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  • Stokland, Håkon B.
    et al.
    Department of Terrestrial Biodiversity, Norwegian Institute for Nature Research, Trondheim, Norway.
    Vadrot, Alice
    Department of Political Science, University of Vienna, Austria.
    Barron, Elizabeth Sanna
    Department of Geography and Social Anthropology, Norwegian University of Science and Technology, Trondheim, Norway.
    Beck, Silke
    Department of Science, Technology and Society (STS)/ TUM School of Social Sciences and Technology, Technical University of Munich, Germany.
    Emery, Marla R.
    United States Forest Service, Research and Development, Burlington, Vermont, USA.
    Lidskog, Rolf
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Maas, Timo
    PBL Netherlands Environmental Assessment Agency, The Hague, the Netherlands; Section of Knowledge, Transformation, and Society, University of Twente, the Netherlands.
    Montana, Jasper
    Centre for the Public Awareness of Science, Australian National University, Australia.
    Sandström, Camilla
    Department of Political Science, Umeå University, Sweden.
    Stenseke, Marie
    Unit for Human Geography, University of Gothenburg, Sweden.
    Stirling, Andy
    Science Policy Research Unit, University of Sussex, United Kingdom.
    Stoett, Peter
    Ontario Tech University, Oshawa, Canada.
    Turnhout, Esther
    Section of Knowledge, Transformation, and Society, University of Twente, the Netherlands.
    Making global environmental assessments fit for future challenges2026Inngår i: Environmental Science and Policy, ISSN 1462-9011, E-ISSN 1873-6416, Vol. 180, artikkel-id 104389Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Global environmental assessments (GEAs) provide authoritative expert knowledge on environmental issues for an international audience. Demand for GEAs is growing rapidly: their number is increasing, and their thematic scope continually expands. At the same time, the environmental, social, and political context in which GEAs operate has changed dramatically over their 50-year history. Anthropogenic environmental problems have worsened significantly, while calls for just and equitable transformations are intensifying. In response, GEAs have begun to shift from primarily diagnosing problems to offering solutions and influencing policy, and more recently, towards supporting sustainability transformations. Assessment bodies increasingly recognize that meeting these novel ambitions requires deeper engagement from social sciences and humanities (SSH). However, efforts to include these disciplines have encountered considerable challenges. In this paper, we argue that for GEAs to effectively engage SSH, they must move beyond the prevailing paradigm of environmental assessment based on objectivity, singularity, and linearity, and instead experiment with the plurality and reflexivity of a broader range of knowledges. Such an approach is essential for advancing transformative societal changes. Achieving this requires fundamental reforms to GEA structures and processes. We propose five critical steps for making GEAs more responsive to emerging challenges and more reflexive about their responsibilities within global governance regimes.

    Fulltekst (pdf)
    Making global environmental assessments fit for future challenges
  • Eriksson, Linnea
    et al.
    Swedish National Road and Transport Research Institute, K2 – Swedish Knowledge Centre for Collective Mobility, Linköping, Sweden.
    Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Overlapping spaces: Planning for the “whole journey” in Swedish public transport2026Inngår i: Journal of Transport Geography, ISSN 0966-6923, E-ISSN 1873-1236, Vol. 134, artikkel-id 104690Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper explores how regional public transport authorities in Sweden interpret and apply the “whole-journey approach” in planning for sustainable mobility. The concept refers to the idea that public transport must be planned as a seamless chain of movements, integrating the entire journey, from departure to arrival, across different modes and environments. Drawing on planning documents and interviews from five non-metropolitan counties, the study shows that, while the whole-journey approach is a shared ambition, its implementation varies in both logic and practice. Two planning logics emerge: one focused on individual users and the seamlessness of their trips, and another oriented around collective service provision through high-capacity transit corridors.

    Building on existing international models, the paper develops a spatial framework identifying four overlapping spaces throughout the journey: information, departure, public transport, and arrival. The analysis finds that public transport authorities have strong control over the information and public transport spaces, concentrating efforts on digital services and integration across operators. However, their influence is limited in the departure and arrival spaces, which depend on co-planning with municipalities and national authorities. This reveals a gap between ambition and institutional capacity.

    The paper concludes that the whole-journey approach is best understood as a flexible planning ideal rather than a fixed method. While it offers a promising framework for linking public transport to land-use planning, its effectiveness depends on stronger coordination across planning levels and deeper engagement with the everyday mobility needs of individuals.

    Fulltekst (pdf)
    Overlapping spaces: Planning for the “whole journey” in Swedish public transport
  • Witte, Ingrid
    et al.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Brauer, John
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    ”Vi kan inte göra det själva”: Implementering av Individual Placement and Support i svensk psykosvård2026Rapport (Annet vitenskapelig)
    Abstract [sv]

    I denna rapport presenteras resultat ur en utvärdering av projektet IPS-integrering i vårdteam. Projektet och utvärderingen pågick under perioden 2023-03-01 - 2026-02-28 och finansierades av Europeiska Socialfonden. Utvärderingen är baserad på intervjuer med yrkesverksamma och deltagare i projektet. Syftet med rapporten är att belysa dels möjligheter och hinder som uppstår i implementeringen av IPS, dels deltagares erfarenheter av att vara med i IPS, samt med utgångspunkt i dessa resultat föreslå förbättringsförslag och viktiga områden att ta hänsyn till vid implementering av IPS i Sverige.

    Utvärderingens huvudsakliga slutsatser är:

    • Det går att implementera IPS inom psykiatriska team i Sverige där arbetsspecialisterna inte är anställda av psykiatrin men dettar tid och kräver kontinuitet.

    • Externa faktorer är betydande för möjligheten att implementera IPS för psykosvårdens målgrupp. De inkluderar inte minst ersättningssystemens påverkan samt psykiatrins organisering. Samtidigt är det viktigt att följa förändringar i ersättningssystem då det kan uppstå glapp mellan å ena sidan praktikers och patienters farhågor, exempelvis för indragen ersättning och å andra sidan myndigheters faktiska tillämpning.

    • Den långsiktiga implementeringen av IPS inom Region Örebro län är oviss. Det är viktigt att klargöra ansvarsfrågan i relation till frågan huruvida IPS är en rehabiliterande vårdinsats eller en arbetsmarknadsinsats. Fokuset på arbete, och då inte minst det arbetsgivarorienterade arbetssättet, innebär att IPS utmanar synen på hälso- och sjukvårdens arbete.

    • De deltagare som intervjuats är i huvudsak nöjda med IPS-insatsen. Arbetet koordineras mellan psykosvården och arbetsspecialister utan större behov av mer deltagarintensiv samverkan. Detta har i huvudsak uppfattas som positivt av deltagare. Dock är en risk att deltagares delaktighet förbises om det uppstår ett glapp mellan den enskildes upplevelse av insatsen och arbetsspecialistens uppfattning om deltagarens deltagande.

    • På grund av nedsatt arbetsförmåga har IPS-insatsen i praktiken kommit att erbjuda sysselsättning, med liten eller ingen chans för anställning, åt en stor andel deltagare. Å ena sidan innebär det en avvikelse mot IPS-metoden. Å andra sidan uttrycker de intervjuade deltagarna att sysselsättningen varit stärkande och ett viktigt komplement till socialpsykiatrins dagverksamhet.

    Fulltekst (pdf)
    ”Vi kan inte göra det själva” Implementering av Individual Placement and Support i svensk psykosvård
  • Wahlström, Emmie
    et al.
    Department of Social Science and Humanities, Mälardalen University, Västerås, Sweden.
    Blomberg, Helena
    Department of Social Science and Humanities, Mälardalen University, Västerås, Sweden.
    Sofi, Dana
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap. Department of Social Science and Humanities, Mälardalen University, Västerås, Sweden.
    Stier, Jonas
    Department of Social Science and Humanities, Mälardalen University, Västerås, Sweden.
    Exploring claims in disinformation – The shared story of ‘the Swedish child welfare services’ kidnapping migrant children’2026Inngår i: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 185, artikkel-id 108973Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the early 2020s, the Swedish child welfare services (CWS) were accused in social media of kidnapping and placing migrant children in foster or family care, without their families’ knowledge or permission. This debate became referred to as a large-scale disinformation campaign, which can be understood as a discursive struggle between different versions of truth. This study explores social media content about the Swedish CWS in Arabic between 2021 and 2023. The material consisted of Facebook and YouTube posts and comments in Arabic. The analysis departed from the narrative genre of shared stories, and focused on claims about the CWS and how such claims are made credible. The findings show three types of claims within the shared story of ‘the CWS kidnapping migrant children’: families are victims of CWS’ malpractice; affected children suffer; and migrant families fear the CWS. These claims are made legitimate and credible by constructing the teller as an expert using time, place, and details while constructing the testimonies to invoke an emotional response. In conclusion, this study highlights how social reality is constructed and negotiated on social media, where migrant families’ testimonies of wrongdoings and fear become intertwined with larger stories of good and bad, truth or falsehood. It is therefore essential that claims made online is treated as signals of perceived vulnerability and institutional distance, rather than as “falsehoods” to be corrected, while CWS’ procedures and legal thresholds are clearly conveyed.

    Fulltekst (pdf)
    Exploring claims in disinformation – The shared story of ‘the Swedish child welfare services’ kidnapping migrant children’
  • Sofi, Dana
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap. School of Health, Care and Social Welfare, Malardalen University, Västerås, Sweden.
    From symbolic inclusion to procedural democratization: public participation and civil society in the Kurdistan region2026Inngår i: Democratization, ISSN 1351-0347, E-ISSN 1743-890X, s. 1-24Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study examines the evolution of public participation in the Kurdistan Region of Iraq between 2016 and 2019, focusing on participatory reforms introduced under the Enhancing Democratization Program (EDP). Drawing on mixed methods–surveys, interviews, focus groups, and institutional documents – it analyses changes in access, trust, and perceived influence. The findings show that the EDP expanded visible participatory spaces and strengthened trust in civil society organizations and provincial councils, but had limited effects on confidence in government and parliament. Elite dominance, weak responsiveness, and selective inclusion constrained participants’ influence, leaving most forums consultative rather than transformative. Anchored in Arnstein’s distinction between symbolic and substantive participation, the article argues that procedural inclusion can widen participation without redistributing power. The Kurdistan case thus highlights a broader challenge of democratization in hybrid regimes: participation may expand in form while remaining limited in function.

    Fulltekst (pdf)
    From symbolic inclusion to procedural democratization: public participation and civil society in the Kurdistan region
  • Larsson, Anna-Karin L.
    et al.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Sindt, Linnéa
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Mer än ett husdjur: Barns relationer till djur och deras betydelse för välbefinnande2026Rapport (Annet vitenskapelig)
    Fulltekst (pdf)
    Mer än ett husdjur
  • Ewins, Kristin
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Svedmark, Eva
    Centre for Educational Development, Umeå University, Umeå, Sweden.
    Hultgren, Anna
    Örebro universitet.
    Att leda högre utbildning: En kartläggning av ledarskap av utbildning i akademin2025Rapport (Annet vitenskapelig)
    Abstract [sv]

    Uppdraget att leda utbildning i akademin är centralt för högre utbildningskvalitet och utveckling, men får ofta begränsad uppmärksamhet. Den här rapporten bygger på en nationell kartläggning genomförd 2023–2024 inom Universitets- och högskolerådets högskolepedagogiska lyft. Målet har varit att förstå hur detta ledarskap formas, praktiseras och upplevs vid svenska lärosäten, och att bidra med kunskap som kan stärka dess strategiska och pedagogiska villkor.

    Studien har en kvalitativ ansats och omfattar 93 fokusgruppsintervjuer med 335 deltagare från 36 lärosäten samt en inledande och en uppföljande enkät. Intervjuerna genomfördes i rollhomogena grupper på olika ledningsnivåer, från rektorer till programansvariga.

    Vad som träder fram är bilden av ett ledarskap som inte bara kräver struktur och styrning, utan även omdöme, pedagogisk förståelse, vetenskaplig förankring och förmåga att skapa mening i komplexa sammanhang. Ledare beskriver hur de verkar i ett landskap där kollegialitet och linjestyrning möts och där uppdraget handlar mindre om att peka ut vägen än om att möjliggöra rörelse. Ledarskapet beskrivs som ett ansvar som bärs i samspel med andra snarare än utövas hierarkiskt.

    Samtidigt visar studien att förutsättningarna ofta brister. Många ledare verkar med oklara mandat, otydliga uppdrag och begränsad tillgång till stöd. Karriärvägar saknas och kompetensutvecklingen tenderar att handla mer om administration än om pedagogisk och strategisk ledning. Ansvar för utbildningens kvalitet förväntas tas, men erkänns sällan som akademiskt meriterande.

    Mot denna bakgrund lyfter rapporten fram behovet av ett akademiskt förhållningssätt till ledarskap. Såväl tidigare forskning som studiens resultat visar att ledarskap av utbildning i akademin innebär att ta ansvar för ett kunskapsområde som vilar på vetenskaplig kompetens: att tänka kritiskt, formulera relevanta frågor, pröva idéer och skapa förutsättningar för kollegialt lärande och utveckling. Det handlar också om att värna akademiska värden som integritet, nyfikenhet, eftertanke och bildning.

    Flera ledare vittnar om att det som verkligen gör skillnad inte är fler riktlinjer, utan levande samtal, gemensam tolkning och förankring i den akademiska kulturen. Därför behöver ledarskap av utbildning i akademin erkännas och stödjas som en kollektiv kunskapspraktik: det är inte ett sidouppdrag, utan en del av den akademiska kärnan.

    Fulltekst (pdf)
    Att leda högre utbildning: en kartläggning av ledarskap av utbildning i akademin
  • Jönsson, Jessica H.
    et al.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Baianstovu, Rúna ÍÖrebro universitet, Institutionen för beteende-, social- och rättsvetenskap.Fredriksson, MatildaÖrebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Den marginaliserade stadsmiljön och socialt arbete: Nationell konferens, Socialt arbete, Örebro Universitet, augusti 20242026Konferanseproceedings (Fagfellevurdert)
    Fulltekst (pdf)
    Den marginaliserade stadsmiljön och socialt arbete
  • Engren, Jimmy
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Hansson, Lars
    Swedish Public Employment Service.
    Migration as a Prelude to Hegemony: An Integrated Comparison of Migration processes in the Early Modern Dutch State and the United States2026Inngår i: Journal of World-Systems Research, E-ISSN 1076-156X, Vol. 32, nr 1, s. 98-119Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this article is to discuss the role of migration processes to changes in the world-system. We highlight the significanceof these processes and their impact through a comparative historical perspective. By using an approach based on an integrated comparison, two cases are compared: the rise of the early modern Dutch state to hegemony and the corresponding rise to hegemony bythe United States in the twentiethcentury. In presenting secondary sources on the two cases, we argue that neither expansion had been possible without a significant inflow of labor and skills carried by migrants. There seems to be a strong correlation between migration and changes in the world-system in general and the rise to hegemonic status in particular. By analyzing long-term processes like migration and its role in energizing and stimulating changes in the world-system, we argue, in line with the new economics of migration, that previous economic explanations to the rise of hegemony can be qualified. We also argue that the use of integrated comparison in the way we tentatively do in this paper can be fruitful in better understanding historical processes and their impact on power relations and economic relations in the world-system.

    Fulltekst (pdf)
    Migration as a Prelude to Hegemony: An Integrated Comparison of Migration Processes in the Early Modern Dutch State and the United States
  • Västhagen, Maja
    et al.
    Karolinska Institutet, Solna, Sweden.
    Giles, Clover Jack
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Hollander, Anna-Clara
    Karolinska Institutet, Solna, Sweden.
    Ghaderi, Ata
    Karolinska Institutet, Solna, Sweden.
    Leuven, Livia Van
    Karolinska Institutet, Solna, Sweden.
    Edenius, Anna
    Karolinska Institutet, Solna, Sweden; Center for Epidemiology and Community Medicine, Stockholm County, Sweden.
    Enebrink, Pia
    Karolinska Institutet, Solna, Sweden.
    The efficacy of parenting interventions for forced migrant families on child internalizing and externalizing symptoms, parental self-efficacy, and parental competence: A systematic review and meta-analysis2026Inngår i: Transcultural Psychiatry, ISSN 1363-4615, E-ISSN 1461-7471, artikkel-id 13634615251372854Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Forced migration has reached unprecedented levels worldwide. Involuntarily migration creates stressors for families that require systematic action at a societal level. Our premise is that parenting programmes have an untapped potential to enhance psychosocial health among parents and children. The aim of this study, therefore, was to review existing studies to evaluate the efficacy of preventive parenting programmes for parents who were refugees, asylum seekers or internally displaced. We included 20 publications from 3 electronic databases (Ovid MEDLINE, Ovid PsycINFO and Web of Science Core Collection): 16 on parenting interventions (13 original trials, N = 1191) and 4 on combined interventions (parents and youth, N = 1284). We compared a range of outcomes including child internalizing and externalizing symptoms, as well as parental competence (positive/negative parenting), self-efficacy, well-being and mental health/psychological distress. Between-group analyses indicated less externalizing behaviour (Hedge's g = 0.43, p < 0.05, k = 2) at post measurement for parents participating in the interventions, compared with those in the control conditions, as well as enhanced positive parenting strategies (g = 0.89, p < .01, k = 2), self-efficacy (g = 1.94, p < .001, k = 2) and parental psychological distress (g = 0.67, p < .05, k = 4). Within-group analyses of pre and post measurements supported that parents participating in the interventions reported improvements over time in all primary outcomes: parent-rated child internalizing and externalizing behaviours, negative and positive parenting, self-efficacy and the secondary outcome psychological distress. Analyses of combined studies suggested a small increase in positive parenting strategies (g = 0.17, p < .05, k = 2). Although our sample of reviewed studies was relatively small, and the study outcomes varied considerably, the results indicate that parenting programmes might be an underutilized resource to promote health among forcibly displaced families.

    Systematic review registration: PROSPERO (CRD42022330521).

    Fulltekst (pdf)
    The efficacy of parenting interventions for forced migrant families on child internalizing and externalizing symptoms, parental self-efficacy, and parental competence: A systematic review and meta-analysis
  • Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Avslutande diskussion: 10 år med regionala kollektivtrafikmyndigheter2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 189-197Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    I detta kapitel sammanfattas antologins samlade bidrag och placerar resultaten från forskningsprojektet om regional kollektivtrafik i ett bredare teoretiskt och policyrelevant sammanhang. Utgångspunkten är att införandet av kollektivtrafiklagen innebar en omfattande institutionell reform där ansvar och planeringsmandat för kollektivtrafiken omskalades från kommunal till regional nivå, genom etableringen av regionala kollektivtrafikmyndigheter (RKM). Kapitlet visar att reformen bör förstås i relation till bredare processer av regionalisering, europeisering och ökade krav på samordning kring hållbar utveckling. Med stöd i perspektiven omskalning och samverkan analyseras hur kollektivtrafikens styrning har förändrats i praktiken. Antologin visar att den regionala nivån stärkts strategiskt, särskilt i frågor kopplade till tillväxt, regionförstoring och klimatmål, medan genomförandet fortsatt är starkt beroende av kommunala insatser, inte minst inom fysisk planering, välfärdstjänster och tillgänglighet. Detta har skapat ett icke-hierarkiskt styrningslandskap i flera nivåer där samverkan framstår som en nödvändighet snarare än ett val, men också som en källa till fragmentering, otydligt ansvar och resurskrävande processer.

    Vidare identifieras en tydlig spänning mellan tillväxtpolitiska och välfärdspolitiska logiker i kollektivtrafikens planering. Regionförstoringsstrategier prioriteras ofta, medan social hållbarhet, landsbygdens villkor och rättvis tillgång till mobilitet i högre grad hanteras lokalt och sällan operationaliseras i regionala mål. Avslutningsvis diskuteras statistikens och indikatorernas roll i styrningen, där bristande datakvalitet och förenklade mätetal riskerar att osynliggöra kollektivtrafikens komplexa samhällsuppdrag. Kapitlet avslutas med policyrekommendationer som betonar behovet av bättre samordning, tydligare ansvarsför-delning och stärkt analytisk kapacitet snarare än nya organisatoriska reformer.

    Fulltekst (pdf)
    Avslutande diskussion: Tio år med regionala kollektivtrafikmyndigheter
  • Andersson, Ida
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Hermelin, Brita
    Linköpings universitet.
    Om samverkan i forskningen: erfarenheter från referensgruppsarbete2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 179-187Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Detta kapitel reflekterar över samverkan mellan forskning och praktik genom erfarenheter från arbetet med projektets referensgrupp. Samverkan har varit ett genomgående tema i antologin, både som empiriskt studieobjekt i relation till regional kollektivtrafik och som organisatorisk princip för forskningsprojektet genom att arbeta med en referensgrupp jämte forskningen. Kapitlet tar sin utgångspunkt i en iakttagelse av att referensgrupper är vanliga i samhällsorienterad forskning, men att det saknas mer utvecklade metodologiska resonemang kring deras funktion, värde och organisering. Med inspiration från teorier om transdisciplinär kunskapsproduktion diskuteras referensgruppen som en arena där forskningens analytiska och teoretiska perspektiv möter praktikens erfarenhetsbaserade kunskap. Kapitlet visar hur dialogen mellan forskare och praktiker bidragit till att utveckla systemkunskap, målkunskap och transformationskunskap i projektet, samtidigt som forskningens självständighet och ansvar enligt god forskningssed upprätthållits. Referensgruppen har fungerat som bollplank i frågor som rört forskningsdesign, val av fall, tolkning av resultat samt strategier för spridning och nyttiggörande av resultat.

    Genom att sammanfatta referensgruppsdeltagarnas egna reflektioner synliggör kapitlet hur deltagandet bidragit till kompetensutveckling, nya nätverk och fördjupade kunskaper. Samtidigt pekas organisatoriska faktorer ut som avgörande för referensgruppens värdeskapande, såsom tydlig struktur, regelbundenhet, förberedande material och respekt för deltagarnas tid. Kapitlets slutsats är att referensgruppsarbete med fördel kan förstås som en transdisciplinär kunskapsprocess, där formerna för samverkan är avgörande för forskningens relevans och samhälleliga genomslag. Därmed knyter kapitlet samman antologins tematik kring styrning, samverkan och kunskap och pekar fram mot behovet av mer reflekterade och systematiserade former för samproduktion av kunskap i forskning om komplexa samhällsutmaningar.

    Fulltekst (pdf)
    Om samverkan i forskningen: erfarenheter från referensgruppsarbete
  • Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Fler A-traktorer på grund av färre bussar? Om relationen mellan en växande mobilitetsform och planering för kollektivtrafik2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 161-178Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Det här kapitlet fokuserar på den snabba ökningen av A-traktorer i Sverige och problematiserar föreställningen om att denna utveckling är en konsekvens av försämrad kollektivtrafik. Genom en kombination av litteraturöversikt, statistisk analys och intervjuer med kommunala planerare undersöks hur A-traktorer relaterar till kollektivtrafikens planering, landsbygdens mobilitetsvillkor och ungas vardagliga förflyttningar. Kapitlet visar att A-traktorer i huvudsak är ett landsbygdsfenomen, både som mobilitetslösning och som kulturellt uttryck. Den statistiska analysen visar att ökningen av A-traktorer är starkt kopplad till kommuntyp och geografiska förutsättningar snarare än till förändringar i kollektivtrafikens utbud. Sambandet mellan minskad kollektivtrafik och ökat antal A-traktorer är genomgående svagt, vilket utmanar förenklade förklaringar som ofta förekommer i den offentliga debatten.

    Intervjuer ger en splittrad bild av sambandet mellan kollektivtrafik och A-traktorer. Medan vissa ser en indirekt koppling i specifika lokala sammanhang, betonar många att ökningen snarare drivs av faktorer som ungdomskultur, bilnormer, socioekonomiska förutsättningar och förändrade regelverk. A-traktorn framstår därmed inte enbart som ett substitut till kollektivtrafik, utan som ett socialt och identitetsskapande mobilitetsmedel som erbjuder frihet, flexibilitet och tillhörighet – dimensioner som kollektivtrafiken svårligen kan konkurrera med. Kapitlets övergripande slutsats är att A-traktorernas ökade utbredning bör förstås som ett uttryck för bredare strukturella skillnader mellan stad och land och för ungas mobilitetsvillkor i glesa geografier. För planering och policy innebär detta att A-traktorer behöver ses som en integrerad del av det rurala mobilitetssystemet, snarare än som ett marginellt fenomen eller en direkt följd av kollektivtrafikens utveckling.

    Fulltekst (pdf)
    Fler A-traktorer på grund av färre bussar? Om relationen mellan en växande mobilitetsform och planering för kollektivtrafik
  • Christopher, Olsson
    et al.
    Linköpings universitet.
    Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Mobilitet bortom staden: Utmaningar och möjligheter för landsbygdens kollektivtrafik2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 143-160Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    I det här kapitlet diskuteras hur kollektivtrafiken på landsbygden i Sverige står inför en komplex utmaning: att kombinera transporteffektivitet och marknadsorienterade perspektiv med frågor kopplade till transporträttvisa, geografisk tillgänglighet och lokal utveckling. Som påtalats i tidigare kapitel var en av målsättningarna med den nya kollektivtrafiklagen att skapa en tydligare struktur för kollektivtrafikens planering och ansvar (se kapitel 2), men samtidigt har omskalningen av kollektivtrafikplaneringen skapat sprickor i planeringssystemet mellan kollektivtrafik och mobilitetsplanering i vidare bemärkelse. Dessa sprickor blir som mest påtagliga i landsbygdskommuner, där kommunala ansvar kopplade till lokal utveckling och välfärd stundtals hamnar i direkt kollisionskurs med RKM:s strävan efter transporteffektivitet och styrning mot starka stråk. Men i kapitlet visar vi även hur dessa utmaningar också skapar möjligheter att pröva nya innovativa lösningar för stärkt mobiliteten i glesa områden samt hur bil och kollektivtrafik integreras för att hitta nya lösningar för landsbygden. En övergripande slutsats är att framtidens landsbygdstrafik behöver ses som en del av välfärden snarare än enbart en transporttjänst, och att långsiktig samverkan mellan kommuner, regioner och stat är avgörande för att hela landet ska kunna leva.

    Fulltekst (pdf)
    Mobilitet bortom staden – utmaningar och möjligheter för landsbygdens kollektivtrafik
  • Disputas: 2026-05-29 09:15 Örebro universitet, Långhuset, Hörsal L2, Örebro
    Billevik Gerdås, Joakim
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Ungas rörelser i den segregerade staden: Om vardagsmobilitet, gränser och gränsövergångar2026Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Residential segregation contributes to unequal living conditions and opportunities for youths. Research in this field often focuses on the effects in marginalized areas and therefore tends to overlook socioeconomically advantaged groups, as well as how people’s everyday mobility shapes these processes. This dissertation examines the relationship between youth mobility and segregation processes by exploring how young people’s positions in social and physical space are expressed through their everyday mobility in a segregated city.

    The theoretical framework deepens the understanding of place, segregation, and mobility, where Bourdieu’s theory of how capital and habitus influence an individual’s position in social space is complemented by Lefebvre’s ideas about physical space. The concept of embodied mobility is also developed, capturing the individual’s perception of themselves as a mobile or immobile subject.

    The sample consists of youths (age 15–16) from areas with different socioeconomic classifications. Three data collection methods were used: mental maps (99 participants), interactive maps (96), and interviews (10), which were analysed using different content analysis methods.

    The results show that areas that are socioeconomically similar to one’s own are most often included, while non-similar areas in this regard are excluded in the youths’ mental maps. The interactive maps and interviews show that the extent and patterns of mobility vary depending on the residential area and shape young people’s perceptions of themselves as mobile subjects. These differences are reinforced by gender and first language, including in perceptions of (un)safe places. Considering the study’s theoretical framework, segregation appears to operate as a social process in which differences in social space are translated into mobility in physical space. Boundary crossings, i.e. places where the mobility overlaps, have potential to challenge inequalities— something social work can contribute to through its responsibility for urban planning.

    Fulltekst (pdf)
    Ungas rörelser i den segregerade staden: Om vardagsmobilitet, gränser och gränsövergångar
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  • Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    KPI:er och dåliga data: Om behovet och svårigheterna med att mäta kollektivtrafikens utveckling2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 101-117Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Detta kapitel problematiserar statistikens och nyckeltalens (KPI:ers) roll i styrningen av svensk kollektivtrafik och visar hur bristfälliga och svårjämförbara data skapar betydande kunskaps- och styrningsutmaningar. Med utgångspunkt i intervjuer med företrädare för 18 regionala kollektivtrafikmyndigheter (RKM) samt en kritisk genomgång av vanligt förekommande indikatorer analyserar kapitlet hur mätbarhet både möjliggör och begränsar förståelsen av kollektivtrafikens utveckling. Kapitlet visar att variationer i den nationella statistiken i första hand bör förstås som ett systemproblem snarare än som uttryck för faktiska skillnader i trafikens omfattning eller kvalitet. Skillnader i organisatoriska lösningar, skatteväxling, ansvarsfördelning och tolkning av nationella anvisningar innebär att likartade indikatorer kan fyllas med olika innehåll i olika regioner. Följden blir att jämförelser mellan län och över tid ofta saknar metodologisk robusthet, trots att just sådana jämförelser ligger till grund för politisk uppföljning, benchmarking och strategiska beslut.

    Genom en fördjupad diskussion av sju vanligt använda KPI:er visar kapitlet hur komplexa mobilitetssystem reduceras till förenklade mått som tenderar att spegla geografi, demografi och organisatoriska val snarare än faktisk tillgänglighet, rättvisa eller samhällsnytta. Samtidigt framhålls att KPI:er inte är neutrala tekniska verktyg, utan uttryck för styrningslogiker, politiska prioriteringar och institutionella praktiker. Kapitlets sammantagna slutsats är att kollektivtrafikens styrning kräver ett mer robust, transparent och reflexivt indikatorsystem. Detta förutsätter både ökad nationell standardisering och en bredare förståelse av statistikens begränsningar, där kvantitativa mått kompletteras med kvalitativ och kontextuell kunskap för att bättre fånga kollektivtrafikens roll som samhällsbärande infrastruktur.

    Fulltekst (pdf)
    KPI:er och dåliga data: Om behovet och svårigheterna med att mäta kollektivtrafikens utveckling
  • Hermelin, Brita
    et al.
    Linköpings universitet.
    Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Regionala kollektivtrafikmyndigheter: Organisering och strategiska överväganden2026Inngår i: 10 år med regionala kollektivtrafikmyndigheter: Perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Detta kapitel beskriver framväxten, organiseringen och strategiska överväganden för regionala kollektivtrafikmyndigheter (RKM) efter implementeringen av Kollektivtrafiklagen (SFS 2010:1065). Genom en kombination av dokumentstudier, intervjuer och jämförelser mellan 17 län belyser kapitlet hur lagstiftningens flexibilitet möjliggjort divergerande organisatoriska lösningar. Kapitlet visar att Kollektivtrafiklagen har resulterat i tre huvudsakliga organisationsmodeller: regionaliserade myndigheter, kommunalförbund samt hybridorganisering. Dessa modeller speglar hur inrättandet av RKM har påverkats av den successiva processen för regionbildningen i Sverige och även avstrukturella skillnader mellan täta och glesa geografier. Organiseringen av RKM diskuteras utifrån hur detta innebär en ”omskalning” av planeringsmandat men utan att relationen mellan den regionala nivån för RKM och kommunerna är formellt hierarkiskt.

    Kapitlets översikt över hur RKM:er resonerar kring strategiska överväganden omfattar tre teman. Det första handlar om hållbar utveckling, för vilket RKM tolkar sitt uppdrag utifrån ett flerdimensionellt hållbarhetsbegrepp, där ekologiska, sociala och ekonomiska målsättningar är ömsesidigt beroende och ibland kan stå i konflikt. Det andra temat handlar om kollektivtrafikens relation till transportsystemet i stort och som gör att ”hela-resan”-principen blir central. RKM betraktar kollektivtrafik som både komplement och konkurrent till andra transportslag. Det tredje temat för strategiska överväganden handlar om mellanregional samverkan och strategisk styrkapacitet. Kapitlet visar dock att mellanregional samverkan präglas av asymmetrier: mindre regioner är ofta mer beroende av samverkan än större stadsregioner, vilket påverkar maktbalansen och möjligheterna till gemensam styrning.

    Fulltekst (pdf)
    Regionala kollektivtrafikmyndigheter - Organisering och strategiska överväganden
  • Andersson, Ida
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Hermelin, Brita
    Linköpings universitet.
    Inledning: 10 år med regionala kollektivtrafikmyndigheter2026Inngår i: 10 år med regionala kollektivtrafikmyndighter: - perspektiv på styrning, geografi och planering i ljuset av omskalning / [ed] Ida Andersson, Örebro: Örebro universitet , 2026, s. 9-27Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [sv]

    Det här kapitlet introducerar en antologi baserad på ett forskningsprojekt om styrning och planering för allmän kollektivtrafik i Sverige efter införandet av den nya kollektivtrafiklagen, implementerad från 2012. Lagen innebar att 21 regionala kollektivtrafikmyndigheter (RKM) bildades och att ansvar för planering av den allmänna kollektivtrafiken flyttades från kommuner till regioner. Eftersom planering för allmän kollektivtrafik genom RKM är beroende av kommunernas planering inom sina ansvar för fysisk planering, skolskjuts och färdtjänst behöver RKM och kommuner samverka. Begreppet för omskalning och processer kring samverkan är centrala utgångspunkter för forskningen inom projektet. Omskalning, handlar om hur ansvar förflyttas mellan planeringsnivåer, och samverkan uppstår eftersom aktörer är beroende av varandra för att organisera för kollektivtrafik. RKM och kommuner är ömsesidigt beroende av varandra, framför allt genom:

    • Relation mellan allmän och särskild kollektivtrafik där samordning kan bidra till hållbarhet utifrån dess olika dimensioner

    • Relationer mellan kommunerna fysiska planering och RKM:ernas planering för kollektivtrafik.

    Antologin bygger på tre huvudmaterial: intervjuer med 18 RKM, strukturerade intervjuer med 49 kommunala planerare samt analyser av tre generationer regionala trafikförsörjningsprogram (2012–2024). Projektet studerar planering av kollektivtrafik i 18 landets 21 län; storstadslänen Stockholm, Västra Götaland och Skåne ingår inte.

    Antologins syfte är att samla och förklara forskningsprojektets resultat på svenska och riktar sig till praktiker och studenter med intresse i kollektivtrafik och samhällsplanering. Den består av tio kapitel som kan läsas både separat och som en helhet.

    Fulltekst (pdf)
    Inledning: 10 år med regionala kollektivtrafikmyndigheter
  • Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    10 år med regionala kollektivtrafikmyndigheter: - perspektiv på styrning, geografi och planering i ljuset av omskalning2026Collection/Antologi (Annet vitenskapelig)
    Abstract [sv]

    Hur påverkades kollektivtrafiken i Sverige när de regionala kollektivtrafikmyndigheterna (RKM) bildades? Denna övergripande fråga är utgångspunkten för denna antologi, som diskuterar effekterna av den nyakollektivtrafiklagen som trädde i kraft 2012. Antologin tar avstamp iett flerårigt forskningsprojekt och visar hur reformen har påverkat ansvarsfördelning, styrning och samverkan mellan regioner, kommuneroch statliga aktörer.

    Antologin visar att den regionala nivån har fått en tydligare strategiskroll, särskilt i kopplingen mellan kollektivtrafik, regionförstoring, arbetsmarknad och klimatmål. Samtidigt är genomförandet fortsatt beroende av kommunernas planering och genomförande av sitt välfärdsuppdrag. Resultatet är ett flernivåsystem där ingen aktör ensam styrutvecklingen och där samverkan är en praktisk nödvändighet.

    Flera kapitel lyfter fram spänningen mellan tillväxtmål och social hållbarhet, mellan starka pendlingsstråk och landsbygdens behov, samtmellan strategiska ambitioner och ekonomiska realiteter. Antologindiskuterar också hur statistik och indikatorer formar synen på kollektivtrafikens resultat, och vilka utmaningar som finns i dagens uppföljningssystem.

    Sammantaget ger boken en samlad bild av de möjligheter och utmaningar som präglar regional kollektivtrafik i dag. Den riktar sig tillpraktiker och beslutsfattare som vill förstå hur organisering, samverkanoch lokala förutsättningar påverkar kollektivtrafikens utveckling i ett föränderligt styrningslandskap.

    Fulltekst (pdf)
    10 år med regionala kollektivtrafikmyndigheter - Perspektiv på styrning, geografi och planering i ljuset av omskalning
  • Wengman, Johan
    et al.
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Forssman, Linda
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Factor structure of the Early Childhood Environment Rating Scale – Third Edition and its association with structural quality in Swedish preschools2026Inngår i: European Early Childhood Education Research Journal, ISSN 1350-293X, E-ISSN 1752-1807, s. 1-19Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Early Childhood Environment Rating Scale, Third Edition (ECERS-3), is widely used to assess preschool quality. However, concerns remain about its scoring structure, usage in different cultural contexts, and associations with structural quality indicators. This study explored the factor structure of the ECERS-3 and its relationship with teacher education, child-to-adult ratio, group size, and preschool size in 71 Swedish municipal preschools. Confirmatory factor analysis showed poor fit for both the single-factor modeland the original six-subscale structure. Exploratory factor analysis identified a better-fitting four-factor structure: Learning & Play Environment, Interactions & Order, Gross Motor, and Care & Hygiene. We further investigated whether adopting this revised factor structure influenced relationships between ECERS-3 dimensions and structural quality indicators. Analyses of associations with structural quality indicators showed that smaller group sizes were linked to higher quality in Gross Motor activities. Among preschools with group sizes below 15 children, smaller groups were also associated with higher quality in Learning & Play Environment, Care & Hygiene, and overall ECERS-3 scores. Pedagogical and interactional dimensions showed limited or inconsistent relationships with structural variables. Future research should carefully consider how ECERS-3 scores are analyzed and be mindful of potential threshold effects when exploring associations with structural quality.

    Fulltekst (pdf)
    Factor structure of the Early Childhood Environment Rating Scale – Third Edition and its association with structural quality in Swedish preschools
  • Hedström, Karin
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    The different roles of algorithms in research on governmental decision-making for citizen services2026Inngår i: Transforming Government: People, Process and Policy, ISSN 1750-6166, E-ISSN 1750-6174, s. 1-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The aim of this paper is to explore the role of algorithms in research focusing on automated decision-making of citizen services. 

    Design/methodology/approach: A scoping review of literature published between 2016 and 2025 was conducted. Studies were analyzed to identify how automated decision-making is conceptualized, the terminology used, the roles algorithms are assigned and the contexts in which they operate. 

    Findings: The review reveals significant conceptual ambiguity in research on automated decision-making. Furthermore, automated decision-making systems are shown to operate within broader socio-technical networks encompassing people, organizational structures, technologies and formal rules. Current research offers fragmented understandings of automated decision-making, focusing largely on administrative efficiency rather than citizen experiences. 

    Practical implications: The findings point to an urgent need for policy frameworks, standardized guidelines and training that embed public values such as fairness, transparency and accountability. Policies should promote digital literacy and citizen empowerment to ensure engagement with automated decision-making and algorithmic systems in citizen services and public sector governance. 

    Originality/value: This study contributes to a nuanced understanding of the complexity of automated decision-making, highlighting the context and institutional logic. Algorithms were found to play seven different roles supporting humans in automated decision-making processes. This, together with different degrees of automation in the decision-making process, challenges a more dualistic view of automated decision-making. 

    Fulltekst (pdf)
    The different roles of algorithms in research on governmental decision-making for citizen services
  • Bondar, Kateryna
    et al.
    Psychology Department, Kryvyi Rih State Pedagogical University, Ukraine.
    Shestopalova, Olena
    Psychology Department, Kryvyi Rih State Pedagogical University, Ukraine.
    Barow, Thomas
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    The Situation of Children with Disabilities from the De-Occupied Territories of Southern Ukraine: Coping Strategies and Perspectives of Families Affected2026Inngår i: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 28, nr 1, s. 130-145Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Children with disabilities in conflict settings face compounded risks of exclusion, trauma, and disrupted education. In the ongoing war in Ukraine, families from de-occupied territories confront displacement, loss of services, and the burden of invisible caregiving labour. This research examines the perspective of parents of children with disabilities on how to cope with the situation. Their specific needs are highlighted and serve as a basis for developing support measures. The research is theoretically grounded in group socialisation theory, trauma-informed psychology, and the concept of solastalgia. Methodologically, 35 semi-structured parent interviews were thematically analysed. Four themes emerged: loss of safety and the search for control, digital technologies as stabilising anchors, disrupted peer interaction, and the impact of parental trauma. Parents described extensive invisible labour to support children’s fragile attempts at friendship, emotional regulation, and belonging. They perceive inclusive schools as both protective and precarious. The study concluded that resilience depends on dual-focus interventions that combine inclusive peer environments for children with psychosocial support for caregivers. 

    Fulltekst (pdf)
    The Situation of Children with Disabilities from the De-Occupied Territories of Southern Ukraine: Coping Strategies and Perspectives of Families Affected
  • Rostami, Elham
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Preparing Citizens for More Secure Online Practices2026Annet (Annet (populærvitenskap, debatt, mm))
    Fulltekst (pdf)
    Preparing Citizens for More Secure Online Practices
  • Denison, Nicholas
    et al.
    College of Education, Psychology and Social Work, Flinders University, Adelaide SA, Australia.
    Gradisar, Michael
    WINK Sleep Pty Ltd., Adelaide SA, Australia; Sleep Cycle AB, Gothenburg, Sweden.
    Paterson, Jessica
    College of Education, Psychology and Social Work, Flinders University, Adelaide SA, Australia.
    Bauducco, Serena
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap. College of Education, Psychology and Social Work, Flinders University, Adelaide SA, Australia.
    Waking up on the wrong side of the bed: sleep duration moderates the association between adolescent trait aggression and observed aggressive behaviour2026Inngår i: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 17, artikkel-id 1705874Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Prior research suggests that insufficient sleep can increase aggressive behaviour in adolescents. However, few studies have employed controlled designs, but none have incorporated objective measures of aggression. Moreover, the potential moderating role of sleep in the relationship between trait aggression and aggressive behaviour remains unexplored. This study addressed these gaps by examining whether sleep duration and quality moderate the association between trait aggression and objectively measured aggressive behaviour in adolescents. We hypothesised that adolescents higher in trait aggression would be more sensitive to poor sleep.

    Method: Thirty-four adolescent female participants spent one night in the Flinders University Sleep and Psychology Lab. Sleep duration was assessed using a consumer-grade sleep-tracking wearable, and sleep quality was self-reported. The following morning, participants underwent a noxious aggression provocation paradigm, after which behavioural aggression was assessed using a modified Hot Sauce Paradigm, measured via the weight of allocated wasabi paste. Trait aggression was measured using the Buss–Perry Aggression Questionnaire (BPAQ).

    Results: Sleep duration significantly moderated the relationship between trait aggression and aggressive behaviour, with shorter sleep predicting greater aggression among participants higher in trait aggression (R2change = 0.11, p = 0.03). No such moderating effect was observed for self-reported sleep quality.

    Discussion: These findings suggest that adolescents high in trait aggression may be particularly susceptible to the behavioural consequences of shorter sleep. Ensuring adequate sleep could, therefore, be especially important for reducing aggression in this subgroup. This study extends prior research by demonstrating the moderating role of objectively measured sleep duration on aggression using a controlled design and a behavioural outcome measure, offering new insights for both theoretical models of aggression and the development of targeted, sleep-based interventions for at-risk youth.

    Fulltekst (pdf)
    Waking up on the wrong side of the bed: sleep duration moderates the association between adolescent trait aggression and observed aggressive behaviour
  • St John, Oliver
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Ålander, Jonas
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Att stärka samverkan mellan skola och vårdnadshavare: Slutrapport från ett ULF-projekt2026Rapport (Annet vitenskapelig)
    Abstract [sv]

    Rapporten undersöker hur skolors samarbete med vårdnadshavare kan utvecklas för att skapa bättre förutsättningar för elevers trygghet, lärande och måluppfyllelse. Utgångspunkten är skolans uppdrag enligt Lgr22, där skola och hem delar ett gemensamt ansvar för barnens utbildning, samt forskning som visar att vårdnadshavares engagemang har stor betydelse för elevers skolframgång. Samtidigt pekar tidigare studier på att relationen mellan skola och hem ofta präglas av misstro, bristperspektiv och ojämlika maktförhållanden.

    Studien bygger på ett praktiknära forskningsprojekt (ULF) vid två skolor i socioekonomiskt utsatta områden och fokuserar på två samverkansmodeller: "Familjestödjare" och "NÄT – nätverk för vårdnadshavare, skola och myndigheter". Syftet är att analysera hur dessa modeller används, vilka effekter de har och hur de kan vidareutvecklas. Datamaterialet består av enkäter, intervjuer, gruppsamtal och reflektionsprotokoll från lärare, skolledare och vårdnadshavare.

    Resultaten visar att modellerna bidrar till att bygga tillitsfulla relationer mellan skola och vårdnadshavare genom dialog, icke-dömande bemötande och ett tydligt föräldra-perspektiv. Rapporten gör en analytisk distinktion mellan "evidensbaserad tillit", som grundas i föräldrars prestationer och uppfyllda förväntningar, och "existentiell tillit", som utgår från en grundläggande tilltro till föräldrar som kompetenta, engagerade individer. Det är framför allt den senare som visat sig främja samverkan, föräldraengagemang och elevers närvaro och välbefinnande.

    Modellerna möjliggör även kompletterande stödinsatser – pedagogiska, föräldraskaps-relaterade och personliga – som lärare ofta saknar tid eller mandat att genomföra. Samtidigt identifieras spänningar kopplade till roller, ansvar och professionella gränser. Rapporten avslutas med förslag på vidareutveckling, bland annat behovet av gemensamma skolnormer, ett gemensamt språk för samverkan samt stärkt handledning och samspel mellan lärare, familjestödjare och vårdnadshavare.

    Fulltekst (pdf)
    Att stärka samverkan mellan skola och vårdnadshavare. Slutrapport
  • Berglez, Peter
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Olausson, Ulrika
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Ots, Mart
    Jönköping International Business School (JIBS), Jönköping University, Jönköping, Sweden.
    Sustainable Journalism Redux: What are the "cornerstone" media frames of a sustainable future?2026Inngår i: Nordicom Review, ISSN 1403-1108, E-ISSN 2001-5119, Vol. 47, nr 1, s. 52-72Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The concept of sustainable journalism can be used to analyse many different aspects of environment and society, while the downside is that it becomes too much of a floating signifier, in need of some terminological precision. Therefore, the purpose of this article is to theoretically elaborate sustainable journalism as a particular means of framing society, with a clear connection to sustainability literature. We argue that such frames could be operationalised based on a few core principles of sustainable development thinking, found in texts such as Brundtland’s report, Our Common Future: Report of the 1987 World Commission on Environment and Development, for the United Nations. Three prominent frames of sustainable journalism – namely the three-pillar, time reflexive, and cross-spatial frames – are empirically exemplified through their hybrid combination of generic and issue-specific aspects of sustainability. By means of framing theory, media theory, and journalism studies, our intention is to present them as tools for conducting empirical analyses of the ways media deploy a sustainability outlook in their reporting.

    Fulltekst (pdf)
    Sustainable journalism redux
  • Elander, Johanna
    et al.
    Otorhinolaryngology, Head and Neck Surgery, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Otorhinolaryngology, Skåne University Hospital, Lund, Sweden.
    Värendh, Maria
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Otorhinolaryngology, Head and Neck Surgery, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Otorhinolaryngology, Örebro University, Örebro, Sweden.
    Ehinger, Johannes K.
    Otorhinolaryngology, Head and Neck Surgery, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Otorhinolaryngology, Skåne University Hospital, Lund, Sweden.
    Stenfeldt, Karin
    Department of Otorhinolaryngology, Skåne University Hospital, Lund, Sweden; Logopedics, Phoniatrics and Audiology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
    Widén, Stephen
    Örebro universitet, Institutionen för hälsovetenskaper. Audiological Research Centre.
    Parental experience of whole genome sequencing for children with sensorineural hearing loss2026Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 21, nr 1, artikkel-id 2641802Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The purpose of this in-depth interview study was to explore how parents of children with sensorineural hearing loss (SNHL) experienced genetic testing and whether they experienced risks and benefits.

    Background: Most children with SNHL have a genetic etiology, which can be identified through genetic sequencing. A genetic test does not influence treatment, and whether patients and parents perceived genetic tests as valuable is unclear.

    Methods: In this study, 10 parents of children with SNHL who underwent genetic testing were interviewed, and the content was analyzed using inductive thematic analysis.

    Results: Three global themes were identified. In the first theme, (1) Limited knowledge creates uncertainty, parents described uncertainty related to the information provided, the test result itself and child-related factors. The second theme, (2) Genetic knowledge is considered important for the family and the future, explored the importance of knowledge. Parents wanted an explanation to make the future predictable, and the test had practical implications. In the last category, (3) Knowledge adds complexity and can be challenging, ethical considerations and risks associated with knowledge were highlighted.

    Conclusion: The main conclusion was that parents experienced that genetic testing provided valuable personal information and had practical implications. However, a genetic diagnosis can cause concern and may affect family planning.

    Fulltekst (pdf)
    Parental experience of whole genome sequencing for children with sensorineural hearing loss
  • Andersson, Ida
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Rescaling, collaborative governance and the emergence of penumbral planning spaces in Nordic public transport2026Inngår i: Mobility and transport planning challenges in the Nordic context: Essays from a Nordic Symposium / [ed] Robert Hrelja; Christina Lindkvist, Malmö: Malmö University , 2026, s. 6-10Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    The Nordic countries are often portrayed as frontrunners in sustainable development, combining high environmental ambitions with strong welfare systems and relatively high levels of public transport use. Yet transport remains a persistent and complex challenge. Emissions from the transport sector continue to be substantial, car dependency is deeply embedded in everyday mobility practices, and questions of accessibility, affordability and social justice have gained increasing attention. Addressing these challenges requires not only technological innovation and behavioral change, but also institutional arrangements capable of coordinating transport and land-use planning across scales and sectors.

    In this context, collaborative governance has become a central feature of contemporary transport planning. In particular, the rescaling of planning responsibilities from local to regional levels has intensified the need for coordination between actors operating within different territorial and institutional logics. This essay reflects on the Swedish case of rescaled public transport planning and situates it within broader Nordic and European debates on soft and hard governance, multilevel planning and sustainable mobility transitions. It argues that rescaling has contributed to the emergence of penumbral planning spaces: hybrid governance arrangements that are neither fully formalized nor entirely informal but instead occupy an ambiguous middle ground between hard and soft spaces.

    Fulltekst (pdf)
    Rescaling, collaborative governance and the emergence of penumbral planning spaces in Nordic public transport
  • Callerstig, Anne-Charlott
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Larsson, Anna-Karin L.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Sandström, Lina
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    En boll och en fyrkant: När civilsamhällets rörlighet möter kommunal struktur i samverkan för en hållbar integration av barn och familjerFöljeforskning av Rädda Barnens projekt Barn i fokus2026Rapport (Annet vitenskapelig)
    Abstract [sv]

    Denna rapport redovisar resultat från följeforskningen av Rädda Barnens projekt Barn i fokus (2022–2025), som genomförts i samverkan med nio kommuner runt om i Sverige. Målen i Barn i fokus har varit att stärka nyanlända barns välbefinnande, delaktighet och etablering genom 1) ökad lokal samverkan och systematik, 2) tillgång till meningsfull fritid samt 3) kompletterande föräldrastöd.Följeforskningens syfte har varit att fördjupa kunskapen om hur samverkan mellan civilsamhälle och kommun kan bidra till en mer hållbar och inkluderande integration av nyanlända barn och deras familjer.

    I rapporten analyseras vilka resultat och mervärden som skapas genom samverkan, vilka organisatoriska och strukturella förutsättningar som påverkar dess genomförande, samt hur barnrättsperspektivet förstås och omsätts i praktiken i samverkansarbetet.Genom en interaktiv forskningsansats baserad på intervjuer, fallstudier, och gemensamma analysseminarier med projektets aktörer, belyser följeforskningen både samverkanseffekter och de faktorer som möjliggör eller försvårar att samverkan etableras som en långsiktig och hållbar process.

    Mervärdet med samverkan

    Resultaten visar att samverkan mellan kommunerna och Rädda Barnen skapar flera former av mervärden: 

    • Funktionellt mervärde, genom mer ändamålsenliga, samordnade och flexibla insatser som når målgruppen snabbare och mer träffsäkert.
    • Altruistiskt mervärde, där Rädda Barnens värdegrund och långsiktiga engagemang bidrar till stärkta värderingar såsom demokrati och barnrättigheter och ger ökad legitimitet och gemensam riktning i arbetet.
    • Emotionellt mervärde, genom relationellt arbete som stärker tillit, trygghet och barns och föräldrars upplevelse av att bli sedda och bekräftade.
    • Socialt mervärde, i form av stärkt delaktighet, nya nätverk och sammanhållning i lokalsamhället.

    De mervärden som skapas bygger på att civilsamhällesorganisationer som Rädda Barnen kan verka i rollen som verksamhetsförbättrare, värdebärare, tillitsskapare och samhällsbyggare, och därigenom komplettera kommunens uppdrag och strukturer. Samtidigt visar resultaten att mervärdena inte är givna, de formas genom ett komplext samspel mellan aktörer med olika logiker, mandat och arbetssätt. Resultaten visar att det är olikheterna mellan aktörerna, det som av deltagarna i projektet beskrivits som mötet mellan ”en boll och en fyrkant”, som skapar förutsättningar för mervärde. Civilsamhällets flexibilitet, relationsskapande arbetssätt och värdegrund kompletterar kommunernas ansvar för likvärdighet, rättssäkerhet, stabilitet och långsiktiga strukturer. Kommunerna bidrar med egna, centrala mervärden som inte kan ersättas av civilsamhället, utan som först i kombination med civilsamhällets särdrag ger full effekt. Denna ömsesidiga komplettering blir ett tydligt incitament för att fortsätta utveckla samverkan eftersom ingen av aktörerna ensam kan uppnå de resultat som tillsammans blir möjliga.

    Förutsättningar och utmaningar för en hållbar samverkan

    Studien visar att förändringar i migrations- och integrationspolitiken, såsom minskat mottagande, förändrad politik och ökade välfärdsnedskärningar, skapar en mer komplex kontext för lokalt arbete. I detta läge blir civilsamhällets roll både viktigare och mer sårbar, samtidigt som behovet av långsiktigt förankrade samverkansstrukturer ökar. Kontexten är viktig för att förstå förutsättningarna i kommunerna. Utöver den nationella kontexten skiljer sig förutsättningarna åt i kommunerna. Ett tydligt resultat är att samverkansmottaglighet och samverkanskapacitet varierar mellan kommunerna. Detta påverkar vilka mervärden som kan realiseras i praktiken vilket är viktigt att beakta. I detta sammanhang visar forskningen vikten av personer som har förtroende i båda systemen och kan översätta perspektiv, skapa relationer och knyta samman kommunens strukturer med civilsamhällets relationsbaserade arbete. Dessa individer som benämns gränsgångare, fungerade ofta som katalysatorer för både tillit och handlingskraft, men deras centrala roll visar också hur sårbar samverkan blir när den vilar mycket på personer snarare än strukturer. En utmaning som tycks genomgående för både kommuner och Rädda Barnen är projektformen och kortsiktiga finansieringsstrukturer liksom organisatoriska stuprör, personalomsättning och begränsad tid för koordinering. Det finns även flera återkommande dilemman som uppkommer i den praktiska samverkansprocessen, exempelvis mellan likvärdighet och behovsanpassning i relation till målgruppen eller mellan att skapa nytt och bygga vidare på befintliga strukturer i utvecklingsarbetet. Dessa spänningar är inte problem som kan lösas, utan viktiga utgångspunkter för lärande som uppstår när olika logiker, ansvar och arbetssätt möts. När dilemman hanteras gemensamt blir de en drivkraft för utveckling och mer hållbar samverkan.

    Barnrättsperspektivet

    Resultaten visar att barnrättsperspektivet utgör ett viktigt utvecklingsområde i det lokala mottagandet av nyanlända barn. Samverkan med Rädda Barnen har bidragit till ökad medvetenhet, kompetens och ett starkare fokus på barns delaktighet, men implementeringen är fortfarande ojämn och ibland personberoende. Kunskapen om barns rättigheter varierar bland både civila aktörer och i kommuner, och då barnrättsperspektivet är svagt integrerat i ordinarie strukturer och arbetssätt, finns utvecklingsbehov för att barn ska kunna ses full ut som självständiga rättighetsbärare. Resultaten pekar på ett fortsatt behov av systematik, tydliga ansvarsfördelningar och långsiktig organisatorisk förankring för att barnrättsperspektivet ska få genomslag i praktiken. I en tid då funktionella mervärden ofta är de som betonas som nyttan av samverkan med civilsamhället, visar följeforskningen hur Rädda Barnen bidragit med andra former av mervärden och hur dessa är centrala för att stärka arbetet med en systematisk och effektiv barnrättsintegrering inom offentlig verksamhet. Dessa mervärden, tillsammans med de mer vanligt diskuterade och uppmärksammade funktionella mervärdena, kan skapa synergieffekter viktiga för att barnrättsperspektivet ska få långsiktigt fäste inom organisationer och bland invånare i lokalsamhällen.

    Modell och rekommendationer för lokal samverkan

    Rapporten avslutas med en modell för lokal samverkan och ett antal rekommendationer som syftar till att stödja kommuner och civilsamhällsaktörer i att utforma, strukturera och systematiskt följa upp samverkan både mer allmänt och särskilt i förhållande till nyanlända barn och deras familjer. Sammantaget visar följeforskningen att när samverkan bygger på tydliga mandat, gemensamma mål och ömsesidig tillit kan barns rättigheter få ökat få större genomslag i praktiken, mottagandets insatser kan bli mer samordnade och hållbara, och lokala mottagningsstrukturer stärks. Samtidigt understryker resultaten att detta kräver långsiktiga organisatoriska strukturer som sträcker sig bortom projektlogik, samt en tydlig ansvarskedja där barnets bästa utgör en utgångspunkt för gemensam planering, genomförande och uppföljning.

    Fulltekst (pdf)
    En boll och en fyrkant
  • Sandelin, Lisa
    et al.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Petersén, Anna Charlotta
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Consent in child welfare investigation reports of suspected child abuse2026Inngår i: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, artikkel-id bcag016Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Consent is a core principle in social work, reflecting respect for individual autonomy. In child welfare services (CWS), however, obtaining consent becomes complex when parents must act on behalf of their children, particularly when concerns of abuse are present. This study examines the dynamics of consenting to voluntary interventions in CWS investigation reports of suspected child abuse. Analysing 118 cases from eleven Swedish municipalities, we assess whether consent met the requirement for validity. Drawing on Lukes’s three-dimensional view of power, we highlight the power dynamics shaping consent. Findings show that consent is often influenced by both parents and CWS, while children rarely have a voice. Consent was frequently partial, uninformed, or involuntary, and sometimes failed to address the needs of those identified as requiring support. In many cases, parents did not consent to recommended interventions, indicating that coercion was not widespread. The study highlights the complex interplay of power in child welfare consent processes and underscores the need for CWS to balance respect for parental autonomy with the duty to safeguard children’s rights. Transparent strategies for obtaining, assessing, and documenting consent are essential to ensure ethical practice and uphold children’s well-being.

    Fulltekst (pdf)
    Consent in child welfare investigation reports of suspected child abuse
  • Lidskog, Rolf
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Sundqvist, Göran
    Institutionen för sociologi och arbetsvetenskap, Göteborgs universitet.
    Konstruktivistisk miljösociologi i tider av klimatnödläge: En replik på Johan Söderbergs kunskapsrealistiska tes: [Constructivist environmental sociology in times of climate emergency: A rejoinder to Johan Soderberg's epistemological realist thesis]2026Inngår i: Sociologisk forskning, ISSN 0038-0342, E-ISSN 2002-066X, Vol. 63, nr 1, s. 33-47Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article is a reply to Johan Söderberg’s critique of constructivist environmental sociology. Lidskog and Sundqvist challenge his claim that the climate emergency requires social scientists to refrain from conducting sociological analyses of climate science, on the grounds that such analyses could be exploited by climate denialists. They argue that Söderberg bases his reasoning on simplified dichotomies—such as the choice between taking scientific knowledge for granted or problematizing it—and that he incorrectly attributes positions to them that they do not hold. The authors defend STS-inspired research that legitimizes critical examination of expertise, not to undermine climate science but to understand how knowledge is produced, organized, and used politically. By analyzing, for example, the IPCC, they show that climate expertise is already politically embedded and therefore requires sociological study. They call for a clearer justification of Söderberg’s own knowledge realism and open the possibility of collaboration between research on expertise and research on climate denial, rather than keeping these strands separate.

    Fulltekst (pdf)
    Konstruktivistisk miljösociologi i tider av klimatnödläge
  • Andersson, Jonas
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Emergency department flow: patterns, predictors and patient outcomes2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: Emergency departments (EDs) must balance timely care, safety, and resource utilization. Emergency department length of stay (EDLOS) is widely used as a proxy for ED performance, yet it primarily reflects elapsed time whose clinical meaningfulness depends on patient case-mix and context. Aim: The overall aim was to develop a deeper understanding of patient flow in Swedish EDs, with particular focus on process determinants of EDLOS and on patient groups at greatest risk of poor outcomes. Methods: Four studies were undertaken. Study I was a concept analysis of “long EDLOS”. Study II was a retrospective observational study of 222,047 ED visits from two hospitals, estimating the impact of input-, throughput and output factors on EDLOS. Study III examined high‑frequency ED users (HEDU) at a university hospital (121,403 visits), assessing prevalence, costs, and process outcomes. Study IV linked national registries across 5,049,641 ED visits from 15 sites (2015–2023) to analyse associations between EDLOS and adverse outcomes. Results: Long EDLOS is often used as a proxy for other phenomena. Throughput processes were the dominant factors impacting EDLOS. HEDU comprised 6.1% of patients but accounted for 22.4% of visits and a disproportionate share of costs. In Study IV, absolute EDLOS displayed a non‑linear association with mortality, with elevated risk at very short stays. Patients with non‑specific complaints were vulnerable to extended EDLOS. Conclusions: EDLOS is a useful metric, but when dichotomized, blunt and imprecise. Patient flow in the ED is not necessarily a reflection of levels of crowding and access block. Deviations from the expected EDLOS — whether longer or shorter — better predict adverse out-comes than absolute duration, highlighting the need for contextualised patient-centred performance metrics.

    Delarbeid
    1. Long emergency department length of stay: A concept analysis
    Åpne denne publikasjonen i ny fane eller vindu >>Long emergency department length of stay: A concept analysis
    Vise andre…
    2020 (engelsk)Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 53, artikkel-id 100930Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Introduction: Emergency Department (ED) Length of stay (LOS) has been associated with poor patient outcomes, which has led to the implementation of time targets designed to keep EDLOS below a specific limit. The cut-offs defining long EDLOS varies across settings and seem to be arbitrarily chosen. This study aimed to clarify the meaning of long EDLOS.

    Methods: A concept analysis using the Walker and Avant approach was conducted. It included a literature search aiming to identify all uses of the concept, resulting in a set of defining attributes and a way of measuring the concept empirically.

    Results: Long EDLOS was primarily used as proxy for other phenomena, e.g. boarding or crowding. The definitions had cut-offs ranging between 4 and 48 h. The attributes defining long EDLOS was waiting, a crowded ED environment and an inefficient organization.

    Discussion: Time targets are probably more suitable when directed towards and tailored for specific sub-groups of the ED population.

    sted, utgiver, år, opplag, sider
    Elsevier, 2020
    Emneord
    Emergency department, Length of stay, Concept analysis, Emergency nursing, Performance measurement
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-88678 (URN)10.1016/j.ienj.2020.100930 (DOI)000596592000001 ()33035877 (PubMedID)2-s2.0-85092141430 (Scopus ID)
    Tilgjengelig fra: 2021-01-20 Laget: 2021-01-20 Sist oppdatert: 2026-04-13bibliografisk kontrollert
    2. Length of stay in the emergency department and its associated input-, throughput-, and output factors at two hospitals in Sweden
    Åpne denne publikasjonen i ny fane eller vindu >>Length of stay in the emergency department and its associated input-, throughput-, and output factors at two hospitals in Sweden
    Vise andre…
    2025 (engelsk)Inngår i: BMC Emergency Medicine, E-ISSN 1471-227X, Vol. 25, nr 1, artikkel-id 120Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Prolonged emergency department length of stay (EDLOS) is a worldwide issue associated with increased mortality, decreased patient satisfaction and poor quality of care. The factors influencing EDLOS have not been comprehensively studied in the context of Swedish EDs. This study's objective is to determine the input-, throughput- and output factors associated with EDLOS, at two urban EDs in Sweden.

    Methods: Data was collected from two hospitals. All patient visits during the two-year study period were included. Patients who left without being seen by a physician were excluded. The explanatory factors included patient characteristics, medical data, and hospital bed occupancy data. Multi-variable linear regression analysis was used to test the associations between the factors and EDLOS.

    Results: The top contributors to prolonged EDLOS were diagnostic imaging, which added between 64 and 149 min of EDLOS, diagnostic testing at central laboratory (53-99 min), followed by intra-ED zone transfer (46-94 min). Arriving during crowding or being admitted during high hospital bed occupancy had a significant but relatively small absolute effect on the outcome.

    Conclusions: Throughput factors had far greater impact on EDLOS than both input- and output factors. Adapting strategies to the structural and procedural characteristics of each setting may enhance the effectiveness of improvement efforts.

    Clinical trial number: Not applicable.

    sted, utgiver, år, opplag, sider
    BioMed Central (BMC), 2025
    Emneord
    Emergency department, Length of stay, Explanatory factors, Patient flow
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-122567 (URN)10.1186/s12873-025-01283-z (DOI)001529047900001 ()40660100 (PubMedID)2-s2.0-105010617461 (Scopus ID)
    Forskningsfinansiär
    Örebro University
    Tilgjengelig fra: 2025-07-30 Laget: 2025-07-30 Sist oppdatert: 2026-04-13bibliografisk kontrollert
    3. An observational pilot study: Prevalence and cost of high frequency emergency department users at Örebro University Hospital, Sweden
    Åpne denne publikasjonen i ny fane eller vindu >>An observational pilot study: Prevalence and cost of high frequency emergency department users at Örebro University Hospital, Sweden
    2022 (engelsk)Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 17, nr 9, artikkel-id e0274622Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: There is little research on high frequency emergency department users (HEDU) in Sweden. We aim to determine the prevalence and costs of HEDU compared to non-HEDU at Örebro University Hospital (ÖUH). Additionally, we will determine the factors and outcomes associated with being a HEDU.

    METHODS: This was a retrospective, observational cohort study of ED patients presenting to ÖUH, Sweden between 2018-19. Analyses used electronic registry, ambulance, and cost data. The definition for HEDU was ≥4 visits/year. HEDUs were categorized further into Repeat, High and Super HEDU with 4-7, 8-18 and ≥19 visits/year, respectively. We used multivariable logistic regression to determine the adjusted odds ratios for factors and outcomes between HEDU and non-HEDU.

    FINDINGS: Of all ÖUH ED patients, 6.1% were HEDU and accounted for 22.4% of ED visits and associated costs. Compared to the mean cost of non-HEDU, the Repeat, High and Super HEDU were more costly by factors of 4, 8 and 27, respectively. The HEDUs were more likely to be male, self-referred, present with abdominal pain, arrive by ambulance, at night and from the Örebro municipal region. Super HEDU were more likely to be of adult age and assigned lower acuity scores. HEDU were more likely to be directed to the surgical zone, less likely to receive radiologic imaging or achieve a 4-hr time target. In contrast to the Repeat and High HEDU, Super HEDU were less likely to be admitted, but more likely to leave without being seen.

    CONCLUSION: ÖUH has a HEDU population with associated factors and outcomes. They account for a substantial proportion of ED costs compared to non-HEDU.

    sted, utgiver, år, opplag, sider
    Public Library of Science (PLoS), 2022
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-101418 (URN)10.1371/journal.pone.0274622 (DOI)000892087100092 ()36107928 (PubMedID)2-s2.0-85137925501 (Scopus ID)
    Tilgjengelig fra: 2022-09-23 Laget: 2022-09-23 Sist oppdatert: 2026-04-22bibliografisk kontrollert
    4. Emergency department length of stay and adverse outcomes before, during and after the Covid-19 pandemic: associations tested using register linkage
    Åpne denne publikasjonen i ny fane eller vindu >>Emergency department length of stay and adverse outcomes before, during and after the Covid-19 pandemic: associations tested using register linkage
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128367 (URN)
    Tilgjengelig fra: 2026-04-13 Laget: 2026-04-13 Sist oppdatert: 2026-04-13bibliografisk kontrollert
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  • Engberg, Erik
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    The Impact of AI on the Labour Market: Essays on Transformative Technology, Occupations, and Firms2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The topic of this thesis is the economics of transformative technology, with the impact of artificial intelligence (AI) on the labour market as the primary focus.

    Analysing German data, Essay I shows that occupational AI exposure was associated with wage gains, and an increased focus on knowledge-intensive tasks. There is a clear contrast between the types of work that are exposed to AI, versus robotics.

    Essay II finds that AI exposure is associated with AI adoption and increased labour demand, as measured by job vacancy postings, in Swedish establishments/workplaces.

    Essay III develops a novel measure of occupational AI exposure, called Dynamic AI Occupational Exposure (DAIOE). AI exposure is shown to be associated with upskilling at the firm level in Sweden, Denmark, and Portugal.

    Essay IV analyses the labour market implications of the growing social and verbal capabilities of large language models (LLMs). Analysis of occupational data from O*NET and job ads provides a map of the most important types of social work tasks. Among social tasks, verbal communication tasks have the strongest association with occupational exposure to LLMs.

    Essay V is about the impact of venture capital (VC) on start-up firms. Investment from both private and governmental VCs is found to increase sales with a 2-3 year delay, driven primarily by efficiency gains, and to some extent, capital investment. Governmental VCs are more likely to make follow-on investments in non-growing firms.

    Delarbeid
    1. Artificial intelligence, tasks, skills, and wages: Worker-level evidence from Germany
    Åpne denne publikasjonen i ny fane eller vindu >>Artificial intelligence, tasks, skills, and wages: Worker-level evidence from Germany
    2025 (engelsk)Inngår i: Research Policy, ISSN 0048-7333, E-ISSN 1873-7625, Vol. 54, nr 8, artikkel-id 105285Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This paper examines how new technologies are linked to changes in the content of work and individual wages. As a first step, it documents novel facts on task and skill changes within occupations over the past two decades in Germany. We furthermore reveal a distinct relationship between ex-ante occupational work content and ex-post exposure to artificial intelligence (AI) and automation (robots). Workers in occupations with high AI exposure perform different activities and face different skill requirements compared to workers in occupations exposed to robots, suggesting that robots and AI are substitutes for different activities and skills. We also document that changes in the task and skill content of occupations is related to ex-ante exposure to technologies. Finally, the study uses individual labour market biographies to investigate the relationship between AI and wages. By exploring the dynamic influence of AI exposure on individuals over time, the study uncovers positive associations with wages, with nuanced variations across occupational groups, thereby shedding further light on the substitutability and augmentability of AI.

    sted, utgiver, år, opplag, sider
    Elsevier, 2025
    Emneord
    Artificial intelligence technologies, Task content, Skills, Wages
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-122591 (URN)10.1016/j.respol.2025.105285 (DOI)001529928500001 ()2-s2.0-105009940194 (Scopus ID)
    Forskningsfinansiär
    The Jan Wallander and Tom Hedelius Foundation, P19-0234
    Merknad

    Lodefalk and Engberg acknowledge financial support from Ratio, Lodefalk from the Jan Wallander and Tom Hedelius (grant P19-0234) and Torsten Söderberg Foundations (grant E46/21) , and Koch and Schroeder from the Carlsberg Foundation, Denmark.

    Tilgjengelig fra: 2025-08-01 Laget: 2025-08-01 Sist oppdatert: 2026-03-20bibliografisk kontrollert
    2. Artificial intelligence, hiring and employment: job postings evidence from Sweden
    Åpne denne publikasjonen i ny fane eller vindu >>Artificial intelligence, hiring and employment: job postings evidence from Sweden
    Vise andre…
    2025 (engelsk)Inngår i: Applied Economics Letters, ISSN 1350-4851, E-ISSN 1466-4291Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
    Abstract [en]

    This paper investigates the impact of artificial intelligence (AI) on hiring and employment, using the universe of job postings published by the Swedish Public Employment Service from 2014 to 2022 and full-population administrative data for Sweden. We exploit a detailed measure of AI exposure according to occupational content and find that establishments exposed to AI are more likely to hire AI workers. Survey data further indicate that AI exposure aligns with greater use of AI services. Importantly, rather than displacing non-AI workers, AI exposure is positively associated with increased hiring for both AI and non-AI roles. In the absence of substantial productivity gains that might account for this increase, we interpret the positive link between AI exposure and non-AI hiring as evidence that establishments are using AI to augment existing roles and expand task capabilities, rather than to replace non-AI workers.

    sted, utgiver, år, opplag, sider
    Routledge, 2025
    Emneord
    Artificial intelligence, technological change, automation, labour demand
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-121046 (URN)10.1080/13504851.2025.2497431 (DOI)001482815400001 ()2-s2.0-105004803183 (Scopus ID)
    Forskningsfinansiär
    The Jan Wallander and Tom Hedelius Foundation, P19-0234Torsten Söderbergs stiftelse, E46/21; ET3/23
    Merknad

    Funding: Lodefalk, Engberg, Hellsten, and Sabolová acknowledge support from Ratio Institute. Lodefalk also received funding from the Jan Wallander and Tom Hedelius Foundation [P19-0234] and the Torsten Söderberg Foundation [E46/21, ET3/23]. Sabolová received support from the Jean Monnet Network and Erasmus+. Schroeder from the Carlsberg Foundation.

    Tilgjengelig fra: 2025-05-15 Laget: 2025-05-15 Sist oppdatert: 2026-03-20bibliografisk kontrollert
    3. AI Unboxed and Jobs: A Novel Measure and Firm-Level Evidence from Three Countries
    Åpne denne publikasjonen i ny fane eller vindu >>AI Unboxed and Jobs: A Novel Measure and Firm-Level Evidence from Three Countries
    Vise andre…
    2024 (engelsk)Rapport (Annet vitenskapelig)
    Abstract [en]

    We unbox developments in artificial intelligence (AI) to estimate how exposure to these developments affect firm-level labour demand, using detailed register data from Denmark, Portugal and Sweden over two decades. Based on data on AI capabilities and occupational work content, we develop and validate a time-variant measure for occupational exposure to AI across subdomains of AI, such as language modelling. According to the model, white collar occupations are most exposed to AI, and especially white collar work that entails relatively little social interaction. We illustrate its usefulness by applying it to near-universal data on firms and individuals from Sweden, Denmark, and Portugal, and estimating firm labour demand regressions. We find a positive (negative) association between AI exposure and labour demand for high-skilled white (blue) collar work. Overall, there is an up-skilling effect, with the share of white-collar to blue collar workers increasing with AI exposure. Exposure to AI within the subdomains of image and language are positively (negatively) linked to demand for high-skilled white collar (blue collar) work, whereas other AI-areas are heterogeneously linked to groups of workers.

    sted, utgiver, år, opplag, sider
    Bonn: IZA Institute of Labor Economics, 2024. s. 43
    Serie
    IZA Discussion Paper Series, E-ISSN 2365-9793 ; 16717
    Emneord
    artificial intelligence, labour demand, multi-country firm-level evidence
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128059 (URN)
    Tilgjengelig fra: 2026-03-20 Laget: 2026-03-20 Sist oppdatert: 2026-03-20bibliografisk kontrollert
    4. Social computers? LLMs and the Social Dimensions of Work
    Åpne denne publikasjonen i ny fane eller vindu >>Social computers? LLMs and the Social Dimensions of Work
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128058 (URN)
    Tilgjengelig fra: 2026-03-20 Laget: 2026-03-20 Sist oppdatert: 2026-03-20bibliografisk kontrollert
    5. Direct and indirect effects of private‑ and government‑sponsored venture capital
    Åpne denne publikasjonen i ny fane eller vindu >>Direct and indirect effects of private‑ and government‑sponsored venture capital
    2021 (engelsk)Inngår i: Empirical Economics, ISSN 0377-7332, E-ISSN 1435-8921, nr 60, s. 701-735Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Starting from the discourse on the impact of private and governmental venture capital investments, we examine the effects of different types of venture capital on firms’ sales, employment and investment. Our results show that both private and governmental venture capital investments boost firm sales with a delay of 2–3 years. The results suggest that VC impacts sales primarily through efficiency gains and to some extent, investments in physical capital investments, whereas no employment effects can be traced. Finally, we find indications of governmental VC investors being more prone to make follow-up investments in stagnating, non-growing firms than private investors.

    sted, utgiver, år, opplag, sider
    Springer, 2021
    Emneord
    Venture capital, Start-ups, Firm growth, Investments, Governmental venture capital
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-88504 (URN)10.1007/s00181-019-01770-w (DOI)000619443500007 ()2-s2.0-85073826183 (Scopus ID)
    Tilgjengelig fra: 2021-01-15 Laget: 2021-01-15 Sist oppdatert: 2026-03-20bibliografisk kontrollert
    Fulltekst (pdf)
    The Impact of AI on the Labour Market: Essays on Transformative Technology, Occupations, and Firms
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  • Disputas: 2026-05-29 13:15 Örebro universitet, Forumhuset, Hörsal F, Örebro
    Piepenburg, Sebastian
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Politiska förväntningar på utbildningsforskning: Ideologi, tillit och legitimitet i styrningen av svensk skola 1930–20252026Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    This dissertation examines how political expectations of educational research have been formulated, transformed, and institutionalised in Swedish education policy from the 1930s to 2025. It analyses the political functions these expectations have served in the governance and legitimation of schooling and situates them in relation to broader processes of modernity.

    The study is based on a historical document analysis of Swedish parliamentary and research policy materials, including government inquiries, bills, committee reports, and other policy documents concerning the organisation, funding, and use of educational research. These documents are analysed as institutional arenas in which political expectations are articulated, negotiated, and stabilised over time.

    The dissertation combines perspectives from educational ideology, modernity theory, and the sociology of expectations. The analysis shows that educational research has become an increasingly central political resource under conditions of uncertainty, reform pressure, and changing modes of governance. Over time, expectations have shifted from portraying research as a general modernising resource to emphasising applicability, comparability, and evidence. Rather than diminishing under uncertainty, political reliance on educational research has repeatedly been reformulated and reinforced. Educational research has thus become a central resource in the governance and legitimation of Swedish schooling.

    Fulltekst (pdf)
    Politiska förväntningar på utbildningsforskning: Ideologi, tillit och legitimitet i styrningen av svensk skola 1930–2025
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  • Koskinen, Jeanette
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Reframing Language Teaching in ECEC Through Academic Languaging2026Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    This thesis investigates academic language teaching in early childhood education and care (ECEC) settings, with a particular focus on multilingual children’s academic language development. Academic language is more complex and abstract than everyday language, and recent research emphasizes the need to foster children’s academic language skills in early education. The study contributes insights into teachers’ perspectives on language teaching and how language teaching that aims to develop children’s academic language can be orga-nized and carried out.

    The thesis advocates a shift from traditional, implicit stimulation to intentional academic language teaching to better support multilingual children. The study’s combination of theories of language, multi-lingualism, and teaching offers a foundation for explicit academic language teaching.

    A mixed-methods approach was used, in which two interconnected studies were undertaken. A survey study identified four teacher profiles, demonstrating differences in teaching strategies, multilingual awareness, organizational conditions, and perceptions of being a linguistic role model. A practice-based study developed an empirically grounded, theoretically informed teaching model. Seven teachers tested and refined, in two iterations, the six-step model Academic Languaging.

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    Reframing Language Teaching in ECEC Through Academic Languaging
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  • Drozdzewski, Danielle
    et al.
    Stockholm University, Stockholm, Sweden.
    Webster, Natasha A.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Osborne, Tess
    University of Leicester, Leicester, UK.
    Conradson, David
    University of Canterbury, Canterbury, UK.
    A Research Agenda for Emotional Geographies2026Bok (Fagfellevurdert)
    Abstract [en]

    This forward-looking book examines emotional geographies as both a subdiscipline and a practice. Written collaboratively, the authors demonstrate the diverse ways in which emotions influence research, knowledge and everyday life, inviting readers to recognise emotions as a fundamental component of human understanding, actions and relationships.

    Chapters highlight how the study of emotional geography provides crucial insights into pillars of daily life, such as power, work, care and social change. Drawing on feminist and embodied traditions, the book combines conceptual reflection, methodological innovation and lived experience to outline the impact of emotional geography on key challenges such as political unrest, the climate crisis, migration and technological change. Tracing the evolution of the field, the authors emphasise its future potential in research and practical applications, as well as its capacity to foster a more empathetic world.

    A Research Agenda for Emotional Geographies is an illuminating read for scholars and students of human geography, the social sciences and humanities, and particularly those interested in working with emotions across contexts. Feminist, decolonial, migration and climate change researchers will also benefit from the book’s interdisciplinary approach.

    Fulltekst (pdf)
    Chapter 1
  • Mårdh, Andreas
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Tryggvason, Ásgeir
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Urberg, Linnea
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Inledning: Forskning i ett genomlevandeperspektiv2026Inngår i: Erfarenheter av didaktik: En vänbok till Johan Öhman / [ed] Andreas Mårdh; Ásgeir Tryggvason; Linnea Urberg, Örebro: Örebro universitet , 2026, s. 7-11Kapittel i bok, del av antologi (Annet vitenskapelig)
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    Inledning: Forskning i ett genomlevandeperspektiv
  • Mårdh, Andreas
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Den didaktiska tanketraditionens beständigheter: Om naturligt lärande och etisk undervisning hos Comenius och senmodern forskning2026Inngår i: Erfarenheter av didaktik: En vänbok till Johan Öhman / [ed] Andreas Mårdh; Ásgeir Tryggvason; Linnea Urberg, Örebro: Örebro universitet , 2026, s. 37-57Kapittel i bok, del av antologi (Annet vitenskapelig)
    Fulltekst (pdf)
    Den didaktiska tanketraditionens beständigheter
  • Hennessey, John
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Global idéhistoria2026Inngår i: Att skriva idéhistoria / [ed] Bruno Hamnell; Frits Gåvertsson, Lund: Lund University Open Access, 2026, s. 259-275Kapittel i bok, del av antologi (Annet vitenskapelig)
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    Global idéhistoria
  • Hennessey, John
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Stil och referenshantering2026Inngår i: Att skriva idéhistoria / [ed] Bruno Hamnell; Frits Gåvertsson, Lund: Lund University Open Access, 2026, s. 57-75Kapittel i bok, del av antologi (Annet vitenskapelig)
    Fulltekst (pdf)
    Stil och referenshantering
  • Hallin, Hanna
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Smoke and Mirrors: The Promotion of Corporate Environmental Legitimacy as Climate Obstruction2026Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    The interconnected crises of climate change, biodiversity loss and chemical pollution constitute nothing less than an existential threat to humanity. Yet the global community’s response is manifestly inadequate. Against this backdrop, this dissertation analyses climate obstruction through the notion of corporate environmental legitimation – a relational process that cultivates and maintains the perception that corporations are suitable, willing and capable environmental stewards, even within a structurally unsustainable economic system. Empirically, the dissertation presents a multi-method case study of the Ellen Mac-Arthur Foundation (EMF), a leading advocacy organisation promoting the concept of a circular economy. Combining critical political economy and critical discourse analyses, it examines EMF’s funding, networks, governance, policy engagement, promotional practices, dis-course and relations to EU circular economy policy. The findings shows that EMF plays a central role in promoting a version of the circular economy that reinforces corporate environmental legitimacy, and that this largely overlaps with the EU’s version. Corporate initiatives are framed as meaningful progress within content circulated through EMF’s promotional system, where different legitimation strategies interact to reinforce this message. Furthermore, the analysis shows that EMF mobilises the circular economy as a brand, directing public enthusiasm towards corporate “circular” initiatives. The dissertation argues that this constitutes an important mode of climate obstruction: messages that create the impression that adequate solutions are underway function as smoke and mirrors. They foster hope in incremental improvements while potentially crowding out attention to the urgent systemic transformations required to return humanity to a safe operating space.

    Fulltekst (pdf)
    Smoke and Mirrors: The Promotion of Corporate Environmental Legitimacy as Climate Obstruction
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  • Hodza-Beganovic, Ruhija
    Örebro universitet, Institutionen för hälsovetenskaper.
    Developing non-technical skills through designed experiential learning: participatory research in a Balkan healthcare context2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Rapid changes in population health needs have increased the importance of understanding how healthcare institutions in low- and middle-income countries (LMICs) support the development of healthcare professionals’ competencies. While traditional training has primarily emphasised clinical and technical skills, healthcare systems in LMICs often face additional challenges related to limited resources, entrenched hierarchies, and complex cultural contexts. These conditions highlight the need to better understand the development of non-technical skills (NTSs), including communication, teamwork, leadership, and interprofessional collaboration.

    This thesis examines how healthcare professionals understand and develop NTSs, with particular attention to leadership and interprofessional collaboration within healthcare settings in the Balkan region and in the context of international healthcare partnerships in Sweden. The study applies a designed experiential learning approach grounded in participatory and interactive educational practices. Kolb’s experiential learning theory serves as the overarching conceptual framework and is applied across individual, team, and organisational levels, with surveys-used to stimulate dialogue.

    The thesis is presented as a compilation, consisting of an introduction and four empirical studies employing both qualitative and quantitative research methods. Data were collected through interviews, focusgroups, and observations.

    The findings indicate that designed experiential learning approaches effectively foster the development and understanding of NTSs. These skills develop in ways that are closely shaped by organisational structures and cultural contexts. The results contribute to a growing body of evidence supporting experiential, participatory, and context-sensitive approaches in healthcare education and suggest that traditional dyadic mentoring alone is insufficient to support professional development in increasingly complex healthcare environments.

    Delarbeid
    1. Survey-based experiential learning as a new approach to strengthening non-technical skills in LMIC health care settings
    Åpne denne publikasjonen i ny fane eller vindu >>Survey-based experiential learning as a new approach to strengthening non-technical skills in LMIC health care settings
    2021 (engelsk)Inngår i: BMC Medical Education, E-ISSN 1472-6920, Vol. 21, nr 1, artikkel-id 240Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: This study outlines key aspects of professional development among health professionals in low- and middle-income countries (LMIC). LMICs need support in developing their continuing medical education, and non-technical skills (NTS) that have been neglected in this respect. Given the nature of NTS, educational methods should be used experientially. This study aims to explore an interactive educational approach to increase NTS among health care professionals in an LMIC setting.

    METHODS: A design-based research approach was applied to develop an educational method. Key NTS concepts were identified, which directed the selection of research-based surveys. A series of workshops was designed in which a survey-based experiential approach was developed. The educational process followed a pattern of individual reflection, small group discussion and relating the concepts to the local practice in a wider group.

    RESULTS: An approach to increase NTS in LMIC settings emerged in iterative development through conducting workshops with health care teams in the Balkans. The topics could be grouped into individual, team, and organisational dimensions. The approach can be described as survey-based experiential learning involving steps in recurring interaction with participants. The steps include identifying concepts in individual, team and organization dimensions and contextualising them using experiential learning on the individual and group levels.

    CONCLUSION: An overarching approach has been developed that addresses NTS in an LMIC setting. The survey-based experiential learning approach can be beneficial for raising professional awareness and the development of sustainable healthcare settings in LMICs.

    sted, utgiver, år, opplag, sider
    BioMed Central, 2021
    Emneord
    Design-based research, Experiential learning, Interprofessional learning, LMIC, NTS, Non-technical skills, Teamwork
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-91485 (URN)10.1186/s12909-021-02619-6 (DOI)000645595700003 ()33902554 (PubMedID)2-s2.0-85104863434 (Scopus ID)
    Merknad

    Funding Agencies:

    International Medical Program (IMP), Region Östergötland, Center for Teaching and Research in Disaster Medicine and Traumatology, University Hospital Linköping, Sweden  

    Örebro University 

    Tilgjengelig fra: 2021-04-28 Laget: 2021-04-28 Sist oppdatert: 2026-03-26bibliografisk kontrollert
    2. Developing non-technical skills of healthcare professionals in international health partnerships: a qualitative study employing survey-based experiential learning
    Åpne denne publikasjonen i ny fane eller vindu >>Developing non-technical skills of healthcare professionals in international health partnerships: a qualitative study employing survey-based experiential learning
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128118 (URN)
    Tilgjengelig fra: 2026-03-26 Laget: 2026-03-26 Sist oppdatert: 2026-03-26bibliografisk kontrollert
    3. Contextualizing interprofessional competencies in the Balkans: Healthcare workers’ understanding of the concepts based on an existing framework and a self-report instrument
    Åpne denne publikasjonen i ny fane eller vindu >>Contextualizing interprofessional competencies in the Balkans: Healthcare workers’ understanding of the concepts based on an existing framework and a self-report instrument
    2025 (engelsk)Inngår i: Journal of Interprofessional Education and Practice, E-ISSN 2405-4526, Vol. 41, artikkel-id 100787Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This paper emphasizes adapting frameworks for interprofessional collaboration (IPC) from high-income settings to culturally distinct, resource-constrained regions. We adapted and validated the Interprofessional Education Collaborative (IPEC) competency framework within a Balkan healthcare context facing systemic, educational, and financial challenges. Frameworks such as IPEC may not fully capture contextual nuances in lower-middle-income countries (LMICs). Therefore, we examined how the IPEC framework could be culturally adapted for healthcare workers in the Balkans. A convergent mixed-methods design was employed, involving two interprofessional workshops and a follow-up survey. Healthcare workers from Bosnia and Herzegovina, Montenegro, and Kosovo participated in reflective discussions and prioritized competencies from the original 38-item IPEC instrument. The adapted instrument (IPEC-21B) was evaluated for psychometric reliability and contextual relevance and proved to be both valid and practical due to its shorter format. The instrument measured attitudes toward IPC and encouraged critical dialogue about hierarchy, communication, and shared roles, positioning it as both an assessment tool and a catalyst for professional learning. The results demonstrate how an adapted survey on IPC foster systemic thinking and professional development provides a tool for increased awareness. By retaining all core IPEC domains, IPEC-21B provides a tool for increasing awareness and developing interprofessional competencies in a way that aligns with local cultural and educational needs in settings with limited traditions of interprofessional practice. Tailoring an IPC instrument to local contexts enhances healthcare workers’ understanding of collaboration and may improve patient outcomes and care equity. The participatory adaptation process emphasizes embedding dialogue and shared understanding into interprofessional education and assessment in LMICs.

    sted, utgiver, år, opplag, sider
    Elsevier, 2025
    Emneord
    Contextualization, Interprofessional competence, Mokken scale analysis, Self-report
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-126264 (URN)10.1016/j.xjep.2025.100787 (DOI)2-s2.0-105024324430 (Scopus ID)
    Tilgjengelig fra: 2026-01-14 Laget: 2026-01-14 Sist oppdatert: 2026-04-22bibliografisk kontrollert
    4. The role of leadership in enhancing non-technical skills in healthcare: a qualitative study in a Balkan context
    Åpne denne publikasjonen i ny fane eller vindu >>The role of leadership in enhancing non-technical skills in healthcare: a qualitative study in a Balkan context
    2025 (engelsk)Inngår i: Human Resources for Health, E-ISSN 1478-4491, Vol. 23, nr 1, artikkel-id 53Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: Leadership is widely recognized as essential for fostering collaborative healthcare teams and improving patient outcomes. However, there is limited research on how leadership supports the development of nonclinical skills in healthcare settings in many low- and middle-income countries, including those in the Balkan region. This study addresses that gap by examining how leadership roles and practices enhance non-technical skills (NTSs)-such as communication, teamwork, and role clarity-among healthcare workers in the Balkans while also considering sustainable development, organizational values, cultural influences, and social dynamics.

    METHODS: A qualitative approach was employed, drawing on data collected from three workshops conducted between 2018 and 2022 in university hospital clinics in Bosnia and Herzegovina, Kosovo, and Montenegro. Data sources included observations of group discussions, focus groups, and semi-structured interviews with healthcare leaders. Reflexive thematic analysis was used to identify patterns and develop key themes.

    RESULTS: Four key themes emerged regarding the role of leadership in the development of NTSs: (1) defining roles and responsibilities, (2) fostering communication and teamwork, (3) promoting readiness for change, and (4) developing leadership competencies. The participants noted that clear role definitions enhanced team coordination, inclusive communication reduced misunderstandings, supportive leadership eased resistance to change, and mentorship served as a valuable mechanism for leadership development.

    CONCLUSION: Leadership plays a key role in strengthening NTSs in Balkan healthcare contexts by promoting communication and teamwork within culturally and hierarchically complex environments. Role clarity, open dialogue, and shared accountability emerged as key factors for effective team performance and patient safety. These findings highlight the need for leadership development and the implementation of formal training initiatives-such as structured mentorship programs-to foster collaborative and resilient healthcare systems in low- and middle-income countries.

    sted, utgiver, år, opplag, sider
    BioMed Central (BMC), 2025
    Emneord
    Balkans, Healthcare, Leadership, Low- and middle-income countries, Non-technical skills, Teamwork
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-124421 (URN)10.1186/s12960-025-01022-2 (DOI)001592018100001 ()41084058 (PubMedID)2-s2.0-105018647785 (Scopus ID)
    Forskningsfinansiär
    Örebro University
    Tilgjengelig fra: 2025-10-14 Laget: 2025-10-14 Sist oppdatert: 2026-03-26bibliografisk kontrollert
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    Developing non-technical skills through designed experiential learning: participatory research in a Balkan healthcare context
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  • Disputas: 2026-05-22 09:00 Örebro universitet, Forumhuset, Hörsal F, Örebro
    Slettmyr, Anna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Willingness to care: Experiences of nursing and altruism in relation to a pandemic2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    In public health crises, such as pandemics, nurses’ willingness to care for patients, even when risking one’s own well-being, is essential. The overall aim of this thesis was to explore nurses’ willingness to care, and experiences of nursing care and altruism, in relation to a pandemic. The thesis includes four qualitative studies, based on interviews with primarily intensive care nurses, in which the phenomenological hermeneutical method and systematic text condensation were used for analysis, and in addition, the concept of professional altruism was clarified. The composite findings of the qualitative studies (studies I–IV) showed that, before the COVID-19 pandemic, nurses felt ambivalence towards the phenomenon of altruism. When the COVID-19 pandemic hit Sweden, nurses showed great willingness to care for patients and displayed altruistic behaviour. Working at over full capacity took its toll, and nurses’ willingness to care started to diminish when personal consequences became apparent. They were pushed to the edge, and for some nurses their willingness to care was transformed into a need to prioritise oneself, and ultimately to resign from intensive care. The last study (Study V) considered professional altruism as a willingness to act for others, a moral orientation, a motivational force, an unwavering professional expectation, and a valued, yet challenged and sometimes rejected phenomenon. Supporting the willingness to care and professional altruism, as well as to prepare nurses and nursing students for future crises, including ethical decision-making in situations of scarce resources, is crucial to ensure effective health crisis management in the future.

    Delarbeid
    1. The ambiguity of altruism in nursing: A qualitative study
    Åpne denne publikasjonen i ny fane eller vindu >>The ambiguity of altruism in nursing: A qualitative study
    2019 (engelsk)Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 26, nr 2, s. 368-377Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: For a long time, altruism was the basis for caring. Today, when society is more individualized, it is of interest to explore the meaning of altruism in nursing.

    Methods: In all, 13 nurses from a Swedish acute care setting participated in two focus group interviews performed as Socratic dialogues. Data were analyzed using a phenomenological hermeneutical method.

    Ethical considerations: Ethical issues were considered throughout the process according to established ethical principles. Informed consent was obtained from all participants, confidentiality regarding the data was guaranteed and quotations anonymized.

    Findings: Altruism created a sense of ambivalence and ambiguity, described as a rise of sovereign expressions of life caused by "the other's" need, but also unwillingness to take unconditional responsibility for "the other."

    Conclusion: Society's expectations of altruism and nurses' perception of their work as a salaried job collide in modern healthcare. Nurses are not willing to fully respond to the ethical demand of the patients. In case of a disaster, when nurses personal safety, life and health may be at risk, there might be reasons to question whether the healthcare organization would be able to fulfill its obligations of providing healthcare to an entire population.

    sted, utgiver, år, opplag, sider
    Sage Publications, 2019
    Emneord
    Caring, Løgstrup, Martinsen, Socratic dialogue, ethics, individualism, interdependence, henomenological hermeneutical
    HSV kategori
    Forskningsprogram
    Etik; Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-104825 (URN)10.1177/0969733017709336 (DOI)000461439900005 ()28553753 (PubMedID)2-s2.0-85041312117 (Scopus ID)
    Tilgjengelig fra: 2023-03-09 Laget: 2023-03-09 Sist oppdatert: 2026-04-27bibliografisk kontrollert
    2. Spontaneous ethics in nurses’ willingness to work during a pandemic
    Åpne denne publikasjonen i ny fane eller vindu >>Spontaneous ethics in nurses’ willingness to work during a pandemic
    2022 (engelsk)Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 29, nr 5, s. 1293-1303Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: In modern healthcare, the role of solidarity, altruism and the natural response to moral challenges in life-threatening situations is still rather unexplored. The COVID-19 pandemic provided an opportunity to obtain a deeper understanding of nurses' willingness to care for patients during crisis.

    Objective: To elucidate clinical expressions of ontological situational ethics through nurses' willingness to work during a pandemic.

    Research design, participants and context: A qualitative study with an interpretive design was applied. Twenty nurses who worked in intensive care unit at two Swedish hospitals during the first, second, and third waves of the COVID-19 pandemic were interviewed. The analysis was interpretative and applied a theoretical ethics perspective.

    Ethical considerations: The study was approved by the Swedish Ethical Review Authority and informed consent was obtained from all participants.

    Findings: From a philosophical perspective, the nurses expressed sovereign life expressions of mercy and compassion, which arose spontaneously in response to seeing vulnerable fellow humans. They referenced ''the nurse inside me'' and their choice of profession as motives to provide care. Ontological situational ethics in culture and norms were noted in the constructs of competence, responsibility, solidarity with colleagues and organization; and interest and learning were driving forces. Ethical demand was evident when nurses expressed ideas of meaningfulness in helping their fellow humans; but themes of ambiguity, exhaustion and unwillingness were also present.

    Conclusions: The nurses showed a high willingness to care for patients during a crisis. Responding to the ethical demand and to care for vulnerable human beings while risking their own health and lives could be interpreted as an inter-human vocation. These spontaneous altruistic actions saved the lives of many patients during the pandemic and need to be understood and supported. 

    sted, utgiver, år, opplag, sider
    Sage Publications, 2022
    Emneord
    Caring ethics, ethical demand, Martinsen, phenomonological, ontology, Løgstrup, qualitative, hermeneutics
    HSV kategori
    Forskningsprogram
    Etik; Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-104823 (URN)10.1177/09697330221085768 (DOI)000798675400001 ()35559725 (PubMedID)2-s2.0-85130101611 (Scopus ID)
    Tilgjengelig fra: 2023-03-09 Laget: 2023-03-09 Sist oppdatert: 2026-04-27bibliografisk kontrollert
    3. Intensive care nurses' lived experience of altruism and sacrifices during the Covid-19 pandemic: A phenomenological study
    Åpne denne publikasjonen i ny fane eller vindu >>Intensive care nurses' lived experience of altruism and sacrifices during the Covid-19 pandemic: A phenomenological study
    Vise andre…
    2023 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, nr 1, s. 244-253Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    AIM: The aim of this study was to understand the lived experience of altruism and sacrifices among Swedish nurses working in intensive care units (ICU) during the COVID-19 pandemic.

    DESIGN: This was a descriptive phenomenological study.

    METHODS: The study was conducted between June 2020 and March 2021 and included 20 nurses who were directly involved in the ICU care of COVID-19 patients in Sweden during the pandemic. The text transcripts were analysed using Malterud's Systematic Text Condensation.

    FINDINGS: The analysis revealed four themes. The work situation changed from 1 day to another-the nurses were brutally confronted with a new and highly demanding situation. Adapting to the chaotic situation-despite fear, anguish and exhaustion, the nurses adapted to the new premises. They shouldered the moral responsibility and responded to the needs of the patients and the health care system since they had the competence. Being confronted with ethical and moral challenges-the nurses were overwhelmed by feelings of helplessness and inadequacy because despite how hard they worked, they were still unable to provide care with dignity and of acceptable quality. The importance of supporting each other-collegiality was fundamental to the nurses' ability to cope with the situation.

    CONCLUSIONS: Taken together, being exposed to a constantly changing situation, facing the anguish and misery of patients, families, and colleagues, and being confronted with a conflict between the moral obligation to provide care of high quality and the possibility to fulfil this commitment resulted in suffering among the nurses. Collegial back-up and a supportive culture within the caring team were important for the nurses' endurance.

    IMPACT: The study contributes an understanding of nurses' lived experience of working during the COVID-19 pandemic and highlights the importance of protecting and preparing nurses and nursing organisation for potential future crises.

    sted, utgiver, år, opplag, sider
    John Wiley & Sons, 2023
    Emneord
    COVID-19, dignity, lived experience, moral stress, nursing care, nursing science, qualitative, suffering
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-101830 (URN)10.1111/jan.15467 (DOI)000869308200001 ()36253939 (PubMedID)2-s2.0-85139995062 (Scopus ID)
    Tilgjengelig fra: 2022-10-24 Laget: 2022-10-24 Sist oppdatert: 2026-04-27bibliografisk kontrollert
    4. Fight or flight-intensive care nurses' decisions to resign following the COVID-19 pandemic: a phenomenological hermeneutical study
    Åpne denne publikasjonen i ny fane eller vindu >>Fight or flight-intensive care nurses' decisions to resign following the COVID-19 pandemic: a phenomenological hermeneutical study
    2025 (engelsk)Inngår i: BMC Nursing, E-ISSN 1472-6955, Vol. 24, nr 1, artikkel-id 60Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Many intensive care unit (ICU) nurses who were crucial to the frontline response during the COVID-19 pandemic left their employment during or after the pandemic. Studies exploring the experiences of these nurses are lacking. The aim of this study was to explore ICU nurses' course towards making the decision to resign from work in the ICU following the COVID-19 pandemic.

    Method: Advertisements on social media and a snowball sampling-inspired method were used to recruit 11 nurses from hospitals around Sweden who worked in an ICU during the pandemic and who then left employment. The participants were interviewed individually via telephone, online or in-person. An interview guide with a few open-ended questions was used to capture the nurses' narratives. The data were analysed using a phenomenological hermeneutical method.

    Results: The nurses were tangled in paradoxes, described as three themes: 'To give it all and yet feel insufficient', 'To experience togetherness and yet feel lonely' and 'To prioritise others and yet need to eventually prioritise oneself'. The decision to end their employment was ambivalent but necessary, made with relief and no regrets, but with sorrow. During this decision-making process, there may have been a window of opportunity during which nursing management or the health care service might have influenced the outcome.

    Conclusion: The ICU nurses' decision to resign was influenced by a tangle of challenging paradoxes that entailed ambivalence. The course to the decision to resign was marked by hesitancy. While it is important to understand and support nurses' willingness to care for patients during a crisis and to acknowledge their suffering as it relates to their professional efforts, it is also essential to address their individual struggles and needs.

    sted, utgiver, år, opplag, sider
    BioMed Central (BMC), 2025
    Emneord
    COVID-19, Ethics, ICU, Intensive care nurses, Nursing management, Phenomenological hermeneutical
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-120357 (URN)10.1186/s12912-025-02956-7 (DOI)001457336800001 ()40169987 (PubMedID)2-s2.0-105001658715 (Scopus ID)
    Forskningsfinansiär
    Örebro University
    Tilgjengelig fra: 2025-04-02 Laget: 2025-04-02 Sist oppdatert: 2026-04-27bibliografisk kontrollert
    5. Professional altruism in nursing care: A concept clarification study
    Åpne denne publikasjonen i ny fane eller vindu >>Professional altruism in nursing care: A concept clarification study
    2026 (engelsk)Inngår i: International Journal of Nursing Studies Advances, E-ISSN 2666-142X, Vol. 10, artikkel-id 100522Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Altruism has historically shaped the ethos of nursing. However, the COVID-19 pandemic reignited nurses' profound commitment to patient care, often at significant personal risk to own health and safety. This renewed dedication has prompted interest in whether altruism remains a vital component of nursing practice.

    Objective: To clarify the meaning of professional altruism in nursing care.

    Design: Catherine Norris's five-step concept clarification method was employed.

    Methods: A systematic search was conducted in November 2024 across the CINAHL, PubMed, MEDLINE, and PsycINFO databases using the terms altruism, altruistic, and altruistic behavior/ behaviour in combination with nurses, nursing, and nursing care, resulting in the inclusion of 24 articles.

    Results: Systemised descriptions of professional altruism yielded five categories: a willingness to act for others, a moral orientation, a motivational force, an unwavering professional expectation, and a valued, yet challenged and sometimes rejected phenomenon. Additionally, an operational definition of professional altruism in nursing care emerged: Professional altruism is a moral orientation toward fellow human beings in need of care, characterised by a willingness to prioritise the well-being of others over one's own needs. While balancing the expectations, challenges, and personal consequences involved, professional altruism remains a core aspect of nursing care, responsibility, and practice.

    Conclusion: Professional altruism is a central aspect of nurses' professional identity and an essential element of nursing care. When acknowledged and supported, professional altruism can enhance both the quality of care and nurses' well-being.

    sted, utgiver, år, opplag, sider
    Elsevier, 2026
    Emneord
    Altruism, Concept clarification, Ethics, Nursing care, Nursing values
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128265 (URN)10.1016/j.ijnsa.2026.100522 (DOI)001730618800001 ()41953151 (PubMedID)
    Tilgjengelig fra: 2026-04-04 Laget: 2026-04-04 Sist oppdatert: 2026-04-27bibliografisk kontrollert
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  • Disputas: 2026-06-05 09:00 Värmlands museum, Hörsalen, Karlstad
    Lindh, Annika
    Örebro universitet, Institutionen för hälsovetenskaper.
    Optimization of inhaler use in patients with COPD2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Overall aim: The overall aim was to investigate and optimize inhaler use and patient education in COPD in primary health care.

    Methods: Study I was an observational study assessing patients’ inhaler use. Study II was a non-randomized controlled clinical trial evaluating the effect of an additional inhaler education session. Study III was a register-based study identifying factors associated with patient education. Study IV was a qualitative focus group study exploring asthma/COPD nurses’ experiences of inhaler education.

    Results: In Study I, 45% of the 183 patients made at least one inhaler error; 50% made errors related to device handling, 31% made errors relating to inhalation technique, and 19% made both types of error. In Study II, the education group showed a significant improvement in device-handling errors, after one revisit. Study III revealed that only 44% of patients with COPD had received patient education, primarily those with more severe disease. In Study IV, asthma/COPD nurses described inhalation treatment as challenging, and reported deficiencies particularly in continuing education, limited managerial support, and insufficient time for patient care.

    Conclusions: The findings demonstrate a high prevalence of incorrect inhaler use among patients with COPD. Categorizing errors into device-handling and inhalation-technique errors may simplify assessment and facilitate more individualized, patient-centered education. Health care organizations should prioritize COPD and support asthma/COPD nurses through education, collaboration, and adequate time for patient care. Patient education, including inhaler training, should be initiated earlier and offered to more patients.

    Delarbeid
    1. Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care
    Åpne denne publikasjonen i ny fane eller vindu >>Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care
    Vise andre…
    2019 (engelsk)Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 4, s. 1519-1527Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Aim: The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.

    Design: Observational study. Methods COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD (N = 183) from primary healthcare centres. The STROBE checklist has been used.

    Results: The mean age of the patients was 71 (SD 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.

    sted, utgiver, år, opplag, sider
    Wiley-Blackwell, 2019
    Emneord
    administration, inhalation, pulmonary disease, chronic obstructive, dry powder inhalers, inhaler technique, metered-dose inhalers, patient education
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-76052 (URN)10.1002/nop2.357 (DOI)000481947200001 ()2-s2.0-85070870779 (Scopus ID)
    Merknad

    Funding Agency:

    Uppsala-Örebro Regional Research Council 

    Tilgjengelig fra: 2019-09-05 Laget: 2019-09-05 Sist oppdatert: 2026-05-04bibliografisk kontrollert
    2. One additional educational session in inhaler use to patients with COPD in primary health care: A controlled clinical trial
    Åpne denne publikasjonen i ny fane eller vindu >>One additional educational session in inhaler use to patients with COPD in primary health care: A controlled clinical trial
    Vise andre…
    2022 (engelsk)Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, nr 9, s. 2969-2975Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    OBJECTIVE: To investigate whether one additional educational session about inhaler use, delivered to patients with COPD in primary healthcare, could affect the patients' skills in inhaler use. Specifically, to study the effects on errors related to handling the device, to inhalation technique, and to both.

    METHODS: This nonrandomized controlled clinical trial included 64 patients who used devices and made errors. COPD nurses assessed inhaler use using a checklist and educated patients. Intervention group received one additional educational session after two weeks.

    RESULTS: At baseline, patients in the IG had more devices (n = 2,1) compared to patients in the CG (n = 1,6) (p = 0.003). No other statistically significant differences were seen at baseline. At follow-up, intervention group showed a lower proportion of patients who made errors related to handling the device (p = 0.006). No differences were seen in the other categories.

    CONCLUSION: One additional educational session in inhaler use for patients with COPD was effective in reducing the proportion of patients making errors related to handling of their devices.

    PRACTICE IMPLICATIONS: Categorization of errors might help healthcare professionals to assess the suitability of patients' devices, tailor patient education, and thus improve patient health.

    sted, utgiver, år, opplag, sider
    Elsevier, 2022
    Emneord
    Chronic obstructive pulmonary disease, Device, Inhalation technique, Inhaler use, Patient education
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-99553 (URN)10.1016/j.pec.2022.05.013 (DOI)000863225900019 ()35672192 (PubMedID)2-s2.0-85131505862 (Scopus ID)
    Forskningsfinansiär
    Region Värmland, LIVFOU-927791 LIVFOU-939697
    Tilgjengelig fra: 2022-06-15 Laget: 2022-06-15 Sist oppdatert: 2026-05-04bibliografisk kontrollert
    3. Factors Associated with Patient Education in Patients with Chronic Obstructive Pulmonary Disease (COPD) - A Primary Health Care Register-Based Study
    Åpne denne publikasjonen i ny fane eller vindu >>Factors Associated with Patient Education in Patients with Chronic Obstructive Pulmonary Disease (COPD) - A Primary Health Care Register-Based Study
    Vise andre…
    2024 (engelsk)Inngår i: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 19, s. 1069-1077Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    PURPOSE: Patient education in chronic obstructive pulmonary disease (COPD) is recommended in treatment strategy documents, since it can improve the ability to cope with the disease. Our aim was to identify the extent of and factors associated with patient education in patients with COPD in a primary health care setting.

    PATIENTS AND METHODS: In this nationwide study, we identified 29,692 COPD patients with a registration in the Swedish National Airway Register (SNAR) in 2019. Data on patient education and other clinical variables of interest were collected from SNAR. The database was linked to additional national registers to obtain data about pharmacological treatment, exacerbations and educational level.

    RESULTS: Patient education had been received by 44% of COPD patients, 72% of whom had received education on pharmacological treatment including inhalation technique. A higher proportion of patients who had received education were offered smoking cessation support, had performed spirometry and answered the COPD Assessment Test (CAT), compared with patients without patient education. In the adjusted analysis, GOLD grade 2 (OR 1.29, 95% CI 1.18-1.42), grade 3 (OR 1.41, 95% CI 1.27-1.57) and grade 4 (OR 1.79, 95% CI 1.48-2.15), as well as GOLD group E (OR 1.17, 95% CI 1.06-1.29), ex-smoking (OR 1.70, 95% CI 1.56-1.84) and current smoking (OR 1.45, 95% CI 1.33-1.58) were positively associated with having received patient education, while cardiovascular disease (OR 0.92, 95% CI 0.87-0.98) and diabetes (OR 0.93, 95% CI 0.87-1.00) were negatively associated with receipt of patient education.

    CONCLUSION: Fewer than half of the patients had received patient education, and the education had mostly been given to those with more severe COPD, ex- and current smokers and patients with fewer comorbidities. Our study highlights the need to enhance patient education at an earlier stage of the disease.

    sted, utgiver, år, opplag, sider
    Dove Medical Press, 2024
    Emneord
    chronic obstructive pulmonary disease, inhaler use, patient education, primary health care, register study
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-113758 (URN)10.2147/COPD.S455080 (DOI)001226297800001 ()38765768 (PubMedID)2-s2.0-85193677033 (Scopus ID)
    Forskningsfinansiär
    Swedish Heart Lung Foundation, 20200548
    Tilgjengelig fra: 2024-05-22 Laget: 2024-05-22 Sist oppdatert: 2026-05-04bibliografisk kontrollert
    4. Asthma/COPD nurses’ experiences of education in inhaler use
    Åpne denne publikasjonen i ny fane eller vindu >>Asthma/COPD nurses’ experiences of education in inhaler use
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128613 (URN)
    Tilgjengelig fra: 2026-05-04 Laget: 2026-05-04 Sist oppdatert: 2026-05-04bibliografisk kontrollert
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  • Nestor, David
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Molecular based approaches for detection of bloodstream infections2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Bloodstream infection (BSI) is a life-threatening condition associated with high mortality. Pathogen identification is essential for patient management, yet blood culture (BC), the diagnostic gold standard, may require 2–5 days and has reduced sensitivity after antimicrobial treatment. This thesis investigates modern molecular DNA sequencing approaches for detecting bacterial DNA as a diagnostic alternative. In Study I, a cohort of 484 patients with suspected BSI was described, and prediction tools were applied to identify patients at high risk of BSI for subsequent studies. Study II used whole blood samples from 51 patients to detect bacterial DNA with short-read sequencing and showed low concordance with routine BC results. In Study III, a shotgun metagenomic workflow using the Nanopore platform was developed, and DNA extraction efficiency was evaluated in contrived samples. Bacterial DNA recovery was slightly higher in whole blood than in plasma, but no firm conclusion regarding the optimal sample matrix could be drawn. We also observed that extraction efficiency differed between bacterial species. Based on these methodological challenges and limited sensitivity, Study IV evaluated bacterial DNA enrichment prior to sequencing through short BC incubation (4 h) followed by targeted 16S gene sequencing in 161patients selected using the criteria defined in Study I. This workflow showed increased diagnostic performance, with sensitivity of 56.8% and specificity of 46.7% compared with BC. Additional bacteria with plausible clinical relevance were detected in a few patients with negative routine BC. Overall, the sequencing protocols evaluated in this thesis provided limited additional diagnostic value for BSI compared to BC. In comparison with the literature, we highlight methodological challenges to guide future research in this area.

    Delarbeid
    1. Early prediction of blood stream infection in a prospectively collected cohort
    Åpne denne publikasjonen i ny fane eller vindu >>Early prediction of blood stream infection in a prospectively collected cohort
    Vise andre…
    2021 (engelsk)Inngår i: BMC Infectious Diseases, E-ISSN 1471-2334, Vol. 21, nr 1, artikkel-id 316Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: Blood stream infection (BSI) and sepsis are serious clinical conditions and identification of the disease-causing pathogen is important for patient management. The RISE (Rapid Identification of SEpsis) study was carried out to collect a cohort allowing high-quality studies on different aspects of BSI and sepsis. The aim of this study was to identify patients at high risk for BSI who might benefit most from new, faster, etiological testing using neutrophil to lymphocyte count ratio (NLCR) and Shapiro score.

    METHODS: Adult patients (≥ 18 years) presenting at the emergency department (ED) with suspected BSI were prospectively included between 2014 and 2016 at Örebro University Hospital. Besides extra blood sampling, all study patients were treated according to ED routines. Electronic patient charts were retrospectively reviewed. A modified Shapiro score (MSS) and NLCR were extracted and compiled. Continuous score variables were analysed with area under receiver operator characteristics curves (AUC) to evaluate the ability of BSI prediction.

    RESULTS: The final cohort consisted of 484 patients where 84 (17%) had positive blood culture judged clinically significant. At optimal cut-offs, MSS (≥3 points) and NLCR (> 12) showed equal ability to predict BSI in the whole cohort (AUC 0.71/0.74; sensitivity 69%/67%; specificity 64%/68% respectively) and in a subgroup of 155 patients fulfilling Sepsis-3 criteria (AUC 0.71/0.66; sensitivity 81%/65%; specificity 46%/57% respectively). In BSI cases only predicted by NLCR> 12 the abundance of Gram-negative to Gram-positive pathogens (n = 13 to n = 4) differed significantly from those only predicted by MSS ≥3 p (n = 7 to n = 12 respectively) (p < 0.05).

    CONCLUSIONS: MSS and NLCR predicted BSI in the RISE cohort with similar cut-offs as shown in previous studies. Combining the MSS and NLCR did not increase the predictive performance. Differences in BSI prediction between MSS and NLCR regarding etiology need further evaluation.

    sted, utgiver, år, opplag, sider
    BioMed Central (BMC), 2021
    Emneord
    Bacteremia, Clinical decision rules, Sepsis
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-90961 (URN)10.1186/s12879-021-05990-3 (DOI)000636178800001 ()33810788 (PubMedID)2-s2.0-85103852609 (Scopus ID)
    Merknad

    Funding Agencies:

    Research Committee of Örebro County Council  

    Örebro University 

    Tilgjengelig fra: 2021-04-13 Laget: 2021-04-13 Sist oppdatert: 2026-04-13bibliografisk kontrollert
    2. Performance of shotgun metagenomics on whole blood from patients with suspected bloodstream infection: Challenges remain
    Åpne denne publikasjonen i ny fane eller vindu >>Performance of shotgun metagenomics on whole blood from patients with suspected bloodstream infection: Challenges remain
    Vise andre…
    2025 (engelsk)Inngår i: Journal of Microbiological Methods, ISSN 0167-7012, E-ISSN 1872-8359, Vol. 237, artikkel-id 107231Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Bloodstream infections (BSI) are common, and identifying the causative organism is crucial for effective patient management. Shotgun metagenomics (SMg) has emerged as a promising diagnostic tool; however, standardized protocols are lacking. This study aimed to evaluate the use of SMg for diagnosing BSI in patients with confirmed or suspected infections, using stored samples collected at the time of blood culture (BC). DNA extraction was performed with Add-on 10 complement and SelectNA Blood Pathogen kit (Molzym) and SMg sequencing was performed on an Illumina MiSeq instrument (Illumina). The outputs from five taxonomic classification tools were compared with routine blood culture. Of the initial 51 samples (36 BCE-positive and 15 BCE-negative), 36 (71 %) were included in the taxonomic classification analysis. Fifteen samples were excluded due to a low DNA library yield (n = 8) or low sequencing output (n = 7). In two cases, SMg results matched BC findings involving one Cutibacterium acnes and one Staphylococcus aureus. These organisms could be clearly distinguished from the background level of bacterial DNA. Aside from these, SMg identified additional bacterial findings that overlapped with BC results but at low abundance making interpretation more difficult. Most SMg reads were suspected to represent contaminations, originating either from the patient or the laboratory. The output from the different taxonomic classification tools were overall similar but displayed notable differences related to their strategies for identifying bacterial findings. Based on these results, we discuss the challenges associated with SMg-based diagnosis of BSI and highlight key areas requiring further research to improve its clinical utility.

    sted, utgiver, år, opplag, sider
    Elsevier, 2025
    Emneord
    Bacteremia, Bloodstream infection, High-throughput nucleotide sequencing, Metagenomics, Sepsis
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-122857 (URN)10.1016/j.mimet.2025.107231 (DOI)001565753000001 ()40819729 (PubMedID)2-s2.0-105013477362 (Scopus ID)
    Forskningsfinansiär
    Nyckelfonden, OLL-967989Region Örebro County, OLL-964664OLL-964664EU, Horizon 2020
    Merknad

    Funding Agencies:

    Nyckelfonden, OLL-967989 to PM and from the Research grant committee ofRegion Örebro County, OLL-964664 to DN. JWA received funding from the European Union’s Horizon 2020Research and Innovation Program under the Marie Skłodowska-Curie grant agreement 713660 (MSCA-COFUND-2015-DP “Pronkjewail”)

    Tilgjengelig fra: 2025-08-20 Laget: 2025-08-20 Sist oppdatert: 2026-04-13bibliografisk kontrollert
    3. Critical Steps in Shotgun Metagenomics-Based Diagnosis of Bloodstream Infections Using Nanopore Sequencing
    Åpne denne publikasjonen i ny fane eller vindu >>Critical Steps in Shotgun Metagenomics-Based Diagnosis of Bloodstream Infections Using Nanopore Sequencing
    Vise andre…
    2025 (engelsk)Inngår i: Acta Pathologica, Microbiologica et Immunologica Scandinavica (APMIS), ISSN 0903-4641, E-ISSN 1600-0463, Vol. 133, nr 1, artikkel-id e13511Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Shotgun metagenomics offers a broad detection of pathogens for rapid blood stream infection of pathogens but struggles with often low numbers of pathogens combined with high levels of human background DNA in clinical samples. This study aimed to develop a shotgun metagenomics protocol using blood spiked with various bacteria and to assess bacterial DNA extraction efficiency with human DNA depletion. The Blood Pathogen Kit (Molzym) was used to extract DNA from EDTA-whole blood (WB) and plasma samples, using contrived blood specimens spiked with bacteria for shotgun metagenomics diagnostics via Oxford Nanopore sequencing and PCR-based library preparation. Results showed that bacterial reads were higher in WB than plasma. Differences for Staphylococcus aureus and Streptococcus pneumoniae were more pronounced compared to Escherichia coli. Plasma samples exhibited better method reproducibility, with more consistent droplet digital PCR results for human DNA. The study found that extraction was more efficient for Gram-positive bacteria than Gram-negative, suggesting that the human DNA depletion exerts a negative effect on Gram-negative bacteria. Overall, shotgun metagenomics needs further optimisation to improve bacterial DNA recovery and enhance pathogen detection sensitivity. This study highlights some critical steps in the methodology of shotgun metagenomic-based diagnosis of blood stream infections using Nanopore sequencing.

    sted, utgiver, år, opplag, sider
    Munksgaard Forlag, 2025
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-118463 (URN)10.1111/apm.13511 (DOI)001395502900001 ()39807079 (PubMedID)2-s2.0-85215302211 (Scopus ID)
    Tilgjengelig fra: 2025-01-15 Laget: 2025-01-15 Sist oppdatert: 2026-04-13bibliografisk kontrollert
    4. Rapid species identication in community-acquired bloodstream infection using a short pre-culturing step followed by 16S Nanopore sequencing
    Åpne denne publikasjonen i ny fane eller vindu >>Rapid species identication in community-acquired bloodstream infection using a short pre-culturing step followed by 16S Nanopore sequencing
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128368 (URN)
    Tilgjengelig fra: 2026-04-13 Laget: 2026-04-13 Sist oppdatert: 2026-04-13bibliografisk kontrollert
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  • Özdemir, Metin
    et al.
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Oppedal, Brit
    Department of Child Development, Norwegian Institute of Public Health, Oslo, Norway.
    Altebo Nyathi, Sandra
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Amouri, Layan
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Amouri, Hasnaa
    Örebro universitet, Kommunikation och samverkansstöd.
    Bayram Özdemir, Sevgi
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    A scoping-review of school-based programs for promoting recently arrived immigrant youth’s positive adjustment and well-being2026Inngår i: Journal of community psychology (Print), ISSN 0090-4392, E-ISSN 1520-6629, Vol. 54, nr 2, artikkel-id e70088Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    This scoping review examines school-based programs aimed at promoting the adjustment and well-being of recently arrived immigrant adolescents. Following PRISMA-ScR guidelines, five databases (Medline, PsycINFO, CINAHL, SCOPUS, ERIC) were systematically searched for studies published since 2000, focusing on interventions implemented in formal school settings for recently arrived adolescents. The review identified 15 studies evaluating outcomes of 17 programs. Most school-based programs for recently arrived adolescents aimed to promote social-emotional well-being, mitigate mental health problems, strengthen resilience and social support, or address trauma-related symptoms. Around 50% of the reviewed programs had some effects on the intended outcomes. Despite some promising findings, the current literature has several limitations that limit the ability to draw robust conclusions. Future research needs to focus on understanding why, how, and for whom programs lead (or do not lead) to intended outcomes, and on developing effective programs that can be implemented using available resources at school. 

    Fulltekst (pdf)
    A Scoping Review of School‐Based Programs for Promoting Recently Arrived Immigrant Youth's Positive Adjustment and Well‐Being
  • Sataøen, Hogne Lerøy
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Lövgren, Daniel
    Department of Informatics and Media, Uppsala University, Uppsala, Sweden.
    From growth to constraint: interpreting saturation in Scandinavian higher education2026Inngår i: European Journal of Higher Education, ISSN 2156-8235, E-ISSN 2156-8243Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article investigates how pressures toward constraint in higher education, conceptualized analytically as saturation, can be understood through the perspectives of communication professionals within Scandinavian higher education institutions (HEIs). Drawing on 29 qualitative interviews with communication professionals at twelve HEIs across Denmark, Norway, and Sweden, the study examines how these actors frame changing expectations around relevance, efficiency, and questions of institutional legitimacy. Rather than treating saturation as a purely structural condition, the article approaches it as an analytical concept emerging from how actors interpret and respond to converging pressures, highlighting the communicative practices through which universities navigate new constraints. The article contributes to higher education research by advancing understanding of saturation beyond labour market mismatch and capacity limits, showing how it is constructed through strategic communication. It also provides empirical insight into how universities respond to emerging pressures and offers a framework for understanding how professional staff interpret changing conditions in higher education systems under pressure.

    Fulltekst (pdf)
    From growth to constraint: interpreting saturation in Scandinavian higher education
  • Wåger, Jonny
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Didaktiska perspektiv på undervisning för elever med intellektuell funktionsnedsättning - Undervisningens innehåll och motiv2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The purpose of this dissertation is to contribute to knowledge about teachers’ didactic choices when teaching content to students with intellectual disabilities. To achieve this, the study examines how teachers choose and justify teaching content. The focus is on content that highlights the educational goals of democracy and sustainable development. The results from the sub-studies are developed into didactic principles that explain how teachers can make content decisions to prepare students with intellectual disabilities for adulthood in society and the world. Didactic theory helps explain teachers’ content choices by emphasizing the connections among teachers, students, and content, as well as the democratic purpose of education and the broader contexts of schooling, society, and global sustainability. Three studies were conducted: a scoping review (Study I) and two interview and observation studies (Studies II and III). Study I shows that teachers’ didactic choices are rarely explicitly discussed in prior research and that academic content often overlaps with life functional content. Study II identifies participation, independence, and communication as key reasons for selecting content for students with intellectual disabilities; these reasons are evident across school, societal, and global contexts. Study III shows that teachers incorporate the Sustainable Development Goals and sustainability concepts into their teaching. These choices help students develop skills that support a sustainable society and world – such as self-determination, codetermination, and solidarity. In the final chapter, the findings are synthesized into three didactic principles based on teachers’ choices: 1. Teaching should give students with intellectual disabilities the chance to become active agents in a democratic society. 2. Teaching should provide students with intellectual disabilities opportunities for communication, independence, and participation. 3. Teaching should enable students with intellectual disabilities to contribute to sustainable development.

    Delarbeid
    1. Didactic dimensions of teaching content for and with students with intellectual disabilities (ID): a scoping review
    Åpne denne publikasjonen i ny fane eller vindu >>Didactic dimensions of teaching content for and with students with intellectual disabilities (ID): a scoping review
    2025 (engelsk)Inngår i: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 40, nr 1, s. 53-68Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Decisions schools make about teaching content fundamentally shape students' educational experience and their later life. These decisions often take a particular shape for students with intellectual disabilities. Although such decisions for this group are a prime concern in the governing and practice of education, they have gained little attention in research. Research that does investigate teaching content for students with intellectual disabilities often makes a distinction between Life Functional skills (LFS) and Academic Content (AC) and treats these as being quite separate. The study at hand explores the nuances of and relationship between the two through a scoping review, and contributes knowledge on didactical aspects and the how and why of teaching content as depicted in research. Results indicate that research on teaching content entails a complex process of valuing the content in which AC and LFS often overlap. Results also illustrate that students and teachers are absent from the research on teaching content and not included as active participants; researchers' methods often take precedence over teachers' and students' valuing of teaching content or methods.

    sted, utgiver, år, opplag, sider
    Routledge, 2025
    Emneord
    Word, didactics, intellectual disability, teaching, review, content
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-112701 (URN)10.1080/08856257.2024.2323250 (DOI)001175014000001 ()2-s2.0-85186931154 (Scopus ID)
    Tilgjengelig fra: 2024-04-02 Laget: 2024-04-02 Sist oppdatert: 2026-03-24bibliografisk kontrollert
    2. The core of justifying teaching content for students with intellectual disabilities
    Åpne denne publikasjonen i ny fane eller vindu >>The core of justifying teaching content for students with intellectual disabilities
    2026 (engelsk)Inngår i: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 41, nr 1, s. 184-199Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This article contributes to a didactical understanding of teachers’ decision-making regarding teaching content for students with intellectual disabilities (ID). Specifically, the study investigates teachers’ justifications for their content choices and the reasoning involved. The empirical material comprises individual interviews and classroom observations of three teachers working within the same school unit. The analysis draws on, and contributes to, the development of didactical theory, focusing on how teachers make content-related decisions. Three core justifications emerged: independence, participation, and communication. Didactic theory served as an analytical tool for deepening the understanding of the underlying reasoning behind these choices. This revealed the significant professional autonomy teachers exercise in navigating complex decisions about teaching content, grounded in the specific needs and contexts of their students. Accordingly, the study advances didactical theory tailored to the field of education for students with ID – an area where such frameworks are currently limited. By offering a didactical perspective on teaching content, this research complements previous studies, providing insights for both research and practice aimed at analysing and reflecting on teaching for students with ID.

    sted, utgiver, år, opplag, sider
    Routledge, 2026
    Emneord
    Didactics, communication, independence, intellectual disability, participation, teaching content
    HSV kategori
    Forskningsprogram
    Pedagogik
    Identifikatorer
    urn:nbn:se:oru:diva-121466 (URN)10.1080/08856257.2025.2508038 (DOI)001498155100001 ()2-s2.0-105007043473 (Scopus ID)
    Tilgjengelig fra: 2025-06-08 Laget: 2025-06-08 Sist oppdatert: 2026-03-24bibliografisk kontrollert
    3. Globala mål i undervisning för elever med intellektuell funktionsnedsättning (IF)
    Åpne denne publikasjonen i ny fane eller vindu >>Globala mål i undervisning för elever med intellektuell funktionsnedsättning (IF)
    (svensk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128104 (URN)
    Tilgjengelig fra: 2026-03-24 Laget: 2026-03-24 Sist oppdatert: 2026-03-24bibliografisk kontrollert
    Fulltekst (pdf)
    Didaktiska perspektiv på undervisning för elever med intellektuell funktionsnedsättning - Undervisningens innehåll och motiv
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  • Golparian, Daniel
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Evolution and prediction of antimicrobial resistance in Neisseria gonorrhoeae2026Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Modern medicine relies heavily on effective antimicrobial therapies. However, rapid emergence and global spread of antimicrobial resistance (AMR) threaten the treatment and control of bacterial infections. Neisseria gonorrhoeae, the causative agent of gonorrhoea, has an extraordinary capacity to acquire and develop resistance to all antimicrobials introduced for treatment. The aim of this study was to gain insight into the evolution and global emergence of AMR over the past century. This thesis further investigates whether the observed genomic data patterns are sufficiently informative for accurate prediction of antimicrobial susceptibility that can directly inform treatment.

    By applying whole-genome sequencing (WGS) to global, historical, and contemporary gonococcal collections spanning all continents and isolated from the pre-antibiotic era to the present day, several questions can be addressed. The data revealed that the global gonococcal population is divided into two distinct lineages with different evolutionary strategies. Furthermore, temporal analysis demonstrates that the modern N. gonorrhoeae is younger than previously presumed and that antimicrobial exposure has been a major driver of the evolution of this species.

    The accumulated knowledge base of phenotypic and especially genomic AMR generated in this work is compiled and integrated within a dedicated analytical framework, SensiTyper, demonstrating that WGS-based approaches can infer antimicrobial susceptibility and recommend susceptibility-guided individualised treatment strategies.

    Delarbeid
    1. The impact of antimicrobials on gonococcal evolution
    Åpne denne publikasjonen i ny fane eller vindu >>The impact of antimicrobials on gonococcal evolution
    Vise andre…
    2019 (engelsk)Inngår i: Nature Microbiology, E-ISSN 2058-5276, Vol. 4, nr 11, s. 1941-1950Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The sexually transmitted pathogen Neisseria gonorrhoeae is regarded as being on the way to becoming an untreatable superbug. Despite its clinical importance, little is known about its emergence and evolution, and how this corresponds with the introduction of antimicrobials. We present a genome-based phylogeographical analysis of 419 gonococcal isolates from across the globe. Results indicate that modern gonococci originated in Europe or Africa, possibly as late as the sixteenth century and subsequently disseminated globally. We provide evidence that the modern gonococcal population has been shaped by antimicrobial treatment of sexually transmitted infections as well as other infections, leading to the emergence of two major lineages with different evolutionary strategies. The well-described multidrug-resistant lineage is associated with high rates of homologous recombination and infection in high-risk sexual networks. A second, multisusceptible lineage is more associated with heterosexual networks, with potential implications for infection control.

    sted, utgiver, år, opplag, sider
    Nature Publishing Group, 2019
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-75565 (URN)10.1038/s41564-019-0501-y (DOI)000493113000021 ()31358980 (PubMedID)2-s2.0-85069945957 (Scopus ID)
    Forskningsfinansiär
    Wellcome trust, 098051
    Merknad

    Funding Agencies:

    Foundation for Medical Research at Orebro University Hospital, Örebro, Sweden  

    European Research Council (ERC) 745258

    Smith Family Foundation  

    United States Department of Health & Human Services

    National Institutes of Health (NIH) - USA

    NIH National Institute of Allergy & Infectious Diseases (NIAID) 1R01AI132606-01

    Tilgjengelig fra: 2019-08-09 Laget: 2019-08-09 Sist oppdatert: 2026-04-07bibliografisk kontrollert
    2. Genomic evolution of Neisseria gonorrhoeae since the preantibiotic era (1928-2013): antimicrobial use/misuse selects for resistance and drives evolution
    Åpne denne publikasjonen i ny fane eller vindu >>Genomic evolution of Neisseria gonorrhoeae since the preantibiotic era (1928-2013): antimicrobial use/misuse selects for resistance and drives evolution
    Vise andre…
    2020 (engelsk)Inngår i: BMC Genomics, E-ISSN 1471-2164, Vol. 21, nr 1, artikkel-id 116Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: Multidrug-resistant Neisseria gonorrhoeae strains are prevalent, threatening gonorrhoea treatment globally, and understanding of emergence, evolution, and spread of antimicrobial resistance (AMR) in gonococci remains limited. We describe the genomic evolution of gonococci and their AMR, related to the introduction of antimicrobial therapies, examining isolates from 1928 (preantibiotic era) to 2013 in Denmark. This is, to our knowledge, the oldest gonococcal collection globally.

    METHODS: Lyophilised isolates were revived and examined using Etest (18 antimicrobials) and whole-genome sequencing (WGS). Quality-assured genome sequences were obtained for 191 viable and 40 non-viable isolates and analysed with multiple phylogenomic approaches.

    RESULTS: Gonococcal AMR, including an accumulation of multiple AMR determinants, started to emerge particularly in the 1950s-1970s. By the twenty-first century, resistance to most antimicrobials was common. Despite that some AMR determinants affect many physiological functions and fitness, AMR determinants were mainly selected by the use/misuse of gonorrhoea therapeutic antimicrobials. Most AMR developed in strains belonging to one multidrug-resistant (MDR) clade with close to three times higher genomic mutation rate. Modern N. gonorrhoeae was inferred to have emerged in the late-1500s and its genome became increasingly conserved over time.

    CONCLUSIONS: WGS of gonococci from 1928 to 2013 showed that no AMR determinants, except penB, were in detectable frequency before the introduction of gonorrhoea therapeutic antimicrobials. The modern gonococcus is substantially younger than previously hypothesized and has been evolving into a more clonal species, driven by the use/misuse of antimicrobials. The MDR gonococcal clade should be further investigated for early detection of strains with predispositions to develop and maintain MDR and for initiation of public health interventions.

    sted, utgiver, år, opplag, sider
    BioMed Central, 2020
    Emneord
    Antimicrobial resistance, Evolution, Genomic epidemiology, Neisseria gonorrhoeae, Temporal analysis, Whole-genome sequencing
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-79946 (URN)10.1186/s12864-020-6511-6 (DOI)000521339000002 ()32013864 (PubMedID)2-s2.0-85078901790 (Scopus ID)
    Forskningsfinansiär
    Wellcome trust, 098051
    Merknad

    Funding Agencies:

    Örebro County Council Research Committee  

    Foundation for Medical Research at Örebro University Hospital, Örebro, Sweden  

    Örebro University 

    Tilgjengelig fra: 2020-02-19 Laget: 2020-02-19 Sist oppdatert: 2026-04-07bibliografisk kontrollert
    3. Antimicrobial-resistant Neisseria gonorrhoeae in Europe in 2020 compared with in 2013 and 2018: a retrospective genomic surveillance study
    Åpne denne publikasjonen i ny fane eller vindu >>Antimicrobial-resistant Neisseria gonorrhoeae in Europe in 2020 compared with in 2013 and 2018: a retrospective genomic surveillance study
    Vise andre…
    2024 (engelsk)Inngår i: The Lancet Microbe, ISSN 2666-5247, Vol. 5, nr 5, s. e478-e488Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: Regular quality-assured whole-genome sequencing linked to antimicrobial resistance (AMR) and patient metadata is imperative to elucidate the shifting gonorrhoea epidemiology, both nationally and internationally. We aimed to examine the gonococcal population in the European Economic Area (EEA) in 2020, elucidate emerging and disappearing gonococcal lineages associated with AMR and patient metadata, compare with 2013 and 2018 whole-genome sequencing data, and explain changes in gonococcal AMR and gonorrhoea epidemiology.

    METHODS: In this retrospective genomic surveillance study, we analysed consecutive gonococcal isolates that were collected in EEA countries through the European Gonococcal Antimicrobial Surveillance Programme (Euro-GASP) in 2020, and made comparisons with Euro-GASP data from 2013 and 2018. All isolates had linked AMR data (based on minimum inhibitory concentration determination) and patient metadata. We performed whole-genome sequencing and molecular typing and AMR determinants were derived from quality-checked whole-genome sequencing data. Links between genomic lineages, AMR, and patient metadata were examined.

    FINDINGS: 1932 gonococcal isolates collected in 2020 in 21 EEA countries were included. The majority (81·2%, 147 of 181 isolates) of azithromycin resistance (present in 9·4%, 181 of 1932) was explained by the continued expansion of the Neisseria gonorrhoeae sequence typing for antimicrobial resistance (NG-STAR) clonal complexes (CCs) 63, 168, and 213 (with mtrD/mtrR promoter mosaic 2) and the novel NG-STAR CC1031 (semi-mosaic mtrD variant 13), associated with men who have sex with men and anorectal or oropharyngeal infections. The declining cefixime resistance (0·5%, nine of 1932) and negligible ceftriaxone resistance (0·1%, one of 1932) was largely because of the progressive disappearance of NG-STAR CC90 (with mosaic penA allele), which was predominant in 2013. No known resistance determinants for novel antimicrobials (zoliflodacin, gepotidacin, and lefamulin) were found.

    INTERPRETATION: Azithromycin-resistant clones, mainly with mtrD mosaic or semi-mosaic variants, appear to be stabilising at a relatively high level in the EEA. This mostly low-level azithromycin resistance might threaten the recommended ceftriaxone-azithromycin therapy, but the negligible ceftriaxone resistance is encouraging. The decreased genomic population diversity and increased clonality could be explained in part by the COVID-19 pandemic resulting in lower importation of novel strains into Europe.

    sted, utgiver, år, opplag, sider
    Elsevier, 2024
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-113117 (URN)10.1016/S2666-5247(23)00370-1 (DOI)001240820400001 ()38614111 (PubMedID)2-s2.0-85190143936 (Scopus ID)
    Forskningsfinansiär
    Region Örebro County
    Merknad

    FUNDING: European Centre for Disease Prevention and Control and Örebro University Hospital.

    Tilgjengelig fra: 2024-04-15 Laget: 2024-04-15 Sist oppdatert: 2026-04-07bibliografisk kontrollert
    4. Genomic Surveillance Meets Clinical Practice: Rule-Based Individualised Treatment Prediction for Gonorrhoea using SensiTyper
    Åpne denne publikasjonen i ny fane eller vindu >>Genomic Surveillance Meets Clinical Practice: Rule-Based Individualised Treatment Prediction for Gonorrhoea using SensiTyper
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-128298 (URN)
    Tilgjengelig fra: 2026-04-07 Laget: 2026-04-07 Sist oppdatert: 2026-04-07bibliografisk kontrollert
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  • Roderick, Noah
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Suffering thinking machines: Lyotard and the sensuous path to cognition2026Inngår i: Parrhesia: A Journal of Critical Philosophy, E-ISSN 1834-3287, Vol. 42, s. 79-110Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This essay attempts to draw together a coherent theory of cognitive emergence from Jean-François Lyotard’s speculations on thinking machines and from his later writings on sense and aesthetic experience. The essay situates Lyotard’s arguments about cognition in the context of recent successes of large language model (LLM) artificial intelligence and the persistence of the so-called ‘symbol grounding problem’ in that field. Rather than tracing a developmental line from stimulus at the material substrate to symbolic reasoning, Lyotard envisions a recursive relationship between sense and reason, in which new forms of thought emerge from an agent’s sensuous experience of symbolic categories and logical constructs, even if that experience is just the suffering of waiting for an analogy to form or a paradox to resolve. It is through an agent’s sensuous experience of its own thoughts that it is able to form an internal model of itself inside of time—a crucial ingredient for genuine cognition.  

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    Suffering thinking machines: lyotard and the sensuous path to cognition