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Omsorgstretthet hos sykepleiere og andre hjelpere innen rusomsorgen.
Get PDFDenne fordypningsoppgaven handler om sammenhengen mellom hvilke faktorer som hjelpere innen rusomsorgen opplever er avgjørende for deres opplevelse av omsorgstretthet. På bakgrunn av dette ble problemstillingen i oppgaven slik; «Hva sier forskningslitteraturen om hvilke faktorer som kan forebygge omsorgstretthet hos sykepleiere og andre hjelpere som arbeider med personer med rusmiddelavhengighet?»
Det ble utført en litteraturstudie med systematisk søk i en database, og fire forskningsartikler ble inkludert. Teorigrunnlaget i oppgaven handler om hvilke belastninger helsepersonell kan oppleve å kjenne på kroppen når de arbeider med rusmiddelavhengige. Det blir gjort rede for begreper som avhengighet, utbrenthet, omsorgstretthet, sekundærtraumatisk stress, vikarierende traume, omsorgstilfredshet og en kort redegjørelse om ProQOL skalaen.
Resultatet i sammenfatningen er basert på tematisk analyse, og viste at det var flere faktorer som spilte inn i forhold til opplevelsen av omsorgstretthet. Faktorer som fikk fokus i denne oppgaven var ledelsesfaktorer, kunnskapsfaktorer, emosjonelle faktorer og forventningsfaktorer
Recovery i psykisk helse og rusvern. En litteraturstudie om recoveryorientert arbeid innen psykisk helse og rusvern
Get PDFProblemstilling: Hva sier forskning om hvordan ansatte og tjenestemottakere erfarer Recoveryorientert arbeid knyttet til personer med ROP-lidelse?
Hensikt: Recoveryorientert arbeid
Metode: Litteraturstudie. Studien beskriver funn fra fire ulike vitenskapelige artikler publisert mellom 2015-2023 som omhandler erfaringer knyttet til recoveryorientert arbeid.
Resultat: Resultatene viser at erfaringer med et recoveryorientert arbeid i stor grad handler om muligheter, tilgjengelighet, relasjon og samarbeid. Betydningen av brukermedvirkning, selvbestemmelse, identitet, mestring, motivasjon og rus er alle viktige erfaringer innen det recoveryorienterte arbeidet. Disse erfaringene kommer til syne på ulikt vis, men er ikke uten vanskeligheter og utfordringer. Holdninger og fordommer er fortsatt fremtredende i arbeidet med ROP-lidelse, noe som setter preg på utfordringene og spørsmålene knyttet til om recovery burde være anbefalt i arbeidet denne brukergruppen
Circumcision as a Covenant and Purification Rite : Reading Joshua 5:2-9 through Antemoro Perspectives of Fora-Zaza and Fatrange
Get PDFMaster's thesis in Theology. VID Specialized University, Stavanger. May 2024This thesis presents a dialogue between the biblical text of the Old Testament and Malagasy culture by interrelating Antemor’s perspective on fora-Zaza and fatrange to the traditional cir-cumcision of Israel, focusing on the analysis of the ritual importance within both Israel and Antemoro backgrounds. Firstly, the study explores the meaning and role of circumcision within the Antemoro tribe. It highlights circumcision as an imperative ritual intertwined with their ethnic identity. Within the Antemoro tribe, circumcision serves as a pivotal rite of passage, symbolically initiating the child into familial membership in the fatrange. It is a clan system that plays a crucial role as a system of governance, local worldview, and socio-political dynam-ics of the tribe. The uncircumcised are deemed ritually unclean and are rejected from having a right to an inheritance. This is to emphasize the necessity of circumcision for purity and ances-tral blessings.
Next, the research examines circumcision among the Israelites as a sign of the covenant which solidifies their commitment to God’s covenant with Abraham. Joshua’s circumcision signifies a renewal of this covenant, ensuring the Israelites’ entitlement to the promised land. Additionally, circumcision becomes a prerequisite for marriage within the Israelite community, further underscoring its essence in their cultural and religious practices. The thesis culminates in a comparative dialogue between the Antemoro cultural perspectives, particularly regarding fora-zaza, fatrange and the circumcision ritual within the ancient Israelite customs. This juxta-position offers valuable insights into the similarities between these two distinct cultural con-texts, enriching our understanding of the meaning of circumcision within diverse cultural frameworks.submittedVersio
Vi må være der når de trenger oss! En kvalitativ undersøkelse om oppsøkende sosialt arbeid i en storby
Get PDFDenne masteroppgaven undersøker hvilke dilemmaer oppsøkende sosialarbeidere opplever å møte på i sitt arbeid med ungdom og rus. Formålet med denne undersøkelsen har vært å løfte frem informantenes fortellinger om deres opplevelser og erfaringer knyttet til oppsøkende sosialt arbeid. Oppsøkende sosialt arbeid er en metode som tar sikte på å oppnå kontakt og hjelp med sårbar ungdom på deres egne arenaer.
Oppgavens problemstilling: «Hvordan oppleves dilemmaer knyttet til tilstedeværelse og makt i oppsøkende sosialt arbeid med ungdom og rus i en storby?» har som hensikt å gi en bedre forståelse av hvordan rammene i det oppsøkende sosiale arbeidet kan reise flere dilemmaer når det gjelder deres forebyggende arbeid med ungdom og rus.
I denne undersøkelsen har jeg benyttet meg av kvalitativ forskningsinterjvu som metode, som har dannet grunnlaget for analysen og studiens funn. Basert på seks intervjuer med oppsøkende sosialarbeidere i Utekontakten og Uteseksjonen i Oslo, har jeg funnet frem til tre sentrale temaer. Disse er: Betydningen av tilstedeværelse, betydningen av tillit og godt rykte og betydningen av makt og avmakt. Problemstillingen er diskutert i lys av analysen, teoretiske perspektiver og eksisterende kunnskap på feltet.
Undersøkelsen viser at oppsøkende sosialarbeidere møter på flere dilemmaer i deres tilstedeværelse med ungdom. Gjennom prinsippet om tidlig innsats, skal oppsøkende sosialarbeidere oppdage problemadferd hos unge gjennom tidlig oppdagelse, tidlig identifisering og tidlig handling. Da oppsøkende sosialt arbeid ofte ikke løses gjennom forutbestemte standarder eller rutiner, inneholder arbeidet en fleksibel tilstedeværelse og skjønnsvurderinger. En samlet profesjonell kompetanse om hva man skal se etter i det forebyggende arbeidet er sentralt. For eksempel bidrar kompetanse knyttet til når bekymringen vekkes overfor ungdoms rusbruk, og hvordan man skal bevege seg i feltet, til en økt forståelse over utfordringer som oppsøkende sosialarbeidere står overfor.
Gjennom mitt prosjekt løfter jeg også frem maktperspektivet og hvordan dette påvirker det oppsøkende arbeidet med ungdom og rus. I empirien kommer det frem hvordan politiet og oppsøkende sosialarbeidere representerer to ulike roller innenfor maktperspektivet i rusforebygging med ungdom. Oppsøkende sosialt arbeid er i stor grad basert på frivillighet, relasjonsbygging og tillit, noe som utfordres i både samarbeid med politi og deres arbeid
med ungdom. Mine funn tyder på at politiet har tatt et steg tilbake i rusforebyggingen som også er med på å påvirke oppsøkende sosialarbeidere sin rolle på feltet
The morality of care: Female family caregivers’ motivations for providing care to older migrants
Get PDFFinding suitable long-term care arrangements for older migrants in Europe, including Norway, has been a major concern for healthcare policymakers in the last decade. However, many older people with migrant backgrounds, and to a certain extent their descendants, often prefer that care arrangements are managed within the family. Although caring for family members may be personally satisfying, it can also be a source of distress. This study explores the motivations of care among female family caregivers of older Pakistani migrants within the Norwegian Ahmadiyya community. Our data are derived from a qualitative study including individual and group interviews with 19 female family caregivers. The study participants were aged 25–62 and resided in Norway. The interviews were conducted in Urdu and English and later transcribed verbatim in English. Our findings resulted in four main themes regarding motivations for caregiving: (1) “Who else, if not the family?”: care perceived as a family obligation; (2) The divine duty of caregiving; (3) Women are better at caregiving; and (4) “What will people say?”: fear of judgments. The intersection of culture, religion, gender, and migration shaped caregiving as a moral practice, and those providing care were considered individuals with high moral identity. The moral identity assigned to the role of family caregivers appears to exacerbate rather than alleviate the care burden on women of migrant origin. Understanding the motivations for caregiving can shed light on ways in which better support can be provided to ethnic minority families with aging members.publishedVersio
Care and choice architecture: Relatives’ support for adults with intellectual disabilities in supported decision-making processes
Get PDFThe UN Convention on the Rights of Persons with Disabilities (CRPD) describes supported decision making as a fundamental human right. This study explores relatives’ experiences, dilemmas, as well as key factors in supported decision-making processes with adults with intellectual disabilities living in municipal housing. The study draws on qualitative, in-depth interviews with relatives. Findings suggest that we can learn about supported decision making by using choice architecture and care theories, demonstrating that: (a) care sometimes requires facilitating for making decisions, what we here understands in light of choice architecture, (b) choice architecture in the context of intellectual disability requires an intentionality of care and a focus on the person’s preferences/perspective, (c) relatives are concerned, not only with support in the moment, but also the effect of the decision in the long term, and (d) relatives’ care is a significant factor in meeting choice architecture in systemic conditions.publishedVersio
A suffering body, hidden away from others: The experience of being long-term bedridden with severe myalgic encephalomyelitis/chronic fatigue syndrome in childhood and adolescence
Get PDFIn this article, we present findings from a qualitative study examining how young women experience being long-term bedridden with myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), during childhood and adolescence. The aim is to explore how young women who fell ill with ME/CFS during childhood and adolescence look back on their lived experience of being long-term bedridden from the vantage point of being fully or partially recovered. Informed by a phenomenological theoretical perspective, the researchers applied a narrative methodological approach involving the analysis of interviews with 13 women, aged 16–29 years at the time of the interview. Attention was particularly paid to how participants structured their narratives and to the events (telling moments) they identified as important. Four major storylines were developed: Ambivalent responses to the presence of others; A body on the edge of life; An eternity in the dark; and Recasting painful memories of being bedridden and alone. Based on our findings, we argue that the experience of being long-term bedridden with ME/CFS during childhood and adolescence can be understood and communicated as a plot in which individuals find themselves pushed to the extreme limit of suffering and loneliness.publishedVersio
Moving out to live independently? experiences from young women with intellectual disabilities in Norway
Get PDFThis article explores the process of four women in Norway moving into their own apartment, emphasizing how they experienced the process in relation to self-determination and living independently. Persons with intellectual disabilities have been deprived of equality and human rights compared to non-disabled persons. They have been equated with a special form of vulnerability perceiving them not to have status as autonomous or capacity to lead self-determined lives. Based on participatory research applying a dialogue conference-inspired method, this article challenges how services are built based on municipal structures, rather than around the persons receiving the services.publishedVersio
Barriers and facilitators to social participation in people with mental health and substance use disorders: a formative qualitative study
Get PDFPurpose – This study aims to explore how people with concurrent mental health and substance use disorders and lived experience of deep social marginalization perceived barriers and facilitators to mainstream social participation. The purpose of this study is to identify meaningful and relevant learning content for a virtual reality-based intervention to promote social participation in this group.
Design/methodology/approach – This formative qualitative study was conducted in Norway during Autumn 2022. Nine in-depth individual interviews with adults recovering from dual diagnosis were conducted, audiotaped, transcribed and analysed using reflexive thematic analysis in a collaborative analysis process.
Findings – Results indicated that social alienation, poor social skills, stigma, low self-esteem and social anxiety were key barriers to social participation in this group. This study suggests a need to learn appropriate social behaviour in mainstream society, in addition to better employability skills, civic literacy and health literacy to improve utilization of social opportunities.
Practical implications – This study implies that virtual reality-based interventions for promoting social participation in people with dual diagnosis should primarily focus on learning and practising appropriate social behaviour in shared public spaces before practising advanced social skills such as employability skills in simulated work environments. Learning and practising social skills appears decisive for using more complex social opportunities, such as in education, health, social services and work.
Originality/value – This research provides suggestions for the content of a novel virtual reality-based intervention to promote social participation among people in recovery from dual diagnosis.
Paper type – Research paperpublishedVersio
Effectiveness of a health communication intervention on health literacy in the first year following kidney transplantation – A randomized controlled study
Get PDFObjective: This study aimed to evaluate the effect of a new health communication intervention focusing on knowledge management skills on health literacy and medication adherence during the first year following kidney transplantation.
Methods: We randomized 195 patients during 2020–2021, to either intervention- or control group. Questionnaires were completed at baseline and at 12 months post-transplantation with a 12-month response rate of 84%. Health literacy was measured by the multidimensional Health Literacy Questionnaire (HLQ) instrument. Medication adherence was measured by the self-reported questionnaire (BAASIS©).
Results: Results showed that the intervention group had a significant increase in 2 HLQ domains compared to the control group capturing the “ability to appraise health information” Domain 5, (p-value = 0.002) and the “ability to navigate the healthcare system” Domain 7, (p-value <0.04). The effect sizes of SRM were 0.49 (Domain 5) and 0.33 (Domain 7). Medication adherence was comparable in the groups at any measure points.
Conclusions: This study contributes to important knowledge about how a health communication intervention focusing on knowledge translation using motivational interviewing techniques positively strengthens health literacy in kidney transplant recipients.
Practical implications: Current patient education practice may benefit from focusing on knowledge translation in combination with motivational interview technique.publishedVersio