Childhood cancer is a life-threatening disease with a profound impact on the family. Treatment side-effects and accompanied dietary difficulties are for example severe stressors, as appropriate nutrition is important for the treatment success and quality of life. In addition, (unhealthy) dietary patterns established in childhood tend to maintain in survivors. Parents are key players in feeding and establishing these pat-terns, though, systematic research on how parents experience these dietary difficulties is limited. This study aimed at exploring parental experiences of children’s dietary changes and difficulties during cancer treatment and after completion: what feelings do parents experience regarding their child’s dietary changes and difficulties, what feeding strategies to they apply to handle these difficulties, and how did they experience professional support and what are parental support needs. A systematic literature review was conducted and resulted in 21 suitable articles. The children were 0-21 years old, had various types of cancer, and received various types of therapy. Findings showed that parents reported many dietary changes (e.g. increase or decrease in food intake) and associated symptoms (e.g. nausea, changed tastes) during and after the cancer treatment course. Parents reported mainly negative feelings towards these dietary difficulties (e.g. distress and anxiety) and applied a wide range of behavioural feeding strategies, both negative (e.g. pressure to eat) and positive (e.g. provide healthy food) strategies. Parents also used complementary and alternative medicine. A high need for informational support regarding eating and feeding was expressed by parents during treatment, a need for emotional and practical support to a lower extent. These results showed how frequent and profound eating and feeding difficulties are in the childhood cancer and survivor population, and their (negative) impact on parents. Parents consequently need more support: they need oral and written information to set realistic expectations and install appropriate feeding strategies. This is important for the child’s nutritional status and general health both during and after cancer.

En psykossjukdom medför att perceptionen av världen och andra människor förändras. Patienter med en psykossjukdom upplever sig ha sämre livskvalitet och hälsa än andra individer i samhället och de upplever ofta lidande på grund av sin sjukdom. Sjuksköterskor upplever blandade känslor i samband med vård av patienter med en psykossjukdom, men deras grundläggande uppgift är trots detta att främja hälsa, förebygga sjukdom, återställa hälsa och att lindra lidande. Syftet med denna studie är att belysa hur patienter med en psykossjukdom upplever vården på en psykiatrisk slutenvårdsavdelning, ur ett patientperspektiv. Studien är en systematisk litteraturstudie och data analyserades med en induktiv latent innehållsanalys. Resultatet visade att patienternas upplevelser kan beskrivas i fyra områden: rädsla och osäkerhet påverkar interaktionen med andra; tvångsåtgärder: skrämmande men nödvändiga; självbestämmande, delaktighet och välbefinnande; samt vårdpersonalen är avgörande för patienternas upplevelser. I studien diskuteras rädsla och osäkerhet; att vårdpersonalen och upplevelserna påverkar attityden till behandlingen; vårdpersonalens betydelsefulla roll när patienten har svåra symtom; individualiserad vård och god kommunikation bidrar till ökat välbefinnande samt att mer kompetens hos vårdpersonal kan minska bruket av tvångsåtgärder. Studiens slutsats är att sjuksköterskor har en central roll i patienternas upplevelse av vården. De har ansvar för att interaktionen med patienten och relationsbyggande fortlöper samt att användandet av tvångsinsatser motiveras och enbart sker när det är absolut nödvändigt, annars finns risk att behandlingsresultat och följsamhet av behandling efter utskrivning påverkas negativt. / A psychosis means that the perception of the world and other people change. Patients with a psychotic disorder perceive themselves as having poorer quality of life and health than other individuals in the community and they often experience suffering because of their illness. Nurses experience mixed feelings while caring for patients with a psychotic disorder, but in spite of this a nurse’s fundamental duty is to promote health, prevent disease, restore health and to alleviate suffering. The purpose of this study is to highlight how patients with a psychotic disorder experience health care in a psychiatric inpatient ward, from a patient perspective. The study is a systematic literature review and data were analyzed using an inductive latent content analysis. The results showed that patients 'experiences involved four areas: fear and insecurity affects the interaction with others; coercive measures: scary but necessary; autonomy, participation and welfare, and nursing staff is crucial for patients' experiences. In the study, several areas were discussed about the patient's experiences: fear and insecurity; that care staff and experiences affect the attitude to treatment; healthcare personnel's important role when the patient experience severe symptoms; individualized care and good communication contribute to increased well-being, and that more skills in healthcare professionals can reduce the use of coercive measures. The study's conclusion is that nurses have a central role in the patients' experience of the health care. They are responsible for the interaction with the patient and for keeping the building of the nurse-patient relationship in progress. They are also responsible so that the use of coercive action is justified and only occurs when it is absolutely necessary, otherwise there is a risk that the treatment results and adherence to treatment after discharge are adversely affected.

Although they lead to several potential sustainability benefits, product-service systems are not intrinsically sustainable. Therefore, this thesis investigates the factors designers should consider in order to ensure sustainable results. A systematic literature review on product-service system and sustainability is combined with three interviews with product-service system providers. The results are analysed through the application of the Framework for Strategic Sustainable Development. The results of the systematic literature review show that there is no unified definition of sustainable product-service system and multiple approaches to address sustainability in product-service system design. By adopting the Framework for Strategic Sustainable Development, a definition of sustainable product-service system and a list of design criteria are developed. This thesis suggests which overarching aspects product-service system designers should consider to integrate a strategic sustainability perspective. The outcome of this thesis supports designers in understanding what a sustainable product-service system could be and what elements it should embed. By combining the definition and the list of criteria, designers can apply a systematic and strategic approach to integrate sustainability in product-service system offerings.

Existe a necessidade de modificar o processo de projeto diante da crescente complexidade envolvida em empreendimentos da construção. Há envolvimento de muitos profissionais, existência de distintas metas e interesses, além da ampliação do escopo dos projetos desenvolvidos. Além disso, o processo tradicional de projeto é geralmente desenvolvido de forma fragmentada, desconsiderando o conhecimento de vários estudos acadêmicos já desenvolvidos, sendo as decisões tomadas geralmente com base na experiência dos projetistas. Nesse sentido, uma das abordagens que vem sendo usada para melhorar os projetos de edificações é o projeto baseado em evidências (Evidence-Based Design - EBD). EBD é um processo que visa a melhorar as decisões de projeto tendo como base o uso das melhores evidências disponíveis de pesquisa, aliadas à prática profissional e a dados relacionados aos requisitos do cliente. O presente trabalho teve como objetivo desenvolver um modelo conceitual para guiar o uso do EBD no processo de projeto de edificações. A pesquisa foi dividida em três estágios. O primeiro estágio, de caráter exploratório, buscou a compreensão da pesquisadora quanto ao tópico investigado (EBD). No segundo estágio, buscou-se entender a aplicação do EBD no processo de projeto com enfoque na geração de valor Já o terceiro estágio buscou desenvolver formas de disseminação de resultados baseados em evidência. Ao longo dos três estágios, foram realizadas três revisões sistemáticas de literatura e também três estudos empíricos, sendo dois desenvolvidos no contexto de habitação de baixa renda no Brasil, enquanto que o terceiro foi realizado em um empreendimento da área da saúde no Reino Unido. O estudo apresenta tanto contribuições práticas como teóricas. Sob um enfoque prático, a principal contribuição é a possibilidade de integração de evidências existentes no processo de projeto a partir do desenvolvimento de algumas formas de coleta, processamento e análise dessas evidências. Em termos teóricos, este estudo propõe uma nova abordagem conceitual sobre nomenclatura e classificação de evidências para o processo de projeto usando EBD, com foco na geração de valor. É apresentada uma proposta de processo de projeto que busca uma melhor integração entre a prática profissional com conhecimentos produzidos pela academia, por meio de um processo de geração de conhecimento como uma forma de aprendizagem contínua. / There is a need for changing the design process due to the growing complexity of construction projects. There is a large number of stakeholders, which have a diversity of aims and goals, in addition to the broader scope of building projects. Moreover, the traditional design process is usually developed in a fragmented way, based mostly on the designers’ experience, often disregarding knowledge from other stakeholders involved. Evidence based design (EBD) is an emerging approach that aims to address this problem by supporting project decision-making with available evidence from research, in addition to professional experience and clients requirements’ data. This research work has proposed a conceptual model to guide the use of EBD in the building design process. The study was divided into three stages. The first stage had an exploratory character, in which the focus of the researcher was on understanding EBD. In the second stage, the aim was to study the application of EBD in the design process, focusing on value generation. The third stage consisted of devising forms of disseminating evidence-based results Three systematic literature reviews and three empirical studies were developed along those three stages. Two studies were concerned with affordable housing projects in Brazil, and one study involved a care home project in the U.K. This work provides both practical and theoretical contributions. From a practical viewpoint, the model proposed herein integrates evidences in building design process and proposes techniques to collect, process, and analyse such evidences. From a theoretical viewpoint, it introduces a new terminology and classification for evidences that can be incorporated in buildings design by using EBD, for increasing value generation. A proposal for a new design process that improves the integration between the professional practice and knowledge produced by academics, through a process for generating knowledge as a form of continuous learning.

This thesis provides a systematic literature review of a selection among current papers andarticles on Green Information Systems (IS). The main focus is on the current state of Green ISin academic research. This study aims at gaining a deeper understanding and a clearer view ofthe state-of-the-art of IS for environmental sustainability research, with the goal of clarifyingthe diffuse idea of what Green IT/IS is, and what differentiates Green IS from Green IT.To support the objective of this study, the articles selected for data analysis were collected byusing a systematic literature review as research and analytical method. Within the thesis, adescriptive angle with an interpretative character is used to analyse the data extracted.A theoretical framework based on concepts from sustainability, Green IS and Green IT isemployed in order to analyse and compare terminologies and frameworks used in the studiedarticles. Furthermore, the different dimensions of sustainability and the various terms used todescribe Green IS are analysed comparatively.The result and analysis are discussed in a conclusion confirming the on-going ambiguity ofthe terms Green IT and Green IS and the transformative power of IS. This study aims tocontribute to our understanding of some of the existing problems that hinder further researchin the context of Green IS. Finally, we emphasise the importance of clear definitions in orderto advance the IS position for transforming society in a sustainable direction. / Program: Systemvetarutbildningen

Correct functioning is the most important requirement for any system. Nowadays there are a lot of threats to computer systems that undermine confidence in them and, as a result, force a user to abandon their use. Hence, a system cannot be trusted if there is no proper security provided. Firewalls are an essential component of network security and there is an obvious need for their use. The level of security provided by a firewall depends on how well it is configured. Thus, to ensure the proper level of network security, it is necessary to have properly configured firewalls. However, setting up the firewall correctly is a very challenging task. These configuration files might be hard to understand even for system administrators. This is due to the fact that these configuration files have a certain structure: the higher the position of a rule in the rule set, the higher priority it has. Challenging problems arise when a new rule is being added to the set, and a proper position, where to place it, needs to be found. Misconfiguration might sooner or later be made and that will lead to an inappropriate system's security. This brings us to the usability problem associated with the configuration of firewalls. The overall aim of this thesis is to identify existing firewall usability gaps and to mitigate them. To achieve the first part of the objective, we conducted a series of interviews with system administrators. In the interviews, system administrators were asked about the problems they face when dealing with firewalls. After having ascertained that the usability problems exist, we turned to literature to get an understanding on the state-of-the-art of the field and therefore conducted a systematic literature review. This review presents a classification of available solutions and identifies open challenges in this area. To achieve the second part of the objective, we started working on one identified challenge. A set of usability metrics was proposed and mathematically formalized. A strong correlation between our metrics and how system administrators describe usability was identified. / Network security is an important aspect that must be taken into account. Firewalls are systems that are used to make sure that authorized network traffic is allowed and unauthorized traffic is prohibited. However, setting up a firewall correctly is a challenging task. Their configuration files might be hard to understand even for system administrators. The overall aim of this thesis is to identify firewall usability gaps and to mitigate them. To achieve the first part of the objective, we conduct a series of interviews with system administrators. In the interviews, system administrators are asked about the problems they face when dealing with firewalls. After having ascertained that the usability problems exist, we conduct a systematic literature review to get an understanding on the state of the art of the field. This review classifies available solutions and identifies open challenges. To achieve the second part of the objective, a set of usability metrics is proposed and mathematically formalized. A strong correlation between our metrics and how system administrators describe usability is identified. / HITS, 4707

<p>Att vara aktiv och klara av att utföra sitt arbete har en central betydelse för en individs hälsa och välbefinnande. Begreppet arbetsförmåga är ett komplext begrepp som beskrivs som flerdimensionellt. Vid bedömning av arbetsförmåga är det viktigt att bedömaren använder sig av tillförlitliga metoder som syftar till att hjälpa individen med sin fortsatta rehabilitering. Syftet med studien är att kartlägga olika bedömningsinstrument som mäter arbetsförmåga i olika avseenden. Bland annat vilket syfte instrumentet har, vilken datainsamlingsmetod instrumentet använder samt vilka psykometriska egenskaper som har prövats för instrumentet. För att besvara syftet gjordes en systematisk litteraturstudie med sökning i följande databaser: PubMed, CINAHL, Scopus och OT-seeker vilket resulterade i tio artiklar. En manuell sökning utfördes för att komplettera den initiala sökningen vilket resulterade i ytterligare sex artiklar. Resultatet visar att sju instrument kunde identifieras som på olika sätt mäter en individs arbetsförmåga. Majoriteten av dem har ett tydligt syfte samt är förankrade i en teoretisk grund och är prövade utifrån olika psykometriska egenskaper. Författarna har konstaterat att begreppet arbetsförmåga saknar enhetlig definition och är ett komplext begrepp. I diskussionen föreslås en samverkan av olika instrument som framkommit i studien för att tydliggöra och bistå bedömningen av en individs arbetsförmåga.</p> / <p>Being active and able to perform one’s work is of central importance to an individual’s health and wellbeing. Work capacity is a complex concept that is described as multidimensional. When assessing an individual’s work capacity, it is of great importance to use reliable methods designed to help the individual with his continuing rehabilitation. The purpose of this study was to identify existing assessment instruments for measuring work capacity in different ways, considering for example: the purpose of the instrument, the method for data collection, and the psychometric properties tested for the instrument. A systematic literature review was performed by searching the following databases; PubMed, CINAHL, Scopus, and OT-seeker.  The search resulted in ten articles. A complementary manual search was conducted, producing six additional articles. The contents of the 16 articles identified seven instruments, all of which measured an individual's work capacity in different ways. The majority of the instruments had a clear purpose, were anchored in a theoretical basis, and were tested on different psychometric properties. The authors found that the concept of work capacity has no single definition and is a complex concept. The discussion suggests the combined use of various instruments that emerged in the study to clarify and assist in the assessment of an individual’s work capacity.</p>

This dissertation presents three separate studies designed to investigate the relationship between marriage and physical activity behavior. First, a systematic literature review of nineteen articles presents qualitative and quantitative articles from 2000 to 2010 that focus on the relationship between marriage and physical activity and/or exercise. Based on the findings from the review, social support (or lack of support), culturally-determined gender roles, environmental factors such as income level, and intrapersonal factors such as self-efficacy each influenced spousal physical activity. Secondly, a qualitative study based on interviews and photographs from twenty-four married individuals utilized Social Cognitive Theory to explore the mechanisms, determinants, and influences of spousal physical activity. Findings indicate verbal persuasion by husbands encouraged wives, yet verbal persuasion by wives was perceived as nagging by men. While verbal persuasion by husbands increased a small number of wives' sense of self-efficacy, the majority of women felt that persuasion increased motivation, not necessarily confidence. Findings also highlighted the power of modeling to increase husbands' physical activity. Overwhelmingly, men reacted more positively to modeling than verbal persuasion. Lastly, a second qualitative piece employed General Systems Theory to conceive of the marital unit as a type of system working within other broader systems. Findings highlighted the desire for increased quality time as a motivator for physical activity within the marital system. Also, the larger cultural, occupational, and familial systems greatly influenced marital dyads. Cultural expectations to be the primary caregiver negatively impacted wives while occupational pressures negatively influenced both parts of the marital dyad. Regarding the familial system, parents cited the influence of their own parents as well as a desire to "pass on" exemplary physical activity habits to their children. Finally, couples with children highlighted an increase in exercise frequency yet decrease in exercise intensity.

Bakgrund: Postpartum depression har länge förknippats med moderskap, men drygt 10 % av papporna drabbas också av depression efter barnets födelse. Syfte. Belysa begreppet postpartum depression hos fäder. Metod: Systematisk litteraturstudie som bearbetat och analyserat kvantitativ samt kvalitativ forskning genom en innehållsanalys. Resultat: Orsakerna till postpartum depression hos fäder var främst psykologiska och sociala faktorer där mammans eventuella depression, pappans arbetslöshet och en ansträngd ekonomi samt pappans upplevelse av bristande socialt stöd utgjorde de viktigaste orsakerna. Depressionen påverkade pappans anknytning till barnet, hela familjen och föräldraskapet samt barnets emotionella, kognitiva och sociala utveckling negativt. Slutsats: Postpartum depression hos pappan orsakas av sociodemografiska, psykiska och sociala faktorer. Depressionen påverkar familjen, parrelationen, föräldraskapet samt barnets kognitiva och sociala utveckling negativt. Den kunskap litteraturstudien bidrar till ger ökade möjligheter att uppmärksamma postpartum depression hos pappan, stödja familjen samt bidra till en fördelaktig utveckling för barnet. Framtida forskning bör ske med syfte att hitta lämpliga metoder och bedömningsinstrument utformade för att identifiera pappor med risk att utveckla en depression. / Background: Postpartum depression have for a long time been associated with motherhood, but more than 10 % of fathers also get a depression after their child's birth. Aim: Elucidate the concept of paternal postpartum depression. Method: A systematic literature study who processed both quantitative and qualitative research, analyzed with a content analysis. Results: The causes of paternal postpartum depression where mostly psychological and social factors were the mother´s depression, the father’s unemployment and a strained economy together with the father´s experience of lack of social support seemed to be the most important risk factors. Paternal postpartum depression affected the father’s attachment to his child, family, parenthood and the child's emotional, cognitive and social development negatively. Conclusion: Paternal postpartum depressions are caused of socio-demographic, psychological and social factors. The depression affects the whole family, partners, parenting and the child's cognitive and social development negatively. The literature study increases the knowledge and opportunities to identify postpartum depression in fathers, support the family and to contribute to a favorable development for the child. Future research should be done in order to find appropriate methods and assessment instruments designed to find the fathers at risk for developing depression.

Att vara aktiv och klara av att utföra sitt arbete har en central betydelse för en individs hälsa och välbefinnande. Begreppet arbetsförmåga är ett komplext begrepp som beskrivs som flerdimensionellt. Vid bedömning av arbetsförmåga är det viktigt att bedömaren använder sig av tillförlitliga metoder som syftar till att hjälpa individen med sin fortsatta rehabilitering. Syftet med studien är att kartlägga olika bedömningsinstrument som mäter arbetsförmåga i olika avseenden. Bland annat vilket syfte instrumentet har, vilken datainsamlingsmetod instrumentet använder samt vilka psykometriska egenskaper som har prövats för instrumentet. För att besvara syftet gjordes en systematisk litteraturstudie med sökning i följande databaser: PubMed, CINAHL, Scopus och OT-seeker vilket resulterade i tio artiklar. En manuell sökning utfördes för att komplettera den initiala sökningen vilket resulterade i ytterligare sex artiklar. Resultatet visar att sju instrument kunde identifieras som på olika sätt mäter en individs arbetsförmåga. Majoriteten av dem har ett tydligt syfte samt är förankrade i en teoretisk grund och är prövade utifrån olika psykometriska egenskaper. Författarna har konstaterat att begreppet arbetsförmåga saknar enhetlig definition och är ett komplext begrepp. I diskussionen föreslås en samverkan av olika instrument som framkommit i studien för att tydliggöra och bistå bedömningen av en individs arbetsförmåga. / Being active and able to perform one’s work is of central importance to an individual’s health and wellbeing. Work capacity is a complex concept that is described as multidimensional. When assessing an individual’s work capacity, it is of great importance to use reliable methods designed to help the individual with his continuing rehabilitation. The purpose of this study was to identify existing assessment instruments for measuring work capacity in different ways, considering for example: the purpose of the instrument, the method for data collection, and the psychometric properties tested for the instrument. A systematic literature review was performed by searching the following databases; PubMed, CINAHL, Scopus, and OT-seeker.  The search resulted in ten articles. A complementary manual search was conducted, producing six additional articles. The contents of the 16 articles identified seven instruments, all of which measured an individual's work capacity in different ways. The majority of the instruments had a clear purpose, were anchored in a theoretical basis, and were tested on different psychometric properties. The authors found that the concept of work capacity has no single definition and is a complex concept. The discussion suggests the combined use of various instruments that emerged in the study to clarify and assist in the assessment of an individual’s work capacity.