VID:Open
Not a member yet
4255 research outputs found
Sort by
Configurations of care work: Fragile partnerships in the co-production of long-term care services.
Get PDFThis article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).Over the last decade, authorities in several Western countries have stated their ambitions to increase the share of volunteers contributing alongside professionals in the future long-term care (LTC) sector, but the introduction of volunteers as co-producers of care services is sparsely investigated. This article is based on an empirical case study in Norway and investigates how co-production is translated into practice in diverse settings. Our findings demonstrate that understandings of voluntary work were fragmented. Co-production appears as a fragile partnership with an unclear understanding of the roles, expectations, and opportunities among the various parties who had different purposes/agendas and limited knowledge. To successfully provide added value in coproducing care, agents need to understand the whole picture and context, and build a common understanding of ‘why’ coproduce.publishedVersio
From precarious work to precarious social citizenship: Polish workers’ experiences with the identification number system in Norway
No full textThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.In recent years, there has been growing interest in the proliferation, rescaling and internalisation of borders. EU citizens who come to work in Norway are registered either with a Fødselsnummer – an identification number designating them as residents of Norway – or with a D-nummer, designating them as temporary migrants in Norway. To be registered with a Fødselsnummer, EU citizens must prove that they intend to live in Norway for at least 6 months, usually with an employment contract of at least 6 months’ duration. EU citizens who are unable to secure long-term employment may not be able to register as residents and may sometimes live with a D-nummer for years. Based on qualitative research with Polish workers and NGOs offering legal advice in Oslo, this article investigates the consequences of being registered with a D-nummer. The article finds that EU citizens with a D-nummer face various, mostly informal, barriers to public healthcare and welfare benefits. Conceptualising the D-nummer as a welfare-bordering technology, the article argues that the identification number system in Norway creates a framework under which precarious work leads to precarious social citizenship. The article offers new insights into the mechanisms of welfare bordering and the stratification between the rights of precarious EU workers and those in secure forms of employment.publishedVersio
Time trends in self-reported depressive symptoms, prescription of antidepressants, sedatives and hypnotics and the emergence of social media among Norwegian adolescents
Get PDFThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Background: Research has shown increased mental health problems and use of prescription drugs among adolescents in recent years and social media use has been linked to poorer mental health. However, trend studies concerning these topics are scarce. The purpose of this study was to analyze gender-specific trends in a) symptoms of depression and loneliness, and b) prescription of antidepressants, hypnotics and sedatives, in relation to the emergence of social media among adolescents in Norway.
Methods: This is an ecological study using data from the ‘Young in Oslo’ surveys from 1996 to 2021. The surveys included approximately 110 000 students, 14–17 years of age, and yielded a response rate varying from 95% in 1996 to 64% in 2021. A self-report questionnaire was used to collect information on symptoms of depression and loneliness. Information on antidepressant and sleep medication prescription was retrieved from the Norwegian Prescription Database for the age group 15 to 19 years. A graphical approach and logistic regression models were used to examine gender-specific time-trends between 1996 to 2021.
Results: We found a doubling in self-reported symptoms of depression and loneliness among girls between 1996 and 2021, with the steepest increase in the period from 2006 to 2012, when Facebook and other social media were introduced. A similar trend was observed in the prescription of antidepressants among girls, with the steepest increase between 2011 and 2013. Among both boys and girls, ‘worried too much about things’ and ‘had sleep problems’ were the two symptoms with the greatest changes.
Conclusion: A significant upward trend in self-reported depressive symptoms and medication use was observed over the past 25 years, with variations in the rate of increase, including a steeper trajectory during certain periods immediately after the introduction of social media platforms in Norway.publishedVersio
Public health nurse reflections on implementing the New Families home visiting programme: A qualitative study
Get PDFAim: To investigate reflections of public health nurses (PHNs) on implementing the New Families programme, a supplement to the usual Norwegian child health centre programme. It involves user-led decisions on the content and number of home visits offered by the family's PHN from pregnancy week 28 until the child is 2 years.
Design: An interpretive description approach.
Methods: Altogether 206 anonymized, undated reflection notes by PHNs becoming familiar with the programme were collected in 2017–2020. NVivo 12 and inductive content analysis were used to convert the data into manageable segments.
Results: Focusing on childhood experiences and parental role expectations among prospective parents during home visits was seen as a major shift in the nurses' counselling strategy. Providing relevant information to the parents-to-be ahead of a meeting was important. Given sufficient staff and guidance, the programme was considered a good basis for building a relationship with the family.publishedVersio
A technology-supported guidance model to support the development of critical thinking among undergraduate nursing students in clinical practice: Concurrent, exploratory, flexible, and multimethod feasibility study
Get PDFBackground: There is widespread recognition and acceptance of the need for critical thinking in nursing education, as it is necessary to provide high-quality nursing. The Technology-Supported Guidance Model (TSGM) intervention was conducted during clinical practice among undergraduate nursing students and aimed to support the development of critical thinking. A major element of this newly developed intervention is an app, Technology-Optimized Practice Process in Nursing (TOPP-N), combined with the daily guidance of nursing students from nurse preceptors and summative assessments based on the Assessment of Clinical Education.
Objective: The main objective of this study was to assess the feasibility of a newly developed intervention, TSGM, among undergraduate nursing students, nurse preceptors, and nurse educators. Further objectives were to assess the primary and secondary outcome measures, recruitment strategy, and data collection strategy and to identify the potential causes of dropout and barriers to participant recruitment, retention, intervention fidelity, and adherence to the intervention.
Methods: This study was designed as a concurrent, exploratory, flexible, and multimethod feasibility study of the TSGM intervention that included quantitative and qualitative data from nursing students, nurse preceptors, and nurse educators. The primary outcome measures were the feasibility and acceptability of the intervention. The secondary outcomes included the suitability and acceptance of the outcome measures (critical thinking, self-efficacy, clinical learning environment, metacognition and self-regulation, technology acceptance, and competence of mentors); data collection strategy; recruitment strategy; challenges related to dropouts; and hindrances to recruitment, retention, and intervention fidelity and adherence.
Results: Nursing students, nurse preceptors, and nurse educators had varied experiences with the TSGM intervention. We identified factors that make the intervention feasible and challenging and may influence the feasibility, acceptability, dropout rate, adherence, and fidelity of the intervention. We also identified areas for future improvement of the intervention.
Conclusions: The use of a newly developed intervention, TSGM, is feasible and accepted by undergraduate nursing students, nurse preceptors, and nurse educators; however, refinement and improvement of the intervention and the TOPP-N app, improvement in intervention management, and mitigation of negative factors are necessary before a randomized controlled trial can be performed.publishedVersio
Norske helsearbeidere i møte med kulturelle sykdomsforklaringer blant minoritetspasienter
Get PDFMaster's thesis MIKA. VID Specialized University, Stavanger, December 2023This is a master's thesis in the study of intercultural work, and it is based on a qualitative method. The aim of this study has been to research health workers' experience and handling of minority patients who have a cultural explanation for illness. The problem has been: How healthcare personnel experience encounters with minority patients who base cultural beliefs as explanations for the illness, and how these encounters are handled. To be able to answer the problem, interviews were conducted with seven healthcare workers within five different professions in the Norwegian healthcare system. Increasing cultural diversity and immigration in recent years have meant that the healthcare system has been faced with new challenges to a greater extent than before. Like the rest of the population, they get sick and need help from the healthcare system. The health service must provide equal health services to all groups in the population, regardless of background, faith and belonging. Although much is the same, some immigrants have a slightly different health situation and occurrence of diseases, but also an understanding of the cause of the disease. Several health workers report limited competence and uncertainty in providing good health care that is culturally sensitive. This can create mistrust between the patient and healthcare personnel. This study concludes that a mix of many barriers can arise that can prevent a patient with a minority background from receiving equal healthcare from the healthcare system. On a structural level, the two most prominent shortcomings are insufficient training in cultural competence, and too little use of qualified interpreters. By putting a stronger spotlight on these aspects, it can make a good contribution to developing a health service that is even more prepared to accept minority patients and provide them with equal and safe care.submittedVersio
Om å være den hvite flamingo : Medborgerskap og samfunnsdeltakelse for mødre til barn med store funksjonsbegrensninger
Get PDFMaster i medborgerskap og samhandling. VID vitenskapelige høgskole, november 2023Målet med studien er å utforske medborgerskap og samfunnsdeltakelse for mødre til barn med store funksjonsbegrensninger. Dette i konteksten av endringer av medborgerskapets vilkår i samfunnet, fra å tidligere være en kollektiv rettighet til sosial forsørgelse, til i dag å sikres gjennom inkludering i arbeids markedets vilkår. Det vil undersøkes om mødrenes sosiale rettigheter som medborger er i stand til å motvirke forskjellighet, og om de sikres omfordeling og anerkjennelse for forskjellighet i samfunnet. Det ble benyttet en kvalitativ metode med et semistrukturert forskningsintervju av seks mødre, og en temasentrert analyse inspirert av systematisk tekstkondensering for å analysere og tolke datamaterialet. Fire tema ble identifisert;
• Mødrenes begrensninger/ byrder
• Mødrenes behov
• Mødre er barnets talerør
• Solidaritet med andre og kobling til samfunnet
Studien viser til flere barrierer for mødrene, og en følelse av å stå utenfor og å ikke få den « samme farge» for samfunnsdeltakelse som andre mødre, som følge av omsorgsbelastninger. Fortellinger til mødre kan dermed tolkes i tråd med den kjente generelle forventninger i forskning og samfunnet om å falle utenfor og bli passivisert. Mødre ne opplever ikke sin arbeidsdeltakelse som fullverdig. Men studien og mødres beskrivelser viser også at de har en samfunnsrolle som talerør for sitt barn, og en nødvendighe t av å danne nettverk og kontakter med likestilte. Materialet viser mulighet for tolkning av deres erfaringer og rolle som en form for aktivt, inkluderende og aktivistisk medborgerskap, særlig gjennom å være barnets talerør. Sett ut fra et normativt rettferdighetsprinsipp, må samfunnet ta hensyn til reelle barrierer for mødre ne s samfunnsdeltakelse og medborgerskap.The aim of the study is to explore citizenship and community participation for mothers of children with major disabilities. This is done in the context of changes to the conditions of citizenship in society, from previously being a collective right to social security, to today being secured through inclusion in the conditions of the labor market. It will be investigated whether mothers' social rights as citizens are capable of counteracting difference, and whether redistribution and recognition of difference in society is ensured. A qualitative method was used with a semi-structured research interview of six mothers, and a theme-centred analysis inspired by systematic text condensation to analyze and interpret the data material. Four theme was identified:
• Mothers' limitations/burdens
• Mothers' needs
• Mothers are children's mouthpieces
• Solidarity with others and connection to society
The study points to several barriers for mothers, and a feeling of being left out and not getting "the same color" in their participation as other mothers, as a result of care burdens. Narratives to mothers can thus be interpreted in line with known general expectations in research and society to fall outside and be passive. Mothers do not experience their work participation as fulfilling. But the study and the mothers' descriptions also show that they have a social role that tells about their child, and that there is a need to form networks and contacts with equals. The material shows the possibility of interpreting their experiences and role as a form of active, participatory and activist citizenship, especially through being the child's mouthpiece. Viewed from a normative principle of justice, society must take into account real barriers to mothers' social participation and citizenship.submittedVersio
"I min Fars hus er det mange rom". Kristne migranter i møte med Den norske kirke
Get PDFUtviklet med støtte fra Den norske kirke – Kirkerådet.Prosjektet «Kristne migranter i møte med Den norske kirke» (KRISMI) har undersøkt kristne migranters møte med Den norske kirke (Dnk). Forskningen i prosjektet har vært organisert gjennom tre ulike, men integrerte arbeidspakker, henholdsvis en kvantitativ undersøkelse blant ansatte og frivillige i Dnk, intervjuer blant ansatte og frivillige i Dnk, og intervjuer med migranter tilknyttet Dnk. Datagrunnlaget har også inkludert feltobservasjoner i de respektive Dnk-kontekstene, samt samtaler, intervjuer og observasjoner i/med andre personer, organisasjoner og andre kirkesamfunn i den grad det har vært relevant. Den kvantitative undersøkelsen ble distribuert via Kirkerådet.
Prosjektet tok utgangspunkt i Kirkerådets utlysning om forskningsmidler for å undersøke holdninger, erfaringer og praksiser som belyser Dnks møte med kristne migranter og kristne migrantmenigheter. Utlysningen hadde bakgrunn i Kirkeråd-saken KR16/21 Kristne migranter der Kirkerådet vedtok «Åtte kjennetegn for Den norske kirke i møte med et flerkulturelt samfunn». Prosjektet ble gjennomført av forskere ved VID vitenskapelige høgskole som fikk tilslag på Kirkerådets utlysning om forskningsmidler. Forskningsprosjektet startet november 2021 og ble sluttført mai 2023.
Problemstillingene til prosjektet var følgende:
Problemstilling 1: Hvilke erfaringer med og holdninger til kristne migranter og migrantmenigheter finnes i Dnk? (P1)
Problemstilling 2: Hvilke erfaringer og inntrykk har kristne migranter i møte med Dnk og hvordan kan dette belyse muligheter, utfordringer og hindringer knyttet til integrering, likeverd og fellesskap? (P2)
Problemstilling 3: Hvilke erfaringer har menigheter i Dnk gjort seg fra samarbeid med migrantmenigheter og arbeid blant kristne migranter og hvordan kan disse erfaringene bidra til å gi innsikt i både utfordringer og muligheter for arbeid med inkludering og utvikling av gode praksiser for samarbeid? (P3)publishedVersio
Beslutningsstøtte i kommunale botilbud for personer med utviklingshemming
No full textDette arbeidet er finansiert av VID vitenskapelige høgskole, Norge, som en del av The Citizens Project (CitPro): Everyday
Citizenship for Persons in Vulnerable Situations.Tjenesteytere i kommunale helse- og omsorgstjenester for personer med utviklingshemming møtes med krav om kompetanse innen CRPD (FN-konvensjonen om rettighetene til mennesker med nedsatt funksjonsevne) og beslutningsstøtte. Dette aktualiserer studiens hensikt om å kartlegge tjenesteyternes a) bruk av ordet beslutningsstøtte, b) kjennskap til beslutningsstøtte og c) profesjonelle praksiser som kan betegnes som beslutningsstøttepraksiser.
Studien er en deskriptiv kartleggingsstudie som bygger på en kvantitativ spørreundersøkelse blant primærkontakter og avdelingsledere fra kommunale botilbud for personer med utviklingshemming i to fylker i Norge. Analysen ble gjennomført i SPSS. Studien avdekker at implementering av beslutningsstøtte er kommet ganske kort, at opplæring er implementeringsdrivende og at det er stort behov for menneskerettslig ansvar.publishedVersio
A technology-supported guidance model to increase the flexibility, quality, and efficiency of nursing education in clinical practice in Norway: Development study of the TOPP-N Application Prototype
Get PDFBackground:
The challenges of nursing shortage in the nursing profession and of limited nursing educational capacity in nursing education in clinical practice need to be addressed to ensure supply according to the demand of these professionals. In addition, communication problems among nursing students, nurse educators, and nurse preceptors; variations in the guidance competence of nurse preceptors; and limited overview from nurse educators on nursing students’ clinical practice are common challenges reported in several research studies. These challenges affect the quality of nursing education in clinical practice, and even though these problems have been highlighted for several years, a recent study showed that these problems are increasing. Thus, an approach is required to ensure the quality of nursing education in clinical practice.
Objective:
We aimed to develop a guidance and assessment application to meet the challenges reported in clinical practice. The application intended to increase the flexibility, quality, and efficiency of nursing education in clinical practice. Furthermore, it intended to increase interactive communication that supports guidance and ensure structured evaluation of nursing students in clinical practice.
Methods:
This study employed a multidisciplinary user-participatory design. Overall, 23 stakeholders from the project team (ie, 5 researchers, 2 software developers, 1 pedagogical advisor, and 15 user representatives [4 educators, 6 preceptors, and 5 students]) participated in a user-centered development process that included workshops, intervention content development, and prototype testing.
Results:
This study resulted in the creation of the Technology-Optimized Practice Process in Nursing (TOPP-N) guidance and assessment application for use as a supportive tool for nursing students, nurse preceptors, and nurse educators in clinical practice. The development process included the application’s name and logo, technical architecture, guidance and assessment module, and security and privacy.
Conclusions:
This study offers insights into the development of an evidence-based technological tool to support nursing students, nurse preceptors, and nurse educators in clinical practice. Furthermore, the developed application has the potential to meet several challenges reported in nursing education in clinical practice. After a rigorous development process, we believe that the TOPP-N guidance and assessment application prototype is now ready to be tested in further intervention studies.publishedVersio