-property relations
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-52179 (URN)10.1002/mabi.201600257 (DOI)000394592600012 ()27616165 (PubMedID)2-s2.0-84987653303 (Scopus ID)
    Merknad

    Funding Agency:

    AFA Insurance, VR Treatments of the Future grant

    Tilgjengelig fra: 2016-09-21 Laget: 2016-09-14 Sist oppdatert: 2019-05-06bibliografisk kontrollert
    2. Synthetic glycopolymers and natural fucoidans cause human platelet aggregation via PEAR1 and GPIbα
    Åpne denne publikasjonen i ny fane eller vindu >>Synthetic glycopolymers and natural fucoidans cause human platelet aggregation via PEAR1 and GPIbα
    Vise andre…
    2019 (engelsk)Inngår i: Blood advances, ISSN 2473-9529, Vol. 3, nr 3, s. 275-287Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Fucoidans are sulfated fucose-based polysaccharides that activate platelets and have pro- and anticoagulant effects; thus, they may have therapeutic value. In the present study, we show that 2 synthetic sulfated α-l-fucoside-pendant glycopolymers (with average monomeric units of 13 and 329) and natural fucoidans activate human platelets through a Src- and phosphatidylinositol 3-kinase (PI3K)-dependent and Syk-independent signaling cascade downstream of the platelet endothelial aggregation receptor 1 (PEAR1). Synthetic glycopolymers and natural fucoidan stimulate marked phosphorylation of PEAR1 and Akt, but not Syk. Platelet aggregation and Akt phosphorylation induced by natural fucoidan and synthetic glycopolymers are blocked by a monoclonal antibody to PEAR1. Direct binding of sulfated glycopolymers to epidermal like growth factor (EGF)-like repeat 13 of PEAR1 was shown by avidity-based extracellular protein interaction screen technology. In contrast, synthetic glycopolymers and natural fucoidans activate mouse platelets through a Src- and Syk-dependent pathway regulated by C-type lectin-like receptor 2 (CLEC-2) with only a minor role for PEAR1. Mouse platelets lacking the extracellular domain of GPIbα and human platelets treated with GPIbα-blocking antibodies display a reduced aggregation response to synthetic glycopolymers. We found that synthetic sulfated glycopolymers bind directly to GPIbα, substantiating that GPIbα facilitates the interaction of synthetic glycopolymers with CLEC-2 or PEAR1. Our results establish PEAR1 as the major signaling receptor for natural fucose-based polysaccharides and synthetic glycopolymers in human, but not in mouse, platelets. Sulfated α-l-fucoside-pendant glycopolymers are unique tools for further investigation of the physiological role of PEAR1 in platelets and beyond.

    sted, utgiver, år, opplag, sider
    American Society of Hematology, 2019
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-72478 (URN)10.1182/bloodadvances.2018024950 (DOI)000458442500007 ()30700416 (PubMedID)2-s2.0-85060943358 (Scopus ID)
    Forskningsfinansiär
    Knowledge Foundation
    Merknad

    Funding Agencies:

    BHF  PG/16/53/32242  RG/13/18/30563 

    Deutsche Forschungsgemeinschaft  DFG: Eb 177/14-1 

    Fonds voor Wetenschappelijk Onderzoek Vlaanderen grant  G0A6514N 

    Tilgjengelig fra: 2019-02-14 Laget: 2019-02-14 Sist oppdatert: 2019-06-18bibliografisk kontrollert
    3. Sulfated glycopolymers and polysaccharides regulate inflammation-related proteins in human vascular endothelial cells
    Åpne denne publikasjonen i ny fane eller vindu >>Sulfated glycopolymers and polysaccharides regulate inflammation-related proteins in human vascular endothelial cells
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-74033 (URN)
    Tilgjengelig fra: 2019-05-06 Laget: 2019-05-06 Sist oppdatert: 2019-05-06bibliografisk kontrollert
    4. A novel purine analogue bearing nitrate ester prevents platelet activation by ROCK activity inhibition
    Åpne denne publikasjonen i ny fane eller vindu >>A novel purine analogue bearing nitrate ester prevents platelet activation by ROCK activity inhibition
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-74034 (URN)
    Tilgjengelig fra: 2019-05-06 Laget: 2019-05-06 Sist oppdatert: 2019-05-06bibliografisk kontrollert
  • Santini, Marina
    et al.
    RISE Research Institutes of Sweden, Sweden.
    Jönsson, Arne
    RISE Research Institutes of Sweden, Sweden; Linköping University, Sweden.
    Strandqvist, Wiktor
    RISE Research Institutes of Sweden, Sweden; Linköping University, Sweden.
    Cederblad, Gustav
    Linköping University, Sweden.
    Nyström, Mikael
    RISE Research Institutes of Sweden, Sweden; Linköping University, Sweden.
    Alirezaie, Marjan
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Lind, Leili
    RISE Research Institutes of Sweden, Sweden; Linköping University, Sweden.
    Blomqvist, Eva
    RISE Research Institutes of Sweden, Sweden; Linköping University, Sweden.
    Lindén, Maria
    Mälardalen University, Sweden.
    Kristoffersson, Annica
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Designing an Extensible Domain-Specific Web Corpus for “Layfication”: A Case Study in eCare at Home2019Inngår i: Cyber-Physical Systems for Social Applications / [ed] Maya Dimitrova (Bulgarian Academy of Sciences, Bulgaria) and Hiroaki Wagatsuma (Kyushu Institute of Technology, Japan), Hershey, PA, USA: IGI Global, 2019, s. 98-155Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    In the era of data-driven science, corpus-based language technology is an essential part of cyber physical systems. In this chapter, the authors describe the design and the development of an extensible domain-specific web corpus to be used in a distributed social application for the care of the elderly at home. The domain of interest is the medical field of chronic diseases. The corpus is conceived as a flexible and extensible textual resource, where additional documents and additional languages will be appended over time. The main purpose of the corpus is to be used for building and training language technology applications for the “layfication” of the specialized medical jargon. “Layfication” refers to the automatic identification of more intuitive linguistic expressions that can help laypeople (e.g., patients, family caregivers, and home care aides) understand medical terms, which often appear opaque. Exploratory experiments are presented and discussed.

  • Johnstone, Leanne
    Örebro universitet, Handelshögskolan vid Örebro Universitet. Department of Business Administration.
    Theorising and conceptualising the sustainability control system for effective sustainability management2019Inngår i: Journal of Management Control, ISSN 2191-4761, E-ISSN 2191-477X, Vol. 30, nr 1, s. 25-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This conceptual paper explores the iterative relationship between system design and use for the development process of sustainability control systems (SCS). Buildingupon Adler and Borys’ seminal framework (Adm Sci Q 41(4):61–89, 1996) as ananalytical tool, it suggests that SCS are characteristically distinct, and more researchinto the dual role of control (i.e. control over based on system design and controlin situ based on system use by the individual user) is necessary for future theorisations of the SCS. It poses that for sustainable futures that extend beyond organisational boundaries, more attention is required on individual general employees inmanagement accounting and control frameworks as instrumental for performanceoutcomes. To this end, individual values, borne from the extra-organisational context,are considered important alongside organisational ones for the developmentof SCS. Thus, the paper bridges perspectives on system characteristics, the individualand performance outcomes by offering a theoretical framework for futureresearch. It also extends studies on accounting as a social practice by emphasising the extra-organisational factors that influence internal accounting systems. Finally,it expounds upon the notion of social control as an individual-level phenomenon,necessary for sustainability. This expanded theoretical perspective also has implicationsfor practice by encouraging managers to think strategically about how systems are received from the perspective of the user. This can encourage more commitment to the sustainability cause from the outset, as well as over spatial and temporal boundaries.

  • Göras, Camilla
    Örebro universitet, Institutionen för hälsovetenskaper.
    Open the door to complexity: Safety climate and work processes in the operating room2019Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    A complex adaptive system such as the operating room (OR), consists of different safety cultures, sub-cultures and ways of working. When measuring, a strong safety climate has been associated with lower rates of surgical complications. Teamwork is an important factor of safety climate. Discrepancies among professionals’ perceptions of teamwork climate exists. Hence it seems crucial to explore if diversity exists in the perception of factors related to safety climate and between managers and front-line staff in the OR. Complex work processes including multitasking and interruptions are other challenges with potential effect on patient safety. However, multitasking and interruptions may have positive impact on patient safety, but are not well understood in clinical work. Despite challenges a lot of things go well in the OR. Thus, the overall aim of this thesis was to evaluate an instrument for assessing safety climate, to describe and compare perceptions of safety climate, and to explore the complexity of work processes in the OR.

    To evaluate the Safety Attitudes Questionnaire-operating room (SAQ-OR) version and elicit estimations of the surgical team a cross-sectional study design was used. How work was done was studied by observations using the Work Observation Method by Activity Timing and by group interviews with OR professionals.

    The results show that the SAQ-OR is a relatively acceptable instrument to assess perceptions of safety climate within Swedish ORs. OR professionals´ perceptions of safety climate showed variations and some weak areas which cohered fairly well with managers' estimations. Work in the OR was found to be complex and consisting of multiple tasks where communication was most frequent. Multitasking and interruptions, mostly followed by communication, were common. This reflects interactions and adaptations common for a complex adaptive system. Managing complexity and creating safe care in the OR was described as a process of planning and preparing for the expected and preparedness to be able to adapt to the unexpected.

    Delarbeid
    1. Swedish translation and psychometric testing of the safety attitudes questionnaire (operating room version)
    Åpne denne publikasjonen i ny fane eller vindu >>Swedish translation and psychometric testing of the safety attitudes questionnaire (operating room version)
    2013 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 13, artikkel-id 104Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Tens of millions of patients worldwide suffer from avoidable disabling injuries and death every year. Measuring the safety climate in health care is an important step in improving patient safety. The most commonly used instrument to measure safety climate is the Safety Attitudes Questionnaire (SAQ). The aim of the present study was to establish the validity and reliability of the translated version of the SAQ.

    Methods: The SAQ was translated and adapted to the Swedish context. The survey was then carried out with 374 respondents in the operating room (OR) setting. Data was received from three hospitals, a total of 237 responses. Cronbach's alpha and confirmatory factor analysis (CFA) was used to evaluate the reliability and validity of the instrument.

    Results: The Cronbach's alpha values for each of the factors of the SAQ ranged between 0.59 and 0.83. The CFA and its goodness-of-fit indices (SRMR 0.055, RMSEA 0.043, CFI 0.98) showed good model fit. Intercorrelations between the factors safety climate, teamwork climate, job satisfaction, perceptions of management, and working conditions showed moderate to high correlation with each other. The factor stress recognition had no significant correlation with teamwork climate, perception of management, or job satisfaction.

    Conclusions: Therefore, the Swedish translation and psychometric testing of the SAQ (OR version) has good construct validity. However, the reliability analysis suggested that some of the items need further refinement to establish sound internal consistency. As suggested by previous research, the SAQ is potentially a useful tool for evaluating safety climate. However, further psychometric testing is required with larger samples to establish the psychometric properties of the instrument for use in Sweden.

    sted, utgiver, år, opplag, sider
    BioMed Central, 2013
    Emneord
    Patient safety, Operating room, Safety climate, Psychometrics, Translation, Safety attitudes questionnaire
    HSV kategori
    Forskningsprogram
    Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-28904 (URN)10.1186/1472-6963-13-104 (DOI)000317113300001 ()23506044 (PubMedID)2-s2.0-84875072612 (Scopus ID)
    Tilgjengelig fra: 2013-05-06 Laget: 2013-05-03 Sist oppdatert: 2019-05-15bibliografisk kontrollert
    2. The Swedish Safety Attitudes Questionnaire - Operating Room Version: Psychometric Properties in the Surgical Team
    Åpne denne publikasjonen i ny fane eller vindu >>The Swedish Safety Attitudes Questionnaire - Operating Room Version: Psychometric Properties in the Surgical Team
    Vise andre…
    2018 (engelsk)Inngår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, nr 6, s. 935-945Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Purpose: To validate the Swedish Safety Attitudes Questionnaire–operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team.

    Design: Cross-sectional questionnaire study.

    Methods: 541 surgical team members including perioperative nurses, physicians, and licensed practical nurses at three Swedish hospitals were included.

    Findings: For the total sample, the Cronbach’s a for the six factors ranged from 0.51 to 0.76. Goodness-of-fit analyses indicated that the six-factor model was acceptable and the factor loadings were statistically significant. The test of the hypothesized relationships among the factors showed a correlation from 0.936 to 0.042.

    Conclusions: The refined Swedish version of the SAQ-OR is a reasonably reliable and acceptably valid instrument for the measurement of patient safety climate in the surgical team. However, the results related to the different analyses varied among the different professionals and further research, using larger samples, is needed to explore these differences, especially among the physicians.

    sted, utgiver, år, opplag, sider
    Maryland Heights, MO, United States: Elsevier, 2018
    Emneord
    Safety Attitudes Questionnaire, safety climate, operating room, patient safety, psychometrics, surgical team
    HSV kategori
    Forskningsprogram
    Omvårdnadsforskning med medicinsk inriktning
    Identifikatorer
    urn:nbn:se:oru:diva-64024 (URN)10.1016/j.jopan.2017.09.009 (DOI)000450368000017 ()30449442 (PubMedID)2-s2.0-85040001880 (Scopus ID)
    Tilgjengelig fra: 2018-01-10 Laget: 2018-01-10 Sist oppdatert: 2019-04-30bibliografisk kontrollert
    3. Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey
    Åpne denne publikasjonen i ny fane eller vindu >>Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey
    2017 (engelsk)Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, nr 9, artikkel-id e015607Artikkel, forskningsoversikt (Fagfellevurdert) Published
    Abstract [en]

    Background: A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors’ estimations of their staffs’ attitudes to patient safety.

    Methods: A cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate.

    Results: Mean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors’ estimations of their staffs’ ratings of the safety climate cohered fairly well.

    Conclusions: This study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.

    sted, utgiver, år, opplag, sider
    BMJ Publishing Group Ltd, 2017
    HSV kategori
    Forskningsprogram
    Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-59446 (URN)10.1136/bmjopen-2016-015607 (DOI)000412650700060 ()28864690 (PubMedID)2-s2.0-85029118920 (Scopus ID)
    Merknad

    Funding Agency:

    Centre for Clinical Research Dalarna

    Tilgjengelig fra: 2017-09-03 Laget: 2017-09-03 Sist oppdatert: 2019-04-30bibliografisk kontrollert
    4. Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study
    Åpne denne publikasjonen i ny fane eller vindu >>Tasks, multitasking and interruptions among the surgical team in an operating room: a prospective observational study
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-73974 (URN)
    Tilgjengelig fra: 2019-04-30 Laget: 2019-04-30 Sist oppdatert: 2019-04-30bibliografisk kontrollert
    5. Managing complexity in the operating room: a group interview study
    Åpne denne publikasjonen i ny fane eller vindu >>Managing complexity in the operating room: a group interview study
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-73975 (URN)
    Tilgjengelig fra: 2019-04-30 Laget: 2019-04-30 Sist oppdatert: 2019-04-30bibliografisk kontrollert
  • Seiler Brylla, Charlotta
    et al.
    Stockholms universitet, Stockholm, Sverige.
    Westberg, Gustav
    Södertörns högskola, Stockholm, Sverige.
    Wojahn, Daniel
    Södertörns högskola, Stockholm, Sverige.
    C som i kritik: Kritiska perspektiv inom text- och diskursstudier2018Inngår i: Kritiska text- och diskursstudier / [ed] Daniel Wojahn, Charlotta Seiler Brylla, Gustav Westberg, Huddinge: Södertörns högskola , 2018, s. 9-36Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    This article deals with the concept of critique by discussing and tracing theoretical definitions and epistemological implications of critique within three influential fields of discourse studies: Critical Linguistics, Critical Discourse Studies and Discourse Linguistics (Diskurslingvistik). The intention of the article stems from an observation regarding how discourse studies – at least in a Swedish context – tend to align with a critical perspective, yet without explicating it. Consequently, the article examines the following questions: What does it mean to conduct critical studies as a linguist? What traditions and theoretical contexts are the understandings of critique anchored in? What critical traditions have inspired discourse studies in Sweden? Drawing on the conceptual conflict between postmodern notions of knowledge on the one hand and populist and post-truth views on the other, the article concludes by arguing for the contemporary importance of linguistic critique. 

  • Wojahn, Daniel
    et al.
    Södertörns högskola, Stockholm, Sverige.
    Seiler Brylla, Charlotta
    Stockholms universitet, Stockholm, Sverige.
    Westberg, Gustav
    Södertörns högskola, Stockholm, sverige.
    Förord2018Inngår i: Kritiska text- och diskursstudier / [ed] Daniel Wojahn, Charlotta Seiler Brylla, Gustav Westberg, Huddinge: Södertörns högskola , 2018, s. 5-7Kapittel i bok, del av antologi (Annet vitenskapelig)
  • Wojahn, Daniel
    et al.
    Södertörns högskola, Stockholm, Sverige.
    Seiler Brylla, CharlottaWestberg, GustavSödertörns högskola, Stockholm, Sverige.
    Kritiska text- och diskursstudier2018Collection/Antologi (Fagfellevurdert)
    Abstract [sv]

    Hur kan kritik förstås i ett språkvetenskapligt sammanhang? Vad innebär det att inta en kritisk forskarposition som språkvetare? Vad kan man som text- och diskursanalytiker rikta sin kritik mot?

    Denna antologi tar ett samlat och bredare grepp om konceptet kritik inom språkvetenskaplig text- och diskursanalys med ett särskilt fokus på en svenskspråkig kontext. Boken innehåller såväl teoretiska diskussioner av kritikbegreppet som kritiska empiriska analyser. De teoretiska diskussionerna tar sig an kritikbegreppets innebörd, dess historia och vetenskapliga implikationer. Här bidrar bokens artiklar också med teoretiska utvecklingar av kritikbegreppet i relation till exempelvis genre, motdiskurser, tystnad och frånvaro. I de empiriska bidragen analyseras sociala och samhällsrelevanta fenomen såsom feminism, nyliberalism, rasism och propaganda utifrån kritiska perspektiv. De empiriska analyserna bygger på vitt skilda skriftspråkliga såväl som multimodala material. Bland annat presenteras kritiska analyser av nationella prov för gymnasiet, reklam för banker, IKEA-kataloger, vårdprogram för ätstörningar och synen på samiska barns språkundervisning. Boken ger en samlad bild av aktuell kritisk text- och diskursanalytisk forskning och avser även att bidra till den teoretiska utvecklingen av fältet.

  • Volgsten, Ulrik
    Örebro universitet, Musikhögskolan.
    Recension av: Mats Arvidsons An imaginary musical road movie: transmedial semiotic structures in Brad Mehldau’s concept album Highway rider2018Inngår i: Svensk tidskrift för musikforskning, ISSN 0081-9816, Vol. 100, nr 1Artikkel, omtale (Annet vitenskapelig)
  • Moberg, Nadia
    Örebro universitet, Musikhögskolan.
    Academic musicians: How music performance students in Sweden re-/negotiate notions of knowledge and competence2019Inngår i: Nordisk musikkpedagogisk forskning: Årbok, ISSN 1504-5021, Vol. 19, s. 53-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    As a result of reforms across higher education in Sweden, music performance programs have been subject to processes of academization. As professional education programs are located within academic structures, the question of balance between practical and ‘scientific’ knowledge is crucial. Expected learning outcomes at a national level now include statements concerning students’ insight into current research, critical reflection, an ability to formulate new questions and to contribute to the development of subject-specific knowledge. Students find themselves caught in the midst of these changes, where tensions rise between craftsmanship, artistic performance skills and scholarly knowledge. The aim of this study is to investigate how music performance students re-/negotiate notions of knowledge and competence in the light of processes of academization. By using methods associated with critical discourse studies, the specific objective here is to analyse and explain how tensions are discursively manifested as students re-/negotiate notions of knowledge and competence. The result is based on interviews with six master students with a classical music study-orientation at three higher music education institutions in Sweden. Results show that tensions arise primarily from ideas of musical autonomy versus adaption, between what the education provides versus what the labour market demands and between musical craftsmanship versus scholarly tasks. It is argued that ideals within higher education, in general, versus values and traditions associated with a master-apprentice tradition is one source of such tensions, which risk creating a perception of a fragmented education.