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The Role of Cultural Consciousness and Knowledge Development in Managing Multicultural Staff in Norwegian Nursing Homes
Full text linkThis PhD thesis draws attention to multicultural staffing leadership of multicultural staff in Norwegian nursing homes. Studies on the implication of multicultural staffing on leadership practices in nursing homes is scarce. The study is set within the thematic areas of care work, migration, and the welfare state. The overall aim is to explore the ways forms of leadership and staff work-practices in nursing homes are negotiated in relation to diversities in the workforce, focusing on cultural background and migrancy. The thesis is an ethnographic study of everyday work practices as they unfold at the intersection of immigrant inclusion in care work, leadership practices and the organizational context of nursing homes. The thesis focuses on two main questions: (1) What are the tensions that characterize organization and everyday work practices of multicultural staff in nursing homes, and how do these tensions influence leadership practices and immigrant inclusion in work? (2) How do leaders organize and strategize to manage a multicultural staff? Data collection was qualitative based on ethnographic methods: participant observation (during daily work at the nursing homes), semi-structured individual interviews, focus group interviews, and informal discussions and conversations, from eight wards of three nursing homes for four months. Data analysis draws on theoretical perspectives of agency, intersectionality and implicit leadership, while employing specific concepts of habitus, social stock of knowledge, and identity, to enable an in-depth analysis of the relevance of context, culture and communication in work practices and in order to understand such processes within the broader spheres of immigration/integration policy of the Norwegian welfare state. The analysis brings out three key aspects: (1) Structural and contextual factors shaping agency and work practices in nursing homes; in which factors that mediate, enable or constrain immigrant inclusion in work and influencing work processes are presented and analysed. (2) Language competency, communication and the social stock of knowledge among nursing home staff; whereby situated communication and interaction processes are explored to establish factors that facilitate or inhibit inclusionary practices in work beyond competency in Norwegian language; and (3) Norwegianness and the organization of a multicultural workforce in nursing homes; whereby aspects of Norwegian culture and the taken for grantedness in organizing and providing care are examined to establish identity formation and negotiation processes among the immigrant staff, as well as the way these identities intersect to influence and contribute to immigrants unfavourable experiences at work.Denne PhD- avhandlingen retter oppmerksomheten mot flerkulturell stab og ledelse av flerkulturelt personale på norske sykehjem. Studier om implikasjoner av flerkulturell bemanning for ledelsespraksis på sykehjem erfå. Avhandlingens tematiske områder er omsorgsarbeid, migrasjon og velferdsstat. Det overordnede målet er å utforske hvordan ledelses-former og personalets arbeidspraksiser på sykehjem forhandles i forhold til mangfold i arbeidsstyrken, med fokus på kulturell bakgrunn og innvandring (migrancy). Avhandlingen er en etnografisk studie av arbeidshverdagene, og hvordan disse formes av og utfolder seg i krysspunkter mellom innvandreres inkludering i omsorgsarbeid, ledelsespraksiser og sykehjemmenes organisatoriske kontekst. Oppgaven fokuserer på to hovedspørsmål: (1) Hvilke spenninger kjennetegner organisering og arbeidshverdag for flerkulturelle stab ved sykehjem, og hvordan påvirker disse spenningene ledelsespraksis og inkludering av innvandrere i arbeid? (2) Hvordan forholder ledernes strategier og praksiser seg til det å administrere et flerkulturelt personale? Datainnsamlingen var kvalitativ og basert på etnografiske metoder: deltakende observasjon (i daglig arbeid ved sykehjemmene), semi-strukturerte individuelle intervjuer, fokusgruppeintervjuer, og uformelle diskusjoner og samtaler, fra åtte avdelinger på tre sykehjem i fire måneder. Dataanalysen trekker på teoretiske perspektiver om agens (agency), interseksjonalitet og implisitt ledelse, for å muliggjøre en grundig analyse av arbeidspraksiser og prosesser. Analysen bringer frem tre sentrale aspekter: (1) Strukturelle og kontekstuelle faktorer som former agens og arbeidspraksiser på sykehjem; hvor faktorer som formidler, muliggjør eller begrenser innvandreres inkludering i arbeid og som påvirker arbeidsprosesser blir presentert og analysert; (2) Språkkompetanse, kommunikasjon og sosial kunnskapsbestand blant sykehjems personell former arbeidspraksiser; hvor situerte kommunikasjons- og samhandlingsprosesser utforskes for å fastslå faktorer som fremmer eller hemmer inkluderende praksiser i arbeid utover det å inneha kompetanse i norsk språk; og (3) Norskhet (Norwegianness) og organisering av en flerkulturell arbeidsstyrke på sykehjem; hvor aspekter av norsk kultur og det som er ´tatt for gitt i organisering ´ omsorg blir undersøkt for å analysere identitetsdannelse og forhandlingsprosesser blant innvandrerpersonalet samt måten disse identitetene krysser og bidrar til immigranters ugunstige arbeidsopplevelser.This PhD project is financed by the Centre for Care Research, at the Western Norway University of Applied Sciences (HVL)
The Role of Cultural Consciousness and Knowledge Development in Managing Multicultural Staff in Norwegian Nursing Homes
No full textOsloMet Avhandling 2021 nr 20 Patience Nelson Kawamala,Dissertation for the degree of philosophiae doctor (PhD). Faculty of Health Sciences. OsloMet – Oslo Metropolitan University. Spring 2021
ISSN 2535-471X (trykket) / ISSN 2535-5414 (online)ISBN 978-82-8364-316-9 (trykket) / ISBN 978-82-8364-330-5 (online)
Makt og omsorg- til introduksjon
Full text linkIntroduksjon til temanummer om makt og omsorg i helsetjenestene.Siktemålet med introduksjonen til temanummeret i tidsskriftet Michael Quarterly er å invitere leserne til å undre seg og reflektere omkring hvordan makt og omsorg kommer til uttrykk i det daglige liv, og inn i de unike sammenhenger som hver enkelt står i knyttet til omsorg generelt og til profesjonelt omsorgsarbeid spesielt
Responsibilization of actors in care and other welfare services: A focus on for-profits in Norwegian nursing homes. Chapter 4
Full text linkThis work is licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0).This chapter explores the shifting of responsibility between state and municipalities in Norway, focusing on the role of for-profit organizations in the nursing home sector. It is argued that a “responsibilization game” leads to municipal cultural changes marked by risk minimization. It is further argued that to what extent such a “game” results in for-profits being held accountable mainly depends on the political choices of the municipalities. Empirical data derives from research performed in Norway.publishedVersio
Reflexivity on an Empirical Study regarding Cancer Care
No full textFindings from an empirical, qualitative study conducted by the first author regarding cancer patients\u27 perceptions of good nursing care have previously been published. In this article, the entire research process of the study is analyzed and discussed in light of the social theories of Erving Goffman (1959, 1986), arriving at some complementary interpretations of the findings. Reflections are made specifically based on his theories concerning the interactional frames and the presentation of self in everyday life. The interviewer and the informants entered the interview situation from very different standpoints, with different expectations and objectives, social roles, theoretical backgrounds, and positions within the power structure of the clinical setting. Those differences naturally influence the interaction in the interview situation, not the least of which includes the self-presentation of the patients. The complementary insight dealt with in this article provides an important background for improving nursing care in practice as well as when planning further research
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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