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  • Fobbe, Lea
    et al.
    Department of Industrial Management, Industrial Design and Mechanical Engineering, University of Gävle, 801 76 Gävle, Sweden.
    Haartman, Robin von
    Department of Industrial Management, Industrial Design and Mechanical Engineering, University of Gävle, 801 76 Gävle, Sweden.
    Hilletofth, Per
    Högskolan Dalarna, Institutionen för information och teknik, Industriell ekonomi. Department of Industrial Management, Industrial Design and Mechanical Engineering, University of Gävle.
    Thollander, Patrik
    Department of Building Engineering, Energy Systems and Sustainability Science, University of Gävle, 801 76 Gävle, Sweden;Department of Management and Engineering (IEI), Division of Energy System, Linköping University, 581 83 Linköping, Sweden.
    Hilmola, Olli-Pekka
    Department of Industrial Management, Industrial Design and Mechanical Engineering, University of Gävle, 801 76 Gävle, Sweden;Estonian Maritime Academy, Tallinn University of Technology, Kopli 101, 11712 Tallinn, Estonia.
    Extending Energy Management Towards Supplier: An Analysis of Drivers, Barriers and Selection Criteria2026Inngår i: Energies, E-ISSN 1996-1073, Vol. 19, nr 19, artikkel-id 4618Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Energy management (EnM) is crucial for reducing GHG emissions, but there is still a largepotential to improve the energy efficiency of manufacturing companies. One approachthat could be leveraged is to reduce Scope 3 emissions by extending EnM towards suppliersand integrating it into supply chain management (SCM); however, research linkingthese perspectives remains limited. This paper aims to investigate drivers and barriersassociated with extending EnM towards suppliers and how EnM practices are consideredin supplier selection. Based on a nationwide online survey sent to Swedish manufacturingcompanies, this paper provides new insights for practitioners and policymakers to developstrategies to integrate EnM into SCM, contributing to closing the energy efficiency gap. Theresults show that organizational and economic drivers and barriers related to prioritizationand structure are individually perceived as most important for extending EnM towardssuppliers, but supply chain-related factors play an important role when factor groups areconsidered. Further, the study highlights that economic criteria are still perceived as moreimportant than energy-related criteria when it comes to supplier selection, which is initiallyconceptualized as a potential supply chain EnM gap.

    Fulltekst (pdf)
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  • Habib, Ahmad
    et al.
    Högskolan Dalarna, Institutionen för information och teknik.
    Kryeziu, Rasim
    Högskolan Dalarna, Institutionen för information och teknik.
    En jämförande studie av användbarhet och tillgänglighet i offentliga och privata digitala jobbtjänster: En heuristisk utvärdering och enkätundersökning av  Arbetsförmedlingen och LinkedIn Jobs enligt WCAG 2.22026Independent thesis Basic level (university diploma), 5 poäng / 7,5 hpOppgave
    Abstract [sv]

    Digitala jobbtjänster är idag en central del av hur människor söker arbete, men många användare upplever fortfarande hinder kopplade till både användbarhet och tillgänglighet. Dessa utmaningar kan vara särskilt relevanta för användare med begränsad digital erfarenhet. Denna studie jämför Arbetsförmedlingen och LinkedIn Jobs för att undersöka hur väl tjänsterna fungerar utifrån WCAG 2.2 och hur användare beskriver sin användning av digitala jobbtjänster.  

    Studien bygger på en kombination av WCAG-granskning, heuristisk utvärdering och en enkätundersökning av användares erfarenheter av digitala jobbtjänster. Resultaten visar att Arbetsförmedlingen generellt uppfyller fler tillgänglighetskrav, särskilt när det gäller struktur, kontrast och tydlighet, även om det fortfarande finns brister såsom otydliga fokusmarkeringar och små klickytor. LinkedIn Jobs upplevs som mer modern och visuellt tilltalande, men innehåller fler komplexa moment, små interaktiva element och otydliga ikoner som skapar svårigheter för användare med begränsad digital erfarenhet.  

    Enkätsvaren beskriver konkreta svårigheter i jobbsöksprocessen, exempelvis att filtrering, CV-uppladdning och ansökningsprocesser upplevs som krångliga och tidskrävande. Respondenterna beskrev även osäkerhet kring navigering och svårigheter att orientera sig i flödet.  

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  • Lundberg, Erik
    Högskolan Dalarna, Institutionen för kultur och samhälle, Statsvetenskap.
    Organizational identity and civil society’s responses against the far right2026Inngår i: Journal of Civil Society, ISSN 1744-8689, E-ISSN 1744-8697, s. 1-14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article examines why civil society organizations operating within the same local political context respond differently to far-right extremism. Existing research explains civil society mobilization through external factors, political opportunities, institutional environments, and resources, while paying less attention to organizational dynamics. Drawing on theories of organizational identity and social movements, the article argues that understandings of “who we are” and “what we do” shape perceptions of legitimate action and the interpretation of opportunities and resources. The study uses a comparative case design focusing on three civil society organizations in Ludvika, Sweden, responding to the neo-Nazi Nordic Resistance Movement (NRM). The findings reveal differences in tactical repertoires despite similar conditions. Clowns Against Nazism emphasized satire and symbolic confrontation; the Church of Sweden prioritized dialogue and inclusion; and the Swedish Red Cross stressed cooperation, education, and humanitarian engagement. Resources, positions, and networks influenced organizations' capacities for action but did not fully explain their divergent responses. Organizational identity shaped how opportunities, constraints, and resources were interpreted and translated into tactical choices. The article shifts attention from whether and how civil society responds to far-right extremism toward why organizations facing similar conditions adopt different counter-strategies, highlighting implications for democratic resilience and civil society diversity.

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  • Lundberg, Erik
    Högskolan Dalarna, Institutionen för kultur och samhälle, Statsvetenskap.
    Unga väljare är inga oskrivna blad2026Inngår i: Snabbtänkt: Reflektioner från valet 2026 av ledande forskare / [ed] Bolin, N., Grusell, M., Falasca, K., Harvard, J., & Strömbäck, J., Mittuniversitetet , 2026Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
    Fulltekst (pdf)
    Snabbtänkt 2026
  • Berg, Frida
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Erlandsson, Kerstin
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Sexuell, reproduktiv och perinatal hälsa.
    Pappu, Noor Islam
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Wigert, Helena
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden..
    Kemp, Joy
    United Nations Population Fund, Dhaka, Bangladesh..
    Raha, Pronita
    United Nations Population Fund, Dhaka, Bangladesh..
    Basri, Rabeya
    Directorate General of Nursing and Midwifery, Government of Bangladesh, Dhaka, Bangladesh..
    Jha, Paridhi
    School of Public Health, Dr DY Patil Deemed to be University, Nerul, Navi Mumbai, Maharashtra, India..
    Bogren, Malin
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Preparing for implementation: Identifying contextual factors influencing internal quality assurance in midwifery education in Bangladesh2026Inngår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 39, nr 5, artikkel-id 102405Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: High-quality maternal and newborn care relies on competent midwives, placing high demands on midwifery education. Continuous internal quality assurance is essential for meeting accreditation standards yet remains understudied, particularly in low- and middle-resource settings.

    Aim: The aim of this study was to identify contextual factors preparing for implementation of an internal quality assurance process in midwifery education in Bangladesh.

    Methods: A qualitative inductive design, guided by process evaluation principles for complex interventions. Data was collected through focus group discussions (n = 10) with a total of 76 midwifery faculty across Bangladesh. Transcribed discussions were analysed using qualitative content analysis.

    Findings: This study identified several contextual factors that influence how systematic internal quality assurance is implemented in midwifery education: governance and national leadership culture, institutional constraints and navigating individual engagement.

    Conclusion: Internal quality assurance in midwifery education requires more than technical tools. Trust-based leadership, psychological safety and integration into institutional routines and national policies are essential. Aligning national quality goals with local capacity and faculty values supports sustainable quality improvement in low- and middle-income settings.

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  • Strömqvist Bååthe, Karin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Department of Social Science and Humanities, Mälardalen University, Eskilstuna, Sweden; Research and Development Unit, FoU i Sörmland, Region Sörmland, Eskilstuna, Sweden; .
    von Thiele Schwarz, Ulrica
    Department of Social Science and Humanities, Mälardalen University, Eskilstuna, Sweden..
    Aytar, Osman
    Department of Social Science and Humanities, Mälardalen University, Eskilstuna, Sweden..
    Sjöqvist, Malin
    Department of Countywide Collaboration Support Unit, Region Sörmland, Nyköping, Sweden..
    Arkkukangas, Marina
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Research and Development Unit, FoU i Sörmland, Region Sörmland, Eskilstuna, Sweden; Department of Health Sciences, Innovation and Design, Mälardalen University, Västerås, Sweden..
    Transition to ‘Close Care’ with a Joint Roadmap for Person-Centered and Integrated Care2026Inngår i: International Journal of Integrated Care, E-ISSN 1568-4156, Vol. 26, s. 1-13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Health and social services face increasing fragmentation and costs, underscoring the need to transition toward more person-centered and integrated care. The Swedish government’s ‘Close Care’ [Nära vård] initiative promotes this transition by encouraging shared regional visions and roadmaps. However, translating a vision into practice remains challenging. This study aimed to explore the experiences of healthcare and social services stakeholders regarding the transition to Close Care, focusing on using a joint roadmap.

    Methods: This qualitative study included three focus groups with 19 regional healthcare and municipal social service representatives, analyzed using reflexive thematic analysis.

    Results: Four main themes summarize the findings: 1) A rocky road toward Close Care; 2) A patchwork of Roadmap practices; 3) Navigating ambiguity: defining and positioning the roadmap; 4) Mobilizing shared meaning for Close Care and the roadmap.

    Discussion: A growing understanding, awareness, and engagement with Close Care is demonstrated, although challenges, including limited cross-organizational leadership and dialogue, remain. Participants reported varied familiarity and strategic document use with the roadmap, which was often considered vague or irrelevant for actionable guidance.

    Conclusion: Roadmap clarity, linked to measurable indicators, and strategic leadership and dialogue are required to strengthen relational coordination and transition toward more person-centered and integrated care.

    Fulltekst (pdf)
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  • Tjulin, Åsa
    et al.
    Department of Health Sciences, Mid Sweden University, Östersund, Sweden..
    Cederlund, Julia
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden..
    Chaikiat Ståhl, Åsa
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden..
    Brulin, Emma
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden..
    Landstad, Bodil J.
    Department of Health Sciences, Mid Sweden University, Östersund, Sweden; Unit of Research, Östersund Hospital, Region Jämtland Härjedalen, Östersund, Sweden..
    Jacobsson, Maritha
    Department of Social Work, Uppsala University, Uppsala, Sweden..
    Härgestam, Maria
    Department of Nursing, Umeå University, Region Västerbotten, Umeå, Sweden..
    Rudman, Ann
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden..
    ‘Is This the Workplace for Me?’ A Qualitative Study of Nursing Students' Construction of Workplace Attractiveness in Clinical Placement2026Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 13, nr 10, artikkel-id e70868Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To explore how nursing students perceive and construct the notion of workplace attractiveness in healthcare during clinical placements.

    Design: Qualitative explorative research design.

    Method: Thirteen final-year undergraduate nursing students from four Swedish universities participated in seven semi-structured interview sessions between February and May 2025: three individual interviews and four small-group interviews involving two to three participants. An interview guide, organised around main themes, directed the conversations. Interviews were digitally recorded and transcribed verbatim. Data analysis was performed using reflexive inductive thematic analysis, characterised by an iterative, flexible, and interpretive approach rooted in a constructionist epistemology.

    Results: Clinical placements shaped nursing students' perceptions of workplace attractiveness, forming the basis for future career choices. The overarching theme, Looking Ahead, captured how students evaluated healthcare as a potential workplace while envisioning their professional future. Four interrelated themes emerged: Becoming-gaining confidence and identity as a nurse through hands-on experience; Belonging-the importance of relationships and social climate for inclusion; Balancing-concerns about managing work-life integration and sustainable conditions; and Beyond-seeking opportunities for continued growth and development. Together, these themes illustrate workplace attractiveness as relational and temporal, emerging from immediate experiences and long-term aspirations.

    Conclusions: Workplace attractiveness is a dynamic, relational process shaped by interactions between individuals and organisations, not a fixed attribute. It evolves through everyday practices, social identity, and belonging. Effective strategies must address relational and symbolic dimensions, fostering inclusion, identity formation, and meaningful participation alongside structural improvements.

    Implications for the profession and/or patient care: Understanding workplace attractiveness as a dynamic process highlights the need for healthcare organisations to prioritise supportive onboarding, inclusive social climates, and opportunities for professional growth. Strengthening belonging, identity formation, and sustainable working conditions can enhance nurse retention, reduce turnover, and ultimately improve continuity and quality of patient care.

    No patient or public contribution: This study did not include patient or public involvement in its design, conduct, reporting, or dissemination since it focused on nursing students' perceptions during clinical training rather than on patient experiences.

    Impact: Problem addressed: Limited understanding of how nursing students construct perceptions of workplace attractiveness during clinical placements and how these perceptions influence future career choices.

    Main findings: Workplace attractiveness emerged as a dynamic, relational process shaped by five themes: Looking Ahead, Becoming, Belonging, Balancing, and Beyond. Clinical placements were pivotal in forming these perceptions.

    Impact: The findings inform healthcare organisations, educators, and policymakers to strengthen onboarding processes, foster a sense of belonging, and promote sustainable working conditions. This can improve nurse recruitment, retention, and ultimately the quality and continuity of patient care. Highlights the of clinical placements in shaping nursing students' perceptions of workplace attractiveness, which can inform global strategies for improving nurse recruitment and retention. Introduces a relational and dynamic understanding of workplace attractiveness, emphasising identity formation, belonging, and professional growth-key factors for creating supportive and sustainable healthcare environments worldwide. Provides actionable insights for healthcare organisations and educators, encouraging inclusive onboarding, social integration, and career development opportunities to enhance workforce stability and patient care quality globally.

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  • Nylén, Anna
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Kljajic, Karolina
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Mellan hopp och oro. Föräldrars erfarenheter vid prenataldiagnostik: En kvalitativ metasyntes2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: There has been significant development in prenatal diagnostics over the last decade. Prenatal diagnostics enable the detection of chromosomal abnormalities, malformations, genetic diseases, and non-viable pregnancies at an early stage. The positive aspects of prenatal diagnostics are that certain measures can be prepared and planned during pregnancy, which may reduce suffering and provide support for both the fetus and the family. Aim: The purpose of this qualitative meta-synthesis is to shed light on parents’ experiences with prenatal diagnostics. Methods: A qualitative meta-synthesis with a meta-ethnographic design and thematic analysis was conducted. The databases used were CINAHL and PubMed. Results: The synthesis resulted in five themes: Seeking understanding in a situation characterized by uncertainty; Managing uncertainty and seeking control; Bearing the responsibility for a life-altering decision; Living with anxiety and uncertainty; Seeking support in a challenging situation. Parents reactions to abnormal prenatal results included grief, anxiety, and worry. The healthcare systems way of providing information about abnormalities and treatment options was often perceived as inadequate. Stress related to making quick decisions about further investigations and the possible termination of pregnancy could paralyze the parents. Conclusion: Knowledge and support were identified as crucial factors, as were how the care was perceived and the quality of the information provided. Access to the right resources, together with parents’ belief in themselves and their ability to handle the new situation, could strengthen them during the process. Clinical implications: The results may contribute to increased knowledge among midwives and other healthcare professionals, helping them reduce anxiety and stress when supporting families.

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  • Lagergren Opacic, Daniela
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Rask, Emmie
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Kvinnors upplevelse av sin sexualitet efter könsstympning: Kvalitativ metasyntes2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Female genital mutilation (FGM), typically performed in childhood, affects women’s living conditions and right to sexual health. Existing research mainly addresses prevalence and physical consequences, while few studies explore women’s sexual experiences after FGM. This highlights the need for deeper knowledge of women´s sexual experiences following FGM in order to broaden the understanding of female sexuality in the context of these specific physical conditions. Aim: To illustrate women´s experience of their sexuality after female genital mutilation. Methods: This degree project is a qualitative metasynthesis using a metaetnographic approach and Reflexive Thematic Analysis. Results: The results yielded three overarching themes, each with three subthemes. Variations in sexual experiences encompassed women´s descriptions of sexual sensations as well as the strategies used to achieve pleasure or avoid sex. Psychosocial dimensions of female sexuality highlighted psychological and psychosocial aspects, norms and attitudes surrounding female sexuality, as well as how femininity and body image are affected by FGM. Sexuality as a source of suffering highlighted the physical and emotional experience of pain, various coping strategies for managing this pain and relational barriers and difficulties that affect women´s sexual and social lives. Conclusion: This metasynthesis shows that women’s sexual pleasure and relationships are shaped by intercourse-related pain, silence, and negative genital self-images, but that increased knowledge and improved communication can enhance sexual health and support more individualized and inclusive sexuality education and health. Clinical implications: This degree project can contribute to increased knowledge that can be used to strengthen midwives’ cultural competence and to develop more individualized sex education and extended sexual guidance. It may also improve care routines for how women with FGM are cared for and treated. This increases the opportunities for all healthcare professionals to promote sexual health.

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  • Blomqvist, Kristin
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Norberg, Amanda
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Födande personers upplevelse av förlossning på Barnmorskeledda Birth Centers: en metasyntes2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Previous research has shown that Midwife-Led care is of great importance to pregnant and labouring people and has also shown improved results regarding maternal and neonatal outcomes. Midwife-Led Birth Centers (MLBC) is a care model where pregnant people with low risk of complications can have a physiological birth with the assistance of midwives. Research in this area has primarily focused on experiences in the form of quantitative data, hence why this study was carried out. Aim: To illuminate birthing people’s experience of labour and birth at MLBC. Methods: The study was performed as a qualitative meta-synthesis. Data collection was carried out through litterature searches in databases Cinahl, PubMed and PsycInfo. Data was analysed with reflexive thematic analysis. Results: The result was comprised of three themes: Feeling Embraced, which explains feelings of security within the birthing person as a result of the midwife’s care; A Calm Sanctuary, which explains the perception of the birthing room and its impact on the experience of labour; and Ownership of One’s Birth Experience, which explains the experience of empowerment through participation and preserved autonomy. Conclusion: The midwife holds a key role in providing care and support in order for the birthing person to feel safe, which is an important part of the birth experience. Another important part of the birth experience is being an active participant in one’s labour. The birthing environment, both physical and mental, also plays a big part in the experience. Keeping a calm, homelike atmosphere contributes to the feeling of security during labour. Clinical implications: The results could be valuable to develop the midwife-led care in Sweden. It could also be valuable for midwives working with labouring people in other contexts, not only in MLBC, to understand what is important for people during labor and how to work towards a positive birth experience.

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  • Hälleberg-Nyman, Maria
    et al.
    Department of Orthopaedics and School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro; University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro.
    Fjordkvist, Erika
    Department of Orthopaedics and School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro.
    Joelsson-Alm, Eva
    Department of Clinical Science and Education and Department of Perioperative Care and Intensive Care, Södersjukhuset, Karolinska Institutet, Stockholm.
    Winberg, Madeleine
    Department of Health, Medicine and Caring Sciences, Linköping University, Linköping.
    Hommel, Ami
    Department of Care Science, Malmö University, Malmö.
    Ostaszkiewicz, Joan
    The Clinical Gerontology Division, National Ageing Research Institute, Parkville, Victoria, Australia; The Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia; Health and Innovation Transformation Centre, Federation University, Ballarat, Victoria, Australia..
    Wallin, Lars
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad.
    Eldh, Ann Catrine
    Department of Health, Medicine and Caring Sciences, Linköping University, Linköping; Department of Public Health and Caring Sciences, Uppsala University, Uppsala.
    Implementation of evidence-based practice guidelines to prevent urinary retention in hospitals: A process evaluation in orthopaedic care2026Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 21, nr 9, artikkel-id e0338755Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and objectives: National clinical practice guidelines promote evidence-based practice, though are hardly implemented without local facilitation. While further research is needed as for what facilitation strategies work, in what context, and with what outcomes, the Onset PrevenTIon of urinary retention in Orthopaedic Nursing and rehabilitation (OPTION) trialled a tailored implementation intervention for evidence-based clinical practice guidelines in orthopaedic care. Informed by the principles of realism, this paper describes the evaluation of the context, mechanisms, and outcomes triad of locally assembled teams of nursing and rehabilitation staff and their managers offered monthly guideline implementation support for one year.

    Methods: A process evaluation incorporating group interviews with designated teams across seven intervention sites, at the end of their programme and 12 months later. Individual facilitator logs, photos and educational material from the intervention, and external facilitators' notes were added. The data was thematically analysed, describing and contrasting the initial hypotheses with a refined understanding of the theoretical and practical features of the process and outcomes.

    Results: With increased knowledge of the content and purpose of the guidelines and further recognition of their local context and implementation essentials, the intervention facilitated the local, designated teams to practise concurrent quality improvement procedures and skills. Having both staff and managers on the teams authorised modifications of their local context in favour of guideline implementation. The one-year support programme enabled primary implementation steps, though a comprehension of what could work and why required that the teams saw the intervention through.

    Conclusion: Learning about the implementation of a clinical practice guideline is a local effort. This requires dedicated teams with sustained roles, resources, and mandate, with external implementation and clinical support. Nevertheless, this is a slow process that requires repeated or prolonged follow-up to identify long-term implementation intervention outcomes.

    Trial registration: US National Institutes of Health Clinical Trials Registry: NCT04700969. Registered 8 January 2021. https://clinicaltrials.gov/study/NCT04700969.

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  • Johansson, Jessica
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Duvner Norberg, Kristin
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Ungdomars upplevelser av pornografi och dess inverkan på den sexuella hälsan: En integrativ litteraturöversikt2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: The availability and consumption of pornography is increasing among adolescents and can have both positive and negative effects. Previous research shows that the reason for use is information seeking, sexual desire, curiosity or involuntary use. LGBTQ adolescents express that they use pornography to find other sexual identities and orientations. Attitudes towards pornography among adolescents are contradictory, with many experiencing both pleasure and discomfort. Despite previous research, the effects of pornography are not fully understood. Aim: The aim of this integrative literature review is to shed light on adolescents’ experiences of pornography. Research questions: ”How are adolescents’ experiences of pornography consumption described?” and ”What impact does pornography consumption have on adolescents’ sexual health?”. Methods: This thesis is an integrative literature review with a reflexive thematic analysis. Searches were conducted in the databases PubMed, CINAHL, and PsycINFO. The thesis is based on 17 articles from Australia, Canada, China, Italy, the Netherlands, Spain, Sweden, and the USA. Results: The results showed that adolescents experience both negative and positive effects of pornography. Adolescents felt that harm and risks of pornography could be avoided by controlling their viewing. They also felt that their sexual health was negatively affected by affecting relationships, mental health, sexual behaviour and sexuality. Many young people, especially LGBTQI adolescents, used pornography as teaching and inspiration. Finally, adolescents felt that pornography could also have positive effects by preventing harm and helping to manage sexual urges. Conclusion: Young people perceive that pornography has harmful effects on their sexual health, but that control and information that pornography is unreal can help reduce the risks of harm. Information, education and limited access to pornography can thus prevent and improve the sexual health of young people.Clinical implications: The thesis can serve as a basis for developing and improving current sex education. Strengthening and introducing early education on the effects of pornography can promote young people's sexual health, while potentially reducing negative societal structures—such as objectification and gender-based violence—in the long term.

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  • Ressman, John
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge.
    von Rosen, Philip
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge.
    Rasmussen-Barr, Eva
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge.
    Grooten, Wim
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge.
    How are biomechanical and psychosocial factors associated with injuries across one season in Swedish elite and sub-elite female soccer players?2026Inngår i: BMC Sports Science, Medicine and Rehabilitation, E-ISSN 2052-1847, Vol. 18, nr 1, artikkel-id 435Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Soccer is a high-intensity contact sport, and the patterns and burden of injuries can vary based on age, sex, and player level. To better understand injury occurrence, it is important to identify biopsychosocial factors that are associated with injuries. Our study aimed to investigate whether various biomechanical and psychosocial factors associate with time-loss injuries and reported injury problems in the dominant and non-dominant leg across one season in elite and sub-elite female soccer players.

    Methods: This prospective study followed 244 elite and sub-elite female soccer players (22 years, SD ± 4) from divisions 1-3 over one season. Data on investigated factors were collected at baseline, while injury data were collected every four weeks. Negative binomial regression analyses were used to examine associations between the investigated factors and injury outcomes.

    Results: For time-loss injuries involving the dominant leg, higher levels of hip strength were associated with a lower injury incidence in players aged 16-19 years (IRR = 0.95, 95% CI 0.92-0.98), while this association was not observed in the older age groups. Higher levels of fear avoidance were associated with a higher injury incidence (IRR = 1.08, 95% CI 1.03-1.14). For the non-dominant leg, playing in division 2 was associated with a higher injury incidence (IRR = 2.75, 95% CI 1.23-6.16) compared with division 1. Greater ankle dorsiflexion was associated with a lower injury incidence (IRR = 0.91, 95% CI 0.84-0.99), and higher levels of hip strength were associated with a lower injury incidence (IRR = 0.98, 95% CI 0.96-0.99). Regarding injury problems, higher levels of fear avoidance were associated with a higher rate of reported injury problem observations for both the dominant (IRR = 1.04, 95% CI 1.02-1.07) and non-dominant leg (IRR = 1.04, 95% CI 1.02-1.06).

    Conclusion: Biomechanical factors, including hip strength, and psychosocial factors such as fear-avoidance behaviour were associated with time-loss injuries and reported injury problems in female elite and sub-elite soccer players. The separate leg-specific analyses showed different patterns of associations in the dominant and non-dominant leg. Given the relatively small effect sizes, the findings should be considered hypothesis-generating and their clinical relevance requires further investigation.

    Trial registration: Retrospectively registered in Clinical Trials Gov, date of registration 13/03/2022. Clinical trials identifier NCT05289284.

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  • Wuopio, Jonas
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge; Center for Clinical Research, Falun, Region Dalarna, Uppsala University, Uppsala.
    Graells, Tiscar
    Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge.
    Lin, Yi-Ting
    Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge; Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
    Schillemans, Tessa
    Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge.
    Moll, Janne Marie
    Cmbio, Copenhagen, Denmark.
    Eklund, Aron C.
    Cmbio, Copenhagen, Denmark.
    Nielsen, H. Bjørn
    Cmbio, Copenhagen, Denmark.
    Larsson, Anders
    Department of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala.
    Engström, Gunnar
    Department of Clinical Sciences in Malmö, Lund University, Malmö.
    Orho-Melander, Marju
    Department of Clinical Sciences in Malmö, Lund University, Malmö.
    Johnson, Linda S.
    Department of Clinical Sciences in Malmö, Lund University, Malmö.
    Ärnlöv, Johan
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge; Center for Clinical Research, Falun, Region Dalarna, Uppsala University, Uppsala.
    Associations between sodium intake and gut microbiota composition2026Inngår i: Frontiers in Nutrition, E-ISSN 2296-861X, Vol. 13, artikkel-id 1889723Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: High salt intake is associated with adverse health outcomes. Emerging evidence highlights the importance of the gut microbiome in human health, but large-scale human data on salt intake and the microbiome are limited. We examined the cross-sectional association between estimated 24-h sodium excretion (est24hNa) and the gut microbiome in a population-based cohort.

    Methods: We included 9,220 participants from the Swedish SCAPIS cohort with available shotgun metagenomic sequencing of fecal samples and urine analyses. We estimated the 24-h sodium excretion using the Kawasaki formula. Alpha diversity was assessed using the Shannon and inverse Simpson indices, and beta diversity using Bray-Curtis dissimilarity. Functional potential was evaluated using Gut Microbial Modules. Associations were analyzed using mixed linear regression models.

    Results: Alpha diversity was inversely associated with est24hNa, but associations were attenuated after adjustment for BMI and were not significant in fully adjusted models. Beta diversity was associated with est24hNa, although the explained variance was small (R2 < 0.001). Higher est24hNa was associated with 75 microbial species, including lower abundance of 27 species and higher abundance of oral-associated taxa such as Streptococcus spp. and Veillonella. It was also associated with increased abundance of pathways involved in microbial energy metabolism and carbohydrate fermentation.

    Conclusion: Higher est24hNa was associated with selected gut microbiome features, including a higher abundance of several oral-associated taxa and differences in inferred functional capacity for energy metabolism and carbohydrate fermentation. These findings identify microbial patterns associated with sodium exposure that may be relevant to cardiometabolic health.

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  • Aptowitzer, Camilla
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Gävert Lindberg, Matilda
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Kvinnors upplevelse av information och stöd kring perinatal depression: en kvalitativ metasyntes2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: PND is common but many women lack knowledge about symptoms and when to seek help. Stigma and the ideal of “happy motherhood” mean that mental illness often remains invisible. The midwife has a central role, but the information provided is often insufficient. Aim: The purpose of this metasynthesis is to describe women's experiences of information and support regarding PND during the perinatal period. Methods: The study was carried out as a qualitative metasynthesis based on 18 scientific articles, including one mixed methods study where only the qualitative part was included. The literature searches were done in the databases PubMed, CINAHL,and PsycINFO. The compiled material was analyzed using inductive thematic analysis. Results: Women felt guilt and shame, had difficulty recognizing their symptoms and avoided seeking help. Information from healthcare regarding PND was inadequate, screening was provided without follow-up and support varied widely. Continuity, empathetic treatment and clear guidance increased security. Social support also proved to be both positive and negative. Conclusion: There are significant gaps in information and support regarding PND as well as stigma surrounding the subject. In order to reduce suffering and promote early detection, clearer information, continuous support and a more responsive approach in healthcare are needed. Clinical implications: The results show that women often do not receive sufficient information about PND, which makes early detection difficult. This means that midwives and healthcare professionals need to provide clearer, continuous and normalizing information, ensure follow-up and have an empathetic approach to strengthen women's safety and reduce stigma.

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  • Swenberg, Thorbjörn
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle, Medieproduktion.
    Dafgård, Lena
    Högskolan Dalarna, Verksamhetsstödet.
    Kania Lundholm, Magdalena
    Högskolan Dalarna, Institutionen för kultur och samhälle, Sociologi.
    Klimplová, Lenka
    Högskolan Dalarna, Institutionen för kultur och samhälle, Företagsekonomi.
    Lindqvist, Inger
    Högskolan Dalarna, Institutionen för kultur och samhälle, Pedagogiskt arbete.
    White, Jonathan
    Högskolan Dalarna, Institutionen för språk, litteratur och lärande, Engelska.
    Nätburen undervisning: Analys av forskningsläget januari 20242024Rapport (Annet vitenskapelig)
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  • Hashi, Amina
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Nazari, Fouzia
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Barnmorskans upplevelse av kvinnocentrerad vård på förlossningsavdelning när ett gemensamt språk saknas: En kvalitativ intervjustudie2026Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Previous research shows that language barriers in healthcare are associated with inequitable care and contribute to misunderstandings in communication. Lack of a common language can make communication and relationship building difficult which are essential for providing safe and individualized maternity care. Aim: To describe midwives’ experiences of providing woman-centred care in labour ward in the absence of a shared language. Methods: A qualitative semi-structured interview were conducted with a total of ten midwives at labour wards in Stockholm, Gävle, Hudiksvall, and Falun. A reflexive thematic analysis with an inductive approach was used. Results:The analysis resulted in three main themes: communication barriers in the context of labour and birth, key aspects of the care encounter and navigating ethically and emotionally challenging situations. Conclusion: Language barriers complicate communication, relationship building and the ability to ensure informed consent and participation in care more difficult, which can be emotionally and professionally challenging. The interpreter's gender may affect the woman's willingness and ability to express her needs and wishes. To overcome language barriers and promote women's self-determination were various strategies used to facilitate more woman-centred care. Clinical implications: The results show that there is a need to increase cultural competence among midwives. The use of cultural doulas in labour ward may facilitate communication between women and midwives. Improved support and better antenatal preparation within maternity care may increase security, reduce anxiety before childbirth and promote equal and woman-centred care. Provide clear guidelines and an adapted basic program for the care of women with language barriers is needed to improve the quality of care and patient safety.

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  • Choe, Jaeyeon
    et al.
    Glasgow School for Business and Society, Glasgow Caledonian University, Scotland, UK.
    O’ Regan, Michael
    Glasgow School for Business and Society, Glasgow Caledonian University, Scotland, UK.
    Di Giovine, Michael A.
    Department ofAnthropology and Sociology, West Chester University of Pennsylvania, West Chester, PA, USA.
    Wellness for Tourists? Well…Mess for Locals: Socio-Culturally Sustainable Development of Wellness Tourism in Bali2026Inngår i: Journal of Development Studies, ISSN 0022-0388, E-ISSN 1743-9140, Vol. 62, nr 9, s. 1499-1521Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Through the framework of sustainable development, focusing on socio-cultural sustainability,this study explores whether the rapid growth of wellness tourism in Ubud, Bali, has been experienced equit-ably by the local community. Through ethnographic interviews and participant observation, the findingsreveal that most informants did not experience benefits from wellness tourism due to Western domination,economic leakage and isolated enclaves. Wellness tourism products are disconnected from indigenous spiritualpractices, whilst centring on Westernised products, exacerbating inequalities. Wellness tourism shouldenhance the local community’s wellbeing not only focusing on tourists’ wellness. This study emphasises thecritical importance of including local voices, involvement and benefits in wellness tourism development. Themarginalisation of local spiritual culture and people is linked to, and reflects, a lack of socio-culturally sus-tainable development. We argue for integrating socio-cultural sustainability into wellness tourism scholarship,policy, planning and practice. This research expands the literature by providing marginalised local voices,and contextualised indicators in socio-cultural sustainability, which has been fragmented. Future researchshould consolidate the conceptual framework, refine indicators and explore measurement methods for morenuanced studies.

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  • Jose, Jithin
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Bhattarai, Bijaya Kumar
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    How Indian Gen Z University Students Construct Trust in Online Product Reviews on E-commerce Platforms2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    This study examines how Indian Generation Z university students construct trust in online product reviews on e-commerce platforms such as Amazon, Flipkart, etc. It particularly examines the ways in which they assess the credibility of reviews, react to fake and manipulated content, and the impact of peers and personal experiences on their trust judgments.  

    A qualitative research approach was adopted, based on an interpretivist epistemology and a phenomenologically informed design. Semi-structured interviews were conducted with 16 Indian Gen Z university students (aged 18-29 years) from different regions and academic fields in India, using snowball sampling. Braun and Clarke’s (2012) reflexive thematic analysis framework was used to analyze the data, and five main themes were identified. 

    The findings show that the formation of trust in online reviews is not a passive process but is constructed through the process of evaluation, comparison, and verification. The participants preferred to read reviews that included detailed written reviews and customer-uploaded visual content were preferred over star ratings. Cross-platform consistency was used as a key credibility check. There was a high level of digital skepticism among participants, whereby they identified fake reviews based on the language used, timings, and their awareness of AIgenerated content. However, skepticism was situationally suspended in sales events or emotionally motivated purchases. Financial risk made people pay more attention to reviews, but peer recommendations often mattered more than the reviews themselves. Shopping cart abandonment was identified as an intentional risk management strategy in the face of conflicting or inadequate review information. 

    Trust for Indian Generation Z consumers is context-dependent, dynamic, and constantly influenced by digital information, financial risk, social influence, and past experiences. Rather than passively accepting eWOM, these consumers actively navigate complex review environments using pattern recognition, peer validation, and cross-platform verification. Theoretically, the study contributes by providing a new interpretation of trust as a dynamic and adaptive process, while practically it provides recommendations for e-commerce platforms, brands, and community managers who want to communicate with Gen Z consumers in emerging markets.  

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  • Eriksson, Dennis
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Sjöberg, Jenny
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    We’re all in this together: A quantitative study on local sponsorship as an employer branding strategy to impact organizational commitment2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Previous research in sponsorship and employer branding pays limited attention to studies about local sponsorship in smaller cities. This study’s aim was to examine how local sponsorship impacts organizational commitment in smaller cities in Sweden. This quantitative exploratory study collected data from 85 current employees in three companies (operating in Västerås, Ludvika, Leksand and Falun), which was analyzed by PLS-SEM. The study’s structural model took inspiration from Karjaluoto & Paakkonen (2019) and concluded that local sponsorship may function as an employer branding tool to achieve organizational commitment via the mediator organizational identity. Company-sponsorship fit exists naturally in local sponsorship, positively influencing organizational identity. The relationship between sponsorship communication quality and organizational identity was insignificant, which may be explained by the communication occurring implicitly and authentically in the local community.  

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  • Moretti, Elisa
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Recruiting with and without AI: a comparative study: Exploring how HR professionals legitimize decision-making authority with and without AI tools2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    This study explores how HR (Human Resources) professionals legitimize their decision-making authority in recruitment, comparing those who use AI (Artificial Intelligence) tools in candidate evaluation with those who do not. The research adopts a qualitative approach based on eight semi-structured interviews conducted with HR professionals operating across different European countries. Data were analyzed through Template Analysis, using Breaugh’s (2008) recruitment model and Orlikowski and Scott’s (2008) sociomaterial perspective as theoretical frameworks. The findings show that both groups share the same fundamental challenge: constructing decisions that are perceived as professional and responsible by organizational stakeholders. Professionals who use AI anchor their authority to system-generated data, while retaining final responsibility for the decision. Those who do not use AI build their credibility through transparent reasoning and the involvement of multiple actors in the final choice. In both cases, human judgment remains central and non-delegable in the most sensitive stages of the process. The key conclusion is that within this material, the distinction between AI users and non-users does not appear to produce two opposite ways of doing recruitment, but two variants of the same process of professional legitimization. The main contribution of the study lies in applying the sociomaterial perspective to understand how the presence or absence of AI reconfigures the strategies through which professionals construct and communicate their decision-making authority.

    This study contributes to the literature by showing that the introduction of AI does not change the nature of the legitimation challenge, but changes the resources and strategies available to face it.  

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  • Göransson, Albin
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Creating and Maintaining Relationships in Hybrid Work: A QUALITATIVE STUDY OF HOW MANAGERS CREATE AND MAINTAIN RELATIONSHIPS WITH EMPLOYEES THROUGH COMMUNICATION AND INTERACTION2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Hybrid work has changed the conditions for communication and relationship building between managers and employees. At the same time, there is limited knowledge about how managers work in practice to create and maintain relationships in hybrid work environments. Results from this study show that hybrid work has changed how communication and interaction occur in everyday life. Managers actively use regular check-ins and planned points of contact to maintain relationships. Spontaneous interactions have decreased, which makes informal conversation important for creating trust and personal relationships. The study also shows that managers experience difficulties in paying attention to the needs and well-being of employees in hybrid work environments.  

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  • Kamal, Namith
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Signalling Sustainability: A Benchmarking Framework for Green Supply Chain Disclosures in the Energy Sector2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Energy companies are in an interesting position today: they are essential to how the world runs, but they are also under enormous pressure to prove their environmental credentials. As more stakeholders, from regulators to investors to the general public, start expecting real proof of sustainability performance, how companies communicate what they are actually doing in their supply chains has become increasingly important. This thesis develops a benchmarking framework for assessing how well energy companies communicate their Green Supply Chain Management (GSCM) activities, and how credibly those communications signal genuine environmental performance to international stakeholders.

    Drawing on a qualitative multiple-case study of 15 leading energy companies across Sweden, Germany, and Denmark, this study systematically analyses 2023 and 2024 sustainability and annual reports using the Output-Outcome-Impact classification model developed by Winit, Ekasingh, and Sampet (2023). The theoretical framework integrates three complementary lenses: Signalling Theory (Spence, 1973), Stakeholder Theory (Freeman, 1984), and the Output-Outcome-Impact Model (Winit et al., 2023).

    Findings reveal three distinct national reporting cultures. German firms operate as "Technical Standard-Setters," systematically deploying high-tier Impact-level signals (including CDP A-List designations, MSCI ESG AA/AAA ratings, and SBTi-validated pathways) underpinned by Big Four assurance and integration with the European Sustainability Reporting Standards (ESRS). Swedish firms function as "Outcome-Oriented Industrial Implementers," emphasising quantified operational results and tangible industrial partnerships, with EcoVadis ratings and SBTi validation as primary credibility cues. Danish firms exhibit a bimodal pattern: global manufacturers such as Orsted and Vestas operate at Impact level using visionary leadership narratives and innovation pilots, while domestic utilities remain at Output level, transitioning toward full CSRD compliance.

    The study concludes that Impact-level GSCM disclosures (those that are externally validated, operationally grounded, and specific) function as the most effective costly signals for establishing credible sustainability communication. A practical benchmarking framework is developed from the cross-national comparison, providing energy sector managers with a clear roadmap for transitioning from symbolic Output reporting toward substantive Impact communication.

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  • Domeij Bergenstål, Fanny
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Jonell, Elin
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Det svenska skatteanståndet – en alternativ typ av finansiering?: En kvantitativ studie av svenska företag under coronapandemin2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Covid-19 pandemin innebar en tuff global ekonomisk situation, och i ett försök att öka svenska företags likviditet, skapade svenska staten ett skatteanståndsprogram. Staten lät svenska företag skjuta upp inkomstskatt, arbetsgivaravgift samt mervärdesskatt. Denna empiriska, kvantitativa studien har som syfte att undersöka om det finns skillnader mellan svenska företag som erhöll skatteanstånd, och företag som inte gjorde det, i förändring av extern finansiering under räkenskapsåren 2019 samt 2024. Tidigare litteratur visar att företag använder skatteanstånd som ett komplement till deras redan existerande finansiering, i stället för att byta ut annan finansiering som ett substitut. Vår studie använder pecking order-teorin för att diskutera resultatet. Studien utförs genom att samla in data från årsredovisningar för 42 företag som beviljades skatteanstånd, samt 42 företag som inte hade skatteanstånd. Hypoteserna testas med hjälp av ett Mann-Whitney test samt ett t-test. Dessa hjälper oss att analysera data och jämföra de två urvalsgrupperna, för att analysera om det finns skillnader mellan de två urvalsgrupperna. Mann-Whitney testet visar en statistisk signifikant skillnad i variabeln ”övriga långfristiga skulder” för våra två urvalsgrupper. Studiens andra finansieringsvariabler, långfristiga skulder till kreditinstitut och långfristiga koncernskulder, samt skillnaden i anställda och skillnaden i likviditet, visar inte någon statistisk signifikant skillnad. Resultatet samstämmer med den tidigare litteraturen, att företag med och utan skatteanstånd inte uppvisar någon statistiskt signifikant skillnad i förändring av extern finansiering. Resultatet kan diskuteras i relation till pecking order-teorin, eftersom posten ”övriga långfristiga skulder” eventuellt kan omfatta finansieringsformer som ligger närmare teorin. Samtidigt bör resultatet tolkas med försiktighet eftersom posten ”övriga långfristiga skulder” kan innehålla olika typer av skulder mellan företag, vilket begränsar jämförbarheten mellan företagen.

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  • Hedlund Blomqvist, Johanna
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Ljungström, Anna
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Mellan regelverk och praktik: Avvikelser från redovisningsstandarder i kommunal redovisning och revision2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Tidigare forskning visar att avvikelser från kommunala redovisningsstandarder är ett återkommande problem, även efter införandet av den nya Lagen om Kommunal Bokföring och Redovisning. Syftet med denna studie är att kartlägga avvikelser från redovisningsstandarder som kommuniceras i svenska kommuners årsredovisningar samt hur dessa uppmärksammas i den kommunala revisionen. Studien syftar även till att belysa hur avvikelserna tolkas, värderas och hanteras i praktiken.  

    Årsredovisningar och revisionsberättelser från samtliga 290 svenska kommuner har inhämtats och kartlagts utifrån en kodningsmall för att identifiera avvikelser och mönster. Därutöver har en semistrukturerad intervju genomförts med en sakkunnig yrkesrevisor för att få en djupare förståelse för hur avvikelser kan tolkas i praktiken.

    Den teoretiska referensramen består av normativ redovisningsteori, deskriptiv redovisningsteori samt sensemakingteori. Resultatet visar att 52 procent av kommunerna avviker från redovisningsstandarder där RKR R5 avseende Leasing är den standard som flest kommuner avviker från. Analysen tyder på att kommunal revision inte främst handlar om att strikt följa regelverk, utan att bedöma huruvida avvikelserna påverkar årsredovisningens rättvisande bild eller inte. Slutsatsen tyder på att kommunal revision inte enbart präglas av strikt regeluppfyllelse, utan av professionella bedömningar där avvikelser värderas utifrån deras praktiska betydelse för den rättvisande bilden. Studien visar samtidigt hur kommuner och revisorer genom olika former av meningsskapande kan motivera, tolka och hantera avvikelser från redovisningsstandarder i praktiken.  

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  • Jönsson, Clara
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Skogbergs, Emilia
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Digitaliseringens nya utmaningar: En studie om cybersäkerhetsrisker och förändrade arbetsprocesser inom redovisnings- och revisionsbranschen2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Studien syftar till att ge en fördjupad förståelse för hur digitaliseringens utveckling påverkar arbetsprocesser och cybersäkerhetsrelaterade utmaningar inom redovisnings- och revisionsbranschen. Kopplingen mellan arbetsprocesser och cybersäkerhet är att de är nära sammanlänkade, där förändringar i arbetsprocesserna till följd av digitalisering samtidigt påverkar organisationers exponering för cybersäkerhetsrisker i det dagliga arbetet. Genom att undersöka hur företag som ligger i framkant inom branschen arbetar med dessa frågor kan studien ge mindre företag relevanta insikter och inspiration för att utveckla sitt cybersäkerhetsarbete.

    För att besvara studiens syfte och frågeställningar tillämpades en kvalitativ metod med abduktiv ansats, där empiriskt material samlades in genom semistrukturerade intervjuer med åtta respondenter från olika organisationer i Sverige. Materialet analyserades genom tematisk analys, kopplat till Socio-Technical Systems Theory (STS) och Technology Acceptance Model (TAM), vilka utgör studiens teoretiska ramverk.  

    Studiens resultat visar att digitaliseringen har haft en omfattande påverkan på arbetsprocesserna inom både redovisning och revision, där manuella arbetsmoment i stor utsträckning ersatts av digitala lösningar och automatiserade processer.  Resultaten visar även att cybersäkerhet har blivit en alltmer central fråga i organisationerna. För att hantera de risker som följer med den tekniska utvecklingen betonas vikten av ökad medvetenhet, kontinuerlig utbildning och anpassningsförmåga i takt med digitaliseringens fortsatta utveckling.

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  • Ekström, Simone
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Revisorers trivsel i branschen: En kvantitativ studie om sambandet mellan personlighetsdrag och person-organization fit hos revisorer2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Revisionsbranschen har uppmärksammat utmaningar när det kommer till att behålla personal, samtidigt som revisionsbranschen är krävande och sätter press på individen. Tidigare studier visar att flera faktorer påverkar revisorer att lämna revisionsbranschen och att revisorers personlighetsdrag påverkar arbetet. Men det finns bristande forskning om sambandet mellan personlighetsdrag och Person-Organization fit hos revisorer.

    Syftet med denna studie var att undersöka om det finna ett samband mellan personlighetsdrag och upplevd Person-Organization fit hos revisorer. För att uppfylla studiens syfte har en kvantitativ metod använts genom att samla in data via en enkätundersökning, som riktades till revisorer som är yrkesverksamma i Sverige. För att mäta personlighetsdrag har studien tillämpat det etablerade mätinstrumentet Big Five, medan måttet av Person-Organization fit utformades utifrån teorin. De statistiska analyser som gjordes i SPSS var Cronbachs alfa och Pearsons korrelationsanalys.

    Studiens resultat indikerar att fyra av fem personlighetsdrag hade ett samband med P-O fit. Personlighetsdraget neuroticism visade ett negativt samband med P-O fit, medan personlighetsdragen samvetsgrannhet, extraversion och öppenhet visade ett positivt samband med P-O fit. Däremot visade personlighetsdraget vänlighet inget samband med P-O fit.

    Studien bidrar till en ökad förståelse till varför vissa revisorer trivs bättre än andra inom organisationen, det kan i sin tur bidra till att främja personalomsättningen och se till att den personal som anställs blir långvarig i revisionsbranschen.

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  • Vacietis Firman, Olivia
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Samarbetet mellan redovisare och revisorer: Tolkningsskillnader vid implementering av nya lagkrav och regelverk2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Denna studie undersöker om det finns ett samarbete mellan redovisare och revisorer, och hur de yrkesverksamma hanterar förändringar i lagar, regelverk och tolkningsskillnader av dessa. Studiens bakgrund bygger på på hållbarhetsrapportering, och använder det som exempel på en del av branschen där det på kort tid tillkommit hårdare regleringar och regelbundna förändringar av regelverk, praxis och lagkrav. Huvudfokuset är däremot på samarbetet mellan redovisare och revisorer. Detta undersöks med utgångspunkt i två teorier, den institutionella teorin, samt legitimitetsteorin. Studien använder en flermetodsansats, en så kallad mixed-methods ansats som innefattar både kvalitativ och kvantitativ metod. Dessa representeras av en kvalitativ pilotintervju, samt en enkätundersökning innehållande både kvantitativa och kvalitativa frågor. Empirin från dessa analyseras med hjälp av triangulering. De tre ståndpunkter som trianguleringen innefattar är en tematisk analys på de kvalitativa delarna av empirin, en frekvensanalys av de kvantitativa delarna, samt utgångspunkt ur teorierna. Resultatet från undersökningen visar att det bland respondenterna finns ett samarbete mellan redovisare och revisorer, och respondenterna är av uppfattningen att regelbunden kontakt leder till ett bättre samarbete. Studien visar även att de yrkesverksamma pekar på ett behov av tydligare lagkrav och regelverk från både arbetsgivare och myndigheter. För vidare forskning kring ämnet föreslås en studie för att bekräfta om ett bättre samarbete är förenligt med färre tolkningsskillnader. Det hade även varit intressant att studera vad effekten blir av ett förbättrat samarbete över tid.

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  • Allport, Tom
    et al.
    Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.; Community Children's Health Partnership, Sirona Care & Health, Bristol, UK..
    Musse, Samira
    Executive and Operations, Barton Hill Activity Club, Bristol, UK..
    Ingram, Jenny
    Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK..
    Feder, Gene
    Centre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, UK..
    Osman, Fatumo
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap.
    Redwood, Sabi
    National Institute of Health Research Applied Research Collaborative for the West of England (NIHR ARC-West), Bristol, UK..
    Find your village: co-designing a community asset-based peer support intervention for wellbeing, social connectedness, and early child development among migrant families during the first 1001 days2026Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 19, nr 1, artikkel-id 2731693Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background One in five children born in England and Wales has a parent born in the Global South. Migrant families are often marginalised, experience adverse environments, lack social support, and have highly stressed pregnancies; their children are at risk of adverse long-term outcomes. Interventions to improve early child development are highly effective and cost-effective, but often do not reach marginalised communities effectively.

    Objectives To develop an asset-based community peer support intervention to improve family wellbeing, social connectedness, and early child development, addressing one migrant community’s strengths and needs in detail; and to articulate its transferability to different contexts.

    Methods This participatory mixed-methods approach to complex intervention design was co-produced with community partners. We constructed an ecocultural model of challenges to early child development in local Somali refugee families, integrating findings from public and professional consultations; systematic reviews of qualitative and quantitative evidence; and local qualitative research and epidemiology. We then collaboratively developed, refined, and prototyped a flexible asset-based peer support intervention to address potentially modifiable factors.

    Results The key transferable functions of this intervention are: reaching out to engage, enable, and advocate for families; organising group activities; and advocating for neighbourhood environment improvements. This has potential to improve wellbeing, child development, social connectedness, and relationships with agencies.

    Conclusions This intervention is designed to mobilise migrant community assets, and improve wellbeing, developmental opportunities, and community connectedness, flexibly and transferably through local co-production. It requires evaluation for its effectiveness and cost-effectiveness, and for potential to reduce inequalities and disrupt cycles of disadvantage.

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  • Hevsund, Adam
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Crises, trust and democratic vulnerability: A longitudinal multivariate regression analysis of newer and older democracies2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    This study examines whether crisis periods affect newer and older democracies differently in a quantitative approach. More specifically how institutional trust and satisfaction with democracy are associated with different crisis periods such as global financial crisis, Euro crisis, migration crisis and covid-19 pandemic in interaction with democracy typ. The main explanatory variables included are generalized trust, economic experiences, immigration attitudes and percieved corruption on a country level.The study are based on data from European Social Survey and Transparency International in a longitudinal approach which covers the years 2002 to 2023 and eleven countries, six older democracies and five newer. The chosen method is a multivariate regression analysis which is divided into four models. The following findings can be concluded: newer democracies are more associated with differences in institutional trust and satisfaction with democracy. More specifically Euro and migration crisis are negatively associated to lower trust and satisfaction, while financial crisis show weaker correlation. And covid-19 pandemic had a positive correlation to institutional trust and satisfaction with democracy. The study further suggest that crisis periods should not be treated uninformly, since the different crisis periods are associated differently with institutional trust and satisfaction with democracy.

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  • Vittou, Foteini
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    The Impact of Public Administration Digitalisation on Clientelism: Evidence from EU and the Greek Public Procurement Reform2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    This thesis aims to explore the interaction between clientelism, public administration digitalisation, and public procurement, a nexus that has not been directly addressed by the literature to date, with clientelism treated here as a governance mode instead of a simple pathology. Employing a mixed-method approach - a quantitative analysis to reveal correlations and a qualitative process tracing analysis of the Greek public e-procurement system to investigate causal inferences - the research investigates whether e-government effectively constrains clientelistic practices and favouritism or simply triggers institutional adaptation. The quantitative findings argue that digitalisation has a negative impact on clientelism in simple statistical models, but this relationship disappears as soon as control variables, and especially the rule of law, are inserted, implying that in order for digitalisation to constrain clientelism a strong and healthy institutional environment is required. The results of the process tracing show a more complex picture and demonstrate a clear systemic adaptation of clientelism to less visible and more discrete areas of the public procurement process demonstrating that clientelism is not a deviation from the system’srules, but a parallel architecture operating within and through institutions. The thesis concludes by suggesting the re-examination and re-conceptualisation of the three main subjects of this study notas separate reform agendas, but as deeply intertwined dimensions of a broader cultural and political project.

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  • Othman, Yara
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Youth Political Disengagement and Post Electoral Citizenship: A Longitudinal Study of Non-Traditional Democratic Participation in South Africa2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    This thesis explores political disengagement among youth in post-apartheid South Africa and how they engage in the democratic process through non-electoral means. Based on the results of an Afrobarometer longitudinal survey (2011-2022) data on political trust, socioeconomic deprivation, and youth participation behaviours, this study utilises quantitative analysis incorporating descriptive statistics, cross-tabulation and binary logistic regression to test five hypotheses. They expose an overall, notably negative change in institutional trust among young South Africans aged 18-30, a historic low voter turnout of 58% in the 2024 elections, and a simultaneous increase in non-electoral engagement through protest action, petition-signing, and digital activism. This thesis does not describe youth disengagement as a state of apathy, but hypothesises a transition to a new form of political agency: post-electoral citizenship, which does not rely on formal electoral institutions. These findings are discussed in relation to their implications for democratic theory, governance and civil society participation in South Africa and the rest of the Global South.

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  • Famurewa, Omobolanle
    et al.
    Högskolan Dalarna, Institutionen för information och teknik.
    Ramachandran, Devi
    Högskolan Dalarna, Institutionen för information och teknik.
    Energy Saving Potential by Implementing a Demand-Controlled Ventilation System: In a Residential Apartment in Hedemora2026Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Smart controlled ventilation system is a strategy for energy saving in a building by adjusting airflow based on actual demand, while maintaining a comfortable indoor climate. Previous research has studied similar technology focusing on commercial buildings and single-family houses, leaving a gap for more research regarding multifamily buildings. This study addresses this gap by monitoring a sensor based DCV system inside an occupied residential apartment in Hedemora, Sweden.  

    The system uses an ‘Intelli Air Valve’ to regulate exhaust airflow using both carbon dioxide (CO₂) concentration and relative humidity as control parameters. A three-week on-site measurement was set up to monitor real-time airflow changes. Using this data retrieved, ventilation heat losses were calculated, and annual energy performance was simulated, with the TMF Energi tool. The study compared the performance of DCV in three different heating systems: a Ground Source Heat Pump, District Heating, and a Biomass Boiler.  In addition, an economic assessment was performed to determine potential cost savings and payback periods.

    The onsite measurements showed that the DCV system dropped the average airflow from 20 L/s down to 16.14 L/s, which is a 20% reduction compared to standard Constant Air Volume (CAV) system, further cutting ventilation heat losses by 20%. Simulation results show that reduced airflow lowered the annual heating demands across all three heating systems tested. Combining the smart valve with a ground source heat pump gave the best financial return, saving around 12,400 SEK per year with a payback period of 10.6 years.

    The results show that smart ventilation control using combined CO₂ and humidity sensing can significantly reduce ventilation energy losses in multi-family residential buildings without negatively affecting occupant comfort. Therefore, the study demonstrates the potential of DCV systems as a practical retrofit measure for improving building energy performance and supporting energyefficiency targets in multi-family buildings. 

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  • Alatalo, Tarja
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle, Pedagogiskt arbete.
    Vuorenpää, Sari
    Stockholms universitet, Specialpedgogiska institutionen.
    Johansson, Annie-Maj
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Naturvetenskap.
    Content-rich vocabulary instruction in mathematics for six-year-olds2026Inngår i: Journal of Early Childhood Literacy, ISSN 1468-7984, E-ISSN 1741-2919Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Through this study, we aim to contribute to the discussion on the importance of systematically and deliberately implemented early vocabulary instruction in connection with subject teaching. The purpose was to develop knowledge regarding vocabulary instruction in mathematics during the Swedish preschool year, thereby advancing research on education for six-year-olds. The study examines whether—and if so, how—content-rich vocabulary instruction is implemented, based on a content analysis of video-recorded conversation-based mathematics lessons in 14 preschool-year settings. The findings indicate that the teaching of mathematical concepts, taken together, reflected content-rich literacy instruction. Teachers employed varied approaches—listening, leading, monitoring, responding, and guiding students’ thinking—and used child-friendly definitions and methods to introduce concepts, which are associated with content-rich vocabulary instruction and gains in vocabulary and comprehension. In light of the growing need to improve reading development among Swedish students—and a recent reform introducing formal schooling for six-year-olds—questions arise regarding the use of intentional and systematic instruction. Implications for planning and implementing systematic literacy instruction, as well as for teacher education and professional development, are discussed.

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  • Umair, Abu
    et al.
    Hausla Health Initiative, New Delhi, India.
    Jansson, Peter M.
    Högskolan Dalarna, Institutionen för kultur och samhälle, Sociologi.
    Broken Homes, Broken Men? Migration, Masculinity, and Parental Absence at the Margins2026Inngår i: Masculinities and Social Change, E-ISSN 2014-3605, Vol. 16, nr 1, s. 1-19Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article examines how childhood parental absence shapes the migration trajectories and masculine identities of working-class men in contemporary India. Drawing on qualitative, psychosocial research with ten migrant men from rural Uttar Pradesh, Bihar, and West Bengal now living in Delhi, the study explores how early experiences of death, abandonment, or prolonged parental separation are retrospectively narrated as formative life events. Using narrative interviews and abductive thematic analysis, informed by relational psychoanalysis and masculinity studies, the analysis demonstrates that parental absence often precipitated premature responsibility and early entry into labour, making migration a response to survival and obligation rather than aspiration. The findings show how early relational rupture reverberates across the life course, structuring patterns of emotional containment, peer bonding, and relational distance in adulthood. Masculinity emerges not primarily through dominance or authority but through endurance, provision, and affective restraint under conditions of structural precarity. By integrating psychosocial theory with migration and masculinity scholarship, the article reframes parental absence as both social rupture and psychic imprint, contributing a biographically grounded account of marginalised masculine formation in South Asia. 

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  • Bourogianni, Konstadina
    Högskolan Dalarna, Institutionen för språk, litteratur och lärande.
    Erasure of the Female Moral Authority: Reproduction and Patriarchal Control in Mary Shelley’s Frankenstein 2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
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  • Åberg, Jenny
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle, Statsvetenskap. School of Social Sciences, Södertörn University.
    Sedelius, Thomas
    Högskolan Dalarna, Institutionen för kultur och samhälle, Statsvetenskap. School of Social Sciences, Södertörn University.
    Parliamentarization without power dispersion: Constitutional reform and dominant-party rule in Armenia and Georgia2026Inngår i: Contemporary Politics, ISSN 1356-9775, E-ISSN 1469-3631, s. 1-18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article examines whether and how transitions from semi-presidentialism to parliamentarism in hybrid regimes may function as strategies of authoritarian adaptation under conditions that constrain overt term-limit evasion. Focusing on Armenia and Georgia, the study combines a comparative contextual analysis of stakes and constraints surrounding executive exit with a qualitative analysis of how constitutional reforms were justified and implemented. The findings show that reforms were framed in democratic and parliamentary terms while simultaneously reducing presidential autonomy and strengthening executive authority anchored in dominant parliamentary parties. However, the trajectories diverged substantially after reform. In Armenia, the Velvet Revolution disrupted incumbent attempts at power preservation and opened space for greater political competition. In Georgia, parliamentarization became intertwined with dominant-party consolidation and increasing informal political control surrounding Georgian Dream and Bidzina Ivanishvili. The study highlights the importance of analyzing formal constitutional change together with informal power structures in hybrid regimes.

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  • Broggi, Roxane
    Högskolan Dalarna, Institutionen för språk, litteratur och lärande.
    Le verlan cinématographique: Une étude du verlan dans les films Intouchables et Banlieusards2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [fr]

    Ce mémoire porte sur l’étude du verlan dans les films Intouchables (2011) et Banlieusards (2019). L’objectif est d’analyser le verlan dans ces films à la lumière de quelques théories sociolinguistiques et pragmatiques. La problématique est la suivante : Qui utilise le verlan dans les films Intouchables et Banlieusards, dans quels contextes et avec quels effets pragmatiques ? Le mémoire s’appuie sur une approche sociolinguistique et pragmatique, ainsi que sur un corpus d’occurrences de verlan relevé dans les dialogues des deux films. Les résultats montrent que le verlan est présent dans des contextes informels, là où les personnages ont une relation de proximité. Les deux films démontrent que le verlan participe à la construction de l’identité sociale, rassemble ceux d’un même environnement social, fonctionne comme un code linguistique et rend les dialogues plus réalistes. Le mémoire met en évidence que le verlan a plusieurs fonctions pragmatiques (par exemples : marqueur identitaire et social, humour) et montre qu’il est plus qu’un simple procédé lexical.

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  • Griffey, Richard T
    et al.
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Adler, Lee M
    Clinical Quality and Safety, AdventHealth, Altamonte Springs, Florida, USA.
    Stockwell, David C
    Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
    Hibbert, Peter D
    Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
    Klein, Dorthe O
    Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+, Maastricht, The Netherlands; Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
    Schwendimann, Rene
    Institute of Nursing Science, University of Basel, Basel, Switzerland.
    Auerbach, Andrew D
    Internal Medicine, University of California, San Francisco, San Francisco, California, USA.
    Ancona, Rachel
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Schneider, Ryan M
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Classen, David
    Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA; PascalMetrics, Washington, DC, USA.
    Carpenter, Christopher R
    Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
    Rutjes, Anne W S
    Departmental Faculty of Medicine, UniCamillus - Saint Camillus International University of Health and Medical Science, Rome, Lazio, Italy.
    Unbeck, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Standard Elements in Studies of Adverse Events and Medical Error (SESAME): explanation and elaboration2026Inngår i: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Studies that evaluate adverse events and medical error often suffer from incomplete and inadequate reporting, which affects the interpretability and reproducibility of their findings. To address this, we developed the 44-item Standard Elements in Studies of Adverse Event or Medical Error (SESAME) checklist using a rigorous process following the recommendations of the Enhancing the QUAlity and Transparency Of health Research Network. The aim of this manuscript is to explain the scope and aim of the checklist by providing a detailed explanation of each item in the SESAME checklist, illustrated by examples from selected studies of adverse events and medical error.

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  • Griffey, Richard T.
    et al.
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Adler, Lee M.
    Clinical Quality and Safety, AdventHealth, Altamonte Springs, Florida, USA.
    Stockwell, David C.
    Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
    Hibbert, Peter D.
    Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
    Klein, Dorthe O.
    Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+, Maastricht, The Netherlands; Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
    Schwendimann, Rene
    Institute of Nursing Science, University of Basel, Basel, Switzerland.
    Auerbach, Andrew D.
    Internal Medicine, University of California, San Francisco, San Francisco, California, USA.
    Ancona, Rachel
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Schneider, Ryan M.
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
    Classen, David
    Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA; PascalMetrics, Washington, DC, USA.
    Carpenter, Christopher R.
    Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
    Rutjes, Anne W. S.
    Departmental Faculty of Medicine, UniCamillus - Saint Camillus International University of Health and Medical Science, Rome, Lazio, Italy.
    Unbeck, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Standard Elements in Studies of Adverse Events and Medical Error (SESAME): explanation and elaboration2026Inngår i: Journal of patient safety, ISSN 1549-8417, E-ISSN 1549-8425Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Studies that evaluate adverse events and medical error often suffer from incomplete and inadequate reporting, which affects the interpretability and reproducibility of their findings. To address this, we developed the 44-item Standard Elements in Studies of Adverse Event or Medical Error (SESAME) checklist using a rigorous process following the recommendations of the Enhancing the QUAlity and Transparency Of health Research Network. The aim of this manuscript is to explain the scope and aim of the checklist by providing a detailed explanation of each item in the SESAME checklist, illustrated by examples from selected studies of adverse events and medical error.

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  • Griffey, Richard T.
    et al.
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA..
    Stockwell, David C.
    Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA..
    Adler, Lee M.
    Clinical Quality and Safety, AdventHealth, Altamonte Springs, Florida, USA..
    Ancona, Rachel
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA..
    Classen, David
    Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA; PascalMetrics, Washington, DC, USA..
    Schneider, Ryan M
    Department of Emergency Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA..
    Rutjes, Anne WS
    Departmental Faculty of Medicine, UniCamillus - Saint Camillus International University of Health and Medical Science, Rome, Lazio, Italy..
    Carpenter, Christopher R.
    Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA..
    Unbeck, Maria
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden..
    Standard Elements in Studies of Adverse Events and Medical Error: the SESAME statement2026Inngår i: Journal of patient safety, ISSN 1549-8417, E-ISSN 1549-8425Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Variability and persistent gaps in reporting have been consistently observed across studies evaluating adverse events in healthcare, dating back to the early days of the patient safety movement. Incomplete descriptions-particularly missing details regarding study design, conduct, methodologies and applied definitions-impede interpretation, hinder critical appraisal and limit reproducibility. These deficiencies not only obstruct a shared understanding of findings but also diminish the overall impact such studies may have on patient safety initiatives and policy development. To address these challenges and enhance the quality of reporting, we developed the SESAME (Standard Elements in Studies of Adverse Events and Medical Error) reporting guideline. SESAME is a 44-item checklist designed to support comprehensive and standardised reporting in studies evaluating potential patient harm. The guideline was developed over a 2-year period by an international, multidisciplinary panel through a consensus-driven process aligned with EQUATOR (Enhancing the QUAlity and Transparency Of Health Research Network) standards.

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  • Tica, Manuela
    Högskolan Dalarna, Institutionen för kultur och samhälle.
    Skiing in a warming world: A content analysis of ski resorts’ climate change communication via websites2026Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    Climate change is increasing uncertainty for winter tourism yet ski resorts must continue to sell reliable and attractive experiences to visitors. This thesis examines how selected ski resorts in Sweden and the European Alps use their official websites to communicate climate change climate related uncertainty and adaptation-related practises. It compares 5 Swedish and 6 Alpine resorts and asks how and to what extent climate change and adaptation are communicated and what similarities and differences are visible in the way the two regional groups frame snow reliability seasonality diversification and environmental responsibility.

    The study uses qualitative content analysis within a comparative case design. Visitor-facing website material was reviewed systematically across homepages, skiing and snow-condition pages, snow-guarantee or snowmaking information where available, sustainability pages, and summer or year-round tourism pages. A hybrid coding frame combined literature-informed categories with subcategories that emerged from the website material. The analysis distinguishes between explicit references to climate change and indirect communication of practices that may function as adaptation-related messages.

    The findings show that explicit climate change communication is limited. Instead, the sampled websites most often communicate climate-related resilience indirectly through snow reports and webcams, guarantees and snowmaking, extended seasons and glacier access, diversification into year-round activities, and selected sustainability measures. Alpine cases more often use altitude, glacier terrain, and season continuity as destination assets, whereas Swedish cases more often emphasise operational snow management and visitor assurance; however, these patterns overlap and do not map neatly onto fixed resort-development models. The study therefore argues that ski-resort websites can be understood as strategic communication spaces in which climate-related uncertainty is translated into reassurance, continuity, and destination appeal. 

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  • Hansdotter, Anna
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Krysén, Svea
    Högskolan Dalarna, Institutionen för hälsa och välfärd.
    Familjebehandlarens uppfattningar av att stödja familjer där det förekommer könsdysfori2026Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    I den kvalitativa undersökningen syftar författarna på att ta reda på familjebehandlarens uppfattningar av att stödja familjer där det förekommer könsdysfori hos något barn. För att ta reda på syftet, användes en explorativ ansats och sex familjebehandlare intervjuades. Resultatet analyserades genom en tematisk analys. Resultatet visade att det fanns variationer bland deltagarna i hur stödet uppfattades. Bland annat uppfattades kunskap, förutsättningar och utmaningar olika samtidigt som det fanns vissa likheter.  

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  • Varea, V.
    et al.
    Edith Cowan Univ, Sch Educ, 270 Joondalup Dr, Joondalup, WA, Australia..
    Backman, Erik
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Idrotts- och hälsovetenskap. Department of Movement Culture andSociety, The Swedish School of Sport and Health Sciences (GIH), Stockholm.
    Re-thinking bodies in cross-border physical education teacher education policies: a posthuman perspective2026Inngår i: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    While posthumanist studies have increased in Physical Education Teacher Education (PETE), traditional analytical approaches are still often employed for the analysis of policy documents, which limits the ways that we can understand policy work. The aim of this paper is to explore how bodies are conceptualised and assembled in PETE policies in one institution from Sweden and one from Australia using a posthumanist perspective. We understand these policies as material doings and enactments of the world that can allow us to think differently about PETE. By using the concepts of assemblage and plugging in, three result categories are presented: (1) Moving (human) bodies, (2) Teaching (human) bodies and (3) (The lack of) Non-human bodies. We then discuss these results in relation to our own historicities and previous research, and we advocate for new ways of analysing policy work in PETE.

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  • Valencia Gonzalez, Santiago
    et al.
    Högskolan Dalarna, Institutionen för information och teknik, Energisystem i byggd miljö. Högskolan Dalarna, Institutionen för information och teknik, Energiteknik.
    Munkhammar, Joakim
    Uppsala Univ, Dept Civil & Ind Engn, Div Civil Engn & Built Environm, S-75104 Uppsala, Sweden..
    Theocharis, Andreas
    Karlstad Univ, Engn & Phys Dept, S-65635 Karlstad, Sweden..
    Zhang, Xingxing
    Högskolan Dalarna, Institutionen för information och teknik, Energiteknik.
    Analysis of multi-objective optimization models for sizing solar photovoltaic systems under a low-carbon grid scenario2026Inngår i: Discover Sustainability, E-ISSN 2662-9984, Vol. 7, nr 1, artikkel-id 1474Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The optimization of solar photovoltaic (PV) systems has been proposed to reduce greenhouse gas emissions in building energy use. However, despite the environmental concerns shown, most of the studies optimize technical and/or economic objectives. Recent studies show that optimizing costs rather than carbon can worsen life cycle emissions, driven by battery operation. Whether this conflict remains in storage-free PV systems in buildings remains unexplored. Therefore, this study aims to quantify the life cycle global warming potential (GWP) effects of selecting different optimization objectives in a PV capacity optimization model. To achieve this, three multi-objective optimization models of a PV system are compared, using the Non-dominated Sorting Genetic Algorithm-II (NSGA-II): (1) maximizing self-sufficiency and self-consumption, (2) maximizing the internal rate of return and net present value (NPV), and (3) minimizing global warming potential and maximizing NPV. The results show that the solutions provided by models with only technical or economic objectives do not always lead to a reduction in GWP. Furthermore, optimizing technical or economic objectives can increase GWP by up to 10.3% or reduce it by up to 5.3%, depending on the embodied impact of the PV system. These results are obtained under Swedish conditions, where the electricity supplied by the grid has a low carbon intensity. Nevertheless, this study shows that optimizing PV generation capacity for technical or economic objectives does not necessarily reduce life-cycle GWP.

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  • Akerman, Sarah
    et al.
    Abo Akad Univ, Turku, Finland..
    Nilsson, Maria
    Swedish Family Care Competence Ctr, Kalmar, Sweden.;Linnaeus Univ, Vaxjo, Sweden..
    Samuelsson, Maria
    Malmo Univ, Malmo, Sweden..
    Falk Johansson, Marcus
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Socialt arbete.
    von Saenger, Isabelle
    Karolinska Inst, Ageing Res Ctr, NVS, Stockholm, Sweden.;Stockholm Univ, Stockholm, Sweden..
    A proposed paradigm shift: recognising informal care research as an interdisciplinary field in its own right2026Inngår i: International Journal of Care and Caring, ISSN 2397-8821, E-ISSN 2397-883XArtikkel i tidsskrift (Fagfellevurdert)
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  • Visuri, Ingela
    et al.
    Högskolan Dalarna, Institutionen för kultur och samhälle, Religionsvetenskap.
    Svensson, J.
    Synthetic Dialogue Partners in Swedish Religious Education: Mediated Contact Through the Chatbot IRIS2026Inngår i: Religion & Education, ISSN 1550-7394, E-ISSN 1949-8381Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article presents a proof-of-concept study on the use of generative AI–based chatbots as synthetic dialogue partners in non-confessional religious education (RE) in Swedish public schools. Addressing the challenge of representing religious diversity without reinforcing stereotypes, the study introduces IRIS (Interactive Religious Identity Simulator), a customizable chatbot designed to simulate diverse religious and non-religious personas. Drawing on theories of cognitive learning and mediated intergroup contact, the article outlines the theoretical foundations, technical construction, and exploratory test cases of IRIS. The findings suggest that AI-mediated dialogue has potential to engage pupils in experimental learning that guides them beyond religious stereotypes. © 2026 The Author(s). Published with license by Taylor & Francis Group, LLC.

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  • Bahner, J.
    et al.
    Gustavsson, Catharina
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Center for Clinical Research Dalarna, Uppsala University, Falun; Department of Public Health and Caring Sciences, Uppsala University, BMC, Uppsala.
    Melander, S.
    Johansson, S.
    Krantz, O.
    Gummesson, K.
    Advancing inclusive survey design: lessons learned from a study of the Swedish disability rights movement2026Inngår i: Innovation. The European Journal of Social Science Research, ISSN 1351-1610, E-ISSN 1469-8412Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article discusses the methodological challenges and lessons learned from an online survey conducted among Swedish disability organisations during 2022–2023. Our analysis aims to inform future studies within civil society and beyond. A total of 78 disability organisations, encompassing 2,652 branches at national, regional and local levels were identified. A 122-item survey was then distributed via email. To achieve a 32% response rate, we employed several strategies, including offering accessibility options, directly contacting organisations and promoting the survey within the disability community. The low rate of internal missing responses (2–3%) and the high number of open text responses (n = 6,347) suggest that the survey was accessible, comprehensible and relevant to the respondents. Reflecting on survey design, sampling, recruitment, response burden and multimodal participation, we argue that accessibility should be understood as a methodological principle that shapes inclusion throughout the research process. The findings support a staged approach to accessible survey design encompassing instrument development, pilot testing, recruitment and data collection, offering practical guidance for future research. While accessibility is particularly crucial when surveying disability organisations, it is essential in all survey studies to ensure validity, reliability and generalizability, as individuals with disabilities can be present in any sample. © 2026 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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  • Summermatter, David
    et al.
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Vårdvetenskap. Högskolan Dalarna, Institutionen för hälsa och välfärd, Omvårdnad. Department of Prehospital Care, Region Dalarna, Falun, Sweden..
    Melin, Jeanette
    Department of Leadership, Demand and Control, Swedish Defense University, Karlstad, Sweden; Faculty of Health and Life Science, Linnaeus University, Kalmar, Sweden..
    Blomberg, Hans
    Department of Surgical Sciences/Anesthesiology and Intensive Care Medicine, University of Uppsala, Uppsala, Sweden..
    Äng, Björn
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Center for Clinical Research Dalarna, Region Dalarna, Uppsala University, Falun, Sweden..
    Strömsöe, Anneli
    Högskolan Dalarna, Institutionen för hälsa och välfärd, Medicinsk vetenskap. Department of Prehospital Care, Region Dalarna, Falun, Sweden; Anesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; Department of Anesthesia, Operating Departments and Intensive Care, Uppsala University Hospital, Uppsala, Sweden..
    Unified Theory of Acceptance and Use of Technology Questionnaire in Swedish Prehospital Care: Translation, Cross-Cultural Adaptation, and Pilot Psychometric Study2026Inngår i: JMIR Formative Research, E-ISSN 2561-326X, Vol. 10, artikkel-id e96083Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Digital technologies in emergency medical services (EMS) have become crucial for patient outcomes and survival, and the integration of novel technologies drives rapid transformation within EMS. Understanding the acceptance and use of digital technology among EMS health care providers is paramount for implementation and effective use of novel digital tools. Currently, instruments assessing acceptance of technology are lacking within the Swedish EMS context.

    Objective: The aim of this study was to translate and culturally adapt the unified theory of acceptance and use of technology (UTAUT) questionnaire into Swedish for use in prehospital health care and to evaluate its psychometric properties.

    Methods: A methodological study was conducted using sequential qualitative and quantitative components, following the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines for translation and cultural adaptation, and the Rasch Reporting Guideline for Rehabilitation Research (RULER) framework to guide the reporting of Rasch analysis. The translation process included forward and backward translation and harmonization, followed by a first round of cognitive interviews with ambulance nurses (n=6). A revised version was tested in the second round with the same participants. The adapted questionnaire was pilot tested among EMS personnel (n=91). Psychometric properties, including unidimensionality, response category functioning, targeting, reliability, and differential item functioning (DIF), were evaluated using Rasch analysis.

    Results: The cognitive interviews identified linguistic and contextual ambiguities requiring item revisions for several UTAUT constructs related to performance expectancy, social influence, and behavioral intention (BI). Rasch analysis revealed disordered response categories for several items, requiring collapsing of categories before analysis. After adjustment, overall item fit was acceptable, with minor misfit in a small number of items (facilitating conditions 1 infit mean square fit statistics [MSQ]=0.68; BI2 infit MSQ=0.57). Unidimensionality was supported for each UTAUT construct (Eigenvalues 1.59-1.80), although reliability (person separation index range 0.55-0.75) and targeting (person mean location 0.29-0.74 logits) differed, with limited item coverage and measurement precision for the construct BI (1.24 logits). No substantial DIF for sex was identified.

    Conclusions: The translated and adapted Swedish UTAUT questionnaire achieved linguistic and contextual relevance among Swedish EMS personnel, although acceptable psychometric properties were not observed across all constructs, particularly the construct of BI. This indicates that translation and adaptation alone are not sufficient, and further refinement of the questionnaire with larger samples is warranted before routine and broader application can be recommended in Swedish prehospital care.

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  • Ihoume, Ilham
    et al.
    Högskolan Dalarna, Institutionen för information och teknik, Energiteknik.
    Al-hammadi, M.
    Selim, A.
    Daoudi, M.
    Augusto, André
    Högskolan Dalarna, Institutionen för information och teknik, Energiteknik.
    Application of machine learning in life cycle assessment of photovoltaic systems: a systematic review2026Inngår i: Energy and AI, E-ISSN 2666-5468, Vol. 26, artikkel-id 100885Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Assessing the environmental impact of photovoltaic (PV) systems requires life cycle assessment (LCA). However, conventional LCA is constrained by data scarcity, uncertainty, and high computational demands. Although machine learning (ML) is increasingly applied to PV LCA, its effectiveness remains unclear. This study systematically evaluates the role of ML in enhancing PV LCA by identifying current applications, methodological trends, limitations, and research gaps. A systematic literature review was conducted following the PRISMA guidelines, resulting in the analysis of 32 studies that integrate ML with LCA frameworks for PV systems. The results show that ML applications primarily focus on carbon emissions, which account for 72% of the reviewed studies, while other important environmental impacts, such as water use, toxicity, and land use, remain largely underrepresented. Artificial neural networks dominate the methodological landscape (15 studies), whereas deep learning appears in only seven studies and is primarily used for time series forecasting and image based geospatial analysis. Most models rely on simulation-generated data (13 studies), whereas only eight studies use real world datasets. The review demonstrates that ML has the potential to enhance PV LCA by improving predictive capabilities, reducing computation time, and supporting better decision making. However, challenges related to data quality, model generalizability, and the limited integration of comprehensive LCA indicators persist. Addressing these challenges is essential for advancing the application of ML in PV LCA. © 2026 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license. http://creativecommons.org/licenses/by/4.0/

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