This study examined links between antisocial behaviour, moral emotions (i.e., sympathy and guilt), and negative emotionality in an ethnically diverse sample of 4- and 8-year-old children (N = 79). Primary caregivers reported their children’s antisocial behaviour, sympathy, and negative emotionality through a questionnaire and across a 10-day span via daily diary entries (n = 474 records). In a semi-structured interview, children reported their sympathy levels and guilt feelings. Children with high guilt in harm contexts and low negative emotionality were rated as less antisocial in both questionnaire and diary reports. For children with low guilt in exclusion contexts, low sympathy ratings predicted higher questionnaire-reported antisocial behaviour. For children with high guilt in prosocial omission contexts, high sympathy ratings predicted lower diary-reported antisocial behaviour. Lastly, high sympathy ratings predicted lower questionnaire-reported antisocial behaviour for children with low negative emotionality.

This is a narrative study in which five entrepreneurs in the experience-based tourist industry have told their life-stories in connection with their establishing and running their own enterprises.   Over the last decades the number of adventure-based companies has markedly increased in tourist industry, but the knowledge gained through the research on the persons who establish these companies is scant.  Through focusing on the constructions of  identity of the entrepreneurs, this study gives nuanced pictures of the chain of events that had lead an individual to establish one`s own company.  In addition, these pictures offer deeper understanding of how these individuals perceive themselves as the founder and manager of an experience-based company. Over the last decades research in entrepreneurship has criticized the imbalanced focus on the entrepreneurs' personal characteristics and it's use as an explanation of their entrepreneurial activities. In the same critical vein I question whether motivational studies are able to explain why certain individuals choose to establish their own business. Indeed, these five stories show that an entrepreneur is not something one is but something one becomes. Although the concept of an experiential economy appeared at the end of the 1990s, the production of experiences has a long tradition in the tourist industry. Norwegian tourism has faced an uphill struggle for several decades, which worries both the authorities and the industry itself.  In recent decades the focus has been directed more and more on the dimension of experience. One hopes that the creation of new and attractive adventures will help to reverse the negative trend in the industry.  Effecting this reversal places a heavy responsibility on the entrepreneurs since they are to be the driving force in this process. Tourist adventures have been one of several core themes within the field of research in tourism for decades, but this focus has mainly been on the perspective of the consumer. In contrast, this study concentrates on the producers, a group about whom we know much less. The five entrepreneurs who tell their story in this study give detailed descriptions of their life until the establishment of their businesses, and we see that each of them describes a number of causal chains that are interwoven and together create a meaningful picture of their choice. Through focusing on their reflexive identity-constructions and viewing these in light of the concrete situations they were in, before they established their enterprises, we gain a deeper understanding of this choice. Through the process of categorizing these reflexive identity-constructions, three  distinct ontological positions emerge, that is, different ways in understanding reality. The study shows that there is a connection between these ontological positions and the ways that the entrepreneurs run their businesses, as well as their understanding of how they create and produce adventures for their guests.

Introduction: Patient-centred communication is vital to ensure a good patient experience in the emergency department. Visits to the emergency department leave patients disillusioned regarding the communication experienced and this increases patient dissatisfaction. There is a need to put the "patient" back in communication in order to make it more patient-centred and provide the patient the opportunity to voice their individual needs pertaining to patient-centred communication. The aim of the study was to co-design patient-centred communication in an emergency department. In order to reach the aim of the study the following objectives were set: To explore current communication in an emergency department as experienced by patients and healthcare professionals. To collaboratively co-design strategies to enhance patient-centred communication in an emergency department. Research design and methods: An Experience-based Co-design has been used. Unstructured observation was done to observe existing communication in the emergency department. Patients have told their stories through narrative-based film interviews and healthcare professionals have been interviewed to share their experiences regarding communication in the emergency department. The observation notes and interviews have been shared during a Co-design event. Patients and healthcare professionals have collaboratively analysed the data to identify key touch points and co-design strategies to enhance patient-centred communication in the emergency department. Results: Three (3) key touch points were identified namely; professionalism, communication and daily focus. The patients and healthcare professionals were equal partners to change the communication culture in the emergency department to be more patient-centred. This may lead to positive patients' experiences with an increase in patient satisfaction. Conclusion: The ultimate goal of this study was to raise awareness relating existing communication in the emergency department and collaboratively plan strategies to work towards patient-centred communication. / Dissertation (MCur)--University of Pretoria, 2017. / Nursing Science / MCur / Unrestricted

Bakgrund: Patienters ställning har stärkts genom Patientlagen som trädde i kraft första januari 2015 och betonar patientens delaktighet i vården. Trots detta är patientens ställning oförändrad eller till och med något försvagad efter lagens införande.   Syfte: Förbättringsarbetets övergripande syfte var att öka hemsjukvårdspatienternas delaktighetsupplevelse. Det specifika syftet var att ta reda på vad patienter, anhöriga och personal ansåg viktigt för delaktighetsupplevelsen i vården och utifrån det formulera och testa förbättringsförslag. Studiens syfte var att beskriva deltagande personers erfarenheter av medverkan i ett förbättringsarbete med metoden Experience-Based Co-Design (EBCD).   Metod: Förbättringsarbetet genomfördes enligt Nolans förbättringsmodell och EBCD. Kvantitativ datainsamling skedde genom en enkät före och efter förbättringsarbetet. Studien av förbättringsarbetet är en kvalitativ fallstudie och baseras på fokusgruppsintervjuer. Intervjumaterialet analyserades med kvalitativ innehållsanalys och abduktiv ansats.   Resultat: Förbättringsarbetet visade förbättrade delaktighetsupplevelser efter sex månaders förbättringsarbete och att den sammantagna nöjdheten med delaktigheten ökade. Studien visar att EBCD bidrar till olika grader av delaktighetsupplevelser beroende på vilka steg man deltar i och att metoden genererar förståelse och drivkraft hos personal. Metoden möjliggör även att se vården utifrån patientens perspektiv.   Slutsats: Förbättringsarbetet medförde lärande även om det mätbara målet inte uppnåddes. Att tillämpa EBCD hade stor betydelse då det påverkade de medverkandes motivation. / Background: Patients’ position and participation is strengthened through the Swedish Patient Act that came into force January 2015. Nevertheless, the patients’ position remains unchanged or slightly weakened.   Purpose: The overall purpose with the improvement work was to increase the patients' participation experience. The specific purpose was to discover what patients, relatives and staff considered to be important for experiencing participation and together formulate and test improvement ideas. The purpose of the study was to describe participants' experiences of using Experience-Based Co-Design (EBCD). Method: Nolan's improvement model and EBCD was used as improvement methods. The study is a qualitative case study, based on focus group interviews. To analyse the interviews a qualitative content analysis with an abductive approach was used. Results: Result showed improved participation experiences and that the overall satisfaction of participation increased. The study shows that EBCD contributes to different levels of participation experiences depending on what steps one participates in and that EBCD generates understanding and motivate staff. The method makes it possible to see the care from the patient's perspective. Conclusion: The improvement work resulted in learning even though the SMART goal was not achieved. Applying EBCD was of great importance as it affected the participants' motivation.

No / This paper presents findings from a study of 55 cases of decision implementation. The research identifies a number of features that characterize the way implementation is managed which appear to enhance the chance of success. Analysis reveals patterns in the data indicating that these features fall into two groupings, giving rise to two distinct approaches to implementation management. These are termed the Experience-based approach and the Readiness-based approach from the initial conditions which give rise to each. Although following either approach may enhance decision performance, the greatest success is associated with a dual approach. Implementations that follow neither are generally less successful. A theory of implementation management is postulated, comprising a Planned Option and a Prioritized Option.

Yes / Background: Experience-Based Co-Design (EBCD) is a participatory design method which was originally developed and is still primarily used as a healthcare quality improvement tool. Traditionally, EBCD has been sited within single services or settings and has yielded improvements grounded in the experiences of those delivering and receiving care. Method: In this article we present how EBCD can be adapted to develop complex interventions, underpinned by theory, to be tested more widely within the healthcare system as part of a multi-phase, multi-site research study. We begin with an outline of co-design and the stages of EBCD. We then provide an overview of how EBCD can be assimilated into an intervention development and evaluation study, giving examples of the adaptations and research tools and methods that can be deployed. We also suggest how to appraise the resulting intervention so it is realistic and tractable in multiple sites. We describe how EBCD can be combined with different behaviour change theories and methods for intervention development and finally, we make suggestions about the skills needed for successful intervention development using EBCD. Conclusion: EBCD has been recognised as being a collaborative approach to improving healthcare services that puts patients and healthcare staff at the heart of initiatives and potential changes. We have demonstrated how EBCD can be integrated into a research project and how existing research approaches can be assimilated into EBCD stages. We have also suggested where behaviour change theories can be used to better understand intervention change mechanisms.

Ett övergripande mål för gymnasieskolan har länge varit att fostra eleverna till medborgare i ett demokratiskt samhälle. Därför gäller numera att elevernas ansvar för att planera och genomföra sina studier samt deras inflytande på såväl innehåll som arbetssätt skall vara viktiga principer i undervisningen. Syftet med studien är att studera elevernas inflytande i centrala undervisningsfrågor. Specifika forskningsfrågor i anslutning till syftet är: - Hur sker val av innehåll och arbetssätt och vilket utrymme ges åt elevernas inflytande? Förekommer det någon skillnad mellan olika ämnen? - Vilka kunskaper och vilket lärande lyfts fram och efterfrågas av elever respektive lärare i situationer då respektive grupp har inflytande över innehållet? - Hur uppfattar eleverna möjligheten till inflytande i olika arbetssätt? - Vilka faktorer uppfattar elever och lärare har betydelse för elevernas inflytande över val av innehåll och arbetssätt? Resultaten visar att kursplanerna har stor betydelse för innehållet i undervisningen. Elevernas möjlighet till inflytande kommer till uttryck bl. a. genom att påkalla handledning, avgöra svårighetsgrad på arbetsuppgifter och konstruera instuderingsfrågor. Förutsättningarna för att påverka kvaliteten på kunskaper och lärande varierar med ämnets legitimitet, elevernas studiekompetens och möjlighet till interaktion med läraren. Elevernas utrymme för eget ansvar, deras möjlighet till handledning och en variation avseende gruppsammansättning, arbetssätt och beslutsfattande är viktiga faktorer för att eleverna skall känna sig motiverade och intresserade av arbetet i skolan. Det visar sig finnas flera faktorer som inverkar negativt på elevernas möjlighet till inflytande exempelvis stoffträngsel och otillräckliga baskunskaper. Eleverna påtalar behovet av undervisning och handledning för att komma vidare i sina studier och kunna utöva inflytande. Avslutningsvis diskuteras resultatet i förhållande till John Deweys utbildningsfilosofiska tankar och relateras till läroplanen som styrfaktor, erfarenheten som grunden för undervisningens innehåll, frihet och möjlighet till växande och handledning som en nödvändig interaktion. / One of the overarching goals of Swedish upper secondary education is to foster students to become citizens in a democratic society. It is, therefore, essential that the students learn to take responsibility for planning and carrying through their studies. The aim of this study is to investigate whether students have any influence on central teaching matters such as the choice of subject matter and working methods and what types of knowledge and learning students and teachers, respectively, request in situations where either of these groups is in charge of the contents. The study is based on field work, interviews and document analysis and it is carried out in one upper secondary vocational class. The results demonstrate that the syllabi are very important for the contents of teaching. The students‘ opportunities to influence the choice are expressed, for instance, in asking for tutoring, in deciding the level of task difficulty, and in constructing advance questions. The conditions for influencing the quality of knowledge and learning vary with the legitimacy of the subject, the study competence of the students, and their possibilities to interact with the teacher. The students‘ possibilities to take responsibility and to be supervised by the teacher, as well as a variation as regards group composition, working methods, and decision making are important factors for the students to be motivated for and interested in schoolwork. There seems to be several factors that are important for the students‘ possibilities to influence, e.g., crowding of contents, and insufficient basic knowledge, and the students also comment on the need of teaching and tutoring in order for them to get further in their studies. In conclusion, the results of the study are discussed in relation to John Dewey’s educational philosophy, i. e. the national curriculum, experiences - the point of departure of the contents of teaching, freedom and opportunities to grow, and tutoring - the necessary interaction.

Silk-weaving in Sweden during the 19th century. Textiles and texts - An evaluation of the source material. With the rich material available, 19th century silk-weaving invites to studies on industrialisation processes. The purpose of this licentiate thesis is to present and discuss an empirical material regarding silk production in Sweden in the 19th century, to examine the possibilities and problems of different kinds of materials when used as source materials, and to describe how this material can be systematized and analysed in relation to the perspective of a textile scientific interpretation. The introductory sections of the thesis provide a background to textile research and the subject of textile science. This is followed by an overview of previous research on silk-weaving in Sweden and a historical overview of silk-weaving in Sweden, the Jacquard machine, and the K.A. Almgren Sidenväveri, where large parts of the source material have been preserved. After these overviews, the research material is described and systematized: first the main materials, textiles, machines and other objects, and then the various written sources. By way of conclusion, the empirical material is summarized in a critical discussion where the various groups of materials are evaluated in comparison to one another. A discussion on theory and methodology regarding objects as sources and the use of experience-based knowledge in academic research is developed in connection to the critical discussion. Finally, the potential of the material is demonstrated through a textile example. The presentation is an introduction to the cultural-historical analysis that will follow in the PhD thesis. Here, the empirical material will be analysed through the use of knowledge in handicrafts, which may create new dimensions of silk production in Sweden and the complexity of the industrialisation process.

How the world of experience, text-based medicine, and the social world came to interact with each other in a historically situated way is the subject of this doctoral thesis, which studies what I shall call zhang ("miasma") medicine in Song China (960-1279 CE). By the phrase "the world of experience," I refer to the bodily experience of the environment in a given region as well as to experiences of medical practices. "The social world" broadly refers to concomitant social, intellectual, and political events or trends. This thesis proposes a new approach to the study of the environment within the history of medicine in Imperial China (around 202 BCE-1911 CE), an approach which is inspired by anthropological analytical concepts. It highlights individuals' world of experience, treating their knowledge about environmental medicine as the culmination of a dynamic collaboration of their experiential world and existing culture-specific concepts, such as those deriving from scholarly medicine. This new approach dictates a re-examination of the sources that have received intensive attention in the history of medicine in Imperial China: texts up to the thirteenth century on the aetiology, therapies, and prevention methods of zhang as disorders endemic in Lingnan (in Guangdong and Guangxi provinces). Based on this re-examination, I contend that the Song period witnessed the emergence of a pronounced explanatory mode among authors of writings about zhang medicine about how their world of experience informed and affirmed their medical knowledge and practices relating to zhang. This Song explanatory mode embodies, I argue, the endeavor of Song scholar-officials and physicians to extend the proliferation of scholarly medicine at that time to zhang medicine, which lacked widely acknowledged textual references and therapies of medicinal effectiveness. The findings in this thesis firstly broaden our understanding of the development of environmental medicine in Imperial China and, secondly, extend our knowledge of the expansion of scholarly medicine into southern China in Song times.

This study examines processes connected to teacher’s transformation of the Montessori theory and it's described application to a daily practice.  The aim is to create knowledge about what constitutes possibilities and limitations for teachers in their daily work with Montessori education. This does not only refer to what constitutes opportunities and limitations in teachers'  everyday work with teaching, but also to what constitutes opportunities and limitations for teachers to learn at work. The theoretical framework is based on action theory and theories on adult learning and connects to a tradition called workplace-learning in which learning is considered to take place in, but also between, individuals. This approach indicates that the contextual conditions which the teachers were imbedded in are important to identify. The study was conducted in four different Montessori-environments and involved nine Montessori teachers. The methods used were participant observation, interviews, informal conversations and review of teacher produced material and documents. Possibilities and limitations in teachers work were related to if they had access to Montessori materials or not. In work with Montessori materials teachers identified the children's abilities to a greater extent than they did when other materials were in use. This identification directed their interventions. When the teachers did not have access to Montessori material their method often appeared to be the same as “individual work” with the provided material. Furthermore, interventions of the teacher were then significantly often procedural rather than content-related, although the teachers clearly expressed that they wanted to go into a dialogue with children about the treated subject area. The survey therefore contradicts with the opinion that Montessori-teachers withdraw in favor of Montessori materials that sometimes has been brought up by interpreters of the pedagogy. Rather, teachers stepped back when other materials were in use. The study also shows how a prerequisite for a collective development-oriented learning among the teachers was dependent on whether teachers made their own private understanding of the pedagogy available to each other. At times, however, teachers took the use of the materials for granted. Some of the teachers also deliberately refrained from making their personal understanding available to others due to the fact that they then could be seen as a less competent Montessori-teacher. This maintaining of a “false” collective understanding is seen as an expression of an institutionalization of teaching practice which was maintained by sanctions from the environment if the individual didn´t recognize the institutionalization in question. Since teacher’s “space for action” in this way was limited, the institution created conditions that prevented a possible development of the working methods in use. In those cases when conditions for a collective development-oriented learning were more favorable, it was clear that the teachers did not perceive Montessori education as a given method but rather saw it as a "model" for teaching in which the teachers had to interpret and define their own method from. The teachers thus came to take advantage of a potential “space for action” which was not noticed when the pedagogy was seen as a method.