| 1. |
- Hedlund, M., et al.
(författare)
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The disciplining of self-help : Doing self-help the Norwegian way
- 2019
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Ingår i: Social Science and Medicine. - : Elsevier BV. - 0277-9536 .- 1873-5347. ; 225, s. 34-41
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Tidskriftsartikel (refereegranskat)abstract
- We explore how Norwegian self-help groups are defined and managed to create a particular form of health system governmentality. Self-help groups are typically framed as therapeutic communities where participants define the agenda creating a space where open and equal interaction can produce individual learning and personal growth. In Norway, however, self-help groups are managed in a way that integrates them in to the health system but insulates them from clinical medicine; an approach that disciplines participants to act in a particular way in relation to the health system. We draw on the analysis of 1456 pages of public documents and websites from the National Nodal Point for Self-Help (NPSH), the organisation that manages self-help groups, and central government including individual testimonies from participants published between 2006 and 2014. We argue, drawing on Foucault, that self-help premised on lay-leadership and self-determination is at odds with the centrally defined regulation apparent in the model adopted in Norway and an example of disciplining that reinforces health system governmentality and serves the interests of the medical profession and the state. Further we propose that this illustrates the contestation between the pastoral power of medics, the National Nodal Point for Self-Help and the Ministry of Health. Our analysis of Norwegian self-help as a mechanism to create a particular form of health system governmentality helps explain the expansion of self-help and self-management within developed health systems and provides an explanation for why self-help within health systems, is typically situated adjacent to, rather than integrated into, clinical medicine.
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| 2. |
- Andersen-Hollekim, Tone E., et al.
(författare)
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Patient participation in the clinical pathway : Nurses' perceptions of adults' involvement in haemodialysis
- 2019
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:2, s. 574-582
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To develop knowledge of nurses' perceptions of participation for patients treated with haemodialysis and their next of kin.Design: A qualitative study with a hermeneutic approach.Methods: The data were collected in 2015 through focus groups with 13 nurses in Central Norway.Results: The nurses reported that patient participation ranging from non-involvement to shared decision-making was related to whether dialysis was initiated as acute or scheduled. The restrictions required in chronic haemodialysis limited participation. The next of kin were not involved. The nurses highlighted interventions on both the individual and system levels to strengthen participation.Conclusion: Dialysis units should develop strategies for participation related to individual needs and design treatment in cooperation with patients and their families, ensuring involvement early in the clinical pathway. Further research is needed on issues related to next of kin, including their desired level of involvement.
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| 3. |
- Landstad, Bodil J., 1965-, et al.
(författare)
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Conceptualizing the driving forces for successful rehabilitation back to work
- 2018
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 40:15, s. 1781-1790
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Tidskriftsartikel (refereegranskat)abstract
- Background: An earlier study states that the terms of desire, longing, and vanity carry with them ideas, emotions, and values that influence how individuals perceive themselves and their rehabilitation process. Our aim was (1) to use concept analysis to explore the meaning of the terms desire, longing, and vanity and (2) to investigate the potential role of these concepts in successful rehabilitation back to work. Methods: To achieve these two objectives, we used a model of concept analysis. The final step in the model is to define empirical references, for example, articles within the scientific literature, to determine the existence of a concept in a given situation. Results: The concept analysis resulted in 15 new searchable terms. All of these were accepted in the thesaurus system for the databases we used. We identified 59 scientific articles that were deemed relevant to the purposes of the study. Of these, only 20 was about emotions as driving forces in a rehabilitation process back to work. Conclusion: The conclusion of the study is that the concepts of desire, longing, and vanity encompassed ideas, emotions, and values that influence how individuals perceived themselves and their situations. How individuals talk about and understand rehabilitation will undoubtedly play a role in how they respond to interventions, and thus, the success of the rehabilitation process back to work.Implications for rehabilitationEmotional energy often drives behavior and can provide significant motivation that potentially can mobilize vocational rehabilitation.The concepts of desire, longing and vanity encompass ideas, emotions, and values that influence individuals’ self-perception and their view of their situation. To engage people in discussions on what they long for and desire could be a new way to connect with a person in a rehabilitation situation.It can be less provoking to talk about what a person desires or longs for than to ask them what they want or are motivated for.Feelings of meaningfulness are a basic driving force and a contributing factor in how health is experienced. By affirming the desire to do activities that are liked, this in turn generates motivation to be engaged in other activities. Individual confidence is generated through the experience of mastering a skill and this in turn can underpin a desire to return to work after long-term sick leave. Earlier experience of success can be an inspiration and create expectations for a forthcoming working-role.Emotions relating to work such as pride can generate motivation in a rehabilitation process. Vanity and the possibility of being “ashamed” in a certain situation can be an emotional driving force to re-establish one’s self.
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| 4. |
- Okkenhaug, Arne, et al.
(författare)
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Mitigating risk in Norwegian psychiatric care : Identifying indicators of adverse events through Global Trigger Tool for psychiatric care
- 2019
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Ingår i: International Journal of Risk and Safety in Medicine. - : IOS Press. - 0924-6479 .- 1878-6847. ; 30:4, s. 203-216
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND:Patients treated in psychiatric care are exposed to the risk of adverse events, similar to patients treated in somatic health care. OBJECTIVES:In this article we report the findings of triggers associated with adverse events (AEs) identified by a version of the Global Trigger Tool – Psychiatry (GTT-P) adapted for Norwegian hospital-based psychiatric treatment. METHODS:The design was a retrospective analysis of a random sample of 240 patient records from a psychiatric clinic in one Norwegian hospital. Patient records were sampled from both inpatient and outpatient psychiatric clinics in hospitals serving the northern part of the county of Trøndelag, Norway. RESULTS:Our analysis was based on the identification of 32 potential triggers of adverse events. Eighteen of the triggers were significantly related to adverse events. No adverse events were identified in patient records that did not also contain triggers included in the Global Trigger Tool. CONCLUSIONS:There is a clear relationship between the presence of triggers in a patient record and the likelihood of adverse events. Particularly relevant for psychiatric patients is ‘suffering’ as a trigger and this may also be relevant to somatic care and has implications for inclusion in the GTT-P.
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| 5. |
- Sveino Strand, Aasta Marie, et al.
(författare)
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Hvilke legekvalifikasjoner er det behov for ved øyeblikkelig hjelp døgnopphold?
- 2019
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Ingår i: Michael. - 1893-9651. ; 3:16, s. 293-305
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Tidskriftsartikel (refereegranskat)abstract
- What Doctor Qualifications are necessary in Emergency Hospitalization in the Norwegian Primary Health Care Service?Emergency hospitalization in the municipality is a new kind of treatment for patients needing urgent medical care in the Norwegian primary health care service. The purpose of this study was to obtain an insight into what qualifications doctors with experience from emergency hospitalization in the municipality deem important. Ten Norwegian doctors with experience from emergency hospitalization in the municipality were interviewed in three focus groups spring 2016. Systematic text condensation was used in the analysis. The doctors saw the need for general and comprehensive competence. In their experience, central qualifications were thorough knowledge of primary health care, good clinical and communicative skills, and competence in advanced teamwork. Emergency hospitalization in the municipality leads to a new responsibility for doctors in the Norwegian primary health care service. Findings suggest that the work demands experienced doctors who work independently, but who also take the lead in interprofessional collaboration.
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