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Use and perception of risk: traditional medicines of pakistani immigrants in Norway
Get PDFBackground: Pakistani immigrants are the largest non-Western ethnic minority group in Norway. Traditional medicines (TM) are extensively used in Pakistan, and studies show that ethnic minorities also use them to recover from illness after migration to the Western world. This study aims to explore Pakistani immigrants’ experiences and perceptions of risk regarding the use of TM to treat illnesses.
Methods: A qualitative study was conducted through in-depth interviews (n=24) with Pakistani immigrants in Norway from February to March 2023. Participants were recruited through purposive and snowball sampling methods. The data was analyzed using Braun & Clarke’s reflexive thematic analysis (RTA) using Nvivo.
Results: RTA revealed three main themes and six sub-themes. The main themes were: (a) House of knowledge, (b) Choosing the best possible approach for health restoration, and (c) Adverse effects of TM used. A total of 96 different TM were identified, including herbs, food items, animal products, minerals, herbal products, and ritual remedies. All participants used TM to restore health in acute and chronic diseases, and many used TM along with conventional medicines. The participants’ mothers were the primary source of knowledge about TM, and they passed it on to the next generation. They also frequently used religious knowledge to recover from illness. Although TM is considered safe because of its natural origin, some participants experienced adverse effects of TM, but none of them reported it to the health authorities.
Conclusion: The study helps to understand the experiences and perceptions of risk of Pakistani immigrants in Norway regarding traditional practices for treating health complaints. Public health policies to improve the health of these immigrants should consider the importance of TM in their lives. Further research is necessary to explore the safety and toxicity of those TM that are common in Pakistani households in Norway.publishedVersio
Det tidsriktige barnevern. En kvalitativ studie av barnevernlederes erfaringer med forandringsfabrikken
Get PDFDenne studien handler om beslutningsprosesser og tjenesteutvikling i barneverntjenesten. Studien undersøker barnevernlederes erfaringer med den ideelle stiftelsen forandringsfabrikken, og om dette samarbeidet førte til tjenesteutvikling. Dette er undersøkt ved hjelp av følgende forskningsspørsmål: Hvilke forhold bidrar til å velge eller ekskludere samarbeid med ulike aktører og hvordan utartet dette seg ved samarbeidsinngåelse med forandringsfabrikken? Hvilke aspekter i et slikt samarbeid påvirker eventuelle beslutningsprosesser? På hvilken måte blir kunnskapen/informasjonen som genereres av/fra/i et slikt samarbeid benyttet til å endre/utvikle praksis?
Studien har en kvalitativ tilnærming, og er analysert ved hjelp av tematisk analyse. Den teoretiske forankringen baserer seg på beslutningsprosesser i barnevernet, teori om tjenesteutvikling og organisasjonsmoteteori. Resultatet av oppgaven er sentrert rundt tre funn. Det første funnet dreier seg om samarbeid mellom forandringsfabrikken og barneverntjenestene, og hva som gjorde at de ble valgt til samarbeidsaktør. Funn nummer to handler om beslutningsprosesser i forbindelse med samarbeidsinngåelsen mellom barneverntjenester og forandringsfabrikken. Det tredje funnet er sentrert rundt tjenesteutvikling som resultat av samarbeid mellom barneverntjenester og forandringsfabrikken. Resultatene viser barnevernledere som innledet et samarbeid med forandringsfabrikken på grunn av blant annet opplevd press, og frykt for å havne bakpå faglig. Resultatene viser også at barnevern tidvis opplever ulike aktører som får og gis stor plass i barnevernet. Når dette er aktuelt blir situasjonen i barnevernet beskrevet som å være utsatt for bølger og vekkelse. Resultatene tyder også på at ordinære beslutningsprosesser ikke ble benyttet i forbindelse med samarbeidsinngåelse med forandringsfabrikken. Studien tyder videre på at det på tross av krevende samarbeidsforhold mellom forandringsfabrikken og barnverntjenestene ble utviklet bedre tjenestelevering. Som et resultat av samarbeid mellom forandringsfabrikken og barneverntjenestene er fokuset på barn stemme, og barns medvirkning løftet i de barneverntjenestene som deltok i denne studien
Vulnerability in inclusive research: Exploring co- and professional researchers’ experiences in a community-based participatory project on the disability family
Get PDFIn the transition to a less protectionist research ethics paradigm—in which vulnerable groups are no longer excluded from participating in research—academic researchers need to think differently about vulnerability. By means of a collective autoethnographic investigation of professional and co-researcher’s experiences in a community-based participatory research (CBPR) project, this article explores how vulnerability is experienced and perceived in the work process and how to respond to vulnerability. It finds that vulnerability manifests in two main ways—that of feeling “emotional hurt” and “epistemic self-doubt”—and that it comes from two main layers: the lived life and from working within CBPR. The main argument in the article is that vulnerability is inevitable in qualitative research like CBPR, when involving persons in vulnerable life situations. We propose four key recommendations for future research: (a) accept vulnerability as an inevitable part of CBPR, (b) balance protection with participant autonomy in situ and together as a team, (c) use a processual approach because ethical risks in the research context might alter over time, and (d) accept that placing co-researchers at the center of interpretative authority can increase professional researcher’s vulnerability. The article expands existing understandings of ethical issues and risk in inclusive research through a combined and innovative focus on both professional and co-researcher’s lived experiences.publishedVersio
I want to be a mom who is clean, who loves herself, and feels ok with herself-pregnant women’s thoughts about motherhood and their unborn child when in treatment for substance use problems
Get PDFThere exists a vast amount of research and literature on pregnant women struggling with substance use problems and the challenges they can face in providing adequate and sensitive parenting. The aim of the present study was to explore the thoughts about motherhood and their unborn child of pregnant women in voluntary or involuntary substance use treatment, and to gain insight into their childhood attachment experiences. A total of 16 women in involuntary or voluntary treatment were interviewed about their thoughts about motherhood, their unborn child, and the treatment they were receiving. A phenomenological/hermeneutic analytical approach was used. Four categories emerged from the analysis: Influences of childhood experience, on becoming a mother, relating to the unborn child, and the meaning of treatment. The findings and their implications for treatment planning and support are discussed as a contribution to discussions of issues around compulsory treatment for pregnant woman with an SUD.publishedVersio
Occupational therapy students` experiences and perceptions of journal club participation
Get PDFBackground: Journal clubs can be used as a learning activity for developing students’ skills in critical appraisal and are perceived as suitable for increasing students’ exposure to research methods.
Aims/objectives: To explore how undergraduate occupational therapy students experienced journal club and how they perceived their learning outcomes from participating in this learning activity.
Materials and methods: A mixed methods study comprised of a survey followed by two focus groups was conducted. Seventeen occupational therapy students completed the survey, four of whom also participated in a total of two focus groups.
Results: The participants perceived journal clubs as suitable and they suggested that emphasis on this learning activity be increased. Across the two focus groups, four integrated themes were identified: ‘organisational prerequisites’; ‘potential for learning’; ‘learning barriers’; and ‘journal club as an integrated learning activity’.
Conclusions and significance: Journal clubs were described as having the potential for increasing students’ learning regarding research methods, promoting skills in reading and critically reviewing research articles and having relevance for professional practice. Some barriers were identified, and changes are suggested for future educational practice.publishedVersio
Etisk refleksjon på deltid sykepleie med 360 video
Get PDFNasjonal konferanse om VR for opplæring innen helse- og sosialfag 2024: Virtual Reality (VR) – med fremtidens briller på?, Stavanger, VID vitenskapelige høgskole campus Stavanger, 31. januar 2024. Arrangør: Solstien 3 - VID vitenskapelige høgskoleGjennom å utvikle to 360 videoer om tema «Etikk og etisk refleksjon» vil vi gi førsteårsstudentene erfaring med å stå i etisk utfordrende situasjoner som de kan kjenne igjen når de kommer ut i praksis. Foreløpig har innspillingen foregått som et samhandlingsprosjekt mellom høgskolen og Carpe Diem demenslandsby i Bærum. Etter hvert vil også et sykehjem på Helgeland inkluderes. I prosjektet brukes sykehjemmets rom og ansatte i sine vanlige roller for å gjøre 360 videoene autentiske, praksisnære og for å bygge bro til praksis.publishedVersio
Key dimensions of women and their partners' experiences of childbirth: A systematic review of reviews of qualitative studies
Get PDFBackground: The World Health Organization 2018 intrapartum guideline for a positive birth experience emphasized the importance of maternal emotional and psychological well-being during pregnancy and the need for safe childbirth. Today, in many countries birth is safe, yet many women report negative and traumatic birth experiences, with adverse effects on their and their families’ well-being. Many reviews have attempted to understand the complexity of women’s and their partners’ birth experience; however, it remains unclear what the key dimensions of the birth experience are.
Objective: To synthesize the information from reviews of qualitative studies on the experience of childbirth in order to identify key dimensions of women’s and their partners’ childbirth experience.
Methods: Systematic database searches yielded 40 reviews, focusing either on general samples or on specific modes of birth or populations, altogether covering primary studies from over 35,000 women (and >1000 partners) in 81 countries. We appraised the reviews’ quality, extracted data and analysed it using thematic analysis.
Findings: Four key dimensions of women’s and partners’ birth experience (covering ten subthemes), were identified: 1) Perceptions, including attitudes and beliefs; 2) Physical aspects, including birth environment and pain; 3) Emotional challenges; and 4) Relationships, with birth companions and interactions with healthcare professionals. In contrast with the comprehensive picture that arises from our synthesis, most reviews attended to only one or two of these dimensions.
Conclusions: The identified key dimensions bring to light the complexity and multidimensionality of the birth experience. Within each dimension, pathways leading towards negative and traumatic birth experiences as well as pathways leading to positive experiences become tangible. Identifying key dimensions of the birth experience may help inform education and research in the field of birth experiences and gives guidance to practitioners and policy makers on how to promote positive birth experiences for women and their partners.publishedVersio
Psychometric properties of the REMAP resilience scale in a Norwegian sample of ME/CFS patients and healthy controls.
Get PDFBeing able to increase and know how to strengthen resilience may be relevant for patients living with long-term symptoms such as chronic fatigue syndromes. The current study aimed to examine the psychometric properties of a Norwegian-translated version of the REMAP resilience measure in a sample of patients with myalgic encephalomyelitis/chronic fatigue syndrome and healthy controls. Factor analyses indicated poor fit for both the one- and five-factor solutions of the translated REMAP measure with best fit for a correlated five-factor model. Validity proved to be good, while reliability was poor for two of the subscales. Differences were revealed between gender, age groups, and between patients and healthy controls. The construct validity indicates that REMAP assesses adequate aspects of resilience. REMAP might be valuable to use to show that resilience resources could be developed in various life domains and aid in coping with chronic illness. However, REMAP should be further tested in other samples and cultures.publishedVersio
Globalisation from below: The role of women in Malawi
Get PDFThis paper examines the role of women in globalisation from below in Malawi. Globalisation from below has facilitated transnational trade activities thereby enabling women in Malawi to trade goods from China. With advancements in technology and transportation, the women contact suppliers, make orders, and receive their goods without having to physically go to China. This study focuses on perspectives of women traders in Malawi selling goods from China. Using interviews and observations to collect data and globalisation from below as the theoretical framework for analysis, their experiences are discussed and their contribution to Malawi’s social and economic development is assessed
Kreftforebyggende arbeid i et flerkulturelt samfunn. Hvordan kan sykepleier ved hjelp av økning av innvandrernes helsekompetanse få dem til å delta i screeningsprogrammene for å forebygge kreft?
Get PDFBakgrunn: Det er mulig å redusere antall krefttilfeller med hele 40% ifølge Europe’s Beating Cancer Plan. Innvandrernes deltakelse i kreftskreeningsprogrammer er lav.
Problemstilling: Hvordan kan sykepleier ved hjelp av økning av innvandrernes helsekompetanse få dem til å delta i screeningsprogrammene for å forebygge kreft?
Hensikt: Hensikten er å belyse hvordan sykepleier ved hjelp av økning av befolknings helsekompetanse kan få flere innvandrere til å delta i kreftscreeningprogrammer.
Metode: Metode er en litteraturstudie som er basert på kunnskap fra eksisterende forskninger og litteratur. Litteratursøket ble gjennomført i databasene: «Oria», «Cinahl», «PubMed», «Google Scholar», «Medline» og «Idunn».
Resultat: Misoppfatninger, myter og fatalistiske holdninger er mer utbredt blant innvandrere med lavere helsekompetanse. Det er behov for bruk av en oppmuntrende og proaktiv kommunikasjon med fokuset på de positive handlingsalternativene.
Konklusjon: Leiningers transkulturelle teori om sykepleie, ethonursing-metode, Magelssens teori om kultursensitivitet samt narrative metoder kan bli brukt av sykepleiere for å øke innvandrernes helsekompetanse