<p>Depression och psykisk ohälsa är idag ett stort hälsoproblem. Trots att motionens positiva hälsoeffekter är välkända är det få inom sjukvården som använder fysisk aktivitet som  kompletterande behandling vid depressionstillstånd. Syftet med denna kvalitativa studie var att identifiera och beskriva personalens erfarenhet och syn på fysisk aktivitet som en del av den psykiatriska omvårdnaden vid depressionstillstånd. Studien var en kvalitativ studie med strukturerande fokusgrupp intervjuer som analyserades med hjälp av innehållsanalys där ett huvudtema; Att ha kunskap och idéer men att inte få till det, två teman och sju subteman utgjorde resultatet. Resultatet från studien visade att vårdpersonalen upplevde att det var bättre förr då det var en mer strukturerad tillvaro med motion och planerade aktiviteter på varje avdelning som patienterna skulle delta i. Resultatet visade både på hinder och möjligheter när det gällde fysisk aktivitet som omvårdnadsåtgärd. Slutsatsen var att personalen hade stora kunskaper kring omvårdnadsåtgärder vid depression men det fanns ett stort behov av förbättrade rutiner för fysisk aktivitet vid depression för linneliggande patienter.</p> / <p>Depression and mental illness is now a major health problem. Although the physical health benefits are well known, there are few in health care that uses physical activity as complementary treatment of depression state. The purpose of this qualitative study was to identity and describe staff's experience and views on physical activity as part of psychiatric care for depression condition. The study was a qualitative study of structuring focus group interviews who were analyzed using content analysis in which a major theme; To have knowledge and ideas but not getting to it, two themes and seven subthemes, was the result. The results of the study showed that nursing staff felt that it was better before when it was a more structured life with exercise and planned activities of each department that the patients would participate in. The results showed both obstacles and opportunities in terms of physical activity as health care measure. The conclusion is that the staff has knowledge of care measures for depression but it is a great need for improved physical activity on depression for patients in psychiatric clinic.</p>

Service guarantees have been argued to have many roles in managing services, for instance signal service quality, attract new customers, increase satisfaction and retention, and to differentiate the company from its competitors. Despite a growing interest from service organizations, research on service guarantees has been surprisingly scarce. The aim of this dissertation is to provide a wider understanding of the roles of service guarantees. Data is gathered from actual customers (as opposed to fictitious participants of an experiment) and/or employees regarding service guarantees in three different service contexts. The methods used to gather and analyze the data were manifold and includes personal interviews, Mystery Shopping observations, focus group interviews and a postal survey. The results represent new knowledge when it comes to the roles of service guarantees in managing services. Previous research has almost exclusively addressed pre-purchase effects of the service guarantee, but has failed to address the impact of the service guarantee after it has been used. Therefore, the most important contribution to service research of this dissertation concern the understanding of service guarantees “in action” and the post-use effects of a service guarantee in real service settings. Another contribution is the identification of the recovery paradox; that the customer is more satisfied with the service after he or she has used the service guarantee, than before he or she experienced the original service failure. This result strongly suggests that the use of a service guarantee can make a fruitful contribution in the managing of services.

Depression och psykisk ohälsa är idag ett stort hälsoproblem. Trots att motionens positiva hälsoeffekter är välkända är det få inom sjukvården som använder fysisk aktivitet som  kompletterande behandling vid depressionstillstånd. Syftet med denna kvalitativa studie var att identifiera och beskriva personalens erfarenhet och syn på fysisk aktivitet som en del av den psykiatriska omvårdnaden vid depressionstillstånd. Studien var en kvalitativ studie med strukturerande fokusgrupp intervjuer som analyserades med hjälp av innehållsanalys där ett huvudtema; Att ha kunskap och idéer men att inte få till det, två teman och sju subteman utgjorde resultatet. Resultatet från studien visade att vårdpersonalen upplevde att det var bättre förr då det var en mer strukturerad tillvaro med motion och planerade aktiviteter på varje avdelning som patienterna skulle delta i. Resultatet visade både på hinder och möjligheter när det gällde fysisk aktivitet som omvårdnadsåtgärd. Slutsatsen var att personalen hade stora kunskaper kring omvårdnadsåtgärder vid depression men det fanns ett stort behov av förbättrade rutiner för fysisk aktivitet vid depression för linneliggande patienter. / Depression and mental illness is now a major health problem. Although the physical health benefits are well known, there are few in health care that uses physical activity as complementary treatment of depression state. The purpose of this qualitative study was to identity and describe staff's experience and views on physical activity as part of psychiatric care for depression condition. The study was a qualitative study of structuring focus group interviews who were analyzed using content analysis in which a major theme; To have knowledge and ideas but not getting to it, two themes and seven subthemes, was the result. The results of the study showed that nursing staff felt that it was better before when it was a more structured life with exercise and planned activities of each department that the patients would participate in. The results showed both obstacles and opportunities in terms of physical activity as health care measure. The conclusion is that the staff has knowledge of care measures for depression but it is a great need for improved physical activity on depression for patients in psychiatric clinic.

O objetivo do presente estudo é avaliar e compreender os processos de acolhimento e de vínculo, pela perspectiva dos usuários de um serviço de assistência a pessoas diagnosticadas com transtornos alimentares (TAs). Para isso, foi realizada a mensuração da satisfação dos usuários com o serviço, por meio da escala SATIS-BR (n = 15), e foram realizadas as entrevistas em grupo focal, conduzidas pelo método psicodramático (n = 7). Os resultados da SATIS-BR revelaram que: 77,20% dos usuários consideraram o serviço satisfatório de uma maneira geral; 87,6% dos usuários mostraram-se satisfeitos com a compreensão que a equipe tem com relação ao problema do paciente, e com a competência da equipe; 88,8% estão satisfeitos com a ajuda recebida e com a forma como foram acolhidos pela equipe e 23,3% dos usuários estão satisfeitos com as condições físicas e o conforto do serviço. Os dados das entrevistas em grupo focal mostraram que o serviço investigado apresenta algumas deficiências com relação ao Acolhimento no que se refere ao acesso, à técnica e à postura, e, com relação ao Vínculo, no que se refere à afetividade, à relação terapêutica e à continuidade. Com relação ao acesso observou-se a escassez de serviços multidisciplinares que assistem pacientes com TAs e que o acesso sócio organizacional influi diretamente na qualidade do tratamento. No que se refere à técnica e à postura, percebeu-se que a formação profissional, influenciada pelo modelo biomédico, pode dificultar a relação terapêutica e impede que os profissionais tenham posturas de diálogo, empatia, afetividade para com o paciente e um atendimento que envolva uma escuta qualificada, discussão e um cuidado integral do usuário. Percebeu-se que o profissional competente é aquele que equilibra, quando necessário, posturas mais compreensivas e afetuosas com posturas mais firmes e diretivas. No que corresponde à continuidade, foi visto que ela é prejudicada pela rotatividade de profissionais, e dificulta a formação de um trabalho interdisciplinar, e de uma equipe de referência para o paciente. Apesar dos resultados positivos do tratamento obtidos, em parte, pela competência do terapeuta principal e a competência técnica da equipe, esse estudo sugere que os profissionais realizem capacitações, para oferecerem um cuidado que abarque posturas mais compreensivas e afetuosas, e a integralidade do paciente. Apesar de não ser o objetivo dessa pesquisa, observou-se que as entrevistas em grupo focal ampliaram a percepção dos participantes sobre si mesmos, sobre o seu tratamento e sobre a sua relação com os TAs. Ademais, a intervenção permitiu que os participantes desenvolvessem a sua empatia com relação aos profissionais, espontaneidade, criatividade e liberdade de expressão. Conclui-se que as entrevistas em grupo focal, conduzidas pelo método psicodramático, promoveram um efeito terapêutico nos participantes e proporcionaram recursos para que eles refletissem mais profundamente sobre os itens avaliados na escala SATIS-BR. Os dados emersos dessa pesquisa indicam que os serviços de assistência às pessoas com TAs devem se atentar sobre os fatores de acesso, técnica, postura, afetividade, relação terapêutica e continuidade, pois eles são essenciais para a qualidade da assistência prestada / This study aimed to evaluate and understand the processes of embracement and bond from the perspective of users of a health care service for people diagnosed with eating disorders (ED). For this, the measurement of user satisfaction with the service was performed using the scale SATIS-BR (n=15), and interviews were conducted in focus groups through the psychodrama method (n=7). The results of SATIS-BR revealed that 77.20% of users considered the service satisfactory in general; 87.6% of users were satisfied with the understanding that the team has with respect to the patient\'s problem, and with the competence of the team; 88.8% were satisfied with the help received and how they were embraced by the team; and 23.3% of users were satisfied with the physical conditions and comfort of service. The interview data in the focal group showed that the investigated service is deficient with respect to the Embracement regarding the access, the technique and posture; and, with respect to the Bond regarding the affection, the therapeutic and continuity. Regarding the access, it was observed scarcity of multidisciplinary services that assist patients with ED and that the socio-organizational access influences directly the quality of treatment. With regard to technique and posture, it was realized that training, influenced by the biomedical model, may hinder the therapeutic relationship and prevents that professionals have positions of dialogue, empathy, affection towards the patient and care with qualified hearing, discussion and comprehensive care for the users. It was noticed that the competent professional is one that balances, when appropriate, understanding and affectionate postures with strong and directive postures. Related to the continuity, it was impaired by staff turnover, which hindered the formation of interdisciplinary work and a reference team for the patient. Despite the positive results of treatment obtained, in part, by the competence of the primary therapist and the technical competence of the team; this study suggests that professionals undertake training to offer comprehensive care wit sympathetic and affectionate postures for the patient. Although it is not the purpose of this research, it was observed that the focus group interviews increased the participants\' perceptions about themselves, about their treatment and their relation with ED. Moreover, the intervention allowed participants to develop their empathy in relation to professionals, spontaneity, creativity and freedom of expression. It is concluded that the focus group interviews, conducted by the psychodrama method, promoted a therapeutic effect on the participants and provided resources for them to reflect more deeply on the assessed items of the SATIS-BR scale. The data emerged from this research indicate that support services to people with ED should be aware of the factors of access, technique, posture, affectivity, therapeutic relationship and continuity, as they are essential for the quality of care provided

In this study we pose the question if you through finding patterns in implementation of checkpoints can find ways to tailor the experience of the game A Story About My Uncle to hardcore gamers. To find out the answer we had hardcore players playing a modified level from the game A Story About My Uncle that was used as stimulus material for the following focus group interview. The analysis of the gathered material resulted in four patterns that can be used when implementing checkpoints to tailor the experience of the game A Story About My Uncle to hardcore gamers. Elements of checkpoints that our study showed to be important when it comes to how the game is experienced are density, placement and clearness. / I den här studien ställde vi oss frågan om man genom att hitta mönster inom implementation av checkpoints kunde finna sätt att anpassa spelupplevelsen i spelet A Story About My Uncle till hardcore spelare. För att ta reda på det lät vi hardcorespelare spela en modifierad bana ur spelet A Story About My Uncle som användes som stimulusmaterial för en följande fokusgruppsintervju. Analysen av det insamlade materialet resulterade i fyra mönster som kan användas vid implementering av checkpoints för att anpassa spelupplevelsen i spelet A Story About My Uncle till hardcorespelare. Faktorer för checkpoints som i vår studie visat sig ha stor betydelse i hur spelet upplevs är densitet, placering och tydlighet.

The Master's Thesis is aimed to analyse the organizational culture of a manufacturing company in order to provide sufficient materials for the following decision making of the executive director of the company in terms of its future course. Each method was used while taking into consideration to cover both qualitative and quantitative research approach due to multidimensional character of the studied phenomena. The current state of the topic is included in the thesis. The combination of Denison Organizational Culture Survey and group interview based on Edgar H. Schein was newly applied during the research which may contribute to practitioners considering a similar analysis in their organizations. Main research findings and recommendations are discussed in the end of the thesis.

Att effektivt ta hand om akut smärta, den vanligaste orsaken till besök på akutmottagningen, är en viktig uppgift. Lindring av smärta kan medföra befrielse från lidande och förbättra patientens mående. Obehandlad eller underbehandlad smärta leder till negativa konsekvenser för patienten. Inför förbättringsarbetet genomfördes en kartläggning med journalgranskning och patientenkät vilken jämfördes med sjuksköterskornas egen uppfattning om följsamhet. På så sätt kunde ett kunskapsgap identifieras gällande smärtskattning, smärtbehandling och utvärdering av dess effekt på berörd akutmottagning. Syftet med förbättringsarbetet var att effektivare lindra smärta genom att öka sjuksköterskornas frekvens av smärtskattning. Smärtskattningen skulle ske före och efter given farmaceutisk behandling och farmaceutisk behandling skulle erbjudas i större utsträckning. Journalgranskningen begränsades till att omfatta patienter med buksmärta som är en av de vanligaste sökorsakerna vid besök på akutmottagningar. Nolans förbättringsmodell användes som metod i förbättringsarbetet. Förbättringsarbetets resultat visar på förbättringar inom samtliga mätområden där ökningen av erbjuden farmaceutisk behandling ansågs som mest betydelsefull. Resultatet tyder på att förändringen var gångbar och ledde till förbättring men visade också på vilka stora utmaningar som fanns i en komplex verksamhet. Studiens syfte var att beskriva sjuksköterskors erfarenhet av personcentrering vid smärtskattning där kvalitativ metod i form av fokusgruppsintervjuer med tillhörande innehållsanalys genomfördes. Resultatet visade på att patientens delaktighet var den främsta faktorn för framgångsrik smärtskattning. Fokus på smärta ökade medvetenheten och motivationen hos sjuksköterskorna till att efterfråga patientens berättelse och upplevelse i samband med det akuta besöket vilket är en viktig del i ett personcentrerat förhållningssätt. Slutsatsen är att förändrings- och förbättringsarbetet ökade sjuksköterskornas motivation att efterfråga patientens berättelse med ökad förekomst av smärtskattning (från 14% till 40%), erbjudande av farmaceutisk behandling (från 51% till 73%) och utvärdering av dess effekt (från 13% till 44%) som följd. / Effectively managing acute pain is one of the most important tasks of the emergency department and can improve the patient's well-being. Untreated or undertreated pain leads to negative consequences for the patient. Journal review, patient questionnaires and nurses' perception of adherence to established guidelines showed shortcomings regarding pain assessment, pain treatment and evaluation of its effect in the emergency department concerned. The aim of the improvement work was to relieve pain more effectively through increased pain assessment. The pain assessment would take place before and after given pharmaceutical treatment and would be offered to a greater extent. The journal review was limited to include patients with abdominal pain, which is one of the most common reasons for visits to emergency departments. Nolan's improvement model was used as a method in the improvement work where the results show improvements in all measurement areas. The increase in offered pharmaceutical treatment was considered most significant. The result indicates that the change led to improvement. The aim of the study was to describe nurses' experience of person-centeredness in pain assessment through a qualitative method in the form of focus group interviews with content analysis. The results showed that the patient's participation was the main factor for successful pain assessment. The focus on pain increased the awareness of the nurses to request the patient's story and experience in the emergency visit, which is an important part of a person-centered approach. The conclusion is that the improvement work increased the nurses' motivation to request the patient's story with increased occurrence of pain assessment (from 14% to 40%), offer of pharmaceutical treatment (from 51% to 73%) and evaluation of its effect (from 13% to 44%) as a result.

Uppsatsens undersökning är en foucauldiansk diskursanalys av hur gymnasieelever talar om praktiken litteraturläsning där datainsamlingsmetoden är fokusgruppsintervjuer. Syftet med uppsatsen är att bidra med kunskap om hur gymnasieelever talar om praktiken litteraturläsning genom att undersöka vilka mönster som framträder i intervjuerna och hur dessa kan förstås gentemot dominerande diskurser i samtiden. Motiven till undersökningen är bland annat att debatten om ungas läsande har aktualiserats det senaste decenniet, att det finns få granskningar av dominerande uppfattningar som omgärdar praktiken litteraturläsning och att perspektivet hur elevers uppfattningar är konstruerade saknas i forskningen. Två mönster går att urskilja i fokusgruppsintervjuerna. Det ena mönstret är att litteraturläsning som praktik anses ge flera goda effekter såsom större ordförråd och förmågan att se saker ur olika perspektiv. Att läsa anses nyttigt och boken som artefakt äger hög status. Detta mönster utgör en reproducering av den dominerande diskursen om praktiken litteraturläsning där läsning som fenomen och läsande som praktik ses som något oproblematiskt gott. Det andra mönstret som framträder under fokusgruppsintervjuerna är att en motdiskurs etableras. Motdiskursen grundar sig på upplevelsen att läsandet som praktik är kopplat till press, tvång och prestation, och därför något olustigt. Enligt eleverna bör läsandet dels utgå från frivillighet, dels utgå från andra former av läspraktiker, såsom att läsa från mobiltelefonen. Undersökningens didaktiska implikationer är att en inkluderande litteraturundervisning förutsätter ett perspektivtagande där det omkringliggande samhällets värderingar om litteraturläsande diskuteras. Om så görs, kan en fördjupad förståelse nås om hur eleverna ser på litteraturläsning och vad som formar deras uppfattningar. / This master essay is a Foucauldian discourse analysis of how students in the Swedish upper secondary school talk about the practice of reading literature where the data collection method is focus group interviews. The purpose of the essay is to contribute to how students talk about the practice of reading literature by examining what patterns emerge in the interviews and how these can be understood in relation to dominant discourses in the society. The motives for the study are, among other things, that the debate about young people's reading has become more intense in the last decade, that there are few reviews of dominant perceptions that surround the practice of reading literature and that the perspective on how students' perceptions are constructed is lacking in research. Two patterns can be distinguished in the focus group interviews. One pattern is that the practice of reading is considered to have several good effects such as greater vocabulary and the ability to see things from different perspectives. Reading is considered useful and the book as an artifact has a high status. This pattern can be understood as a reproduction of the dominant discourse about the practice of reading literature, where reading as a phenomenon and reading as practice are seen as something unproblematically good. The second pattern that emerges during the focus group interviews is that a counter-discourse is established. The counter-discourse is based on the experience that reading as a practice is linked to pressure and achievement, and therefore something unpleasant. According to these students, reading should instead be based on free will and om other forms of reading practice, such as reading from a mobile phone. The didactic implications of the study are that an inclusive literature teaching presupposes a perspective-taking where the surrounding society's values ​​of literature reading are discussed. If this is done, an in-depth understanding can be reached about how the students view reading literature and what shapes their ideas.

Denna studie har som syfte att undersöka musiklärares syn på arbete för inkludering och ökad mångfald i kulturskolan. Studiens forskningsfråga handlar om hur musiklärare konstruerar och legitimerar sin syn på arbete för inkludering och ökad mångfald i kulturskolan. För att undersöka detta har tre fokusgruppsintervjuer genomförts på tre olika kulturskolor. Studiens teoretiska ramverk består av diskursteori och den data som genererats ur fokusgruppintervjuerna har bearbetats och analyserats med hjälp av diskursanalytiska redskap. I resultatet presenteras sex diskurser utifrån lärarnas konstruktioner om synsätt på arbete för inkludering och ökad mångfald i kulturskolan. Dessa handlar om att arbetet för inkludering och ökad mångfald ses som givet, som motsägelsefullt, som socialt utvecklande, som extern verksamhet, som svårt och som gemensamt ansvar. Resultatet presenterar även föräldrar och skola som två kontextuella påverkansfaktorer som på olika sätt påverkar diskurserna. I diskussionen behandlas två mer övergripande motstridiga diskurser om arbete för inkludering och ökad mångfald som självklart respektive icke självklart, i relation till tidigare presenterad litteratur. / The purpose of this study is to examine music teachers’ views on the work for inclusion and increased diversity in Swedish Community School of Music. The study’s research question concern how music teachers’ construct and legitimate their views on the work for inclusion and increased diversity in Swedish Community School of Music. To examine this three focus group interviews were held at three different schools. The theoretical framework of the study is discourse theory and the data generated from the focus group interviews has been processed and analyzed with discourse analytical tools. In the result the six discourses found are presented based on the teachers’ constructions about the work for inclusion and increased diver- sity in Swedish Community School of Music. These discourses is about how the work for inclusion and increased diversity is seen as given, as contradictive, as social developing, as ex- ternal activity, as difficult and as mutual responsibility. The result also shows parents and school as two contextual factors which affects the discourses in different ways. In the discussion two more general contrarious discourses, about the work for inclusion and increased diversity as obvious and non-obvious, are discussed in relation to previous presented literature.

Syftet med studien är undersöka hur såväl lärare som elever på gymnasieskolans estetiska pro- gram och på musikhögskola ser på begreppen konstnärligt, musikaliskt och personligt uttryck. Tidigare forskning på området visar att det inte finns någon entydig definition av begreppen. Studien har genomförts genom fokusgruppsamtal med lärare från en gymnasieskola, lärare från en musikhögskola, elever från en gymnasieskola och studenter från en musikhögskola. I ana- lysen av intervjuerna har ett diskurspsykologiskt perspektiv använts. I resultatet presenteras två övergripande tolkningsrepertoarer per begrepp. Det framkommer att musikaliskt uttryck kon- strueras som speltekniskt kunnande och som musikens uttryck. Konstnärligt uttryck konstrueras som skapande samt som fördjupning och spetskunskaper. Personligt uttryck konstrueras som eget och något unikt samt som musikalisk tolkning. Resultatet visar att det inte finns ett sätt att definiera begreppen utan flera. I diskussionen diskuteras svårigheter med att definiera begrep- pen då dessa anses gå ihop med varandra och att kontexten och erfarenheten av att använda dem har betydelse för hur de kan definieras. Vidare diskuteras även begreppen i relation till Skolverkets kursplaner. / The purpose of the study is to investigate how teachers as well as pupils at the upper secondary school's aesthetic program and at the music college approach the concepts of artistic, musical and personal expression. Previous research in the field shows that there is no clear definition of the concepts. The study was conducted through focus group interviews with teachers from a secondary school, teachers from a music college, students from a high school and students from a music college. In the analysis of the interviews, a discourse psychological perspective has been used. The result presents two general interpretation repertoires per concept. It appears that musical expression is constructed as technical knowledge and as the expression of music. Ar- tistic expression is constructed as creation as well as profound and expert knowledge. Personal expression is constructed as peculiar and something unique and as a musical interpretation. The result shows that there are different ways to define the concepts. The discussion discusses dif- ficulties in defining the concept though the concepts are considered to overlap with each other and that the context and experience of using the concepts are important for how the concepts can be defined. The concepts are also discussed in relation to Skolverkets curriculum.