I takt med digitalisering och IKTs (informations- och kommunikationsteknik) framväxt skapas nya vårdlösningar för både patienter och vårdgivare. Under Covid-19 pandemin har behovet för alternativa vårdlösningar lett till en ökad användning av digitala vårdtjänster som MinDoktor, Kry och 1177s vårdapp. Dessa digitala vårdtjänster har erbjudit patienter vård på distans då fysiska vårdcentraler inte varit ett lättillgängligt alternativ. Syftet med studien är att undersöka vad som krävs för att patienter ska uppleva digitala vårdtjänster som förtroendeskapande och -stärkande. En studie med elva medverkande respondenter som använt sig av digitala vårdtjänster genomfördes. Empiri från intervjuerna analyserades och utvärderades för att möjliggöra en representation av de medverkande respondenternas åsikter. Studien bidrar med insikter till hur förtroende för digitala vårdtjänster kan skapas och stärkas för patienter genom tillgång till personlig kontakt, videomöten och företagsrykten. / With the continued growth of digitalization and ICT (Information and communicationtechnology) new healthcare solutions for both patients and healthcare providers have been made readily available. During the recent outbreak of the Covid-19 virus the necessity for digital healthcare options have been made apparent. Services such as MinDoktor, Kry and 1177’s healthcare app have all seen an increase in use. In this study we have conducted research on what patients on digital healthcare apps thought was necessary for them to create and strengthen trust for these applications. The study was conducted with eleven participating respondents who had previously used a digital healthcare app. The empirical data was then analyzed to enable a representation of the participants opinions and thoughts. This study contributes with insights on how trust for digital healthcare can be created and strengthenedfor patients through access to personal contact, video consultations and company reputation.

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Milic Pavlovic, Ljiljana (2021). Student health guidance. A case study about special educators' work. Master degree in Special education, School development and Leadership, Faculty of Education and Society, Malmo UniversityThe purpose of the study is to investigate how consultants from the Central Student Health's specialist team support compulsory school educators for early school years in relational competence when they meet students with neuropsychiatric disabilities. The study means to illustrate opportunities and obstacles that arise during the support process. The relational pedagogy and the special pedagogical perspectives are theoretical frameworks for the study. The study is about four consultants at a centrally organized student health institute and therefore the case study methodology is being used as the motivated research approach. The study focuses on the consultants' perceptions of their work as well as descriptions of opportunities and obstacles that arise when they support educators in the field of relational competence towards students with neuropsychiatric disabilities. The study also intends to show how the support is organized, implemented, and evaluated and how it contributes to the teachers' competence development in the meeting with students with neuropsychological disabilities. Since the study focuses on the consultants' perceptions, semi-structured interviews are the chosen method. The results show that the consultants perceive their support as a combination of different types of consultations and tutorials, with an appearance of the collaborative consultation (Sundqvist & Ström, 2015). The consultants identify the schools' explicit focus on the categorical perspective as the biggest obstacle to their supporting work. At the same time, the consultants identify several opportunities that can be created through successful consultation. One opportunity is the change of perspective to the relational perspective where, a permanent development of relational competence in pedagogical contexts and opportunities for collegial learning and development has been identified. It could gradually lead to a broad impact on all students' learning and development, regardless of whether students have a disability or not. The consultants also see an opportunity for consultation from a preventive perspective which in combination with education in neuropsychiatric disabilities could improve schooling for students with neuropsychiatric disabilities. There are variations in the consultants' perceptions of their work that can be interpreted based on the concept of inclusion and equivalent education, something that could create both opportunities and obstacles for the school's compensatory mission. The organizing of consultation can be presented as a timeline, in a chronologic order from the beginning to the end. The timeline extends throughout the process, from the application for seeking support to Central Student Health to the conclusion of the support work. It also contains a continuous evaluation that follows the consultation process with adaptations to the educators' needs. The consultation process has been identified as a circle where each consultation opportunity creates opportunities for new initiatives in the practical work in the classroom, but also modification or confirmation of the implemented initiatives. In this way, the effects are created at all three levels, namely conclusion level, teacher level and student level. These effects contribute to learning and development for all parties involved

[pt] Esta tese no campo da comunicação política dialoga com as noções de público, de John Dewey (2012[1922]), e esfera pública, de Habermas (1991; 1997; DAHLGREN, 2005; CALHOUN, 1992), com a teoria dos sistemas deliberativos (PARKINSON; MANSBRIDGE, 2012; ELSTUB et al., 2016; HENDRIKS, 2015), bem como com a literatura especializada em consultas públicas online (SHANE, 2012; COLEMAN; SHANE, 2012). O objetivo é analisar a comunicação política que se formou a partir das duas consultas públicas online sobre o Marco Civil da Internet de modo a perceber contribuições epistêmicas desse processo por meio da análise de material midiático e dos discursos dos Deputados e Senadores no Congresso Nacional. Nesse sentido, esta pesquisa tem por base duas research questions: (RQ1) de que forma as consultas públicas online do Marco Civil da Internet informaram, do ponto de vista da comunicação política e da deliberação, o sistema deliberativo que se construiu em torno do tema?; e (RQ2) que ganhos epistêmicos e democráticos as consultas públicas online do Marco Civil da Internet podem ter trazido ao sistema deliberativo e ao processo decisório? Com o intuito de entender significados compartilhados a partir das duas consultas públicas online sobre o Marco Civil da Internet, os procedimentos metodológicos utilizados incluíram buscar, pela observação dos comentários dos participantes no momento das consultas, temas e argumentos utilizados para cada grande tema do debate, resultando em 322 indicadores (ou posicionamentos que sustentaram cada tema), divididos no espectro analítico dos direitos e das responsabilidades dos seguintes atores: 1) governo, 2) provedores e empresas prestadoras de serviços de internet; e 3) usuários. Ao fim, enfatiza-se que os significados gerados a partir das duas consultas públicas online para cada tema circularam pelos dois espaços deliberativos analisados - mídia e Congresso Nacional - tanto em termos de diversidade de posicionamentos, quanto em relação à sua ampla utilização, sendo possível perceber uma conexão relevante do sistema deliberativo em torno do Marco Civil da Internet, a partir dos argumentos desenvolvidos nas duas consultas públicas online e utilizados nos espaços deliberativos analisados. / [en] This thesis in the field of political communication discusses Dewey s notions of the public (DEWEY, 2012 [1922]), and Habermas s public sphere (HABERMAS, 1991; 1997; DAHLGREN, 2005; CALHOUN, 1992); the deliberative systems theory (PARKINSON; MANSBRIDGE, 2012; ELSTUB et al., 2016; HENDRIKS, 2015); as well as the specialized literature on online public consultations (SHANE, 2012; COLEMAN; SHANE, 2012). The aim is to analyze the communication developed during the two online public consultations of the Brazilian Internet Law Framework, within the dimensions of deliberative systems, in order to understand if and how there were epistemic contributions for this process with the reproduction of the positions developed during the online public consultations in other deliberative spaces. Through the observation of media material and the speeches of Congressmen and Senators in Parliament, the aim is to analyze which arguments born from the public sphere were repeated on those spaces. There are two main research questions: (RQ1) how did the online public consultations of the Brazilian Internet Law Framework inform, in the light off political communication and deliberation, the deliberative system that was built around the theme? And (RQ2) What were the epistemic and democratic gains that the online public consultations of the Brazilian Internet Law Framework brought to the deliberative system and to the decision-making process? In order to understand the meanings shared from the public consultations of the Brazilian Internet Law Framework, the methodological procedures included the search of comments made available at the time that the online public consultation occurred, aiming to discover the frameworks and arguments used by participants for each major theme, resulting in 322 indicators (or arguments that supported each framework). These were broken down into the analytical spectrum of rights and responsibilities of the following actors: 1) government, 2) internet service providers and companies; and 3) users. Finally, it is emphasized that the arguments generated from the two public consultations for each framingcirculated through the two deliberative spaces - media and parliament - both in terms of diversity of positions and in relation to their wide use, therefore establishing a strong connection to the deliberative system around the Brazilian Internet Law Framework, formed from the arguments developed in the two public consultations and used in the deliberative spaces analyzed, namely, media and parliament.

<p>The City of Toronto has become synonymous with themes of culture and diversity. With close to one half of the city’s population now comprised of those born outside of Canada, Toronto represents a dynamic and exciting cultural mosaic. Yet, underneath this surface exist real disparities in health and well being for many newcomers and racialized communities. In addition to and because of such disparities, changes in the demographics of Toronto have led to challenges and questions involving the participation of such communities within the formal political realm. Much research to date has focused on issues of representation and the exercise of political franchise within such communities.</p> <p>As opposed to the formal political realm, the aim of this research is to better understand the substantive participation of newcomers and members of racialized communities in processes of government sponsored citizen participation at the municipal level by asking: what is the ability of this approach to policy making to meaningfully include a diverse range of voices? This question is important because it is decisions in this realm that most immediately impact residents of the city. Additionally, if social policy developers are to keep up with shifts in demographics and create inclusive and responsive policy, then consideration must be given to all community members.</p> <p>To understand the ability of government sponsored citizen participation to be inclusive of a diverse range of voices, a literature review was conducted. Also, an analysis of the case of the 2000-2001 Community Consultations on Social Development held in Toronto was undertaken. Finally, five interviews were held with policy practitioners within Toronto to gain insight into the ability of practices of government sponsored citizen participation to be inclusive. The findings of this research study highlight that political will and increased funding must be directed towards the purposeful inclusion of newcomers and racialized communities in processes of government sponsored citizen participation so as to foster increased experiences of inclusion and the creation of responsive and effective policies of social development.</p> / Master of Social Work (MSW)

Under de senaste åren har ett behov av ökad differentiering av den svenska strandskyddslagstiftningen ansetts uppkommit. Flertalet reformer har genomförts, med målet att ökad hänsyn ska tas till att tillgången på stränder, befolkningstryck och exploateringsgrad runt om i landet varierar, samtidigt som strandskyddet förstärks i högexploaterade områden. Från politiskt håll har det ansetts att tidigare reformer inte lyckats uppnå detta mål, och mot bakgrund av detta har en ny lagstiftningsprocess påbörjats med syfte att föreslå ytterligare reformer på området. En låg acceptansnivå för regelverket samt ett ökat behov av landsbygdsutveckling utgör viktiga faktorer bakom det identifierade behovet av ytterligare differentiering. Syftet med denna studie är att undersöka vilken inverkan den föreslagna propositionens förslag skulle ha för lantmäteriets verksamhet och för framtida fastighetsbildningsärenden. Studien ska även undersöka vilka problem som riskerar att kvarstå efter lagförslagets eventuella implementering samt vilka ytterligare reformer som skulle behöva genomföras ur lantmäterisynpunkt. Studiens första del använder sig av en litteraturstudie av nuvarande rättsläge och lagstiftning. Därefter tar en empirisk studie vid, genom en enkätstudie för att kartlägga problem ur lantmäterisynpunkt, samt genom en djupintervju för att kartlägga möjliga lösningar. En majoritet av respondenterna inom enkätstudien angav att acceptansgraden hos de sakägare som berörs av strandskyddslagstiftningen inom lantmäteriärenden är låg. Därutöver har studien visat på att ytterligare utredningar behövs för att klargöra regelverket angående bostadsfastigheter med kombinerade ändamål inom strandskyddade områden och särskilt inom de nya strandnära utvecklingsområdena. Såväl enkät som intervju visar tydligt på att dagens samrådsförfarande är ineffektivt och leder till onödiga överklaganden av beslutade lantmäteriförrättningar. Studien visar även på att propositionens förslag i huvudsak har liten inverkan på lantmäteriets verksamhet, och att propositionens förslag utgör en förbättring jämfört med utredningen sett enbart ur lantmäterisynpunkt. / During the last few years a need for increased differentiation of the Swedish shoreline protection legislation has been identified. Several reforms have been introduced, with the goal being that increased consideration should be given to the fact that access to the shoreline, population density and the degree of exploitation varies across different regions of the country, while shoreline protection should be strengthened in highly exploited areas. From a political point of view it has been asserted that earlier reforms have not achieved the desired results, and in view of this new legislation has been prepared with the purpose of suggesting further reforms in this area. A low level of acceptance for current regulations as well as an increased need for rural development constitute important factors behind the need for further differentiation. The purpose of this study is to examine what impact the contents of the proposed legislation would have on the operations of the Swedish mapping, cadastral and land registration authority and on future property formation matters. The study shall also examine what kind of problems that will remain after the implementation of the legislative proposals as well as what kind of further reforms that are necessary from the point of view of the authority. The first part of the study consists of a literature study of current case law and legislation on the subject area. Thereafter an empirical study is conducted, through a survey study to assess the problem from a land surveying point of view, as well as through an in-depth interview to examine possible solutions. A majority of the respondents within the survey study indicated a low degree of acceptance among those affected by the current legislation on shoreline protection within a land surveying matter. Furthermore the study has shown that further inquiries are needed to clarify the current regulations concerning residential properties for combined purposes within areas affected by shoreline protection and especially within the new coastal development areas. Both the survey study and the interview clearly show that the current procedures for consultation are ineffective and lead to unnecessary appeals being made of already decided cases. The study also shows that the legislative proposals will have little impact on the operations of the authority, and that the legislative proposals constitute an overall improvement compared to the preceding inquiry.

No / OBJECTIVES: Legislation and health policy enabling nurses and pharmacists to prescribe a comprehensive range of medicines has been in place in the UK since 2006. Our objective was to evaluate the clinical appropriateness of prescribing by these professionals. METHODS: A modified version of the Medication Appropriateness Index (MAI) was used by 10 medical, seven pharmacist and three nurse independent raters to evaluate a sample of 100 audio-recorded consultations in which a medicine was prescribed by a nurse or pharmacist. Raters were current prescribers with recognized experience in prescribing. Consultations were recorded in nine clinical practice settings in England. RESULTS: Raters' analysis indicated that, in the majority of instances, nurses and pharmacists were prescribing clinically appropriately on all of the ten MAI criteria (indication, effectiveness, dosage, directions, practicality, drug-drug interaction, drug-disease interaction, duplication, duration, cost). Highest mean 'inappropriate' ratings were given for correct directions (nurses 12%; pharmacists 11%) and the cost of the drug prescribed (nurses 16% pharmacists 22%). Analysis of raters' qualitative comments identified two main themes: positive views on the overall safety and effectiveness of prescribing episodes; and potential for improvement in nurses' and pharmacists' history-taking, assessment and diagnosis skills. CONCLUSIONS: Nurses and pharmacists are generally making clinically appropriate prescribing decisions. Decisions about the cost of drugs prescribed and assessment and diagnostic skills are areas for quality improvement.

Den här studien handlar om grundskolans interna samverkan kring elever med neuropsykiatriska funktionsnedsättningar (NPF). Syftet med studien var att belysa hur samverkan mellan olika professioner i grundskolan kan utvecklas för att skapa en tillgänglig lärmiljö för elever med NPF. De frågeställningar som besvaras är: Hur beskriver lärare sin samverkan med andra professioner i grundskolan när det gäller skolsituationen för elever med NPF? Vad behöver enligt lärarna utvecklas när det gäller samverkan kring elever med NPF? Studien utgick från verksamhetsteori som bidrog till att samverkan kunde studeras på ett djupare plan. Sex grundskollärare intervjuades med halvstrukturerade intervjuer. Med tematisk- och verksamhetsteoretisk analys på studiens empiri framkom att samverkan mellan lärare och skolans övriga professioner inte sker i den utsträckning som lärare önskar. Kunskapsmässiga svårigheter är det vanligaste motivet för samverkan mellan lärare och andra professioner i skolan, där stöd av elevers sociala svårigheter och skolans förebyggande arbete får stå tillbaka. Det som enligt lärarna behöver utvecklas är att rektorn blir delaktig i skolans specialpedagogiska processer; Skolors organisatoriska arbete kring elever med NPF behöver förtydligas, både gällande motivet för samverkan, professioners ansvarsområden och att skolor skapar forum och rutiner för skolans professioner att mötas kring elever med NPF. / This study is about the primary school's internal collaboration around pupil with neurodevelopmental disorders (NDD). The aim of this study was to highlight how cooperation between different professions in primary school can be developed to create an accessible learning environment for students with NDD. The questions that the study sets out to answer is: How do teachers describe their collaboration with other professions in elementary school regarding the school situation for students with NDD? According to the teachers, what needs to be developed in terms of collaboration around students with NDD? The study was based on an activity theory, which contributed to the fact that cooperation could be studied on a deeper level. Six primary school teachers were interviewed using semi-structured interviews. With a thematic- and activity theory analysis of the study's empirical data, it emerged that collaboration between teachers and the school´s other professions does not take place to the extent that teachers wish. Knowledge-related difficulties are the most common motive for teachers´collaboration with other professions in the school, here support of students´ social difficulties and the school´s preventive work may take a back seat. According to the teachers, what needs to be developed is for the principal to be involved in the school´s special education processes. Schools´ organizational work around students with NDD needs to be clarified, both regarding the motive for collaboration, professions´ areas of responsibility and that schools create forums and routines for the school´s professions to meet around students with NDD.

Text in German / Over the last 30 years congregational counselling or church consultation has established itself in different manners in Germany. Most institutions of church consultation are methodologi-cally bound to organisational development. After a brief survey of the different kinds of con-gregational counselling the phenomenon itself is investigated. This is done by representation of two very different models of congregational counselling: The ,,Zentrum für Organisation-sentwicklung und Supervision (ZOS)" and the "Natural Church Development (NCD)". These concrete models are especially investigated in view of the missionary relevance of church consultation. In this way theological deficiencies are obvious. Further on both, the ZOS and the NCD, have another aspect in common: The relation between social sciences and theology, which is full of tensions, can be estimated as one of the central aspects of the two institutions. Not before the wider field of Church Development as locus vivendi of congregational coun-selling is analyzed, solutions can be found for this problem. On this total background it is pos-sible to summarize the missionary relevance of congregational counselling and to develop it. The search for a theological model for the theoretical and practical shaping of congregational counselling leads inevitably to "Communicative theology". This approach is processual in all its levels, shows responsibility to social sciences and is in total theologically established. So it fits for both, church and consultation processes. The missiological perspective of contextuali-zation is realised by Communicative theology. Thus the missionary relevance of congrega-tional counselling is supported. The application of Communicative theology is a model that makes it possible to speak of missionary relevance of congregational counselling. / Christian Spirituality, Church History and Missiology / D.Th.