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Ungdom med anoreksi innlagt i sengepost – hvordan kan det miljøterapeutiske arbeidet bidra til personlig vekst og utvikling fra et selvpsykologisk perspektiv?
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Perspectives on coordinating health services for individuals with serious mental illness : a qualitative study
Get PDFPurpose: Individuals with serious mental illness (SMI) might require coordinated health services to meet their healthcare needs. The overall aim of this study was to describe the perspectives of professionals (registered nurses, medical doctors, social educators, and social workers) on care coordination and measures to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI. More specifically, we investigated which measures are taken by employees in municipal health and care services to prevent the deterioration of health conditions and which measures are taken in cases where deterioration occurs despite preventive efforts.
Method: The study comprised individual qualitative interviews with professionals employed in municipal health and care services in two Norwegian municipalities. The interview material was analyzed using systematic text condensation.
Results: Three categories and seven subcategories were created in the data analysis: 1) Maintain a stable and meaningful home life, including ensuring proper housing and access to services and assistance in receiving healthcare; 2) Measures to prevent deterioration of the health condition, including close monitoring of symptoms, emergency psychiatric care plans and emergency room calls and visits; and 3) Inpatient care to stabilize acute and severe symptoms, including municipal inpatient care, returning home after inpatient care and a need for shared responsibility for treatment and care.
Conclusion: Professionals employed in municipal health and care services coordinate health services to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI by ensuring housing services and access to the required healthcare. Measures taken when deterioration occurs include monitoring symptoms, use of emergency psychiatric care plans, emergency room contacts, or inpatient care.
Keywords: care coordination, service integration, qualitative interviews, chronic medical condition, physical healthpublishedVersio
Educational interventions on breast and cervical cancer screening
Get PDFAvhandling levert til Høgskolen i Molde og Høgskulen i Volda for graden Philosophiae Doctor (ph.d.
Perceived threat of informal players : enhancing the operational performance of inbound tour operators through coopetition
Get PDFThis paper explores the effect of the perceived threat of informal tourism actors onthe operational performance of formal actors. Based on data collected from130 inbound tour operators, the paper develops and tests a conceptual model repre-senting the effect of the perceived threat of informal actors. The analysis hasrevealed a complementary partial mediation effect of the perceived threat of informalactors on operational performance. The perceived threat of informal actors is signifi-cantly associated with operating performance, both directly and indirectly, viaincreased coopetition among tour operators. The findings provide a basis fortheoretical and managerial recommendations.publishedVersio
Bærekraft og backshoring – teoretiske refleksjoner
Get PDFOver flere tiår har norsk produksjon blitt flyttet fra høykostland til lavkostland, såkalt offshoring. I de senere år har vi imidlertid sett en økende oppmerksomhet rundt det å flytte produksjon tilbake til opprinnelseslandet, kalt backshoring (Gray, Skowronski, Esenduran & Rungtusanatham, 2013). Nyere studier av dette fenomenet har hovedsakelig sett på motivene for å bringe produksjon tilbake til opprinnelseslandet. Til tross for at bærekraft fremstår som en relevant driver for relokalisering av produksjon, har dette i liten grad blitt studert som et selvstendig motiv eller resultat av backshoring (Orzes & Sarkis, 2019). I dette essayet går jeg grundigere inn i litteraturen om backshoring og bærekraft, for så å finne ut hvordan den adresserer sammenhengen mellom bærekraft og backshoring. Transaksjonskostteori og ressursbasert teori har vært de dominerende teorier for å forklare backshoring. Med utgangspunkt i bærekraftsbegrepets tre dimensjoner, økonomisk, miljømessig og sosial bærekraft, drøftes disse teorienes begrensninger. Institusjonell teori foreslås som et alternativt teoretisk rammeverk for å analysere hvordan bærekraft kan spille en rolle i bedrifters strategiske beslutninger om backshoring. Nøkkelord: offshoring, backshoring, bærekraftpublishedVersio
Navigating the early stages of a large sustainability-oriented rural tourism development project : lessons from Træna, Norway
Get PDFThis paper draws on data collected through multiple approaches and presents an exploration of the early stages of a large sustainability-oriented rural tourism development project. Through a streamlined qualitative analysis, the study revealed four tactical moves deployed in the early stages of the project. The moves include instilling project legitimacy, forging a support network, anchoring the project, and mobilising resources and capabilities. Further analysis revealed that these moves tend to reinforce each other, and thus they require concurrent implementation. Subsequently, the study develops a framework delineating drivers, enablers, challenges, and key success factors for navigating the early stages of a large sustainability-oriented rural tourism development project. Intriguingly, the study contradicts the path dependence perspective, which is often used in project management research. Instead, it suggests that the early stages of such projects require tactical path creation involving well-calculated actions that serve as a breeding ground for valuable random incidents. Keywords: rural tourism, destination development, sustainable tourism, sustainability-oriented project, project management, project early stagespublishedVersio
Energy Consumption and Environmental Impact of E-Grocery: A Systematic Literature Review
Get PDFE-grocery is fast growing worldwide and represents a relevant issue for city logistics. Although in almost all countries the percentage of food e-buyers was lower than those purchasing other commodity categories, due to the pandemic, they have increased significantly in the last two years, with consequences that are difficult to fathom and estimate. This phenomenon therefore deserves more attention, especially with respect to its environmental impact, mostly at the urban scale. This paper presents a systematic literature review (SLR) on how e-grocery impacts the environment through the CO2 emissions generated and the equivalent energy consumption. The methodology used for the review follows a standard approach, with different combinations of keywords used for the search performed in SCOPUS and the Web of Science databases. Emissions and energy consumption assessments were performed for all of the papers considered. The results point to two different findings: some studies consider online grocery as an environmentally friendly channel, while others note that the energy consumption of this emerging channel is higher than alternative ones. This paper contributes by suggesting future research directions to be explored on the relationship between e-grocery and energy use and provides some reflections that are useful not only to e-grocers and logistics operators, but also to policy makers with an interest in developing sustainable urban plans and promoting less environmentally impacting distributions/configurations of grocery delivery systems within city logistics. Keywords: e-grocery, energy consumption, environmental impact, city logistics, SLRpublishedVersio
Child–display interaction : lessons learned on touchless avatar-based large display interfaces
Get PDFDuring the last decade, touchless gestural interfaces have been widely studied as one of the most promising interaction paradigms in the context of pervasive displays. In particular, avatars and silhouettes have proved to be effective in making the touchless capacity of displays self-evident. In this paper, we focus on a child–display interaction approach to avatar-based touchless gestural interfaces. We believe that large displays offer an opportunity to stimulate children’s experiences and engagement; for instance, learning about art is very engaging for children but can bring a number of challenges. Our study aims to contribute to the literature on both pervasive displays and child–computer interaction by reporting the results of a study involving 107 children aged 2 to 10 years. The main purposes of this study were to discover: (1) whether an avatar (movable or immovable) provides interactions that are intuitive for children and therefore help to overcome so-called “affordance blindness”; (2) whether an avatar-based touchless interface makes children’s experiences engaging and enjoyable therefore improving recall of content provided through the interaction (learning about art). The study unveiled relevant outcomes in terms of affordance blindness and two-handed interactions. We provide evidence indicating that chronological age influences the style of child–avatar interaction. Finally, it is suggested that avatars could facilitate the development of new effective educational technologies for young children.publishedVersio