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  • Public defence: 2020-02-21 10:00 O103, Halmstad
    Cederholm Björklund, Jennie
    Halmstad University, School of Business, Engineering and Science, Centre for Innovation, Entrepreneurship and Learning Research (CIEL). Hushållningssällskapet Halland, Halmstad, Sverige.
    Value creation for sustainable rural development – perspectives of entrepreneurship in agriculture2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Entrepreneurship and innovation are regarded as key factors in the development of society - not least in the development of sustainable rural areas, where they are emphasised by both authorities and research. This thesis is situated in this field of inquiry and studies entrepreneurship in agriculture. It explores how we can further develop both agriculture and sustainable rural areas. Farmers have traditionally played a significant role in rural areas and rural development, and still do. However in pace with societal development and the reduced number of farms and farm production, their role has changed. Today, they are considered as raw material producers, being the first link in a food chain, and active in landscape conservation in the countryside. However, agriculture plays a significant role in rural development and in Sweden, authorities strive for development of sustainable rural areas by encouraging economic growth and innovation within and between companies (business models, value chains etc.). They work with economic growth strategies, but both their management and results are criticised (OECD, 2019).This thesis states that greater contextualized knowledge is required to facilitate sustainable rural and agricultural development. Against this background, the purpose of this thesis is to explore entrepreneurship in agriculture from different perspectives, to find mechanisms affecting value creation for sustainable rural development.

    To meet the research purpose, Swedish agricultural entrepreneurship was studied from different perspectives and data was collected with different methods enabling significant triangulation of data. Studies of challenges in entrepreneurship and sustainable rural development were conducted from individual farmer and business perspectives as well as from the individual and organisational levels of actors within the support system, actors such as advisors, authorities, policy makers and officials. Thus, it was possible to explore perspectives on entrepreneurship in agriculture and identify mechanisms and structures affecting value creation for sustainable rural development. Mechanisms can be explained as underlying, invisible and sometimes unconscious and non-rational factors, feelings, norms, values or attitudes that affect behaviour in various ways.

    The key theories and literature covered included the concept of entrepreneurship with the intertwined sub-concepts of innovation and management at individual, business, organisational and societal levels.The thesis probed under the surface of rural development, exploring agricultural development at business level by using the concepts of Sustainable Entrepreneurship, Business Model Innovation and Barriers to Sustainable Business Model Innovation when exploring the challenges farmers face. The concepts of Self-leadership, Emotional Intelligence and Entrepreneurial Orientation helped to explore how challenges are approached, by for example understanding mechanisms concerned with feelings and mind-set. Further, the thesis also studied how entrepreneurship was encouraged and supported by the agricultural support system, and, with help from the Complexity Leadership Theory, established the urgent need of adaption to environmental changes and the creation of innovation within the system. The concepts of Agricultural and Rural Entrepreneurship and Embeddedness helped in understanding and shed light on the importance of considering the mutual influence and interplay between farmers, actors within the support system, embeddedness in context and rural entrepreneurship.

    This thesis makes several contributions. It extends knowledge about entrepreneurship in agriculture by highlighting the importance of understanding embeddedness and the concept of agricultural sustainability, and by this providing evidence of the importance of including agriculture in entrepreneurship research. Consequently, this thesis has another viewpoint than previous research which states that farmers are not entrepreneurial and has overlooked agriculture in entrepreneurship research.

    Firstly, it shows that farmers, to a very considerable degree, contribute to sustainable rural development and also play the role of enabler for rural entrepreneurship. Second, by exploring the support system, and thereby providing insights into the challenges within the system, in the organisations and betweenthe organisations, this thesis shows transparency and improved understanding of challenges in for example communication, trust, management and culture. Further, a model contributes suggestions for how to improve the system and create innovation to enable encouragement of entrepreneurship in agriculture. Third, this thesis contributes to business model research by illustrating the importance of including and reflecting on embeddedness in context and the understanding of agricultural sustainabilityin business model innovation. Hence, this thesis extends previous business model research which mainly considered agriculture as the first step in a food production chain, exposed to the same challenges as other non-agricultural companies further up the value chain. By providing insights about challenges to farmers’ entrepreneurship, and how these challenges can be approached as well as how entrepreneurship can be encouraged and supported in agriculture, this thesis can contribute to policies and strategies shifting focus from primarily trying to transform farmers into traditional entrepreneurs to taking advantage of the enabling role played by farmers. This thesis contributes to show the diversity in entrepreneurship, by providing understanding of entrepreneurship in agriculture, where value creation extends far beyond individual companies and competitive advantages, and hence impacts sustainable rural development.

  • Public defence: 2020-03-06 10:00 Baertling, Hus J, Halmstad
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Barns delaktighet i pediatrisk vård – perspektiv, erfarenheter och möjligheter till förändring utifrån barn med långvarig sjukdom2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: In the past decade, patient participation has received increasing attention in research, care guidelines, laws and clinical care. Promotion of children´s rights to participate in things that involve them can be expected to intensify as the Children's Convention becomes law in Sweden. Despite this, many children do not feel involved. Often healthcare professionals and parents communicate above the heads of the children who therefore do not understand what the adults are talking about. Children may also find it difficult to express themselves verbally in such care situations. There is a lack of studies examining factors that promote children's participation in care from the perspectives of children with long-term diseases. There is also a lack of user-friendly validated tools and instruments in Swedish that enable children to express themselves and interact with healthcare professionals independently. Such tools and instruments are needed to translate practical involvement in the care situation and to enable the follow-up of children's experience of their participation in care. 

    Aim: The overall aim of this dissertation was to explore the perspectives of children with long-term diseases regarding the participation in their own care, and to develop tools and instruments that support pediatric activities in the implementation of children's participation.

    Methods: In study I, a constructivist grounded theory was used to explore children's perspectives, experiences and preferences for participation in healthcare situations among children with rheumatic diseases to promote their participation in pediatric healthcare. The data collection was conducted through interviews and focus groups with children diagnosed with rheumatic diseases. In study II, a convergent parallel mixed method was used to investigate whether the digital communication tool Sisom affected the participation of children diagnosed with cancer during appointments with pediatricians. In study III, a participatory design was used to develop and evaluate the digital communication tool Sisom in a Swedish context. The method used was iterative evaluation by low- and high-fidelity with healthy children and children with cancer. In study IV, an instrument development design was used to develop, validate and psychometrically test a questionnaire on children's participation in care. In the study, healthy children and children with various long-term diseases participated in the development work.

    Results: In study I promoting factors for children's participation emerged through the core category Releasing fear and uncertainty opens up for confidence and participation with Surrounded by a sense of security and comfort and Be strengthened and supported to be involved as codes. The qualitative result in study II showed that children's participation increased with the use of the digital communication tool Sisom. The quantitative results showed that the physicians spoke directly to the children more often and the amount time the children spoke increased slightly. In study III, Sisom was developed together with children into a user-friendly digital tool for Swedish conditions. The tool was developed from mainly problem-focused questions into preferentially salutogenic asked questions. The questionnaire (ChiPaC) in study was developed into a new questionnaire where children can express their own perception of participation. Statistical calculations resulted in a factor analysis with a four-factor solution, which included 12 questions that explained 59.47% of the variance. The four factors were named: To be included, To trust professionals, To take control and To understand information. Intra Class Correlation showed strong and moderate agreement between six of the questions, weak agreement between five questions and insufficient agreement in one question. Chronbach's alpha was calculated to be 0.76 for the entire instrument.

    Conclusion: Factors that promote the participation of children with long-term diseases in their own care are secure and trustful relationships and environments, as well as receiving support to be able to participate. The digital communication tool Sisom enables children 6-12 years of age with long-term diseases to independently express their views on how they feel and their experiences about their situation. Sisom also promotes children's participation because they are being listened to, permitted to express their views and opinions, and their views are taken into account in discussions with health care professionals. The ChiPaC questionnaire showed satisfactory psychometric properties to be used in evaluating children's participation in care. Sisom and ChiPaC were developed from a child´s perspective with children with long-term diseases and healthy children as co-actors. Thereby this dissertation also contributes knowledge about how children with long-term diseases can be involved as co-actors in research.