Barns smärta är en vanlig orsak till kontakt med sjukvården. I omvårdnadsarbetet ska barnets behov och smärtsignaler tolkas och bemötas så att relevanta omvårdnadsinsatser sätts in. Syftet med litteraturstudien var att utifrån barns beskrivningar belysa omvårdnad som lindrar barns smärta. Studien genomfördes som en litteraturöversikt där åtta kvalitativa, två kvantitativa där en av artiklarna innehåller en mixad metod av kvalitativ och kvantitativ design. vetenskapliga artiklar utgjorde underlaget för resultatet. Smärtan lindrades genom basal omvårdnad, professionell omvårdnad, delaktighet, att få ha familjen nära och distraktion genom lek. Barn upplevde sjuksköterskans smärtbedömning som relevant då det gav en känsla av säkerhet och minskade smärtan. Att få vara delaktig i sin vård ansågs vara en uppskattad åtgärd som gav barnet kontroll. Det är viktigt att lyssna till barnets individuella behov för att reducera oro och rädsla som förknippas med olika omvårdnadsåtgärder. Sjuksköterskans kommunikation med och lyhördhet för barn och familj kan leda till större förståelse till det lidande barnet. För att sjuksköterskan och barnet ska få ett givande möte är det en förutsättning att de har förståelse för varandra och genom att lyssna till barnet och se deras behov kan en förbättrad kommunikation och lyhördhet erhållas.  Ytterligare forskning av barns upplevelse av omvårdnadsåtgärder som lindrar lidande är av intresse. / Children's pain is a common reason for contact with health services. In nursing, the child's needs and pain signals are interpreted and addressed so that appropriate nursing care is taken. The purpose of this study was to elucidate the basis of children's descriptions of nursing that eases children's pain. The study was conducted through a literature review, eight qualitative, quantitative two where one of the articles contain a mixed method of qualitative and quantitative design. scientific papers formed the basis for the results. The pain was relieved by basic nursing, professional nursing, participation, to get to have family close and distraction through play. Children experienced nurse pain assessment as relevant as it gave a sense of security and reduced pain. To be involved in their care was considered a valued measure that gave the child control. It is important to listen to the child's individual needs in order to reduce anxiety and fear associated with various nursing interventions. The nurse's communication with and responsiveness to the child and family can lead to greater understanding of the suffering child. To the nurse and the child will get a fruitful meeting, it is essential that they understand each other and listening to the child and ensure their needs can be improved communication and responsiveness obtained. Further research of children's experience of care measures that alleviate the suffering of interest.

Bakgrunden var att överbeläggningar inom akutsjukvården har ökat de senaste åren i och med högre patientantal. Syftet med denna studie var att beskriva sjuksköterskans upplevelser av arbetet vid överbeläggningar på en akutmottagning. Metoden var en kvalitativ deskriptiv design där information samlades in via intervjuer. För att analysera data från de åtta informanterna valdes en kvalitativ innehållsanalys. Studien genomfördes på en akutmottagning i mellersta Sverige. Huvudresultatet från de åtta intervjuer som genomfördes skapade tre kategorier med tio subkategorier. Samtliga informanter berättade om sina upplevelser av att arbeta vid överbeläggningar. De mest frekventa upplevelserna handlade om en stressad och frustrerande arbetssituation. De uppgav att upplevelserna av störningsmoment och irritation blev mer förekommande vid överbeläggningar samt att de upplevde otillräcklighet. Stressen uppenbarade sig på olika sätt hos sjuksköterskorna. De stressade situationerna avspeglade sig i sjuksköterskornas yrkesroll, hälsa och privatliv. Många sjuksköterskor upplevde även att patienternas säkerhet försummades vid överbeläggningar, då de fick ligga i korridoren. Detta upplevdes ge ökade risker för smitta, minskad sekretess och integritet för patienterna. Det sjuksköterskorna upplevde som positivt vid överbeläggningarna var att de inom arbetsgruppen försökte stötta varandra samt att arbetstiden gick fort. Slutsatsen var att sjuksköterskorna upplevde stress, frustration, irritation och störningsmoment på sitt arbete, akutmottagningen, vid överbeläggningar. Arbetsgivarna för akutmottagningen bör uppmärksamma arbetsmiljön för sjuksköterskorna så att de kan ge stöd till dem, så att de ska veta vart bristerna finns samt för hur de ska fördela resurserna vid överbeläggningar. / The background was that overcrowding in emergency care has increased in recent years with higher patient numbers. The aim of this study was to describe nurses' experiences of the work in an overcrowded emergency department. The method was a qualitative descriptive design where information was collected through interviews. To analyze the data from the eight informants a qualitative content manifest analysis was chosen. The study was conducted in an emergency department in a hospital in central Sweden. The main results from the eight informants indicate that overcrowding leads to major problems. The most frequent experiences was about a stressful and frustrating work situation. The nurses felt that distraction, insufficiency and irritation was occurring at the overcrowding. The stressful situations reflected in nurses' professional roles, health and personal life. Many nurses felt that patients' safety was overridden at overcrowding. Patients must be in the corridors which gives increased risk of infection, poorer and reduced privacy. The thing that nurses experienced as positive in overcrowding was that the work group tried to support each other and working hours passed quickly. The conclusion was that the nurses experienced stress, frustration, irritation and distraction from their work, the emergency department, at overcrowding. Employers at the emergency department should pay attention to the work environment for nurses so that they can support them, so they'll know where the weaknesses are and how they should distribute resources when the ward is overcrowded.

Accidentally killing or feeling responsible for another person’s death constitutes a traumatic event that is unique from any other traumatic stressor. Considering the frequency of incidents such as deaths resulting from road traffic accidents (RTAs), it is surprising that the academic literature regarding those who have accidentally killed is almost none existent. This study therefore aimed to gain an insight into the lived experiences of drivers who have caused an accidental death. Five participants were recruited through an on-line advertisement; all were drivers directly involved in a RTA that occurred suddenly, unexpectedly, without planning or intention and resulted in the death of a person. An interpretative phenomenological approach was used to analyse data collected through semistructured interviews. Three main themes emerged from the participants’ accounts: trying to make sense of a life changing moment; struggling to cope with the trauma of causing a death and a changed sense of self. These findings are discussed in relation to the relevant literature. Clinical implications, methodological limitations and directions for future research are presented. The study provides a valuable insight for any professional working with people who have caused, or feel responsible for, an accidental death. It is hoped that this study will be a catalyst for discussion and future research.

The concept of ‘customer experience’ has evolved as an imperative area of study within the marketing discipline. Despite its importance and the positive attention this concept has received during the last few years, the explanation of customer experiences have remained vague and lack a thorough theoretical foundation. Furthermore, practitioners across many industries claim that there is a connection between customer experience and loyalty, yet there is a paucity of research to validate this theoretical assumption. This study aims to address this gap in the literature and to facilitate better understanding of the concept of 'customer experience' and its antecedents and focus on brand loyalty as consequence from the consumer perspective. Accordingly, a mixed-method research design was adopted that consisted of two phases. The first phase involved a netnography study to gain better understanding of the notion of customer experience and refine a conceptual framework that has been developed on the basis of the existing literature. In the second phase this framework was tested by means of a survey of British customers to examine their experience with resort-hotel brands in Sharm El Sheikh, Egypt. Structural equation modeling was used to analyze the survey responses. The structural model showed a very good fit to the data and good convergent, nomological and discriminant validity and reliability stability. The findings of this study identified four aspects of customer experience in the resort-hotels in Egypt; i.e. educational, aesthetics, relational and novelty. Those aspects are congruent with prior work in the tourism literature. Additionally, the study found that customers rely on some service cues such as: price, core service and WOM to predict and assess their experiences. The findings also indicated that perceived service quality has a mediating role in the relationship between customer-contact employees and core service and customer experience. A key contribution of this research is offering a robust model that explains the nascent phenomenon of customer experience and demonstrating that experience has a definite positive impact on brand loyalty. The use of netnography to identify customer experience dimension is also considered as a methodological contribution in the area of marketing research. Moreover, the present study adds novel perspective to the growing body of brand literature (particularly service brand) and suggests directions for future research. Finally, the study provides managerial implications for service managers to identify the experiential needs of their customer and properly design the customer experience.

As the Web is fast becoming an integral feature in many of our daily lives, designers are faced with the challenge of designing Web-based applications for an increasingly diverse user group. In order to develop applications that successfully meet the needs of this user group, designers have to understand the influence of human factors upon users‘ needs and preferences. To address this issue, this thesis presents an investigation that analyses the influence of three human factors, including cognitive style, prior knowledge and gender differences, on users‘ preferences for Web-based applications. In particular, two applications are studied: Web search tools and Web-based instruction tools. Previous research has suggested a number of relationships between these three human factors, so this thesis was driven by three research questions. Firstly, to what extent is the similarity between the two cognitive style dimensions of Witkin‘s Field Dependence/Independence and Pask‘s Holism/Serialism? Secondly, to what extent do computer experts have the same preferences as Internet experts and computer novices have the same preferences as Internet novices? Finally, to what extent are Field Independent users, experts and males alike, and Field Dependent users, novices and females alike? As traditional statistical analysis methods would struggle to effectively capture such relationships, this thesis proposes an integrated data mining approach that combines feature selection and decision trees to effectively capture users‘ preferences. From this, a framework is developed that integrates the combined effect of the three human factors and can be used to inform system designers. The findings suggest that firstly, there are links between these three human factors. In terms of cognitive style, the relationship between Field Dependent users and Holists can be seen more clearly than the relationship between Field Independent users and Serialists. In terms of prior knowledge, although it is shown that there is a link between computer experience and Internet experience, computer experts are shown to have similar preferences to Internet novices. In terms of the relationship between all three human factors, the results of this study highlighted that the links between cognitive style and gender and between cognitive style and system experience were found to be stronger than the relationship between system experience and gender. This work contributes both theory and methodology to multiple academic communities, including human-computer interaction, information retrieval and data mining. In terms of theory, it has helped to deepen the understanding of the effects of single and multiple human factors on users‘ preferences for Web-based applications. In terms of methodology, an integrated data mining analysis approach was proposed and was shown that is able to capture users‘ preferences.

The concept of ‘brand experience’ has evolved as an essential area of study within the brand management and marketing discipline. Despite the importance of (and the attention paid to) this concept in recent years, the theory of brand experience has remained unclear and there is a less of theoretical support. In addition to this, several scholars content that there is a connection between brand experience and loyalty. This study aims to address the gap in the literature and provide a better understanding of the concept of ‘brand experience’ together with its consequences, with particular regard to consumer loyalty. The objective of this study is to investigate the relationship between brand experience and consumer loyalty in the luxury cosmetic brand industry (Thailand). This empirical study proceeds with a systematic review of the existing literature, leading to the development of a theoretical framework. The research adopts a mixed method (quantitative and qualitative) approach, use of a quantitative survey to collect data, validated and enhanced qualitatively by personal interviews. The questionnaires were completed by Thai customers who frequent the luxury cosmetic brand counters in three particular stores in Bangkok. The data analysis uses descriptive statistics, exploratory factor analysis, confirmatory factor analysis and linear/multiple regression analysis for hypotheses testing. The personal interviews use a purposive sampling technique. The results of this study demonstrate that sensory experience, affective experience, behavioural experience, intellectual experience and social experience form the dimensions of luxury cosmetic brand experience. In addition to this, there is a positive direct relationship between luxury cosmetic brand experience and consumer loyalty. In addition, luxury cosmetic brand experience has a positive indirect relationship with consumer loyalty through brand personality, brand trust and consumer satisfaction; albeit, brand trust is the most significant of these. A key contribution of the present study is the conceptual model the study offers that explains the phenomenon of luxury cosmetic brand experience and its consequences. This study contributes further knowledge to the marketing literature, brand management literature and, also, consumer behaviour literature (particularly in the luxury cosmetic brand sectors in Thailand and other Asian countries) and suggests directions for future research. Finally, the present study will facilitate luxury cosmetic brand managers’ endeavours to identify both the experiential needs of their customers and the marketing strategy necessary to achieve consumer loyalty.

This thesis investigates the social and psychological factors that might affect Omani higher education students if computerised assessment was to be implemented. A review of the literature and the historical and cultural development in Oman suggested that a number of different variables might affect students‘ performance when taking computerised assessment. These factors which include gender, college of study and geographical region of residence may cause unwanted and selective differences in student performance which are not related to the content of the assessment. In addition, the potential effects of such variables as computer experience and computer self-efficacy on student performance were investigated. The study also explored student and academic staff attitudes towards computerised assessment. Both quantitative and qualitative methods are used in this study through a selection of instruments such as a test that was delivered in different modes, questionnaires, focus groups and semi-structured interviews. Quantitative approaches are used to provide answers to the main study questions about student performance, and qualitative approaches are used to get deeper insights into the students‘ and staff members‘ perceptions, attitudes and values in relation to the research subject of the study. All these instruments were developed based upon the literature and also validated through a separate initial study. The main study took place after the instruments had been validated and involved over 400 students and 100 staff at three Omani Applied Sciences Colleges. Statistical analysis showed a small but significant difference between the two assessment modes in favour of the paper-and-pencil test. There was a significant difference in performance between both genders, with females out-performing males. However, the most striking finding was a differential effect of assessment mode between males and females. Males performed better in the computerized test than in the paper-based one, in contrast to females whose performance in the paper test was better. This suggests that the introduction of computerised testing may affect males and females in different ways. One 4 possible explanation for this is that Omani males have more opportunities to use computers inside and outside homes. The questionnaire results and the qualitative information from focus groups both showed that females were more nervous and found it more difficult to read from the computer screen than males did. Also, it was obvious in the focus group discussions that females had more negative feelings towards computerised testing compared to males, both before and after experiencing computerised assessment. The study found that students‘ performance in the English language test had showed significant variation across colleges, and among students from different regions. This variation seemed to be associated with variation in computer experience among students at the different colleges and from different regions. This may be due to regional differences or specificities, especially in terms of computer use, among the nine administrative regions in Oman. Staff attitudes and perceptions towards CAA, in general, were positive and not affected by either the gender or nationality/language factor. Most of the academic staff members revealed their willingness to implement CAA but also stressed that CAA should be gradually implemented. Both students and staff members identified a number of important points such as the need for a reliable system, qualified technicians and sufficient computers if Computer Assisted Assessment was to achieve wide acceptability.

This thesis attempts a paradigmatic shift in the focus of ballad study towards embodiment, moving from ‘representation’ towards ‘experience’ and with an emphasis on ‘process,’ as opposed to ‘product.’ The originality lies in the development of a new approach which explores words, music and embodied aesthetic experience as they come together and create meaning in performance, conceived of as ‘presence’ (Porter 2009). Ideas from philosophy are connected with concepts from ethnomusicology and folklore and brought to bear upon broad issues in the study of expressive culture. While the focus here is on the ballad experience in a Scottish context, ultimately the questions asked attend to dimensions of experience that do not emphasise cultural-boundedness. The emphasis is not on my experience as a fieldworker, nor on fieldwork descriptions, but rather on the development of new theoretical methodologies that can be extended and applied to other cultural forms. To that end, I am little concerned with texts, variants and versions, transcriptions and collections which traditionally constitute the subject matter of ballad studies. What is presented is a convergence of contemporary disciplinary approaches, pushing the boundaries of the existing framework of ballad and folksong studies to include dimensions of cultural experience rarely considered in this field. Working within the wider interpretative framework of hermeneutic phenomenology, theories of embodiment are used as a means to introduce ideas from embodied cognition. The development of ideas is concerned with describing how our embodied experience of the world informs the processes of meaning-making, how human cognitive capacities are at work in the experience of ballad singing and how the structure of the ballad reflects and shapes these capacities. Embodied philosophy and contemporary theories of metaphor are central in this endeavour. Ultimately, this work seeks to find a legitimate way of talking about the ephemeral, intangible yet real quality of embodied aesthetic experience—the shivers and chills of the Maysie—that avoids metaphysical explanations and that makes sense in a secular, humanistic framework. The aim is not to demystify experience in a reductionist sense, but to offer an interpretation that is less about ‘transcendence’ and more about the creative processes present.

Very little has been done to define the process of clinical learning in Malawi and yet anecdotal observations reveal that it is more challenging than classroom teaching and learning. This set the impetus for this hermeneutic phenomenological study, the aim being to gain an understanding of the nature of the clinical learning experience for undergraduate students in Malawi and to examine their clinical experiences against some experiential learning models (Kolb 1984; Jarvis et al 1998). The study setting was Kamuzu College of Nursing (KCN) and the sample was selected purposively and consisted of 30 undergraduate students who were recruited through volunteering. Conversational interviews were conducted to obtain students’ accounts of their clinical learning experience and an eclectic framework guided the phenomenological analysis. The study raises issues which relate to nursing education and nursing practice in Malawi. From an experiential learning perspective, the study reveals that clinical learning for KCN students is largely non-reflective. The study primarily reveals that the clinical learning experience is enormously challenging and stressful due to structural problems prevalent in the clinical learning environment (CLE). In some clinical settings the CLE appears hostile and oppressive due to negative attitudes which some of the clinical staff display towards KCN students. Consequently, students’ accounts depict emotionally charged situations which confront them and this illustrates that clinical learning for KCN students is an experience suffused with emotions. In literature issues on emotions are commonly discussed under emotional labour (Hochschild 1983) and I used the concept as a basis for my pre-understandings and interpreted the students’ accounts of their clinical learning experience against such a conceptual framework. What resonated from their narratives was the depth of the emotion work they engage in. This enabled me to arrive at a new and unique conceptualisation of clinical learning redefined in terms of emotional labour within the perspective of nurse learning in Africa. The findings are a unique contribution to the literature on emotions and provide essential feedback which forms the basis for improving clinical learning in Malawi.

The research that forms this thesis is a portfolio of seven published papers together with a critical review, set out below, which gives a general overview of all the work. The work covers a period from the 1990s until 2008, with publication dates spanning a decade. The research has developed from an early interest in exploring the nature of landscape experience, responses to past and contemporary landscape designs, and what benefits people might gain from engaging with such landscapes. It has also reflected a desire to raise standards of scholarship and research in landscape architecture. The portfolio of work addresses three broad themes, interconnected but requiring different approaches in terms of method: the distinctiveness of place and design responses to it; design of public open space for the 21st century; and understanding people’s engagement with the natural environment. The research addresses the following questions and is presented under these headings, each representing a different strand or focus of attention. a) History, prototypes and local distinctiveness: what is the role of historic design prototypes in contemporary landscape architecture and how can an understanding of them enhance sensitivity to local distinctiveness in new design? b) Urban open space: how can an understanding of the history of landscape design inform the way urban open space is designed, planned and managed in the 21st century and what new paradigms might there be? c) Experiencing the landscape: how do people perceive, use and respond to green landscapes in their local environment, and what factors influence engagement with and benefit from such natural environments? The outputs in this portfolio are shown to have influenced other researchers as well as policy makers and practitioners; they are reflected in citations of the work and in government agency initiatives to develop new approaches to accessing the landscape. Finally, a conceptual framework is offered for understanding and responding to people’s diverse experiences of landscape.