Bakgrund: Ett ökande antal migranter i Sverige har lett till större mångkulturella patientgrupper där många endast talar modersmålet och inte engelska/svenska. Som följd har detta skapat en situation för sjukvården där sjuksköterskan ibland har svårt att kommunicera med vårdsökande personer. Den största orsaken är språkbarriärerna som uppstår vid olika språk mellan två parter, vilket påverkar den vårdande kommunikationen som är viktig för sjuksköterskans arbete. Syfte: Att beskriva hur sjuksköterskan upplever kommunikationen vid språkbarriärer i samband med omvårdnad. Metod: En kvalitativ litteraturöversikt med induktiv ansats där databaserna Cinahl och MedLine har används för att hitta studier relaterade till syftet. Resultat: Många sjuksköterskor upplever att språkbarriärer påverkar omvårdanden negativt genom att det blir svårare att utbyta information mellan henne och vårdtagare, samt svårigheter att använda tolk. Vid tolkanvändning poängterades vikten av att använda professionell tolk istället för anhörigtolk, samt kunskap om tolkanvändning för sjuksköterskan.  Fynden visar även strategier för att undvika kommunikationsproblem. Slutsats: På grund av språkbarriärer vid vårdande kommunikation påverkas omvårdnaden vilket i sin tur riskerar patientsäkerheten samt minskar tryggheten hos patienten. Det behövs således ökad kunskap och utbildning inom tolkanvändning samt påverkan av språkbarriärer hos sjuksköterskan för att förebygga dessa problem. / Background: Due to a rising number of migrants in Sweden, there is a larger multicultural patient group where many only speak their mother tongue and not Swedish/English. As a result, situations where hospital staff cannot adequately communicate with the patient have become more common. The biggest cause of this is the language barrier, which affects the nursing communication. Aim: To examine how nurses experience communication in presence of a language barrier in relation to nursing. Method: A qualitative literature overview with an inductive approach where the databases Cinahl and MedLine were used to find articles that relate to the aim. Results: Nurses feel that the language barrier is affecting patient care in a negative way, because the information exchange between caregiver and caretaker is affected, and because of the limitations of using a translator. The study shows importance of using a professional interpreter instead of a relative as well as knowledge of how to use it. There are also several strategies mentioned on how to avoid communication problems. Conclusion: Language barriers affect nursing communication, which can lead to impacts on patient safety as well as making the patient feel less comfortable with the nurse experience. Information and knowledge about the usage of translators and the impact of language barriers for nurses is of great importance.

A critical factor of e-learning success is the e-learning readiness of the online user. However, there is a scarcity of studies on online instructors' e-learning readiness (E-Readiness) in an online learning environment. The purpose of this study was to evaluate whether there were correlations among online instructor E-Readiness dimensions and factors at the design and delivery stages that affect system outcomes. In this study, the DeLone and McLean model was used as a framework for research to test E-Readiness with the System Design stage (comprising System Quality, Information Quality, and Service Quality), System Delivery stage (comprising System Use, and User Satisfaction) and Net Benefits stage (comprising Net Benefits). A total of 113 online instructors at a Caribbean university system completed a Web-based questionnaire containing previously validated and adapted items. The questions were answered using a five-point Likert scale and the survey results were analyzed using aggregates and linear regression statistical methods. The results revealed that the e-learning systems success score of the university was 4.07 out of 5 or 81.4%, while the E-Readiness score of online instructors was 4.53 out of 5, or 90.6%. Linear regression analysis showed that E-Readiness was a significant and positive predictor of the System Design, System Delivery, and System Outcome stages and their associated dimensions. The results of multiple linear regression analysis showed that the constructs together accounted for 42.2% of the variance in Net Benefits. Of the six predictors in the model, User Satisfaction provided the largest unique contribution when the other predictors in the model were held constant. The other predictors in the model (System Quality, Service Quality, Information Quality, System Use and E-Readiness) were not statistically significant and provided no significant or unique contribution to Net Benefits. Further information is provided regarding factors affecting net benefits among online instructors using online learning environments. This information can be used to address online instructors' barriers to technology use.

Huvudsyftet med studien var att undersöka elitfotbollsspelares uppfattningar kring vilka hinder och möjligheter som finns för att idrottspsykologiska rådgivare ska ges inträde i en fotbollsförening. Ett ytterligare syfte var att undersöka vad som karaktäriserar en framgångsrik idrottspsykologisk rådgivare vid samarbete med elitfotbollsspelare. Populationen utgjordes av åtta svenska elitfotbollsspelare. Kriterierna för att inkluderas i studien var att deltagarna skulle tillhört en a-lagstrupp i en elitfotbollsförening (Allsvenskan och Superettan) säsongen 2015. Insamlingen av data utgick från kvalitativ ansats, genom intervjuer och analyserades utifrån kvalitativ innehållsanalys. Resultatet visade att idrottarna påpekade fler hinder än möjligheter för att den idrottspsykologiska rådgivaren ska ges inträde i en förening, där skepticism mot idrottspsykologi nämndes som ett exempel. Gällande karaktärsdrag visade resultatet att idrottarna hade en större samsyn i förhållande till de hinder och möjligheter som framkom. Slutligen diskuterar författarna förslag på framtida forskning, metodkritik och implikationer. / The main purpose of the study was to examine elite soccer players perceptions of which barriers and possibilities exists in order to give sport psychology consultants entry in a soccer organization. Another purpose was to examine what characterizes a successful sport psychology consultant in their cooperation with elite soccer players. The population was eight swedish elite soccer players. The criteria to be included in the study, was that the athletes had pertained a first team squad in an elite soccer organization (Allsvenskan and Superettan) in the season of 2015. Data collection was done through qualitative approach, through interviews and was analyzed by qualitative content analysis. The results showed the athletes pointed out more barriers than possibilities to give the sport psychology consultant entry in an organization, where skepticism towards sport psychology was mentioned as an example. Regarding characteristics the results showed that the athletes had more consensuses in relation to the barriers and possibilities that appeared. Finally the authors discuss suggestions in terms of future research, methodology reflections and implications.

Thesis (MA)--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: It has become evident over the past several years that there are a substantial number and a variety of career-related barriers that individuals perceive and experience in the workplace and that consequently interfere with their career development. Up to date, a vast amount of studies have investigated and reported on this topic world wide, yet little research has been gathered regarding the career-related barriers that South African citizens, especially students from higher educational institutions, perceive or experience. The aim and purpose of this quantitative research study was therefore to explore the diverse barrier perceptions and experiences of South African university students by means of determining the degree to which a range of internal and external barriers would hinder or has hindered their career development and whether these barriers (a) vary by gender, (b) vary by race/ethnicity and (c) vary by course level or academic year of study. In order to meet the study objectives and answer the three primary research hypotheses (a, b and c), respondents were invited via electronic mail to participate in a once-off online survey which consisted of a demographic questionnaire and the Career Barriers Inventory-Revised (CBI-R) (Swanson, Daniels, & Tokar, 1996). The results of the three primary research hypotheses indicated that the nature or type of career-related barriers perceived and experienced by the sample of South African university students (N = 1897) differed significantly among gender, racial-ethnic groups and course level or academic year of study. Significant gender differences were found on all 13 CBI-R scales, racial-ethnic differences on 9 of the 13 CBI-R scales (both assessed by means of a one-way independent ANOVA) and course level or academic year of study differences on 3 of the 13 CBI-R scales (measured by Spearman’s correlation coefficient). The present research study therefore revealed descriptive and exploratory baseline data regarding the perceived career barriers among South African university students and clearly demonstrated the CBI-R’s validity and applicability in the South African student context. Awareness of these students’ barrier perceptions can be a useful tool in planning and developing future intervention strategies for coping with and overcoming obstacles to their career progress. / AFRIKAANSE OPSOMMING: Oor die afgelope paar jaar het dit aan die lig gekom dat daar ‘n groot aantal en ‘n verskeidenheid loopbaanverwante hindernisse is wat individue waarneem en ondervind in die werksplek en wat gevolglik inmeng met hul loopbaanontwikkeling. Tot op hede is daar ‘n groot aantal studies wat hierdie onderwerp wêreldwyd ondersoek en daaroor berig het, tog is daar slegs ‘n klein hoeveelheid navorsing gedoen met betrekking tot die loopbaanverwante hindernisse wat Suid-Afrikaanse burgers, veral studente in hoëronderwys opvoedkundige instellings, waarneem en ondervind. Die doel en voorneme van hierdie kwantitatiewe navorsingstudie was gevolglik om die diverse hindernispersepsies en -ervarings van Suid-Afrikaanse universiteitstudente te bestudeer deur die graad te bepaal waartoe ‘n verskeidenheid interne en eksterne hindernisse hul loopbaanontwikkeling sal bemoeilik (of reeds het) en of hierdie hindernisse (a) verskil van geslag, (b) verskil van ras/etnisiteit en (c) verskil van kursusvlak of akademiese jaar van studie. Om aan die doel van hierdie studie te voldoen en die drie primêre navorsingshipoteses (a, b en c) te beantwoord, is respondente deur middel van elektroniese pos uitgenooi om aan ‘n eenmalige aanlyn-opname deel te neem wat die voltooing van ‘n demografiese vraelys en die Career Barriers Inventory-Revised (CBI-R) (Swanson, Daniels, & Tokar, 1996) behels het. Die resultate van die drie primêre navorsingshipoteses het aangedui dat die aard of tipe loopbaanverwante hindernisse wat deur die steekproef Suid-Afrikaanse studente (N = 1897) waargeneem en ondervind word, beduidend verskil ten op sigte van geslag, ras/etniese groep en kursusvlak of akademiese jaar van studie. Beduidende geslagsverskille is gevind op al 13 CBI-R skale, ras/etniese verskille op 9 van die 13 CBI-R skale (albei geassesseer deur middel van ‘n eenrigting onafhanklike ANOVA) en kursusvlak of akademiese jaar van studie verskille op 3 van die 13 CBI-R skale (gemeet deur Spearman se korrelasie koëffisiënt). Die huidige navorsingstudie het dus beskrywende en ondersoekende grondslag-data aangaande die waargenome loopbaanhindernisse van Suid Afrikaanse studente onthul en het duidelik die CBI-R se geldigheid en toepaslikheid in die Suid-Afrikaanse studente-konteks gedemonstreer. Bewustheid van hierdie studente se hindernispersepsies kan ‘n nuttige maatstaf wees in die beplanning en ontwikkeling van toekomstige intervensiestrategieë vir die hantering en oorwinning van struikelblokke tot hul loopbaanvordering.

published_or_final_version / Environmental Management / Master / Master of Science in Environmental Management

Not often do mathematics teachers instruct to improve students' attitudes toward mathematics. The pressures to cover the state-mandated curriculum drive teachers to instruct for procedural understanding with few connections. The lack of real-life connections results in students with low motivation toward mathematics and results in poor mathematics attitude (Ma andamp; Kishor, 1997). The purpose of this mixed-methods research is to examine self-regulated learning as an instructional technique aimed at increasing mathematical attitudes while also increasing achievement and to reveal barriers to its implementation in the classroom.The research study involved an intervention in a Mid-South urban high school at the 9th grade level. All students who participated were enrolled in the middle track at the school, thus taking an Algebra I course. The intervention took place with four teachers in seven separate classes. Students were given the opportunity to regulate their own learning based on objectives for district and state requirements. In this pre/post design, students were surveyed for their mathematics attitude and achievement using the Attitude Toward Mathematics Inventory (Tapia, 1996) and a polynomial survey designed by the researcher. Teachers were surveyed and interviewed prior to the study to develop a sense of their teaching preferences. During the experiment classroom observations were conducted to assist in developing themes in the intervention. Following the study, extensive interviews took place with each participating teacher.Data analyses revealed no statistically significant difference between the control and experimental group in regards to mathematics attitude and achievement. Qualitative analysis using constant comparative strategies (Denzin andamp; Lincoln, 2000) revealed many teacher barriers and misconceptions. Teachers felt uncomfortable with the technique and were unable to allow the students to fully regulate their learning. The teachers imposed a timeline, quizzes, written tests, and direct instruction techniques on the students during the study. All of these created barriers to the students fully regulating their learning. Also, teachers' perceptions of learning and attitude were not valid. Teachers believed the students achieved at a lower level than with a traditional approach and viewed their attitudes as worse than normal. This was in direct contrast to the quantitative results.

The purpose of this dissertation is to explore potential barriers nurses experience in providing effective pain management for preterm and critically ill infants in neonatal intensive care units (NICUs). The specific aims of the study conducted are to examine (a) NICU caregivers’ knowledge about pain, (b) scales used to evaluate pain in infants, (c) NICU nurses’ documented pain practices, and (d) bias in treating pain of certain types of infants. This dissertation is comprised of three manuscripts. The first manuscript is an integrated review of the literature describing caregiver knowledge, barriers, and bias in the management of pain in neonates. The second manuscript is a systematic review of multidimensional pain scales developed for use in preterm and critically ill infants. The final manuscript reports a descriptive exploratory study designed to examine nurses’ knowledge of pain, knowledge of intensity and appropriate management of procedural pain, bias in treating pain of certain types of infants, and documented pain management practices. Over the past 25 years, caregiver knowledge of pain in preterm and critically ill infants has advanced from beliefs that neonates do not feel pain, to the knowledge that preterm infants experience more pain than term infants, older children, and adults. Nine multidimensional pain scales with varying levels of reliability and validity have been developed, yet a gold standard for pain assessment in preterm and critically ill neonates has not emerged. In this study, baccalaureate prepared nurses (BSN) and nurses with higher total years of nursing experience had better knowledge of pain in this population than associate degree nurses (ADN). However, pain management was inconsistent, resulting in pain that was untreated as often as 80% of the time. Nurses reported that physician practice was the primary obstacle to providing effective pain management. Additional concerns included knowledge deficits of nurses and physicians, lack of communication and teamwork, and rushed care. Nurses reported biases in managing pain and were less likely to invest time and energy treating the pain of infants experiencing neonatal abstinence syndrome.

<p>There is no common understanding on what constitutes good sick-listing, a frequent and problematic task for many physicians, especially general practitioners (GPs) and orthopaedic surgeons. Aiming to achieve a deeper understanding of sick-listing practices, 19 GPs (I, III) and 18 orthopaedic surgeons (II) in four counties were interviewed, and data analysed qualitatively for views on good sickness certification and barriers to desired practice. Data from a survey of all 7665 physicians in two counties on emotionally straining problems in sickness certification (IV) was analysed quantitatively. </p><p>Some GPs exposed narrow views of sick-listing, where their responsibility was limited to issuing a certificate, while GPs with the most inclusive view had a perspective of the patient’s total life-situation and aimed to help patients shoulder their own responsibility (I). The orthopaedic surgeons´ perceptions of good sick-listing were mainly related to their views on their role in the health-care system. Some perceived their responsibility as confined to the orthopaedic clinic only, while others had the ultimate goal of helping the patient to become well functioning in life with regained work capacity – by means of surgery <i>and</i> proper management of sick-listing (II). </p><p>Difficulty handling conflicting opinions was a barrier to good sickness certification for GPs (III), and problematic for about 50% of all physicians and about 80% of GPs (IV). Orthopaedic surgeons’ handling of such situations varied from being directed by the patient, via compromising, to being directed by professional judgement (II). Other barriers included poor stakeholder collaboration (III). GPs with a workplace-policy on sickness certification reported fewer conflicts and less worry of getting reported to the disciplinary board in relation to sick-listing (IV).</p><p>Understanding physicians’ underlying views on and barriers to practicing “good sick-listing” can inform efforts to change physician practice. Communications skills training in handling sick-listing situations with conflicting opinions is recommended.</p>

<p> </p><p> </p><p> </p><p> </p><p> </p><p><strong>Abstract</strong></p><p><strong>Problem: </strong>The desire for development in less privileged countries like Uganda has created the need for the privileged countries like Sweden to embark on external knowledge transfer through different projects, as one of the objectives to achieve development. However, some factors tend to limit the success of this external knowledge transfer process.<strong> </strong></p><p><strong>Purpose: </strong>The purpose of this research is to find out the factors that lead to the barriers and limitations of knowledge transfer in development projects. Since there are differences in objectives between nonprofit and profit making projects, the research is also aimed at highlighting the extent to which the affecting factors hinder the achievement of objectives and goals. <strong> </strong></p><p><strong>Method: </strong>Qualitative methods were used in this research. Telephone interviews were conducted after sending questionnaires to four respondents from different organizations that were actively involved in the projects. In order to have balanced results, two respondents each from Uganda and Sweden were interviewed. Trustworthiness and ethical issues were put into consideration while conducting the interviews, in a bid to create a desirable atmosphere for conducting the study.<strong> </strong></p><p><strong>Result: </strong>External knowledge transfer is affected by factors like culture, individual factors, and knowledge management factors. Apart from the mentioned factors, research found that instead of organizational factors that would affect profit making projects to a greater extent, factors like the political will, ownership and local needs are the ones that affect development projects.</p><p><strong>Conclusion: </strong>The factors that affect the external knowledge transfer process are to a greater extent human, and are controllable. In development projects, the recipient country should identify the needs that would initiate the external knowledge transfer process. Most of the affecting factors would be controlled through building of relationships and strong ties, local ownership, and political considerations. All this put into consideration, external knowledge transfer between developed and developing countries stand a high chance to succeed.</p><p> </p><p> </p><p> </p><p> </p>

The purpose of the study was to gauge Grade 4 Life Orientation educators‟ understanding of what learning style diversity entails, and to explore how they accommodate diverse learning styles during teaching and learning in inclusive Life Orientation classrooms. The study explored the educators‟ choice of teaching methods and strategies, learning activities and assessment approaches to accommodate diverse learning styles in their classrooms. The first phase of the study was characterized by a literature review, which guided the formulation of focus group interview questions as well as observation criteria. The literature review explored the notion of accommodating diverse learning style needs as an important aspect of inclusive education, as well as the teaching methods and strategies, learning activities and assessment approaches that could be employed to accommodate learning style diversity in inclusive Life Orientation classrooms. The second phase of the study comprised the empirical research. Within an interprevistic framework, qualitative research by means of focus group interviews and observations was undertaken to collect data in order to determine educators‟ understanding of learning style diversity and to explore how they accommodate diverse learning style needs in their inclusive Grade 4 Life Orientation classrooms. Focus group interviews were conducted with a convenient and purposively selected sample of Grade 4 Life Orientation educators (n=40) who teach at Township schools in the Sedibeng West District of the Gauteng Department of Education. In addition to the focus group interviews, observations were done in the classrooms of five willing educators who took part in the focus group interviews to observe how the educators accommodate diverse learning style needs in practice during their teaching. The data analysis revealed that educators do not have an adequate understanding of what diverse learning style needs imply, and do not accommodate diverse learning style needs in a balanced way in their classrooms. Both the findings from the focus group interviews and observations indicated that educators experience challenges in accommodating diverse learning style needs during the teaching of Grade 4 Life Orientation in inclusive classrooms. These challenges inter alia relate to time, workload, overcrowded classrooms and a need for guidance on how to accommodate diverse learning style needs. Based on the data obtained, examples of teaching, learning and assessment activities that could form part of a teaching and learning programme for Grade 4 Life Orientation was developed to guide educators in addressing learning style diversity during teaching. In the absence of curriculum-based teaching and learning programmes that guide educators in accommodate diverse learning styles during the teaching of Life Orientation, this study makes a valuable contribution. Key concepts: learning style diversity, learning preferences, pedagogical barriers to learning, inclusive education / PhD, Teaching and Learning, North-West University, Vaal Triangle Campus, 2012