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1 – 8 of 8Ingunn Aase, Eline Ree, Terese Johannessen, Elisabeth Holen-Rabbersvik, Line Hurup Thomsen, Torunn Strømme, Berit Ullebust, Lene Schibevaag, Hilda Bø Lyng, Jane O'Hara and Siri Wiig
The purpose is to share strategies, rationales and lessons learnt from user involvement in a quality and safety improvement research project from the practice field in nursing…
Abstract
Purpose
The purpose is to share strategies, rationales and lessons learnt from user involvement in a quality and safety improvement research project from the practice field in nursing homes and homecare services.
Design/methodology/approach
This is a viewpoint paper summarizing how researchers and co-researchers from the practice field of nursing homes and homecare services (nurse counsellors from different municipalities, patient ombudsman and next-of-kin representatives/and elderly care organization representant) experienced user involvement through all phases of the research project. The project included implementation of a leadership intervention.
Findings
Multiple strategies of user involvement were applied during the project including partnership in the consortium, employment of user representatives (co-researchers) and user-led research activities. The rationale was to ensure sound context adaptation of the intervention and development of tailor-made activities and tools based on equality and mutual trust in the collaboration. Both university-based researchers and Co-researchers experienced it as useful and necessary to involve or being involved in all phases of the research project, including the designing, planning, intervention implementation, evaluation and dissemination of results.
Originality/value
User involvement in research is a growing field. There is limited focus on this aspect in quality and safety interventions in nursing homes and homecare settings and in projects focussing on the leadership' role in improving quality and safety.
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Eline Ree, Siri Wiig, Camilla Seljemo, Torunn Wibe and Hilda Bø Lyng
This study aims to explore nursing home and home care managers’ strategies in handling the COVID-19 pandemic.
Abstract
Purpose
This study aims to explore nursing home and home care managers’ strategies in handling the COVID-19 pandemic.
Design/methodology/approach
This study has a qualitative design with semistructured individual interviews conducted digitally by videophone (Zoom). Eight managers from nursing homes and five managers from home care services located in a large urban municipality in eastern Norway participated. Systematic text condensation methodology was used for the analysis.
Findings
The managers used several strategies to handle challenges related to the COVID-19 pandemic, including being proactive and thinking ahead in terms of possible scenarios that might occur, continuously training of staff in new procedures and routines and systematic information sharing at all levels, as well as providing different ways of disseminating information for staff, service users and next-of-kins. To handle staffing challenges, managers used strategies such as hiring short-term staff that were temporary laid off from other industries and bringing in students.
Originality/value
The COVID-19 pandemic heavily affected health-care systems worldwide, which has led to many health-care studies. The situation in nursing homes and home care services, which were strongly impacted by the pandemic and in charge of a vulnerable group of people, has not yet received enough attention in research. This study, therefore, seeks to contribute to this research gap by investigating how managers in nursing homes and home care services used different strategies to handle the COVID-19 pandemic.
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Torunn Höjdahl, Jeanette H. Magnus, Ibrahimu Mdala, Roger Hagen and Eva Langeland
The purpose of this paper is to investigate changes in, and associations between, sense of coherence (SOC) and emotional distress in women who participated in an accredited…
Abstract
Purpose
The purpose of this paper is to investigate changes in, and associations between, sense of coherence (SOC) and emotional distress in women who participated in an accredited motivational program (VINN) in correctional institutions in five countries.
Design/methodology/approach
A prospective study with a pre- and post-test design included 316 participants from Sweden, Estonia, Denmark, Russia and Norway. Global emotional distress was measured by the Hospital Anxiety and Depression Scale. SOC was measured using the 13-item Orientation to Life Questionnaire. One-way analysis of variance and multilevel regression models were used in the statistical analyses.
Findings
An increase in SOC was associated with a decrease in emotional distress. Emotional distress decreased significantly −3.80 points (95 percent CI (−4.61, −2.97)), and SOC significantly improved from pre- to post-measurement by 1.82 points (95 percent CI (0.72, 2.92)), regardless of country and correctional institution.
Practical implications
The results add new knowledge regarding a coherent theoretical foundation of a motivational program for women. The ability of a program promoting health is important for researchers, health-care workers and facilitators delivering programs for women in correctional facilities. An increase in SOC can act as a protective factor in order to manage stressors and risk factors among women serving in correctional facilities.
Originality/value
The present study indicates that enhancing women’s coping resources and providing income alternatives to crime is fundamental to their capacity to desist from criminal behavior.
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Ida Torunn Bjørk, Mette Tøien and Anne Lene Sørensen
– The purpose of this article is to explore the opportunities for informal learning among nurses working on a hospital ward.
Abstract
Purpose
The purpose of this article is to explore the opportunities for informal learning among nurses working on a hospital ward.
Design/methodology/approach
A field study was conducted in one hospital ward. Methods used to collect data included participant observation, ad hoc conversations and formal interviews.
Findings
Eight categories describe the opportunities for informal learning among the nurses. Several factors seemed to mediate the opportunities for informal learning, such as the size and physical structures of the ward, role modeling by the nurse leader, systems and artifacts that triggered and scaffolded learning, and interaction and collaboration among all professionals on the ward.
Research limitations/implications
A limitation is that data are collected from only one ward. A strength is the use of several methods to collect data and the range of participants' ages, experience and gender.
Practical implications
This study offers examples of informal learning opportunities that can be tailored to different clinical settings. Through role-modeling the leader can influence both the norms that become established in a ward and the development of a culture of mutual support and learning.
Originality/value
This article adds to the existing research by including observation in the hospital setting of actual practices that involve informal learning.
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Kathryn Marie Hibbert, Lisa Faden-MacDougall, Noureen Huda, Sandra DeLuca, Elizabeth Seabrook and Mark Goldszmidt
This paper aims to trace the relational and material ways in which workplace teams come together (or fail to) in the provision of patient care.
Abstract
Purpose
This paper aims to trace the relational and material ways in which workplace teams come together (or fail to) in the provision of patient care.
Design/methodology/approach
Six interprofessional scholars brought their unique theoretical and disciplinary lenses to understand the contextualized experiences of the patient and the team. Adopting a critical narrative inquiry (CNR) approach, the experiences of 19 participants were documented as they interacted in the care of an elderly patient over a three-week period. Actor network theory constructs enabled the analysis of multiple artefacts implicated in the interactions to learn of their contribution to the enactment of her care.
Findings
The study gives empirical insights about ways in which knowledge circulates amongst the workplace and how systemic structures may impede effective and quality patient care. Various types of knowledge are held by different team members, and both individuals and materials (e.g. technologies) can influence the way those knowledges are shared (or not).
Research limitations/implications
Focusing on a rich data set surrounding one patient documented as theatre serves pedagogical purposes and serves as a shared “boundary-breaking” object to interrogate from multiple stakeholder perspectives. CNR provides for recursive, dynamic learning as readers critically consider experiences within their own contexts.
Practical implications
Despite research that documents competing political, systemic and economic goals, sedimented policies and practices persist in ways that undermine care goals.
Social implications
Tackling the urgent issue of an aging population will require expanding collaboration (for planning, research and so on) to include a broader set of stakeholders, including operational, administrative and post-discharge organizations. Attention to social infrastructure as a means to assemble knowledges and improve relationships in the care process is critical.
Originality/value
Building a boundary-breaking shared object to represent the data offers a unique opportunity for multiple stakeholder groups to enter into dialogue around barriers to workplace interaction and collaboration progress, linking problems to critical perspectives.
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Carlota Riera Claret, Miguel Ángel Sahagún and Clara Selva
The purpose of this paper is to analyse everyday interactions in a workplace from the point of view of organisational learning, informal learning and peer learning, as well as the…
Abstract
Purpose
The purpose of this paper is to analyse everyday interactions in a workplace from the point of view of organisational learning, informal learning and peer learning, as well as the possible relationships that can be established between all three.
Design/methodology/approach
Insights from nine months of ethnographic study provided an operational definition of equality in an organisation, a better understanding of interactions and informal learning between peers, and about psycho-social determining factors or contexts that favour the exchange of knowledge in an organisation.
Findings
The findings demonstrate the importance of articulating the three elements (organisational learning, informal learning and peer learning) in a joint interpretative framework. With the results generated, it is proposed to move away from the traditional organisational learning based on knowledge and know-how, to a new perspective focused on sharing and participatory opportunities. In other words, without opportunities to participate, without the support and equal access, the fostering of informal learning can be debatable in terms of democracy.
Originality/value
The results bring the authors closer to being able to design workplace learning strategies that carefully includes the value of participation opportunities and the influence of a dynamic concept of equality. The ethnography in a hospital setting has allowed the authors to gain a better understanding of the contribution of informal learning to the organisation. The focus on the social context and the roles of relationships in informal learning offers new insights into a complex phenomenon.
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Johanna Johansen, Tore Pedersen, Simone Fischer-Hübner, Christian Johansen, Gerardo Schneider, Arnold Roosendaal, Harald Zwingelberg, Anders Jakob Sivesind and Josef Noll
This paper aims to present arguments about how a complex concept of privacy labeling can be a solution to the current state of privacy.
Abstract
Purpose
This paper aims to present arguments about how a complex concept of privacy labeling can be a solution to the current state of privacy.
Design/methodology/approach
The authors give a precise definition of Privacy Labeling (PL), painting a panoptic portrait from seven different perspectives: Business, Legal, Regulatory, Usability and Human Factors, Educative, Technological and Multidisciplinary. They describe a common vision, proposing several important “traits of character” of PL as well as identifying “undeveloped potentialities”, i.e. open problems on which the community can focus.
Findings
This position paper identifies the stakeholders of the PL and their needs with regard to privacy, describing how PL should be and look like to address these needs. Main aspects considered are the PL’s educational power to change people’s knowledge of privacy, tools useful for constructing PL and the possible visual appearances of PL. They also identify how the present landscape of privacy certifications could be improved by PL.
Originality/value
The authors adopt a multidisciplinary approach to defining PL as well as give guidelines in the form of goals, characteristics, open problems, starting points and a roadmap for creating the ideal PL.
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