Malmö University
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Emergency Nurses' Perceptions of Nursing Care in an Emergency Department : A Phenomenographic Study
Introduction: Missed nursing care in hospital wards is associated with patient safety risks and reduced quality of care. Emergency departments are high-risk settings; therefore, missed nursing care in these settings must be explored. Studies on missed nursing care in emergency departments show, for instance, that patient education, nutrition, and the maintenance of patient privacy are often missed. These findings are similar to those of previous studies conducted in hospital wards. However, crowding, boarding, and patients with acuity issues in emergency departments are examples of contextual differences with hospital wards. How emergency nurses perceive their nursing practices in relation to missed nursing care and their ability to maintain patient safety and quality of care is not wellknown. This study aimed to explore emergency nurses' perceptions of nursing care in the emergency departments. Methods: This study used a qualitative descriptive design and a purposive sampling strategy. Semi-structured interviews were conducted with 15 emergency nurses. A phenomenographic approach was used for the analyses. Results: The findings showed variations in the perceptions of emergency nurses regarding the quality of nursing care and missed nursing care. Subordinate to acute medical needs, fundamental care needs were addressed if there was sufficient time, which negatively affected older adult patients, particularly frail patients. Emergency nurses strived to maintain adequate patient flow throughout the emergency department and were attentive to all patients in their care; however, they were aware that missed nursing care was a recurring phenomenon. Discussion: Emergency nurses had various perceptions of nursing care. Demanding conditions, prioritization of medical needs, and maintenance of adequate patient flow challenged them in their efforts to meet patients' fundamental needs and fulfill their responsibilities
The Impact of Teacher Appointment Procedures on Job Satisfaction. : A case study of Rural and Urban Schools in the Central Province of Sri Lanka.
This thesis investigates how teacher appointment procedures influence job satisfaction among educators in Sri Lanka’s Central Province, with comparative insights from rural, urban, and estate schools. Drawing on Adams’s Equity Theory and broader organizational justice frameworks, the study examines teachers’ perceptions of fairness, transparency, and equity in recruitment, posting, and transfer processes, and how these perceptions interact with individual attributes such as qualifications, experience, gender, and subject specialization. Using a qualitative comparative case study approach, data were collected through semi-structured interviews, document analysis, and direct observations in three purposively selected schools. Findings reveal that opaque vacancy notifications, inconsistent application of seniority rules, and limited grievance mechanisms contribute to perceived procedural inequities, particularly in rural and estate contexts. Teachers in less resourced schools report lower satisfaction when their inputs (e.g., credentials, effort) are not matched by desirable postings or career progression, while those perceiving merit-based and transparent processes demonstrate higher morale and retention intentions. The study highlights that addressing both distributive and procedural justice—through clear policies, equitable rotation systems, and respectful communication—can enhance teacher satisfaction and retention, thereby supporting equitable education outcomes. Recommendations are offered for policy reforms aimed at fostering fairness in appointment systems, reducing regional disparities, and promoting sustainable teacher deployment in Sri Lanka
Stormwater Pollution and Climate Resilience : A Cross-Sectoral Approach to Green Infrastructure in Peri-Urban Scania
Climate change is known to be major factor in extreme weather conditions which has brought enormous pressure on stormwater infrastructure across the world. This thesis considers the role of Green Infrastructure in mitigating the harmful effect of stormwater pollution within the peri-urban municipalities of Scania in Sweden. Using a qualtitative case study methodology, this research is based on three theories: Complex Adaptive System CAS, Institutional and Collaborative Goverance theories and focuses on four peri-urban municipalities: Landskrona, Kävlinge, Lomma and Höör. To amply investigate the alignment of institutions and policy framework of this municipalities as regards GI, semi structured interview and municipal Stormwater policy douments were examined. It is gathered that all four municipalities uses GI as a stormwater management tool, although bedevilled with financial, staffing and technical constraints. An evaluation of institutional framework and collaborative policies by the selected municipalities indicates the preparedness of municiapalities to be aligned with the EU climate objectives. To harness its full benefit, the paper argues for effective regulations and frameworks that govern the design, innovation and implementation of GI.
Multiculturalism vs. Nationalism: Sweden's Immigration Policies in Response to Growing Nationalist Concerns
This study examines Sweden's immigrant integration policies in the context of the growinginfluence of nationalist movements, focusing on the state's efforts to reconcile itscommitments to multiculturalism with concerns about national identity and social cohesion.Sweden has long been known as a champion of human rights and multiculturalism, but afterthe 2015 refugee crisis, public and political discourse on immigration changed. The studymaps the progression of Swedish immigration policy and evaluates its outcomes. This study employs qualitative content analysis with Atlas.ti to analyze government pressreleases, publications from the Swedish Migration Agency (Migrationsverket), and reportsfrom international media, such as the BBC. A coding framework is created to evaluate theimpact of nationalist sentiments on policy direction and discourse. The investigation draws ontheoretical frameworks from Will Kymlicka, Benedict Anderson, and Koopmans et al.,offering a conceptual framework to investigate the relationship among diversity, nationalism,and governance. The results indicate that Sweden's policies have progressively aligned with wider Europeantendencies favoring restrictive immigration measures, prioritizing assimilation overmulticultural inclusion. This transformation is due to both the rise of nationalist movementsand the government's efforts to keep society together during times of demographic andpolitical transition. By critically analyzing these dynamics, the study enhances academicdiscourse on immigration, identity, and governance
E-Health Services for 80+ Year Olds : Healthcare Professionals’ Perspective on Barriers and Opportunities
Syftet med denna studie var att undersöka vilka hinder och möjligheter vårdpersonal upplever att personer över 80 år har vid användning av e-vårdtjänster. Studien bygger på kvalitativa, semistrukturerade intervjuer med nio respondenter från olika vårdmiljöer, inklusive sjukhus, vårdcentraler och regins administrativa verksamheter. Analysen genomfördes utifrån UTAUT-modellens fyra huvudkomponenter: Förväntad prestation, förväntad ansträngning, social påverkan och faciliterande villkor. Resultaten visar att tekniska hinder, som komplexa inloggningsprocesser och små texter, samt brist på digital vana, begränsar användningen, Socialt stöd från anhöriga och vårdpersonal framstår som avgörande för att äldre ska våga prova e-vårdtjänster. Studien visar även att systemen ofta är mer anpassade till vårdorganisationens behov än till patientens. För att öka användningen bland äldre krävs anpassad design, utbildningsinsatser och bibehållande av analoga alternativ.The aim of the study was to explore the barriers and opportunities healthcare professionals perceive for people over the age of 80 in using e-health services. The study is based on qualitative, semi-structured interviews with nine respondents from various healthcare settings, including hospitals, primary care centers and regional administrative units. The analysis was conducted using the four core components of the UTAUT model: performance expectancy, effort expectancy, social influence and facilitating conditions. The findings indicate that technical barriers, such as complex login procedures and small text, as well as a lack of digital literacy, limit usage. Social support from relatives and healthcare professionals was identified as crucial for encouraging older people to try e-health services. The study also shows that the systems are often designed to meet the needs of the healthcare organization rather than the patient. To the retention of analogue alternatives are essential.
The impact of remote work on office spaces : How are property owners adapting their office spaces to meet changing tenant needs?
Title: The impact of remote work on office spaces : Commercial tenants needs and property owners adaptation Purpose: The purpose of this study is to examine how remote working has affected the need and use of commercial office space and how property owners have adapted to these new needs. The study focuses in particular on identifying new ways of working that property owners and companies are using to adapt their office environments to a more flexible and digital working day. Method: The study applies a qualitative research approach and an empirical case study as a method. Results: The study shows that the office market has undergone a clear change in recent years, where the demand for traditional office space has decreased to a certain extent, while the need for flexibility, adaptation and new forms of work is increasing. The office has taken on a new role and has become more than just a desk and a computer; instead, the office has developed into a place for collaboration, culture and experience. This places new demands on both the design and content of office premises. At the same time, the role of the property owner is changing from a space supplier to a strategic partner who provides advice, sustainable solutions and customized concepts. Keywords: Hybrid work, strategy, remote work, office spaces, properties, Covid-19, Co-Working
Expert Knowledge in Political Decision-Making: A Case Study of SOU 2020:72 on Producer Responsibility for Textiles
This thesis examines how expertise is integrated into the Swedish policy process and to what extent politicians take expert recommendations into account. The study focuses on the public investigation SOU 2020:72 Producer Responsibility for Textiles – A Part of the Circular Economy. The thesis traces how the investigation’s recommendations were incorporated into the law on textile waste that entered into force on January 1, 2025. The method used is process tracing, with particular attention to how proposals moved from the investigation through the consultation process. The theoretical framework applied is Carol H. Weiss’s models of research utilization, which enable an analysis of how expert knowledge is used in policymaking. The results indicate that expert knowledge from SOU 2020:72 had a clear impact on the policy process; however, the influence was neither direct nor unchanged. Instead, the process reflected an interactive model of research utilization, where expert knowledge interacted with other political and institutional factors. The European Union emerged as one of the strongest influences on the final legislation, as well as the actor that initially pushed the investigation forward. This demonstrates that national expertise is partly subordinated to supranational frameworks in the field of environmental policy
Optimization and compensation analysis of capacity and energy activation in reserve markets
Slagsmål i professionell ishockey : Utforska den sociala effekten av slagsmål i National Hockey League
The question of whether fighting in professional ice hockey should be condoned is a significant one, gaining increasing prominence with the rise of marketing and fan engagement analytics and the growing focus on player safety, both on and off the ice. This thesis employs qualitative analysis, specifically through lived-experience semi-structured interviews, to examine the fundamental question of whether fighting should be allowed in professional ice hockey, and to understand its social impact within the National Hockey League (NHL). Drawing upon three interconnected theoretical frameworks—Social Contract Theory, Symbolic Interactionism, and the Social Construction of Masculinity—this study analyzes the underlying dynamics of this phenomenon. The research aims to explore how various hockey professionals (including players, coaches, and staff) perceive fighting and its social impact. Finally, based on the collected evidence, this thesis proposes potential pathways for the future of fighting in the NHL