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  • 1.
    Abbas, Haider
    et al.
    KTH, School of ICT, Electronic Systems.
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Yngström, Louise
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Hemani, Ahmed
    ICT/Materialfysik.
    Addressing Dynamic Issues in Information Security Management2011Ingår i: Information Management & Computer Security, ISSN 0968-5227, Vol. 19, nr 1, 5-24 s.Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Ett ramverk för behandling av osäkerhet inom ledningssystem för informationssäkerhet presenteras. Ramverket baseras på teorier från corporate finance. En fallstudie visar hur ramverket kan appliceras.

  • 2. Abbas, Haider
    et al.
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Yngström, Louise
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Hemani, Ahmed
    Architectural Description of an Automated System for Uncertainty Issues Management in Information Security2010Ingår i: International Journal of computer Science and Information Security, ISSN 1947-5500, Vol. 8, nr 3, 59-67 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Information technology evolves at a faster pace giving organizations a limited scope to comprehend and effectively react to steady flux nature of its progress. Consequently the rapid technological progression raises various concerns for the IT system of an organization i.e. existing hardware/software obsoleteness, uncertain system behavior, interoperability of various components/method, sudden changes in IT security requirements and expiration of security evaluations. These issues are continuous and critical in their nature that create uncertainty in IT infrastructure and threaten the IT security measures of an organization. In this research, Options theory is devised to address uncertainty issues in IT security management and the concepts have been developed/validated through real cases on SHS (Spridnings-och-Hämtningssystem) and ESAM (E-society) systems. AUMSIS (Automated Uncertainty Management System in Information Security) is the ultimate objective of this research which provides an automated system for uncertainty management in information security. The paper presents the architectural description of AUMSIS, its various components, information flow, storage and information processing details using options valuation techniques. It also presents heterogeneous information retrieval problems and their solution. The architecture is validated with examples from SHS system

  • 3.
    Bakari, Jabiri Kuwe
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Tarimo, Charles N
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Yngström, Louise
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap. Säkerhetsinformatik.
    Operationalisiation of ICT Security Policy and Mechanisms in an organisation2007Konferensbidrag (Övrigt vetenskapligt)
  • 4.
    Berg, M
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Värdegrunden har betydelse för vårdandet2007Ingår i: Vårdfacket, ISSN 0347-0911, Vol. MarsArtikel i tidskrift (Övrigt vetenskapligt)
  • 5.
    Ekstrand, Susanne
    et al.
    Blekinge Tekniska Högskola, Institutionen för arbetsvetenskap och medieteknik.
    Hansson, Christina
    Blekinge Tekniska Högskola, Institutionen för arbetsvetenskap och medieteknik.
    Design och utveckling av IT-verktyg: ger ringar på vattnet i en organisation2001Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    This Bachelor Thesis in the area of Computer Science and Work Science describes the process of design and development of an IT-tool between the municipality of Ron-neby and TietoEnator a development and consultancy firm, the Gothenburg office. The thesis focuses mainly on the cooperation between the consultant designer and the local municipal. Through cooperation, the organisation is incorporated into the tool and the tool is incorporated into the organisation. Concepts that are central in this thesis are design, cooperation and tailoring. A question raised is, if distance work and extensive cooperation might be a good way of working in the process of design and development, when the organisation is being incorporated into the tool. Advan-tages and disadvantages of this way of working are discussed. Our studies show that distance work is a good complement for personal meet-ings between designer and co-developer. There are several advantages and disadvan-tages with distance work. Through cooperation, the co-developer gains the advantage of being able to affect the tool through proposals of design. This also gives an in-creased opportunity for tailoring in the future. The support to the co-workers in the organisation is important for how the tool will be received. The long-term aspect of the process of design and development of IT is of importance when organisations continually develop and change over time. The IT-tool ought to be flexible and tailorable. In the end of this thesis, some proposals are given concerning cooperative proc-esses of design and development, on the basis of our studies during the work with this Bachelor Thesis.

  • 6.
    Hansson, Christina
    Blekinge Tekniska Högskola [bth.se], The Library.
    Lärarlärdom Högskolepedagogisk konferens 20142014Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Högskolepedagogisk utveckling har under senare år fått en tydligare och mer framträdande roll vid universitet och högskolor. Under senare år har också ett allt större fokus riktats mot utbildningars resultat. Frågor som rör kvaliteten i undervisningen blir därmed centrala. Att utveckla och stödja lärares pedagogiska skicklighet samt belysa villkoren för den undervisning som bedrivs inom högre utbildning är angeläget. Behovet av en gemensam samlingspunkt för pedagogiska och didaktiska diskussioner där BTH:s och Högskolan i Kristianstads lärare kan träffas och föra dessa diskussioner tillsammans och över ämnesgränser är stort. Genom att anordna en årlig högskolepedagogisk konferens vill vi främja ett utbyte av erfarenheter från den dagliga undervisningen och insikter kring det lärande som möjliggörs. Lärarlärdom 2014 gick av stapeln på Blekinge Tekniska Högskola den 20 augusti och samlade ett femtiotal deltagare. Den inledande föreläsningen samt ytterligare fem presentationer finns inspelade och nås via: http://distans.hkr.se/wid/ChristinaHansson/lararlardom_bth2014/

  • 7.
    Hansson, Christina
    Blekinge Tekniska Högskola, Institutionen för arbetsvetenskap och medieteknik.
    User Driven Software Development in a Small Company2002Självständigt arbete på avancerad nivå (magisterexamen)Studentuppsats (Examensarbete)
    Abstract [en]

    Field studies, interviews and participative observations have been the main methods in this master thesis where the author has studied, and partially participated, in the development process of a booking system called FRI. Idavall is the small company that develops this suc-cessful software despite small resources. Characteristic for Idavall is in the way they manage to involve their about 1300 users in the development process. The development process is highly flexible which is required when rapidly changes are common. The overall question in this thesis is: How do Idavall manage to develop this software in a flexible way and successfully involve their users in the development process? Idavall arranges FRI-meetings, courses and demonstrations where users meet each other and a representative from Idavall. All participants discuss FRI and have the opportunity to propose changes, improvements and report bugs. One of the most important parts of the busi-ness idea of Idavall is to offer a proper, friendly and professional support. The support is one of the most important possibilities to be informed about the users? needs, wishes and propos-als. This, what I called, user driven development has a lot of common with Participatory De-sign (PD) where users participate in the design of new software. PD implies that users of software should take part in decisions that affect the system and the way it is used and de-signed. Idavall make use of a kind of Customer Relationship Management (CRM), which is a concept used in the marketing arena. The objective of CRM is to create a strong, mutual and trustful relationship between supplier and customer. By using CRM in combination with PD it is possible to enhance the user participation and enable user driven development. The company has a flexible development process, which is built on an informal way of driving the process. Informal meetings are common where decisions about changes and im-provements are taken quickly. New versions are delivered about 20 times a year. The employ-ees meet several times a day in the central located coffee room and discuss problems. The development process has a lot of common with Extreme Programming (XP), which is a software development methodology that aims to make software development more flexi-ble and focus on highly flexible environments with quickly changing requirements. XP is de-scribed briefly and comparisons are made to the development process of FRI as well as short-comings of XP in the context of PD.

  • 8.
    Hansson, Christina
    et al.
    Blekinge Tekniska Högskola [bth.se], The Library.
    Karlsson, LeifNygren, ÅseBlekinge Tekniska Högskola [bth.se], The Library.
    Lärarlärdom Högskolepedagogisk konferens 20122013Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Högskolepedagogisk utveckling har under senare år fått en tydligare och mer framträdande roll vid universitet och högskolor. Under senare år har också ett allt större fokus riktats mot utbildningars resultat. Frågor som rör kvaliteten i undervisningen blir därmed centrala. Att utveckla och stödja lärares pedagogiska skicklighet samt belysa villkoren för den undervisning som bedrivs inom högre utbildning är angeläget. Behovet av en gemensam samlingspunkt för pedagogiska och didaktiska diskussioner där BTH:s och Högskolan i Kristianstads lärare kan träffas och föra dessa diskussioner tillsammans och över ämnesgränser är stort. Genom att anordna en årlig högskolepedagogisk konferens vill vi främja ett utbyte av erfarenheter från den dagliga undervisningen och insikter kring det lärande som möjliggörs. Lärarlärdom 2012 gick av stapeln på Blekinge Tekniska Högskola den 15 augusti och samlade ett femtiotal deltagare. Den inledande föreläsningen samt ytterligare tre presentationer finns inspelade och finns på Medieportalen på Blekinge Tekniska Högskola. http://tuba.bth.se/medieportal/play/510/Lararlardom-pa-BTH

  • 9. Hildingsson, I
    et al.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Karlström, A
    Lundgren, I
    A Longitudinal Survey of Childbirth-Related Fear and Associated Factors2011Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 40, nr 5, 532-543 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To investigate the prevalence of childbirth-related fear from pregnancy to one year after childbirth and to identify factors associated with being cured of childbirth-related fear. Design A longitudinal regional survey. Setting Three hospitals in a northern part of Sweden. Participants Six hundred ninety-seven (697) women who completed four questionnaires. Methods Data were collected by questionnaires in mid and late pregnancy and at 2 months and one year after birth. Childbirth related fear was measured 3 times. Results There was a statistically significant increase in childbirth fear from 12.4% in mid-pregnancy to 15.1% one year after childbirth (p < .001). Women who were cured of childbirth fear reported a better birth experience and would prefer a vaginal birth in a subsequent pregnancy. These women were also more likely to experience a feeling of control during birth and were more satisfied with information about the progress of labor, but there was no difference in prenatal counseling or having an elective cesarean between the groups. Conclusion Women with prenatal fear of childbirth may be cured of this fear by having a better birth experience. If women feel in control of their bodies and are well informed about the progress of labor, the chances of being cured will increase. Prenatal counseling or having an elective cesarean birth does not seem to be a solution for relieving childbirth fear.

  • 10. Johnsson, Pontus
    et al.
    Iacob, Maria Eugenia
    Välja, Margus
    van Sinderen, Marten
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Ladhe, Tobias
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Business model risk analysis: predicting the probability of business network profitability2013Ingår i: Enterprise Interoperability: 5th International IFIP Working Conference, IWEI 2013. Proceedings / [ed] Marten van Sinderen, Paul Oude Luttighuis, Erwin Folmer, Steven Bosems, Springer Berlin/Heidelberg, 2013, 118-130 s.Konferensbidrag (Refereegranskat)
    Abstract [en]

    In the design phase of business collaboration, it is desirable to be able to predict the profitability of the business-to-be. Therefore, techniques to assess qualities such as costs, revenues, risks, and profitability have been previously proposed. However, they do not allow the modeler to properly manage uncertainty with respect to the design of the considered business collaboration. In many real collaboration projects today, uncertainty regarding the business’ present or future characteristics is so significant that ignoring it becomes problematic. In this paper, we propose an approach based on the Predictive, Probabilistic Architecture Modeling Framework (P2AMF), capable of advanced and probabilistically sound reasoning about profitability risks. The P2AMF-based approach for profitability risk prediction is also based on the e3-value modeling language and on the Object Constraint Language (OCL). The paper introduces the prediction and modeling approach, and a supporting software tool. The use of the approach is illustrated by means of a case.

  • 11.
    Lundgren, Ingela
    et al.
    Göteborgs Universitet.
    Healy, Patricia
    Carroll, Margaret
    Begley, Cecily
    Matterne, Andrea
    Gross, Mechthild M
    Grylka-Baeschlin, Susanne
    Nicoletti, Jane
    Morano, Sandra
    Nilsson, Christina
    Göteborgs Universitet.
    Lalor, Joan
    Clinicians' views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a study from countries with low VBAC rates.2016Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, nr 1, 350Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For most women a vaginal birth after a previous CS (VBAC) is a safe option. However, the rate of VBAC differs in an international perspective. Obtaining deeper knowledge of clinicians' views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Focus group interviews with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of "OptiBIRTH", an ongoing research project. The study reported here aims to explore the views of clinicians from countries with low VBAC rates on factors of importance for improving VBAC rates.

    METHODS: Focus group interviews were held in Ireland, Italy and Germany. In total 71 clinicians participated in nine focus group interviews. Five central questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language and then translated into English. All data were then analysed together and final categories were validated in each country.

    RESULTS: The findings are presented in four main categories with several sub-categories: 1) "prameters for VBAC", including the importance of the obstetric history, present obstetric factors, a positive attitude among those who are centrally involved, early follow-up after CS and antenatal classes; 2) "organisational support and resources for women undergoing a VBAC", meaning a successful VBAC requires clinical expertise and resources during labour; 3) "fear as a key inhibitor of successful VBAC", including understanding women's fear of childbirth, clinicians' fear of VBAC and the ways that clinicians' fear can be transferred to women; and 4) "shared decision making - rapport, knowledge and confidence", meaning ensuring consistent, realistic and unbiased information and developing trust within the clinician-woman relationship.

    CONCLUSIONS: The findings indicate that increasing the VBAC rate depends on organisational factors, the care offered during pregnancy and childbirth, the decision-making process and the strategies employed to reduce fear in all involved.

  • 12. Lundgren, Ingela
    et al.
    van Limbeek, Evelien
    Vehvilainen-Julkunen, Katri
    Nilsson, Christina
    Göteborgs Universitet.
    Clinicians' views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a qualitative study from countries with high VBAC rates.2015Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, 196Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The most common reason for caesarean section (CS) is repeat CS following previous CS. Vaginal birth after caesarean section (VBAC) rates vary widely in different healthcare settings and countries. Obtaining deeper knowledge of clinicians' views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Interview studies with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of 'OptiBIRTH', an ongoing research project. The study reported here is based on interviews in high VBAC countries. The aim of the study was to investigate the views of clinicians working in countries with high VBAC rates on factors of importance for improving VBAC rates.

    METHODS: Individual (face-to-face or telephone) interviews and focus group interviews with clinicians (in different maternity care settings) in three countries with high VBAC rates were conducted during 2012-2013. In total, 44 clinicians participated: 26 midwives and 18 obstetricians. Five central questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language and then translated into English. All data were then analysed together and final categories were validated in each country.

    RESULTS: The findings are presented in four main categories with subcategories. First, a common approach is needed, including: feeling confident with VBAC, considering VBAC as the first alternative, communicating well, working in a team, working in accordance with a model and making agreements with the woman. Second, obstetricians need to make the final decision on the mode of delivery while involving women in counselling towards VBAC. Third, a woman who has a previous CS has a similar need for support as other labouring women, but with some extra precautions and additional recommendations for her care. Finally, clinicians should help strengthen women's trust in VBAC, including building their trust in giving birth vaginally, recognising that giving birth naturally is an empowering experience for women, alleviating fear and offering extra visits to discuss the previous CS, and joining with the woman in a dialogue while leaving the decision about the mode of birth open.

    CONCLUSIONS: This study shows that, according to midwives and obstetricians from countries with high VBAC rates, the important factors for improving the VBAC rate are related to the structure of the maternity care system in the country, to the cooperation between midwives and obstetricians, and to the care offered during pregnancy and birth. More research on clinicians' perspectives is needed from countries with low, as well as high, VBAC rates.

  • 13.
    Magnusson, Christer
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Bakari, Jabiri Kuwe
    Wahlgren, Gunnar
    Yngström, Louise
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    ICT Risk Management Drivers - a Comparative Study of Sweden, USA, India, and Tanzania2007Ingår i: Proceedings of the CRiSIS 2007 International Conference on Risk and Security of Internet and Systems, 2007Konferensbidrag (Refereegranskat)
  • 14.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Att möta och vårda kvinnan med förlossningsrädsla2009Ingår i: Lärobok för barnmorskor, 3:e upplagan / [ed] Annette Kaplan, Beatrice Hogg, Ingegerd Hildingsson, Ingela Lundgren, Lund: Studentlitteratur AB , 2009, 64-68 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 15.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Att möta och vårda kvinnor med svår förlossningsrädsla2010Ingår i: Att stödja och stärka. Vårdande vid barnafödande / [ed] Marie Berg, Ingela Lundgren, Studentlitteratur , 2010, 169-191 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 16.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Föreläsning om förlossningsrädsla2007Konferensbidrag (Övrigt vetenskapligt)
  • 17.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Förlossningsrädsla med fokus på kvinnors förlossningsupplevelser2012Konferensbidrag (Övrigt vetenskapligt)
  • 18.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Förlossningsrädsla: med fokus på kvinnors upplevelser av att föda barn2012Doktorsavhandling, monografi (Övrigt vetenskapligt)
  • 19.
    Nilsson, Christina
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Presentation av forskningsområde.2007Konferensbidrag (Övrigt vetenskapligt)
  • 20.
    Nilsson, Christina
    Göteborgs Universitet.
    The delivery room: is it a safe place? A hermeneutic analysis of women's negative birth experiences.2014Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 5, nr 4, 199-204 s., S1877-5756(14)00063-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Women's negative experiences in the delivery room can have significance for later fear of childbirth. Therefore, it is important to critically evaluate the care during childbirth. The aim was to gain a deeper understanding of women's negative experiences in the delivery room.

    METHODS: This study is based on original data from three qualitative studies on Swedish women's experiences of fear of childbirth. Data were collected from interviews with 21 women; 15 pregnant women (6 + 9) with intense fear of childbirth, and six women who had experienced intense fear of childbirth 7-11 years prior to the interview. The analysis had a hermeneutic approach, with focus on the women's descriptions of their previous negative birth experiences.

    FINDINGS: The interpretation showed that in the delivery room the women were objects of surveillance, and they endured suffering related to the care during childbirth. This involves experiences of midwives as uncaring, feelings of being suppressed, unprotected and lacking safety, of feeling disconnected and of the body as incompetent in giving birth. The birth environments are understood as power structures, containing views of women's birthing bodies as machines, and delivery rooms as surveillance environments, involving interventions such as foetal heart monitoring, induction and augmentation of labour.

    CONCLUSIONS: The delivery room was, for these women, a place creating fear of childbirth. To avoid negative birth experiences and future fear, women must be offered not only medical, but also emotional and existential safety in the delivery room.

  • 21.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Bondas, Terese
    Lundgren, Ingela
    Previous birth experience in women with intense fear of childbirth2010Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 39, nr 3, 298-309 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives.

    Design: A descriptive phenomenological study. Setting: A maternity clinic for women with fear of childbirth in the western part of Sweden. Participants: Nine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative.

    Methods: Interviews that were transcribed verbatim and analyzed with a reflective life-world approach.

    Results: The essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the women’s minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense.

    Conclusions: Previous childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/ midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

  • 22.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Bondas, Terese
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lundgren, Ingela
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Previous birth experience in women with intense fear of childbirth2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives. DESIGN: A descriptive phenomenological study. SETTING: A maternity clinic for women with fear of childbirth in the western part of Sweden. PARTICIPANTS: Nine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative. METHODS: Interviews that were transcribed verbatim and analyzed with a reflective life-world approach. RESULTS: The essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the women's minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense. CONCLUSIONS: Previous childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

  • 23.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Bondas, Terese
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lundgren, Ingela
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Previous birth experience in women with intense fear of childbirth2011Konferensbidrag (Refereegranskat)
  • 24.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Eriksson, Carola
    Förlossningsrädsla2009Ingår i: Lärobok för barnmorskor, 3:e upplagan / [ed] Annette Kaplan, Beatrice Hogg, Ingegerd Hildingsson, Ingela Lundgren, Lund: Studentlitteratur AB , 2009, 62-64 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 25.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lundgren, I
    Karlström, A
    Hildingsson, I
    Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study.2012Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 25, nr 3, 114-121 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To explore fear of childbirth (FOC) during pregnancy and one year after birth and its association to birth experience and mode of delivery. Design: A longitudinal population-based study. Population: Pregnant women who were listed for a routine ultrasound at three hospitals in the middle-north part of Sweden. Method: Differences between women who reported FOC and who did not were calculated using risk ratios with a 95% confidence interval. In order to explain which factors were most strongly associated to suffer from FOC during pregnancy and one year after childbirth, multivariate logistic regression analyses were used. Results: FOC during pregnancy in multiparous women was associated with a previous negative birth experience (RR 5.1, CI 2.5—10.4) and a previous emergency caesarean section (RR 2.5, CI 1.2—5.4). Associated factors for FOC one year after childbirth were: a negative birth experience (RR 10.3, CI 5.1—20.7), fear of childbirth during pregnancy (RR 7.1, CI 4.4—11.7), emergency caesarean section (RR 2.4, CI 1.2—4.5) and primiparity (RR 1.9, CI 1.2—3.1). Conclusion: FOC was associated with negative birth experiences. Women still perceived the birth experience as negative a year after the event. Women’s perception of the overall birth experience as negative seems to be more important for explaining subsequent FOC than mode of delivery. Maternity care should focus on women’s experiences of childbirth. Staff at antenatal clinics should ask multiparous women about their previous experience of childbirth. So that FOC is minimized, research on factors that create a positive birth experience for women is required.

  • 26. Nilsson, Christina
    et al.
    Lundgren, Ingela
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Women's lived experiences of fear of childbirth2009Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, nr 2, 1-9 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: to describe women's lived experience of fear of childbirth.

    DESIGN: a qualitative study using a phenomenological approach and a lifeworld perspective. Data were collected via tape-recorded interviews. SETTING: Sahlgrenska University Hospital, Göteborg, Sweden in 2003. PARTICIPANTS: eight pregnant women (24-37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth. Two of the women were primiparous.

    FINDINGS: four constituents were identified: feeling of danger that threatens and appeals; feeling trapped; feeling like an inferior mother-to-be and on your own. The essential structure was described as 'to lose oneself as a woman into loneliness'.

    KEY CONCLUSIONS: fear of childbirth affects women in such a way that they start to doubt themselves and feel uncertain of their ability to bear and give birth to a child. Previous birth experience was central to the multiparous women. They described their experiences of suffering in relation to the care they received during childbirth. This mainly concerned pain and negative experiences with staff.

    IMPLICATIONS FOR PRACTICE: pregnant women who fear childbirth are an exposed group in need of much support during pregnancy and childbirth. The encounter between the woman and the midwife can be a way of breaking down the feeling of loneliness and restoring the woman's trust in herself as a childbearing woman.

  • 27.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Robertson, Eva
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lundgren, Ingela
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    The meaning of women´s long-term experiences of birth and fear of childbirth2012Konferensbidrag (Refereegranskat)
  • 28.
    Nilsson, Christina
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Rusner, Marie
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Johansson Sundler, Annelie
    Berglund, Maria
    Meranius, Martina
    Thurang, Anna
    Karlsson, Ann-Christine
    Pettersson, Bengt-Olof
    Bremer, Anders
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Varför vårdvetenskap?2008Rapport (Övrigt vetenskapligt)
  • 29.
    Yngström, Louise
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Abbas, Haider
    Hemani, Ahmed
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    A Structured approach for Internalizing Externalities Caused by IT Security Mechanisms2010Ingår i: 2nd Int. Workshop on Education Technology and Computer Science, 2010Konferensbidrag (Refereegranskat)
  • 30.
    Ziyarazavi, Merat
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    From Theory to Practice - When and How to Implement Service Value Agreement2013Ingår i: Journal of Service Science and Management, ISSN 1940-9893, E-ISSN 1940-9907, Vol. 6, 127-142 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Traditionally, a Service Level Agreement (SLA) is used as an appendix in IT Service Management agreements to set expectations and delineate the service delivery description as well as the terms and conditions of delivery. However, SLAs are unable to imply and guarantee the added values expected by the customer. Service Value Agreement (SVA) is a newly developed framework that identifies the deliverable added values along with metrics to measure the quality and quantity of achievements in terms of business added values. The objective of this study is to expand the concept of SVA for Application Management (AM) services and suggest guidelines for its implementation in real business cases. This goal is fulfilled through the case study approach and outsourcing industry contributions. Authors suggest discussing the concept of SVA from early stages of the sales lifecycle and implementing it gradually during the steady state phase. Combination of Service Value Mapping approach and Piloting method is suggested for SVA proposition as an option with successful practical history.

  • 31. Ziyarazavi, Merat
    et al.
    Magnusson, Christer
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för data- och systemvetenskap.
    Tergesten, Torbjörn
    Qualifying and Quantifying IT Services Added Values in Outsourcing Assignments—Service Value Agreement2012Ingår i: Journal of Service Science and Management, ISSN 1940-9893, E-ISSN 1940-9907, Vol. 5, nr 4, 318-330 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Traditionally, a Service Level Agreement (SLA) including service level metrics is used as an appendix in IT Service Management agreements to define the terms and conditions of delivery and set expectations. However, SLA neither implies nor guarantees the added values that are expected by the customer. Besides, due to the nature of IT services, there always exists uncertainty about the agreed services due to which the perceived risk for both customer and provider is high. Moreover, the quality and quantity of delivered values are mostly hidden by hazy marketing slogans. In order to guarantee the values of an offered service, the deliverable added values should be characterized properly, quantified by means of measurable metrics, and agreed upon between the two parties. Such comprehensive material, including the deliverable added values along with their measurable metrics, is called Service Value Agreement (SVA). This research proposes a platform for IT service offerings based on added values by identifying, as well as quantifying, an organization’s objectives in purchasing Application Management (AM) services from a provider firm.

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