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  • 1
    Online Resource
    Online Resource
    Clinicians’ assumptions about Sami culture and experience providing mental health services to Indigenous patients in Norway
    SAGE Publications ; 2020
    In:  Transcultural Psychiatry Vol. 57, No. 2 ( 2020-04), p. 363-374
    Details
    In: Transcultural Psychiatry, SAGE Publications, Vol. 57, No. 2 ( 2020-04), p. 363-374
    Abstract: This qualitative study explores Sami and non-Sami clinicians’ assumptions about Sami culture and their experiences in providing mental health services to Sami patients. The aim is to better understand and improve the ways in which culture is incorporated into mental health services in practice. Semi-structured interviews were conducted with 20 clinicians in mental health outpatient clinics in the northern Sami area in Troms and Finnmark County in Norway. The findings show that clinicians’ conceptualizations of culture influence how they take cultural considerations about their Sami patients into account. To better integrate culture into clinical practice, the cultures of both patient and clinician, as well as of mental health care itself, need to be assessed. Finally, the findings indicate a lack of professional team discussions about the role of Sami culture in clinical practice.
    Type of Medium: Online Resource
    ISSN: 1363-4615 , 1461-7471
    URL: Article
    DOI: 10.1177/1363461520903123
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2015089-1
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  • 2
    Online Resource
    Online Resource
    Factors affecting the use of home-based services and out-of-home respite care services: A survey of family caregivers for older persons with dementia in Northern Norway
    SAGE Publications ; 2020
    In:  Dementia Vol. 19, No. 5 ( 2020-07), p. 1712-1731
    Details
    In: Dementia, SAGE Publications, Vol. 19, No. 5 ( 2020-07), p. 1712-1731
    Abstract: Family caregivers contribute substantially to the care for older home-dwelling people with dementia, although community healthcare services tend to be underutilized. In this study, we aimed to explore the use and predictors of use of home-based and out-of-home respite care services available to older home-dwelling persons with dementia, as reported by the family caregivers. Method A cross-sectional survey was administered to family caregivers ( n = 430) in Northern Norway during April to November 2016. The use of healthcare services was categorized into two types according to principal component analysis: home-based services and out-of-home respite care services ( R 2 = 44.1%). Predictors of service use were examined with bivariate correlation, multiple linear regression, and Poisson regression analyses. Results The use of home-based services among persons with dementia was significantly higher for persons with advanced age, persons living in urban areas, persons living in an assisted living facility, persons living alone, and persons able to manage being alone for a short period of time. Among the family caregiver variables, higher age, status as a daughter, son, or other family member, higher educational level, and full-time employment also predicted greater use of home-based services. Same ethnicity was associated with use of fewer home-based services. The use of out-of-home respite care services was significantly higher among male persons with dementia and among those living in urban areas. In addition, fewer out-of-home respite care services were used by male caregivers or daughters of the care recipient, while the use was higher when the caregivers experienced more caregiving demands or had provided care for longer periods of time. Conclusions These results indicate areas that policymakers and healthcare providers should consider to identify families who underutilize healthcare services and to achieve a more equal and efficient allocation of services in accordance with families' needs.
    Type of Medium: Online Resource
    ISSN: 1471-3012 , 1741-2684
    URL: Article
    DOI: 10.1177/1471301218804981
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2084045-7
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  • 3
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    Online Resource
    From volunteer work to informal care by stealth: a ‘new voluntarism’ in social democratic health and welfare services for older adults
    Cambridge University Press (CUP) ; 2023
    In:  Ageing and Society Vol. 43, No. 9 ( 2023-09), p. 2173-2189
    Details
    In: Ageing and Society, Cambridge University Press (CUP), Vol. 43, No. 9 ( 2023-09), p. 2173-2189
    Abstract: In the context of current and expected demographic changes, the issues of which services the welfare state should offer and, ultimately, the very function of the welfare state are currently debated in Norway. The political discourse on health and care services for older adults has morphed into an accepted reality in which the system must be altered, prompting policy makers and stakeholders to find new and novel solutions to problems associated with population ageing. In this paper, we discuss one such proposed solution: the transformation of health and care services for the older adult population through the increased involvement of volunteers. We ask how volunteer efforts are articulated and delineated through official accounts and discuss the implications of such an articulation and delineation. We seek answers to these questions through a critical discourse analysis of recent governmental white papers. We investigate, in other words, volunteer efforts as a political instrument. We argue that the official representation of how efforts in health and care services should be re-aligned take the form of a distinct discourse of ‘voluntarism’. Within this ‘voluntarism’, volunteer efforts have been altered from a third sector comprising charity and non-profit organisations that contribute within or as a supplement to the largely public-run welfare system to a limitless and extensive concept that is blurring the boundaries to informal care.
    Type of Medium: Online Resource
    ISSN: 0144-686X , 1469-1779
    URL: Article
    DOI: 10.1017/S0144686X21001598
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 1499942-0
    SSG: 3,4
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  • 4
    Online Resource
    Online Resource
    Non-use of community health-care services – an exploratory cross-sectional study among family care-givers for older, home-dwelling persons with dementia
    Cambridge University Press (CUP) ; 2021
    In:  Ageing and Society Vol. 41, No. 9 ( 2021-09), p. 2074-2098
    Details
    In: Ageing and Society, Cambridge University Press (CUP), Vol. 41, No. 9 ( 2021-09), p. 2074-2098
    Abstract: Community health-care services for older, home-dwelling persons with dementia tend to be underutilised. Family care-givers provide substantial care, and they often arrange for and co-ordinate health-care services on behalf of persons with dementia. The aim of this study was to examine family care-givers’ knowledge of unused services and their self-reported reasons for non-use of such services. We gathered cross-sectional survey data from 430 family care-givers of older persons with dementia in Northern Norway. Multinomial logistic regression analysis was used to identify predictors of family care-givers’ knowledge of unused services. An open-ended question regarding reasons for non-use of services was analysed by thematic text analysis. Characteristics of family care-givers ( e.g. education level) and factors related to the care-giving circumstances ( e.g. negative impact of care-giving) predicted family care-givers’ knowledge of unused services. Reasons for non-use of services were multifaceted and complex, and were related to attributes of the person with dementia and/or the family care-giver ( e.g. reluctance to use services) and/or the health-care services ( e.g. low quality). Although services were unused, several family care-givers indicated substantial needs for the services. Strategies aimed at addressing the non-use of services should emphasise individuals’ and families’ needs and the adaptation of information about available services and their benefits for both care recipients and family care-givers. A relationship-centred care approach is thus recommended in dementia care.
    Type of Medium: Online Resource
    ISSN: 0144-686X , 1469-1779
    URL: Article
    DOI: 10.1017/S0144686X2000015X
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1499942-0
    SSG: 3,4
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  • 5
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    Online Resource
    Indigenous Sami Family Caregivers’ Experiences With Accessing and Collaborating With Municipal Health and Care Services
    SAGE Publications ; 2022
    In:  Global Qualitative Nursing Research Vol. 9 ( 2022-01), p. 233339362211233-
    Details
    In: Global Qualitative Nursing Research, SAGE Publications, Vol. 9 ( 2022-01), p. 233339362211233-
    Abstract: Previous research has indicated that Indigenous Sami families in Norway use public home-based care services less often than their non-Sami peers. Based on qualitative interviews with Sami family caregivers, we explore what they experience as barriers to accessing public care services for older adults living with dementia, and how they experience collaborating with care services providers. Through a reflexive thematic approach, we identified that rather than a cultural norm of “taking care of one’s own,” the underuse of public care services among Sami families were related to several intertwined circumstances. The Sami family caregivers reported barriers to accessing public care, such as lack of familiarity with the services and cultural and language concerns and the legacy of history, and drivers for continuing family care, such as blurred distribution of responsibility, lack of continuity of care, and culturally unsafe caring environments and marginalizing practices.
    Type of Medium: Online Resource
    ISSN: 2333-3936 , 2333-3936
    URL: Article
    DOI: 10.1177/23333936221123333
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2777573-2
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  • 6
    Online Resource
    Online Resource
    Theoretical foundations of narrative care: Turning towards relational ethics
    SAGE Publications ; 2019
    In:  Nursing Ethics Vol. 26, No. 7-8 ( 2019-11), p. 1917-1927
    Details
    In: Nursing Ethics, SAGE Publications, Vol. 26, No. 7-8 ( 2019-11), p. 1917-1927
    Abstract: In the past decades, narrative practices have been developed, and care has been conceptualized as being narrative in nature. More recently, narrative care has been developing both as a practice and a field of study. It is necessary to make the theoretical foundations of narrative care visible to avoid the risk of narrowly defining narrative care as a matter of storytelling and listening. In this article, we develop an understanding of narrative care grounded in early feminist pragmatist philosophy, with a focus on social and political activism and experience. Pragmatism holds the possibilities to open spaces for realities that are constantly in flux and for emergent situations that must be considered across time, diverse places and social contexts. With the aid of Vera’s stories about her relationship with Tammy, we demonstrate the importance of recognizing that realities are multiple, complex and uncertain. Furthermore, we discuss how the stronghold of formula stories and issues of power, positioning and inequities, restrict people’s possibilities to be, become and co-author their stories. We also argue that the playfulness, imagination and world travelling of narrative care are in line with early feminist pragmatism, which draws on a wide and diverse range of experiences. Jane Addams linked democracy to dialogue, joint experiences and social equality. This calls for the development of ethical frameworks grounded in care that are more specifically focused on relational ethics and a commitment to dialogical and relational democracy and the prioritization of community.
    Type of Medium: Online Resource
    ISSN: 0969-7330 , 1477-0989
    URL: Article
    DOI: 10.1177/0969733018808079
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2031461-9
    SSG: 0
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  • 7
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    Online Resource
    Narrative care: Unpacking pandemic paradoxes
    Wiley ; 2022
    In:  Nursing Inquiry Vol. 29, No. 3 ( 2022-07)
    Details
    In: Nursing Inquiry, Wiley, Vol. 29, No. 3 ( 2022-07)
    Abstract: During the coronavirus disease 2019 pandemic, public health has issued three interrelated dominant narratives through social media and news outlets: First, to care for others, we must keep physically distant; second, we live in the same world and experience the same pandemic; and third, we will return to normal at some point. These narratives create complexities as they collide with the authors' everyday lives as nurses, educators, and women. This collision creates three paradoxes for us: (a) learning to care by creating physical distance, (b) a sense of togetherness erases inequities, and (c) returning to normal is possible. To inquire into these three paradoxes, we draw on our experiences with Ingrid, an older adult who requires in‐home physical care, and Matthew, a man with multiple disabilities including severe oral dyspraxia and developmental delays. We outline how narrative care is a counterstory to the dominant narratives and enables us to find ways to live our lives within the paradoxes. Narrative care allows us, through attention to embodiment, liminality, and imagination, to create forward looking stories. Understanding narrative care within these paradoxes allows us to offer more complex understandings of the ways narrative care can be embodied in our, and others', lives.
    Type of Medium: Online Resource
    ISSN: 1320-7881 , 1440-1800
    URL: Issue
    URL: Article
    DOI: 10.1111/nin.v29.3
    DOI: 10.1111/nin.12462
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2010171-5
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  • 8
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    Online Resource
    «DU tar ansvar!»: De fire bud for en god alderdom (og en bærekraftig velferdsstat)
    Scandinavian University Press / Universitetsforlaget AS ; 2023
    In:  Tidsskrift for omsorgsforskning Vol. 9, No. 2 ( 2023-09-22), p. 148-150
    Details
    In: Tidsskrift for omsorgsforskning, Scandinavian University Press / Universitetsforlaget AS, Vol. 9, No. 2 ( 2023-09-22), p. 148-150
    Type of Medium: Online Resource
    ISSN: 2387-5976 , 2387-5984
    URL: Article
    DOI: 10.18261/tfo.9.2.16
    Language: Norwegian
    Publisher: Scandinavian University Press / Universitetsforlaget AS
    Publication Date: 2023
    detail.hit.zdb_id: 2963068-X
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  • 9
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    Online Resource
    Assisted living in rural areas: aging in blurred landscapes
    PAGEPress Publications ; 2019
    In:  Qualitative Research in Medicine and Healthcare Vol. 3, No. 2 ( 2019-08-26)
    Details
    In: Qualitative Research in Medicine and Healthcare, PAGEPress Publications, Vol. 3, No. 2 ( 2019-08-26)
    Abstract: Here, we explore the experiences and practices of care in the context of assisted living facilities (ALFs) in rural areas from the perspectives of family members, health care professionals, and senior citizen interest group representatives. Specifically, we focus on the potential for ALFs to safeguard and unify the health care policy ambitions of equity, quality, and aging in place. Focus group interviews with health care professionals and interest group representatives and individual interviews with family members were conducted in largely rural Norwegian municipalities. Providing high-quality health care services in people’s homes remains challenging, particularly in rural areas. ALFs have been introduced as a compromise, a home away from home. In rural areas, ALFs are typically localized in community centers. ALFs are neither homes nor nursing homes, and residents possess varying and changing care needs. Several parties experience challenges with respect to safety, evolving care needs, and responsibilities. Moreover, the service allocation and user payment systems may undermine equity. This study indicates that health care authorities should evaluate whether prioritizing assisted living is still suitable for the aging population in rural areas and beyond.
    Type of Medium: Online Resource
    ISSN: 2532-2044
    URL: Article
    DOI: 10.4081/qrmh.2019.7826
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2019
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  • 10
    Online Resource
    Online Resource
    Aging Successfully in the Changing Norwegian Welfare State: A Policy Analysis Framed by Critical Gerontology
    Oxford University Press (OUP) ; 2023
    In:  The Gerontologist Vol. 63, No. 7 ( 2023-08-24), p. 1228-1237
    Details
    In: The Gerontologist, Oxford University Press (OUP), Vol. 63, No. 7 ( 2023-08-24), p. 1228-1237
    Abstract: In the 21st century, the future of the Norwegian welfare state is broadly debated. In Norway, as in other countries, concerns regarding the sustainability and affordability of the welfare state in light of the projected population development have been voiced in public and academic discourse, and not least in governmental statements and documents. Because we consider texts, such as government white papers, as both products and producers of discursively based understandings of the social world, a close examination of policy documents can provide insight into the predominant understanding of a distinct phenomenon in a specific society at a particular point in time. Research Design and Methods The article is based on a critical discourse analysis of 3 recent Norwegian government policy documents addressing the older adult population. Results We demonstrate that prominent ideas from the widely contested successful aging paradigm are embedded and forwarded in current Norwegian policies, where ideas about successful and healthy aging produced and reproduced in the documents frame and shape expectations toward older adults. Discussion and Implications We argue that the ideas and ideals of successful aging and neoliberalism in parallel pave the way for changes in the historically generous and comprehensive Norwegian social democratic welfare state. For decision makers, the rhetoric of successful aging that emphasizes activity, productivity, self-reliance, and freedom of choice is undoubtedly more convenient to communicate to the public than explicit arguments for the necessity of downscaling public services.
    Type of Medium: Online Resource
    ISSN: 0016-9013 , 1758-5341
    URL: Article
    DOI: 10.1093/geront/gnac177
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2043844-8
    SSG: 12
    SSG: 5,2
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