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Experiences and challenges of the use Subacute and Acute Dysfunction in the Elderly-SAFE
Get PDFThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.Old age is the leading cause of impaired bodily function, which gradually increases healthcare service needs. To offer the best possible care in the home and to be able to detect health-related functional impairment at an early stage, it is necessary to carry out systematic and structured observations. The assessment tool Subacute and Acute Dysfunction in the Elderly (SAFE) has been developed explicitly for these structured observations. This study aims to explore the experiences and challenges of homebased care work team coordinators (WTCs) regarding the introduction and use of SAFE.
Method: The present qualitative study was performed following Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. The data were collected through individual interviews (n= 3) and focus group (FG) interviews (n= 7). The interview transcripts were analysed using the Gioia method.
Results: Five aggregated dimensions were identified: Varying acceptance of SAFE, Structuring and quality-assurance of home-based nursing practice, Obstacles for the integration of SAFE in daily practice, Acceptance and use of SAFE require continuous supervision and SAFE contributes to increased quality of nursing care.
Conclusion: The introduction of SAFE contributes to a structured follow-up of functional status in patients receiving home care. In order to incorporate the tool into home care practice, it is essential to set aside time to introduce the tool and to support nurses' use of it by offering continuous supervision.publishedVersio
Gender incongruence: Youth with a special talent for gender; supporting youth and families. Chapter 3
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the copyright holderUnderstandings of gender are undergoing great change. In caring for children and youth experiencing gender incongruence, we reflect over how to create a systemic conversational space in which they, along with their families, can explore feelings and experiences of gender identity. The family as a phenomenon is a strong discourse, and parents’ voices are important in how this process is experienced. Their active participation in therapy can contribute to children and youth becoming secure in owning their gender identities. We describe using a gender map as an aid to talk about feelings, experiences and desires in conversations with older children, youth, parents and their networks.publishedVersio
The community development by the indians living abroad and their role in community development back home.
No full textThis study examines on Indians living abroad and their role in community development back home. It looks at the motivations driving them to be involved in their home country and the various strategies they use to contribute to their communities. It considers the advantages and disadvantages of this type of involvement and discusses ways in which Indians living abroad can be more effective in their efforts. The results of this study have the potential to influence both policy and practice in the areas of the participation and community development carried out by Indians now residing in other countries. Overall, the findings suggest that there is a need for more diaspora-driven community development initiatives, as well as more opportunities for the members to get involved in the process of community development back home
Enabling primary healthcare service development with patient participation: a qualitative study of the internal facilitator role in Norway
Get PDFThis is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.Aim: To explore how primary healthcare professionals (HCPs) tasked with facilitating primary healthcare service development with patient participation perceived their role.
Introduction: Patient participation in health service development is a recognized means of ensuring that health services fit the public’s needs. However, HCPs are often uncertain about how to involve patient representatives (PRs), and patient participation is poorly implemented. Inspired by the Promoting Action on Research Implementation in Health Services framework, we address the innovation (patient participation), its recipients (PRs, HCPs, supervisors, and senior managers), and its context (primary healthcare at a local and organizational level).
Methods: We conducted semi-structured individual interviews with six HCPs working as internal facilitators in primary healthcare in four Norwegian municipalities. The data were analyzed by applying Braun and Clarke’s reflexive thematic analysis.
Findings: The themes show that to develop primary healthcare services with patient participation, facilitators must establish a network of PRs with relevant skills, promote involvement within their organization, engage HCPs favorable toward patient participation, and demonstrate to supervisors and senior managers its usefulness to win their support. Implementing patient participation must be a shared, collective responsibility of facilitators, supervisors, and senior management. However, supervisors and senior management appear not to fully understand the potential of involvement or how to support the facilitators. The facilitator role requires continuous and systematic work on multiple organizational levels to enable the development of health services with patient participation. It entails maintaining a network of persons with experiential knowledge, engaging HCPs, and having senior management’s understanding and support.publishedVersio
Educational readiness among health professionals in rheumatology: low awareness of EULAR offerings and unfamiliarity with the course content as major barriers-results of a EULAR-funded European survey
Get PDFRe-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Background Ongoing education of health professionals in rheumatology (HPR) is critical for high-quality care. An essential factor is education readiness and a high quality of educational offerings. We explored which factors contributed to education readiness and investigated currently offered postgraduate education, including the European Alliance of Associations for Rheumatology (EULAR) offerings.
Methods and participants We developed an online questionnaire, translated it into 24 languages and distributed it in 30 European countries. We used natural language processing and the Latent Dirichlet Allocation to analyse the qualitative experiences of the participants as well as descriptive statistics and multiple logistic regression to determine factors influencing postgraduate educational readiness. Reporting followed the Checklist for Reporting Results of Internet E-Surveys guideline.
Results The questionnaire was accessed 3589 times, and 667 complete responses from 34 European countries were recorded. The highest educational needs were ‘professional development’, ‘prevention and lifestyle intervention’. Older age, more working experience in rheumatology and higher education levels were positively associated with higher postgraduate educational readiness. While more than half of the HPR were familiar with EULAR as an association and the respondents reported an increased interest in the content of the educational offerings, the courses and the annual congress were poorly attended due to a lack of awareness, comparatively high costs and language barriers.
Conclusions To promote the uptake of EULAR educational offerings, attention is needed to increase awareness among national organisations, offer accessible participation costs, and address language barriers.publishedVersio
Experiences of spirituality of in- and out-patients in mental health facilities: A thematic synthesis of qualitative studies
Get PDFThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/ licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.Recent decades have seen a significant rise in interest in spirituality in different mental health contexts. A comprehensive systematic review by Milner, Crawford, Edgley, Hare-Duke, and Slade (2019) shows that a gap exists between professionals and service users in the value they place on spirituality. The aim of this article is to synthesize existing literature on how people with mental health issues experience spirituality as a resource. A systematic literature search was performed in four international databases between January 2019 and October 2022. Nine studies were selected. This synthesis resulted in three themes, longing for connection, the need for vital relationships, and searching for a new meaning.publishedVersio
Demensvennlig samfunn – demensvennlig kirke? : En kvalitativ undersøkelse av muligheter for deltakelse og medborgerskap i menigheter i Den norske kirke
Get PDFMaster i medborgerskap og samhandling. VID vitenskapelige høgskole, mai 2023Stadig flere mennesker over hele verden har demens. I Norge lever om lag 101 000 mennesker med demens, og antallet tilfeller forventes å dobles innen 2040. Et viktig trekk er at om lag to tredjedeler av de demenssyke bor hjemme. Samlet sett er demens en av de viktigste årsakene for at (eldre) mennesker blir funksjonshemmet. På denne bakgrunn er det overraskende at Den norske kirkes uttalelser og saksdokumenter ikke tar opp demens som eget tema. Dette inntrykket forsterkes av at det selvsagt er kjent at både frivillige og ansatte møter og samarbeider med mennesker med demens.
Målet og hensikten med oppgaven er å utforske hvilke muligheter og begrensninger personer med demens har i Den norske kirke, og å se hvordan dette kan tolkes innenfor teoretiske forståelser av medborgerskapsbegrepet. Veiledende for forskningsprosessen er spørsmål som sikter mot konkrete erfaringer i menighetene og som også ser disse erfaringene i sammenheng med satsingen Demensvennlig samfunn (Nasjonalforeningen for folkehelsen, 2021).
Den konkrete forskningspraksisen besto av kvalitative intervjuer med én frivillig og fem ansatte i Den norske kirke. Disse ble tematisk kodet og analysert.
Resultatene og drøftingene av disse viser at de intervjuede legger til grunn og regner med muligheter for deltakelse i menighetene. Deltakelsen som beskrives bygger tydelig på begrepene anerkjennelse og fellesskap. Slik fremstår menigheter som viktige arenaer for en realisering av medborgerskap for mennesker med demens. Videre utkrystalliserer det seg at informantene forventer at spørsmålet om ansvar/ansvarsfordeling stilles og besvares. Nettopp for å unngå en objektivering av de involverte menneskene med demens understrekes det en reell omfordeling av makt, som igjen er betingelse for en realisering av medborgerskap.
Oppgaven avsluttes med noen implikasjoner for både videre praksis og videre forskning.More and more people around the world are living with dementia. In Norway, there are about 101 000 people with dementia, and the number of cases is expected to double by 2040. It is important to note that around two thirds of people with dementia are living at home. Altogether, dementia is one of the main causes of disability among (older) people. Against this background, it is surprising that dementia is not treated as a separate issue in statements and documents of the Church of Norway. The fact that both volunteers and staff are known to meet and work with people with dementia reinforces this impression.
The aim and purpose of this master thesis is to explore the possibilities and limitations of people with dementia in the Church of Norway and to see how this may be interpreted within theoretical conceptions of the notion of citizenship. The research process is guided by questions that focus on concrete experiences in parishes and in praxis. These experiences are also seen in the context of the Dementia Friendly Society Initiative (Norwegian National Association for Public Health, 2021).
The results and their discussion show that those interviewed expect and count on the opportunity to participate in the congregations. The described participation is clearly based on the concepts of recognition and community. Thus, congregations appear as important arenas for the realisation of citizenship for people with dementia. There is also an expectation on the part of the informants that the question of responsibility/sharing of responsibility will be raised and answered. It is precisely in order to avoid objectifying people with dementia that a real redistribution of power is emphasised. This in turn is a condition for the realisation of citizenship.
At the end of the thesis there are some implications for further practice and research.submittedVersio
Three strategies of user participation. Interest organisation representatives' views on how they make an impact on service development.
Get PDFThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4. 0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.This paper explores user participation in interest organizations that repre-sent people in vulnerable life situations and addresses the following research question: How do interest organizations seek to influence public actors, and what are the perceived impacts? Data collection was conducted through qualitative semi-structured interviews. We interviewed 14 repre-sentatives from 8 different interest organizations in Norway. Limitations included the fact that there were few informants from each organization and only three with personal service user experience. In the thematic analysis, we developed three themes related to how the informants described their organizations’ dealings with services, municipalities, poli-ticians and other public actors. The cooperative strategy refers to partici-pation as an arena for collaboration and partnership in which they assumedly would share interests and goals. The oppositional strategy shows how the informants would use open conflict and confrontation as tools for influence, often through the media and complaint systems. The third strategy, negotiation, illustrates how organizations would man-oeuvre between being critical and constructive while maintaining rela-tionships with public actors. Interest organizations seem to manoeuvre between these strategies, but they may prefer different strategies depending on their goals and relationships with public actors. Even though all could contribute to service development, the informants expressed that it was easiest to identify impacts from cooperative and oppositional strategies. To improve user participation by interest organi-zations, increased attention should be given to the interaction and power dynamics among the stakeholders. Moreover, increased attention should be given to the impact of these processes.publishedVersio
A decade of revitalizing UN work concerning freedom of religion or belief (2010–2020)
Get PDFThis is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http:// creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.The first decade of the 21st century had annual United Nations (UN) resolutions on the defamation of religion, followed by a shorter period with resolutions on promoting human rights and fundamental freedom through a better understanding of traditional values of humankind. However, in 2011, the strongest promoter of the defamation of religion resolutions, the Organization of Islamic Cooperation (OIC), chose to shift the focus in the UN on individual victims, not the religions as such, resulting in the Istanbul Process. Moreover, the exploration of links between Articles 18, 19 and 20 of the International Covenant on Civil and Political Rights resulted in the Rabat Plan of Action. Other progress within freedom of religion or belief include the Faith4Rights resources, acknowledging the right to change one’s religion and stopping violations in the name of "honour," as well as other approaches, that so far have inadequate impact on the domestic level.publishedVersio
“Krøll på tunga“. Helsesykepleiers kunnskapsgrunnlag om stramt tungebånd
Get PDFInnledning med bakgrunn: Det er økning i antallet spedbarn som får diagnosen ankyloglossi og utførte tungebåndsoperasjoner i Norge. Ankyloglossi har også fått økende oppmerksomhet i media og hos foreldre, og helsesykepleiere – som treffer nesten alle spedbarnsforeldre i Norge i helsestasjonsarbeidet – blir stilt overfor spørsmål om ankyloglossi og sammenhengen med ammeproblemer. Det er derfor av interesse for fagmiljøet å finne ut hva helsesykepleiere bør vite for å kunne gi foreldrene gode forskningsbaserte råd i tråd med god kunnskapsbasert praksis.
Hensikt: Å kartlegge hva nyere forskning sier om hvilken kunnskap helsepersonell som skal gi ammeveiledning til mødre med spedbarn som har symptomer på stramt tungebånd bør inneha for å kunne gi råd og veilede foreldre.
Metode: Det er utført en litteraturstudie for å forsøke å besvare oppgavens problemstilling. Systematiske søk ble gjort i databasene CINAHL, PubMed, Medline, Cohrane og SweMed+. Av 269 initiale søkeresultater ble 7 artikler inkludert i litteraturstudien.
Resultat: Det er ulike definisjoner på ankyloglossi, om det er behandlingskrevende og hvordan man skal behandle. Det er i stor grad enighet om at ankyloglossi i en del tilfeller påvirker amming negativt, men ikke alltid. Noen av de vanligste symptomene er såre brystvorter, og manglende evne til å holde et godt dietak. Konservativ behandling anbefales før eventuell kirurgisk intervensjon, og grundig ammeveiledning med konkrete tiltak rettet mot primærutfordringene i ammesituasjonen kan redusere antall spedbarn det utføres frenulotomi på. Det er få komplikasjoner vist ved frenulotomi.
Konklusjon: Helsesykepleiere må kunne gi ammeveiledning av god kvalitet, kjenne igjen tegn og symptomer på stramt tungebånd, vite hvordan det kan vurderes med kartleggingsverktøy, og gi foreldrene informasjon om mulige behandlingsalternativer ved behov