An online learning module for health sciences students with various educational backgrounds was implemented at the University of Tromsø (UiT). The purpose of this article is to examine how participation in a joint, web-based course can be a didactic tool that promotes motivation and contributes to interactions among health sciences students. The study is based upon findings from focus group interviews with students who participated in a joint online course, as well as on recordings of activity in online discussions.
Helsesektoren er preget av organisatoriske endringer og knappe ressurser. Dette kan medvirke til redusert yrkesmotivasjon og arbeidsglede blant sykepleiere. Artikkelen bygger på en kvalitativ studie utført som del av et mastergradstudium i helsefag. Hensikten var å undersøke forhold som førte til trivsel, arbeidsglede og motivasjon i arbeidet. Fem sykepleiere som har vært ansatt på samme sykehusavdeling i mer enn 10 år ble intervjuet. Mens tidligere forskning har vist at varierte og inspirerende arbeidsoppgaver, autonomi og gjensidig respekt blant kolleger er viktig for trivsel, viste vår studie at trivsel er et resultat av hensiktsmessig organisering av pleie- og omsorgsarbeidet. Hensiktsmessig organisering av arbeidet er kompliserte forhold og i en tid med stadige endringer i arbeidskrav og organisatoriske omstillinger er trivsel, arbeidsglede og motivasjon skjøre fenomen.
There are an increasing number of educational programs to improve clinical competence and skills to treat mental disorders. For complex disorders there is also a focus on improving the quality of interprofessional work. This paper reports on interprofessional outputs of an educational program on eating disorders. A total of 207 professionals who completed the program were requested to describe up to 12 possible scenarios depicted as realistic prospects for their future work within this field. Analyzing the scenarios resulted in three categories of describing the participants' preferences: (1) interprofessional interventions and treatment; (2) the further development of competence; and (3) organization of the health care system. The findings showed that the participants were considering working across new lines in their current workplaces or crossing borders to new frontiers in the execution of competence. Our findings may be summarized into the concept of "clinical confidence." This concept has so far been understood as some kind of personal trait, disposition, or attitude. The present findings add nuances to this concept in terms of state-dependent encouragement, engagement, and a potential to act and to cross professional borders in order to better treat complex mental disorders.
Drageset, Ingrid Marie Saga; Normann, Hans Ketil; Elstad, Ingunn(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)
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Sammendrag:
Artikkelen bygger på intervju av nære pårørende om livsløpet til pasienter med demenssykdom som bor i sykehjem i Nord-Norge. De pårørende ble spesielt spurt om pasientenes vaner, interesser og aktiviteter gjennom livsløpet. Det ble utført narrativ analyse av intervjuene med vekt på fortolkning av livsløp og livshendelser hos pasientene. Artikkelen viser hvordan pårørende konkret bidrar til å videreføre kontinuiteten i livsløpet til pasienten, samtidig som det kommer fram hvordan denne kontinuiteten også har stor betydning for pårørende i deres eget liv. Artikkelen viser og at for at pasienten skal oppleve kontinuitet i eget liv etter flytting til sykehjem, er det viktig med en form for kontakt med hjemplass og landskap, og at det gis rom for tradisjoner og livshistorie.
Background Knowledge about early physiotherapy to preterm infants is sparse, given the risk of delayed motor development and cerebral palsy. Methods/Design A pragmatic randomized controlled study has been designed to assess the effect of a preventative physiotherapy program carried out in the neonatal intensive care unit. Moreover, a qualitative study is carried out to assess the physiotherapy performance and parents' experiences with the intervention. The aim of the physiotherapy program is to improve motor development i.e. postural control and selective movements in these infants. 150 infants will be included and randomized to either intervention or standard follow-up. The infants in the intervention group will be given specific stimulation to facilitate movements based on the individual infant's development, behavior and needs. The physiotherapist teaches the parents how to do the intervention and the parents receive a booklet with photos and descriptions of the intervention. Intervention is carried out twice a day for three weeks (week 34, 35, 36 postmenstrual age). Standardized tests are carried out at baseline, term age and at three, six, 12 and 24 months corrected age. In addition eight triads (infant, parent and physiotherapist) are observed and videotaped in four clinical encounters each to assess the process of physiotherapy performance. The parents are also interviewed on their experiences with the intervention and how it influences on the parent-child relationship. Eight parents from the follow up group are interviewed about their experience. The interviews are performed according to the same schedule as the standardized measurements. Primary outcome is at two years corrected age. Discussion The paper presents the protocol for a randomized controlled trial designed to study the effect of physiotherapy to preterm infants at neonatal intensive care units. It also studies physiotherapy performance and the parent's experiences with the intervention.