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En kvantitativ studie som sammenligner utgifter til organisert idrett i distriktet og by/urbane områder, og hvordan dette påvirker oppvekstmiljøet.
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University teachers’ experience of students interprofessional education: Qualitative contributions from teachers towards a framework
Get PDFBackground Health and social care professionals need to be equipped to work together. Universities have a duty of care to their students to incorporate interprofessional education into the curricula. Here, we present findings from focus groups to delve deeper into the issues previously identified. Method Three focus group interviews with teachers were conducted—two in Norway and one in the UK. Findings We identified four themes: Organizational commitment. Values related to students’ interprofessional and collaborative practice. Professional identity and commitment to collaborative practice. Challenges with implementing interprofessional education. Discussion and conclusion Educators continue to agree that interprofessional education is important, but the findings highlight the ongoing divide and uncertainty as to what to do and when to equip students for interprofessional collaboration. The educators call for the organization to show commitment and leadership so that stakeholders can come together to develop an Interprofessional education curriculum that students can sign up to. Time is of the essence, and a framework may help us here, especially if we can embrace the concept of social innovation and cocreate. Keywords: interprofessional, framework, curricula, leadership, educationpublishedVersio
Norwegian nurses' perceptions of assisted dying requests from terminally ill patients : a qualitative interview study
Get PDFThis study explores the perceptions of Norwegian nurses who have receivedassisted dying requests from terminally ill patients. Assisted dying is illegal inNorway, while in some countries, it is an option. Nurses caring for terminally illpatients may experience ethical challenges by receiving requests for euthanasia andassisted suicide. We applied a qualitative research design with a phenomenologicalhermeneutic approach using open individual interviews. A total of 15 registerednurses employed in pulmonary and oncology wards of three university hospitals andhome care in one municipality were recruited. Four themes emerged from theanalysis: (1) unprepared for the request; (2) meeting direct, indirect, and nonverbalrequests; (3) working in a gray zone, and (4) feeling alone and powerless. The studyfound that nurses were unsure how to handle such requests due to professionaluncertainty about assisted dying. Working in an environment where the topic istaboo made nurses morally uncertain, and some perceived this as moral distress. Thehospital chaplain played a significant role in providing support to these nurses. Keywords: assisted dying requests, ethical challenge, interviews, moral distress, moral uncertainty, nurses'experiences, phenomenological hermeneutic designpublishedVersio
Uncovering dimensions of the impact of blockchain technology in supply chain management
Get PDFSupply chains around the globe are faced with difficulties and disruptions due to the worldwide pandemic situation and digital solutions are needed. There is significant research interest in the implementation of blockchain technology (BCT) for supply chain management (SCM). A challenge that remains is analyzing the interactions of BCT in different areas of SCM. This study aims to identify the influential dimensions of the impact of BCT adoption in SCM and to discuss the synergetic and counter-synergetic effects between these dimensions. Advantages, disadvantages, and constraints of adopting BCT in the SCM context are explored through a systematic literature review, which provides the foundation for identifying the dimensions of impact. The interactions between these dimensions are conceptually discussed. This study introduces three dimensions of the impact of implementing BCT in SCM: ‘operations and processes’, ‘supply chain relationships’, and ‘innovation and data access’. These dimensions are interrelated and have overlapping areas within them, which leads to synergetic and counter-synergetic effects. The overlaps and synergies of the three dimensions of impact are illustrated, and the virtuous and vicious cycles of BCT adoption in SCM cases are highlighted. This study assists scholars and practitioners by clarifying the synergetic relationships within the dimensions of the impact of BCT in SCM and by providing considerations to prevent undesirable effects and expand desired ones.publishedVersio
Nursing home physicians’ experiences with Covid-19 : a qualitative interview study
Get PDFBeboere med covid-19-sykdom på norske sykehjem hadde høy risiko for alvorlig forløp og død. Hensikten med denne studien var å utforske sykehjemslegers erfaringer med å ivareta behandlingsansvaret for beboere med covid-19 og hvordan de samarbeidet med pårørende og sykepleiere. Denne intervjustudien inkluderte ti sykehjemsleger med erfaring fra covid-19 i sykehjem fra tre av de fire helseregionene i Norge. Vi gjorde en kvalitativ innholdsanalyse av de transkriberte intervjuene. Analysen identifiserte følgende tre hovedfunn: 1) Krevende ansvar for medisinskfaglige vurderinger og avgjørelser, 2) Kommunikasjon og samarbeid med pårørende – viktig og tidkrevende, og 3) Sykepleierne – en viktig samarbeidspartner. Sykehjemslegene opplevde et krevende ansvar og utfordringer med å ivareta multimorbide og skrøpelige beboere under pandemien. Dette illustrerer behovet for gode rutiner samt lokale og nasjonale retningslinjer. Samarbeidet med erfarne og rutinerte sykepleiere ga trygghet. Sykehjemslegenes beskrivelse av følelsesmessige utfordringer under covid-19-pandemien understreker behovet for faste, kollegiale og faglige nettverk. Nøkkelord: kommunehelsetjeneste, pandemi, multisyke, eldre, samarbeidCovid-19 affected patients were at high risk of serious events and deaths in Norwegian nursing homes during the pandemic. The objective of this study was to explore nursing home physicians’ experiences of caring for Covid-19 patients and collaborating with their informal caregivers and nurses. The study is an interview study that included ten nursing home physicians recruited from three out of four health regions with experience from Covid-19 in their nursing homes. A qualitative content analysis of the transcribed interviews was performed. The analysis identified the following categories presented as the main findings: (1) Demanding responsibility for medical assessments and decisions; (2) Communication and collaboration with family caregivers: important and time consuming; and (3) The nurses: an important collaboration partner. The responsibility and challenges in caring for multimorbid and frail patients during the pandemic was experienced as demanding. This finding illustrates the need for good routines as well as local and national guidelines. The importance of experienced nurses as working partners was emphasized. The nursing home physicians ’ description of emotional challenges emphasizes the need for permanent, collegial, and professional networks.publishedVersio
