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Traditional in lab usability evaluation has been used as the 'standard' evaluation method for evaluating and improving usability of software user interfaces (Andre, Williges, & Hartson, 2000). However, traditional in lab evaluation has its drawbacks such as availability of representative end users, high cost of testing and lack of true representation of a user's actual work environment. To counteract these issues various alternative and less expensive usability evaluation methods (UEMs) have been developed over the past decade. One such UEM is the Remote Usability Evaluation method. Remote evaluation is a relatively new area and lacks empirical data to support the approach. The need for empirical support was addressed in this study. The overall purpose of this study was to determine the differences in the effectiveness of the two evaluation types, the remote evaluation approach (SREM) and the traditional evaluation approach, in collecting usability data. This study also compared the effectiveness between the two methods based on user type, usability novice users and usability experienced users. Finally, the hypothesis that users, in general, will prefer the remote evaluation approach of reporting to the traditional in-lab evaluation approach was also tested. Results indicated that, in general, the synchronous remote approach is at least as effective as the traditional in lab usability evaluation approach in collecting usability data across all user types. However, when user type was taken into consideration, it was found that there was a significant difference in the high severity negative critical incident data collected between the two approaches for the novice user group. The traditional approach collected significantly more high severity negative critical incident data than the remote approach. Additionally, results indicate that users tend to be more willing to participate in the same approach as the one they participated previously. Recommendations for usability evaluators for conducting the SREM approach and areas for future research are identified in the study. / Master of Science

The aim of the thesis is to describe and analyse how a group of women experience that their every-day lives are affected during and after primary breast cancer treatment. The thesis is a consecutive, longitudinal study that takes an explorative qualitative approach. Seventy-one women younger than 60 years of age with primary breast cancer were consecutively included in the study. The women were interviewed four or five times over a period of 4 to 6 years from end of radiotherapy. The analyses of the interviews were inspired by grounded theory and narrative analysis.  The thesis encompasses four papers. Paper I focused on the women’s contact with health care. The results of this study indicate that it is crucial for patients in a vulnerable situation to be admitted into a supportive system – ‘admitted into a helping plan’ – that, more or less explicitly, displays a well-thought-out plan of care. This is a process built on individual relationships with members of the health-care staff, but it ends up in a relationship to health care as a helping system, a ‘safe haven’ to attach to. Study II explored the women’s ideas about what motivated and discouraged their return to work. The results illustrate that the meaning of work fluctuates over time and that the processes of returning to work are conditioned by the patients’ individual life situations. Returning to work was regarded as an important part of the healing process because of how it generated and structured the women’s everyday lives. Returning to work meant demonstrating well-being and normalcy after breast cancer. Study III examined how life was lived and valued during and after treatment for breast cancer compared to pre-cancer life. The analysis showed that being afflicted with breast cancer was evaluated from a context of the women’s former everyday lives and stressed that how the women experienced breast cancer was a matter of personal circumstances. Study IV focused on how the women experienced and dealt with their altered bodies. The results showed that the women followed three different body-mind trajectories that depended to a significant extent on the severity of side effects and bodily alterations that resulted from their treatments. Being afflicted by breast cancer implies vulnerability and losses, but it can also involve benefits and provide new perspectives on life. How the overall breast cancer experience is valued seems to be very much a matter of circumstances in everyday life. This thesis highlights circumstances that focus in particular on contacts with health care, the body, the work situation, and the family situation.

This thesis is based on four studies that explore accessibility for older adults during whole trips by public transport. The overall goal was to gain knowledge of the interrelationships among key variables and to develop a conceptual model of the overall accessibility of public transport. More specifically, the research goals were: (a) to explore links among the key variables postulated to be involved in overall accessibility and to explore the links between these variables and railway accessibility; (b) to gain a deeper understanding of links between critical incidents in traveling and travel behavior decisions; and (c) to develop a conceptual model of overall accessibility. The key variables contributing to overall accessibility are functional ability (depending partly on the person’s functional limitation or disease), travel behavior, and barriers encountered during whole-trip traveling involving train. Respondents with more than one functional limitation or disease reported lower functional ability than did those with only one such limitation and respondents with low functional ability were less frequent travelers than were those with high functional ability. Frequent travelers reported railway accessibility to be better than did those who traveled less frequently. The main barriers were ticket cost and poor punctuality, but respondents with the lowest functional ability attributed the barriers encountered to their own health. The critical incidents most frequently reported were found in the categories “physical environment onboard vehicles” and “physical environment at stations or stops”, as well as in the “pricing and planning during ticketing” phase of the trip. Five themes of reactions to critical incidents were identified that had resulted in behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. A conceptual model of overall accessibility was developed, grounded in the empirical research results. This model is summarized in the following propositions: Overall accessibility is a reciprocal relationship among the barriers/facilitators encountered, functional ability, and travel behavior. Accessibility emerges in the person–environment interaction. To understand accessibility, past experiences and future expectations should both be considered, because both will guide travel decisions. / Measurements enable future train travelling for everybody

Bakgrund: Sjuksköterskor riskerar dagligen att hamna i situationer som kan upplevas som kritiska. Syftet med denna systematiska litteraturstudie var därför att undersöka vilka händelser som sjuksköterskan upplever som kritiska och hur dessa händelser sedan upplevs och hanteras. Heideggers hermeneutiskt inriktade fenomenologi användes som teoretisk referensram i arbetet. Metod: Genom databaserna PubMed, CINAHL och Medline hittades 17 artiklar som var av intresse, efter kvalitetsgranskning valdes tio artiklar ut för att redovisas i arbetet. Resultat: Händelser som sjuksköterskan bland annat ansåg som kritiska var händelser som involverade barn, allvarligt skadade personer samt akuta händelser som kunde vara andnings- eller hjärtstopp. Upplevelsen av en sådan händelse var varierande, den kunde vara ledsam, sjuksköterskan kunde känna stor osäkerhet och gav en stark trötthet. För att hantera en sådan känsla tog sjuksköterskan till olika tekniker för att hantera situationen. Ett sätt för att minska ångesten var att skämta och använda humor, ett annat sätt var att söka stöd hos sina arbetskamrater. Samtidigt var det också viktigt att det fanns ett formellt stöd inom organisationen som sjuksköterskan kunde ta hjälp av ifall händelsen blev allt för övermäktig. Konklusion: Sjuksköterskan skall vara medveten om att kritiska händelser kan leda till allvarliga stressreaktioner och vara uppmärksam på ifall tecken på utbrändhet visas. / Background: Nurses risk every day to get into situations that could be perceived as critical. The purpose of this systematic literature review was to investigate the events, which the nurse feels are critical and how these events since perceived and handled. Heidegger's hermeneutic phenomenology was used as a focused theoretical framework of the work. Methods: The PubMed, CINAHL and Medline found 17 articles that were of interest, after the quality review was ten articles out for recognition at work. Results: Events that nurses in particular felt that was critical incidents involving children, serious injuries and emergencies that could be respiratory or cardiac arrest. The experience of such an event were varied, it could be tedious, the nurse could feel great uncertainty and gave a strong fatigue. To deal with such a sense took the nurse to the different techniques to handle the situation. One way to reduce the anxiety was making jokes and using humour, another way was to seek support from their colleagues. Meanwhile it was also important that there was a formal support of the organization that the nurse was able to enlist the help of whether the incident was too overpowering. Conclusion: The nurse must be aware that critical incidents can lead to severe stress reactions and be aware of if signs of burnout appear.

The aim of the study was to describe and analyse leaming processes in a group of preschool students. My questions was; what do preschool students think about preschool teachers' attitude regarding meals? Do their attitudes and descriptions change during the time of education and if so, which are the contributory causes to this change? The investigation has a qualitative approach where ten students were interviewed on two different occasions with two years in between. The starting point for the interviews were nine cri tical incidents. In the analysis I found several different attitudes, which were brought together to six general attitudes witch I narned; "the Regulator", "the Considerator", "the Planner", "the Cooperator", "the Adaptor" and "the Persuader". The Considerator, the Planner, the Cooperator and the Adaptor all want to, in their own way, tum the meals into positive and joyful moments for all participants. These attitudes describe an active preschool teacher who plans and organises the meals based on the childs needs and abilities. The Regulator's and the Persuader's attitudes were based upon the will to reform the childs behaviour, which was seen upon as negative or less acceptable. The result shows that the attitudes somewhat differ between the two years, for exarnple does the Persuader deminishes while the Planner grows in nurnber. My analysis shows that there are several contributory causes to the students' change of attitude. These are; work experience, theoretical experience, literature studies, broadened understanding, possibilities to discussion, as well as the collaboration between theory and practice. When discussing the result, theories about competence and knowledge, especially the competence and knowledge of the preschool teacher, are considered. The learning process and effects from education, again especially focused on the education of preschool teachers, are also discussed. One conclusion is thai:" the learning process can either be facilitated or aggravated by the organisation of the education. Alternation between theoretical and practical elements &lt;luring the whole educational period is positive for the learning process, as well as creating several opportunities for reflection, and to create working methods which stimulate the visualisation of the students' own learning process. / <p>Licentiatavhandling</p>

Much traditional user interface evaluation is conducted in usability laboratories, where a small number of selected users is directly observed by trained evaluators. However, as the network itself and the remote work setting have become intrinsic parts of usage patterns, evaluators often have limited access to representative users for usability evaluation in the laboratory and the users' work context is difficult or impossible to reproduce in a laboratory setting. These barriers to usability evaluation led to extending the concept of usability evaluation beyond the laboratory, typically using the network itself as a bridge to take interface evaluation to a broad range of users in their natural work settings. The over-arching goal of this work is to develop and evaluate a cost-effective remote usability evaluation method for real-world applications used by real users doing real tasks in real work environments. This thesis reports the development of such a method, and the results of a study to: • investigate feasibility and effectiveness of involving users with to identify and report critical incidents in usage • investigate feasibility and effectiveness of transforming remotely-gathered critical incidents into usability problem descriptions • gain insight into various parameters associated with the method. / Master of Science

Die vier Artikel dieser Dissertation betrachten die Relevanz von Zufriedenheit und Identifikation für Kundenbeziehungen. Artikel 1 untersucht den nichtlinearen Zusammenhang von Zufriedenheit und Loyalität. Artikel 2 analysiert den Einfluss kritischer Ereignisse auf die Zufriedenheit und das Vertrauen von Kunden. Artikel 3 geht der Frage nach, ob mit einem Unternehmen identifizierte Kunden eine stärkere Bindung an das Unternehmen haben und zeigt, dass die Identifikation indirekt diverse Verhaltensweisen fördert, die mitunter nicht über eine Steigerung der Zufriedenheit erreicht werden können. Artikel 4 zeigt zudem, dass die Identifikation des Kunden mit dem Unternehmen sein Kaufverhalten begünstigt und vom Unternehmen gefördert werden kann. / This dissertation consists of four articles which analyze the relevance of satisfaction and customer-company identification for customer relationships. Article 1 investigates the nonlinear effects of satisfaction on loyalty. Article 2 examines the influence of critical incidents on building customer trust and satisfaction. Article 3 demonstrates that customer-company identification leads to higher commitment which in turn fosters distinct supportive behaviors towards the company that are sometimes not attainable by increasing satisfaction. Article 4 shows that customers’ purchase behavior is positively influenced by customer-company identification and demonstrates that companies can increase their customers’ level of identification.

<p><strong>Problem: </strong>The nature of insurances, and indeed the customer-provider relationship in insurance services, lends itself to distinctive characteristics. These characteristics have particular implications on overall perceived service and relationship quality, and thus customer retention. The arguably singular characteristic of mutual mistrust prevalent in insurance service relationships, is a source for costs and lost profitability for insurance companies in Sweden. Bridging the “gap of mistrust”, potentially offered by a seemingly simple service, could entail significant benefits for both parties in an insurance service relationship.</p><p><strong> </strong></p><p><strong>Research Questions: </strong>Does the Aronda Service have the potential to improve a damage adjustment process in a provider-customer insurance service relationship?</p><p><strong> </strong></p><ul><li>Can a more effective damage adjustment process improve an insurance service relation between provider and customer?</li></ul><ul><li>To what extent do the providers perceive that the damage adjustment process is critical to a customer’s stay or switch decisions in an insurance service relationship? </li></ul><p><strong> </strong></p><p><strong>Purpose: </strong>The aim of the thesis is two-fold:</p><ol><li>The aim is to investigate and describe the impact of the damage adjustment process in customer relationships between the privately insured and property insurance companies in Sweden</li><li>And to assess, the potential of the Aronda Service to improve customer relations for insurance companies by improving (in terms of customer satisfaction) the damage adjustment process.</li></ol><p><strong>Methodology: </strong>A qualitative method with deductive reasoning was used. The highly contextual nature of customer-provider relationships was deemed, for the purpose of the study, best suited using a qualitative method. Data collection comprised of interviewing several professionals pertaining to the field of property insurance and damage adjustment, academic literature, peer-reviewed articles, and Ph.D. Dissertations.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong>Theoretical Approach: </strong>The theoretical approach is based on consolidation of widely used theories in the field of service and relationship in the “Critical episode on insurance relationships” perspective, presented by Mikael Gidhagen, Senior lecturer at Uppsala University, Sweden. Although the perspective is originally created for B2B relationships, proved great applicability and relevance.</p><p><strong> </strong></p><p><strong>Empirical foundation: </strong>The empirical foundation consisted of a number of interviews with respondents with extensive corporate and private insurance industry experience. The secondary empirical information was gathered from governmental, consumer services, and industry regulatory bodies’ websites and publications.</p><p><strong>Conclusion: </strong>The uncovered prominent issues in insurance relationships between private individuals and property insurance service providers can at the very least be aided, if not solved, to the benefit of both parties by the proposed digital version of the Aronda “Black Box”. As the importance of documentation in more cases of insurance claims than not are paramount, and by decreasing the coverage knowledge gap of customers, facilitating a matching of service expectations and actual service delivery, customer satisfaction can be more readily achievable for insurance provider. A readily achievable level of customer satisfaction, in turn, means probably prolonged customer retention, and ultimately higher profitability for the insurance companies. As “it cost more to attract a customer, than it does to keep one.”</p><p><strong> </strong></p>

Problem: The nature of insurances, and indeed the customer-provider relationship in insurance services, lends itself to distinctive characteristics. These characteristics have particular implications on overall perceived service and relationship quality, and thus customer retention. The arguably singular characteristic of mutual mistrust prevalent in insurance service relationships, is a source for costs and lost profitability for insurance companies in Sweden. Bridging the “gap of mistrust”, potentially offered by a seemingly simple service, could entail significant benefits for both parties in an insurance service relationship.   Research Questions: Does the Aronda Service have the potential to improve a damage adjustment process in a provider-customer insurance service relationship?   Can a more effective damage adjustment process improve an insurance service relation between provider and customer? To what extent do the providers perceive that the damage adjustment process is critical to a customer’s stay or switch decisions in an insurance service relationship?   Purpose: The aim of the thesis is two-fold: The aim is to investigate and describe the impact of the damage adjustment process in customer relationships between the privately insured and property insurance companies in Sweden And to assess, the potential of the Aronda Service to improve customer relations for insurance companies by improving (in terms of customer satisfaction) the damage adjustment process. Methodology: A qualitative method with deductive reasoning was used. The highly contextual nature of customer-provider relationships was deemed, for the purpose of the study, best suited using a qualitative method. Data collection comprised of interviewing several professionals pertaining to the field of property insurance and damage adjustment, academic literature, peer-reviewed articles, and Ph.D. Dissertations.       Theoretical Approach: The theoretical approach is based on consolidation of widely used theories in the field of service and relationship in the “Critical episode on insurance relationships” perspective, presented by Mikael Gidhagen, Senior lecturer at Uppsala University, Sweden. Although the perspective is originally created for B2B relationships, proved great applicability and relevance.   Empirical foundation: The empirical foundation consisted of a number of interviews with respondents with extensive corporate and private insurance industry experience. The secondary empirical information was gathered from governmental, consumer services, and industry regulatory bodies’ websites and publications. Conclusion: The uncovered prominent issues in insurance relationships between private individuals and property insurance service providers can at the very least be aided, if not solved, to the benefit of both parties by the proposed digital version of the Aronda “Black Box”. As the importance of documentation in more cases of insurance claims than not are paramount, and by decreasing the coverage knowledge gap of customers, facilitating a matching of service expectations and actual service delivery, customer satisfaction can be more readily achievable for insurance provider. A readily achievable level of customer satisfaction, in turn, means probably prolonged customer retention, and ultimately higher profitability for the insurance companies. As “it cost more to attract a customer, than it does to keep one.”