Healthcare education is continually evolving to reflect therapeutic advances in patient management. Society demands assurances regarding the ongoing competence of HCPs including pharmacists. The use of OSCEs to evaluate competence of medical staff as well as nurses is well documented in the literature however evidence of its use with undergraduate pharmacy students is still sparse.

The term 'hard to reach' first appeared in the Health Visiting Review (Lowe 2007). This review claimed that the health visiting service was able and experienced in reaching the 'hard to reach'. Yet there was a dearth of health visiting literature on what this concept meant and how it was interpreted in practice. A wide literature review was undertaken which examined government child health policies on reducing health inequalities and how the targeting of services to meet the needs of 'vulnerable', 'disadvantaged' or 'hard to reach' families had developed. The literature review identified how the concept of risk in relation to child health promotion had been defined and redefined since the 1970s. The latest shift involved the identification of 'new social risks' and the promotion of early intervention to prevent social exclusion and health inequalities. At the time of the study's inception, health visiting was a service both in decline and under threat. In contrast, the development of new early intervention programmes such as Sure Start (National Evaluation of Sure Start 2005), On Track (Doherty et al. 2003) and intensive home visiting (Barlow et al. 2005) also led to the critical examination of the concept of 'hard to reach'. In response to the lack of information on the concept of 'hard to reach' in health visiting, I set out to examine critically how Health Visitors (HVs) working in a disadvantaged area conceptualised and operationalised the concept of 'hard to reach'. This qualitative ethnographic case study (Yin 2003), by using research methods of focus groups, participant observation of a Well-Baby Clinic and interviews, gathered perceptions and experiences of HVs and service users. Thematic analysis was guided by Gee's (2005) method of critical discourse analysis and revealed how the term was contested by HV practitioners. It was considered a broad term that in practice could be applied widely and negatively as a label for non-engaging service users; yet themes emerged which also demonstrated how HVs related to and constructed the concept in their day-to-day practices of client engagement. The findings were categorised and a typology was developed in relation to the reach of health visiting within a predominantly deficit model of health. The typology consists of four types, all of which relate to the 'reach' of the health visiting service at the interpersonal level. The first type, the 'easy to reach' client, highlights the diversity of clients: not all clients living within a disadvantaged area were 'hard to reach'. This category also identifies how some clients living within this disadvantaged area developed relationships with HVs. Including the type 'easy to reach' within the typology acknowledges the diversity of clients living within an area of disadvantage, and also the facilitators in HV/Client relationships. The second type identified was the 'emotionally hard to reach' client, and identifies characteristics of clients who had a tentative relationship with the health visiting service. Working with 'emotionally hard to reach' clients involved negotiation and the building of trust at each encounter. The third type, 'physically hard to reach', developed following the identification of a range of barriers that reduced access to vulnerable clients. The fourth type, 'hard to reach services', arose from the findings - and this type relates to barriers created by the organisation of the health visiting service in a disadvantaged area. The typology highlights the importance of both clients' and HVs' engagement in the development of working relationships. It recognises the organisational structures and discourses that act as barriers and facilitators to client engagement. It recommends that health visiting should take the opportunity offered in the Health Visitor Implementation Plan (DH 2011) to develop a health visiting service underpinned with a strengths-based model of public health.

The aim of this one-year master thesis was to examine the principles of arrangement used by the Swedish Royal Office archive from about 1540-1878, and how the principles of arrangement have corresponded with the information needs of that rules the Swedish Royal Office archive. The following theoretical premises were important: Berndt Fredriksson's empirical archival science, JBLD Strömberg's concepts of archive systems and Randolph C. Head's concepts of mirroring. Two questions have been examined. What connections is there between the major reorganizations of the Swedish Royal Office archive, the process for governance of Sweden / the Royal Office, access to / control over archival documents, information needs, the political situation, and changes in how the archive was arranged and inventoried. What sources of inspiration have those responsible for the reorganizations had regarding the reorganizations? My source material consisted primarily of archival inventories. In this inquiry I have used a case study in which document and literature studies were conducted. During this study I have discovered that several principles of arrangement was in use simultaneously during the examined time period. This suggests either that older ideas regarding inventory labor were present at the same time and influenced the inventory labor or that the "archivist" during this time period had great freedom to choose between different principles of arrangement. Arrangement by geographic location were used during the entire time period. The archival inventories arranged by this principle has evolved from larger descriptions over geographic places to titles in Latin over countries. It also seems likely that the countries of this archival inventories represented Sweden's foreign relations. Mirroring has been detected between the reasons for the reorganizations, major political conflicts internally and externally, changes in the governance process, the user groups of the archive, the information needs and archival inventories. Mirroring has also occurred between the principles of arrangement and information access and needs. There are several available sources of inspiration to the reorganizations and hence the principles of arrangement.

Due to large influx of migrants along with a declining rate of native Swedes in working age, corporations are devoting more time and resources for diversity management today. While much attention has been directed towards the gender equality aspect of diversity, less attention has been given to the management of employees with diverse ethnicities and/or nationalities, hence the cultural aspect of diversity. This qualitative case study aims to contribute to the research field on diversity management in Swedish businesses in general but more specifically how the Swedish state-owned company Svevia is working with cultural diversity, identified as a strategic premise in order to assure future business survival. Through semi-structured interviews with employees at all organizational levels, a thorough understanding has been achieved of how Svevia works with diversity management and how the organizational culture allows for cultural diversity to thrive. A range of theoretical perspectives are combined in the for this study established conceptual framework, a framework which has enabled this study to provide an understanding of how an organization as a whole system, and not just fragments of organization, operationalize diversity management. Focus was given to study the processes that underlie the translation towards an intended more diverse workforce and the shape this process takes within the company. The results show that the processes through which information is being transferred within the organization, allowing for a flexibility that enables the company to evolve influenced by society’s constantly shifting demands. Svevia’s management efforts in the area of cultural diversity is not as well developed as that of gender equality. This, in a combination with a rather fragmented organizational culture indicates that there is still room for improvement regarding Svevia’s work with cultural diversity. Svevia, continues to be rather homogenous when it comes to the composition of its workforce, not reflecting the society in which they operate even though measures have been taken. However, if the increased commitment for cultural diversity continues, Svevia will most likely face the growth of diversity in the Swedish labor market, with more ease than companies who do not take measures to improve the organizational culture to become more including and welcoming.

The purpose of this case study is to examine how talent management is applied in a university environment and how development in leadership skills for the participants of a project affects their willingness to stay at the university. This study also highlights the purpose of using a strategy like talent management to keep key people in the organization to stay and also that theories about talent management needs to be complete with theories about loyalty and commitment. This is done through examining the project Real-- Research and Leadership that the University of Umeå provided for 21 researchers and the first round of the project took part between 2015 and 2016. The purpose of this project is to work as a supporting instance for the researcher’s research career in an long term goal to get the young prominent researchers to stay and keep working at the University. To do so, ReaL, as the project is commonly called, offered the researchers a course with the possibility to develop their leadership abilities that would help them in their future research career. But also to introduce them to interdisciplinary contacts in an attempt to broaden their research network and to give them an increased general knowledge sharing. The data gathering for this study was partly done through surveys that were handed out to the participants at the last day of the course and by interviews with selected participants from the course. The quantitative results of the study show that the participants showed a positive feeling against the impact on the participant’s willingness to stay at the University of Umeå and that the support for their research careers and an enhance in their ability in communication and conflict management was highly contributed towards their willingness to stay at the university. ReaL as a support tool for the participants was also a highly contributed factor for their willingness to stay. The Qualitative results on the other hand shows a more complex situation. Even thou that the project had a positive impact, other external factors paid more contribution to the researcher’s willingness to stay then what the quantitative results shows. These factors were the layout of the city of Umeå, their family situation and their partner’s works situation.

This thesis focuses on immigrants in Sweden. What experiences from the meeting with Swedish society do immigrants have and what meaning does the immigrant background have when they have been patients within the Swedish health and medical service? Former research about patients with an immigrant background can be divided into two perspectives. One which illuminates ethnically demarcated immigrant groups and specific needs. The other perspective has an individually adopted approach independently of the patients’ ethnical background. Here it is mainly the communication problems that are stressed, since these make it hard to understand the individual’s needs. The two empirical studies of the thesis start from an individualised perspective, a life world perspective. Research data have been collected through open interviews. The overall purpose was to develop a deepened understanding of what it means to live as an immigrant in Sweden and receive care. The aim of the pre-study was to examine immigrants’ experiences of participation in municipal home care. In the main study the overall purpose was used and two research questions were asked: What do persons with an immigrant background have to tell us about their situation in Swedish society? How does the situation as an immigrant in Sweden influence the experience of being a patient in Swedish health and medical care? The pre-study shows that participation means making demands and meeting caregivers who view the patient as an actor with the right to make his or her own decisions. One important postulate seems to be access to a good interpreter. To refrain from participation seems to be about adopting a passive attitude as a patient. It seems as if it is the caregivers who are the active ones and the ones setting the standards for the contents of the care. To experience not being invited to participation mainly seems to originate from the fact that the interviewees could neither understand nor make themselves understood. One consequence is that patients are just looked upon as carriers of a symptom. The main study shows that the interviewees’ existential existence as patients involves the whole life situation. Different forms of unsurmountable difficulties might reinforce each other. The ambition to establish oneself in a new home country might therefore be passivised. For patients with immigrant background earlier experiences from exposed situations seem to influence how the patients feel about their treatment. The additional knowledge is that problems seem to reinforce each other. Patients with an immigrant background must be treated as individuals. Every individual’s story has to be made visible. The thesis shows that caregivers ought to endeavour to understand the individual. To encourage dialogue, despite language problems, is of importance for the patient to be able to express his or her needs. The use of an interpreter may have a positive influence on these patients’ possibilities to exert an influence. This means that caregivers who consult an interpreter should build up their competence to communicate through an interpreter.

The popularity of rock-climbing is continuously increasing. However, little research is available on the pedagogy of rock-climbing. Student climbing self-efficacy and the learning activities and instructional strategies used were monitored throughout a five-month long high school rock-climbing program. The baseline rock-climbing experience of consenting participants (n = 26) ranged from novice to the junior competitive level. This case study of a single class of 30 students included both quantitative and qualitative data sources. Data collection methods included: (a) questionnaires, (b) observations of the learning environment, (c) individual reflection journals, (d) focus group interviews, and (e) a course outline. Quantitative analysis revealed no significant change in the self-efficacy scores of participants. Qualitative analysis provided insight into: (a) the type of learning environment conducive to improving climbing self-efficacy, (b) the influence of the sources of self-efficacy, and (c) the activities that were more efficient for developing student climbing self-efficacy. This study explored how sources of self-efficacy can be translated into learning activities and instructional strategies for rock-climbing programs. Learning activities and instructional strategies should be meaningful, diversified, individualized, progressively challenging, and take place in a safe and collaborative environment. A future study may investigate the effect of participation in climbing programs on motivations to pursue climbing independently. / Graduate / 0523 / 0575 / 0633

Det här arbetet är handlar om uppgifter inom bildämnet. Syftet med arbetet är att undersöka hur bilduppgifter styr mottagarens skapande och i slutändan de bilder som produceras. Som blivande lärare så har jag upptäckt det lustfyllda och kreativa arbete som konstruerande av bilduppgifter för med sig, samtidigt väcktes frågor kring makt och styrning av andra människors skapande. I uppsatsen undersöker jag denna styrning genom att konstruera tre bilduppgifter som med form och formuleringar försöker styra tre informanter med olika mycket erfarenhet inom bildämnet mot ett och samma mål. Detta för att se om det fanns tillfällen då informanterna begränsades i sitt skapande, eller om det gick att se möjligheter för uppgifterna att uppmuntra och främja deras kreativa arbete. Flera olika sätt att utföra och jobba med bilduppgifter synliggjordes och tillsammans skapar de en bild av hur man kan förhålla sig till bilduppgifter, både som mottagare och som den som konstruerar bilduppgifter. Undersökningen resulterade även i en gestaltning som sammanfattar undersökningen och visar på det kreativa arbete som går in i att konstruera bilduppgifter. Relationen mellan uppgiftens försök till styrning och de bilder som producerades skapade ett slags kretslopp i tre delar, uppgiften och dess försök till styrning, informanternas bilder samt hur och om styrningen fungerat. Gestaltningen resulterade i tre verk och ställdes ut på Konstfacks Våruställning 12-22 maj 2016.

This thesis explores the capacities, challenges and differences of three Swedish environmental non-governmental organizations (ENGOs). It uses a case study method to examine the ENGOs Swedish Society for Nature Conservation, Friends of the Earth Sweden and Keep Sweden Tidy Foundation. The study will explore what capacities and challenges the organizations have to sustain and develop, using capacity development as an analytical framework. Qualitative methods are used for gathering data. The findings of this study indicates that all three of the organizations have several capacities that is suggested by the theory capacity development, such as monitoring and evaluating the organization, developed communication to donors and supporters, accountability, clear aim and goals, etc. These three ENGOs is well established in the society of Sweden and have been active for a minimum of three decades. However, there are always capacities and strategies that can develop and be more effective, as well as addressing organizational challenges. The challenges founded in this study that all three organizations have in common, is the issues of being dependent on external funding and donations, and the communication between branches of the organizations as well as among members of the staff. Increased communication could better unify the organization and less dependence of external funding and donations could make the organizations more stable as well as sustainable.

Set against a changing backdrop of reforms in higher education and English language teaching (ELT), the thesis explores the notion of professionalism for university English teachers in Vietnam: What is defined as professionalism in this particular period of time? How is professionalism constructed in this context? The research approaches professionalism as a critical concept: A list of aspired traits and features are always value-laden and concern the question of power. From this premise, the thesis discusses a “kaleidoscope” relationship between different actors in the making of professionalism. Using Freidson’s (2001) ideas on the contingencies of professionalism, the study views the notion as a process rather than a product. Professionalism has its own logic that needs to be respected, but this logic is also incidental to other logics for its establishment and development. The study uses embedded case study to address its research questions. Defining the case as professionalism for university ELT teachers in contemporary Vietnam higher education, the thesis studies the notion as articulated at national, institutional, and individual levels. The primary data sources include five national policies, institutional policies and management practices at a university and its foreign languages department, and interviews with six academic managers and eleven ELT lecturers. The data were analysed using thematic analysis approach within constructivist, interpretive traditions. The results show that professionalism for ELT lecturers in Vietnam can largely be characterised as a professionalism of entrepreneurship, measurability and functionality. ELT is largely considered as a tool for international integration. Each type of professionalism project involves several actors (the state, expert groups, the institution, and ELT academics) with their own logic, but they interrelate in responding to the imperatives of the knowledge-based economy and globalisation. How the meaning of professionalism is established and argued for by the different actors in this study reveals that it is not easy to conceptualise the notion in a binary system of “from above” professionalism versus “from within” professionalism; and “organisational” professionalism versus “occupational” professionalism. The complexities of the logics of professionalism – with an ”s”, affect whether a professionalisation project can be perceived as being positive or negative – Is it professionalisation or is it deprofessionalisation? The relativity of “from above” and “from within” reflects the contingencies of professionalism, and also suggests authority power is plural, shifting, and fluid, rather than single, normative, and static. Meanwhile, it means human’s individual power is not of an ultimate freedom but dependent on external conditions. With these considerations, the study proposes interpreting professionalism as a ”social contract”. This helps not only recognise a mutual relationship between the state, the institution, and academics, but also illuminate how each party enables, maintains, and contributes to this relationship.