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  • 1
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2017
    In:  BMC Health Services Research Vol. 17, No. 1 ( 2017-12)
    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2017-12)
    Type of Medium: Online Resource
    ISSN: 1472-6963
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2017
    detail.hit.zdb_id: 2050434-2
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  • 2
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  BMC Psychiatry Vol. 21, No. 1 ( 2021-12)
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: Caring for an individual with an eating disorder involves guilt, distress and many extra burdens and unmet needs. This qualitative study explored the experiences of parents with adult daughters suffering from anorexia nervosa or bulimia nervosa and the strategies they adopted. A subsidiary aim of the study was to explore the relationship between the caregivers’ perceived need for professional support and the support they reported receiving in practice from the health services. Methods Semi-structured interviews were conducted with 11 mothers and fathers from across Norway. Data collection, coding and analysis was conducted using the principles of constructivist grounded theory in an iterative process. The main concern shared by participants was identified by this process and their “solution” to the main concern then formed the content of the core category. Results ″Wearing all the hats″ emerged as the core category, indicating that the parents have to fulfil several roles to compensate the lack of help from health services. The three subcategories: “adapting to the illness”, “struggling for understanding and help” and “continuing to stay strong” described how the participants handled their situation as parents of adult daughters with eating disorders. Conclusions In daily life, the parents of adults with eating disorders have to attend to a wide range of caregiver tasks to help their ill daughters. This study suggests that the health services that treat adults with eating disorders should be coordinated, with a professional carer in charge. The parents need easy access to information about the illness and its treatment. They also need professional support for themselves in a demanding situation.
    Type of Medium: Online Resource
    ISSN: 1471-244X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2050438-X
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2015
    In:  Nursing Ethics Vol. 22, No. 4 ( 2015-06), p. 417-427
    In: Nursing Ethics, SAGE Publications, Vol. 22, No. 4 ( 2015-06), p. 417-427
    Abstract: Healthcare providers caring for learning-disabled individuals in institutions face challenges of what is right or wrong in their daily work. Serving this group, it is of utmost importance for the healthcare staff to raise awareness and to understand how ethical values are at stake. Research question: What ethical challenges are discussed among healthcare providers working with adults with learning disabilities? Research design: The study had a qualitative and investigative design. Participants and research context: The study was conducted in a community institution for adults with learning disabilities. Participants were healthcare providers joining regular focused group discussions. Two groups participated and each group consisted of six participants. The conversations were taped and transcribed. Ethical considerations: The study was reported to Norwegian Social Science Data Services and was approved by the regional ethics committee. Findings: Findings are presented in four themes: (a) feeling squeezed between conflicting actions, (b) being the client’s spokesman, (c) searching shared responsibility, and (d) expecting immediate and fixed solutions. The healthcare providers wanted to be the clients’ advocates. They felt obliged to speak up for the clients, however, seeking for someone with whom to share the heavily experienced responsibility. Data likewise revealed that the group discussions created expectations among the healthcare providers; they expected smart and final solutions to the problems they discussed. Discussion: The discussion focuses on everyday ethical challenges, the meaning of being in-between and share responsibility, and the meaning of ethical sensitivity. Conclusion: Ethical challenges can be demanding for the staff; they might feel squeezed in-between contradictory attitudes or feel alone in decision-making. Frequent conversations about ethical challenges do not solve the ethical problems here-and-now, but they do visualize them. This also visualizes the staff’s need for support.
    Type of Medium: Online Resource
    ISSN: 0969-7330 , 1477-0989
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2031461-9
    SSG: 0
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  • 4
    Online Resource
    Online Resource
    Hindawi Limited ; 2013
    In:  Nursing Research and Practice Vol. 2013 ( 2013), p. 1-8
    In: Nursing Research and Practice, Hindawi Limited, Vol. 2013 ( 2013), p. 1-8
    Abstract: The objective of this study was to examine how nurses experience ethical values as they are expressed in daily practice in a Norwegian hospital. A growing focus in Western healthcare on effectiveness, production, and retrenchment has an influence on professional nursing standards and nursing values. Lack of resources and subsequent ethically difficult prioritizations imply a strain on nurses. This study is qualitative. Data collection was carried out by conducting 4 focus group interviews. The data was analyzed using content analysis. The results are presented in two main themes: (1) values and reflection are important for the nurses; (2) time pressure and nursing frustrations in daily work. The results demonstrate that nurses believe the ethical values to be of crucial importance for the quality of nursing; however, the ethical values are often repressed in daily practice. This results in feeling of frustration, fatigue, and guilty conscience for the nurses. There is a need for changes in the system which could contribute to the development of a caring culture that would take care of both patients and nurses. In an endeavour to reach this goal, one could apply caritative leadership theory, which is grounded on the caritas motive, human love, and mercy.
    Type of Medium: Online Resource
    ISSN: 2090-1429 , 2090-1437
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2013
    detail.hit.zdb_id: 2621482-9
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  • 5
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Journal of Eating Disorders Vol. 10, No. 1 ( 2022-12)
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2022-12)
    Abstract: This is a response to Conti et al.’s article, “Listening in the dark: why we need stories of people living with severe and enduring anorexia nervosa” (published in JED, 2016), and its call for relational metaphors and a relational approach to supplement the traditional medical/psychological diagnostic language used to describe the life experiences and complex emotions of people affected by an eating disorder. Methods Four authors with different backgrounds unpack two narratives, ‘ The Prima Donna with the Green Dress ’ and ‘ Breaking down the Wall ’, both narrated during fieldwork in multifamily therapy. The narratives are unpacked from the perspective of a therapist within multifamily therapy, a researcher who conducted the fieldwork, a researcher based in phenomenology and a researcher based in narrative inquiry. The authors enter into dialogue with the narratives, and with each other. Results The four authors focus on different elements within the narratives and understand them differently. One, focuses on strength and pride, and art expression as a different form of language for people living with an eating disorder. Another, on the experience of isolation, boundaries, and balancing openness and closedness. A third, sees the narratives as expressing a wish to see and be seen, and the fourth focuses on the absence of, and longing for, a shared space to explore. Conclusion The aim is not to reach a correct or shared interpretation of the narratives but to explore how different perspectives may contribute to different insights, not only about one family in particular but about, more generally, the experiences of people living with an eating disorder. Our work shows the significance of engaging with multiple perspectives and dialogue as supplements to the traditional medical/psychiatric diagnostic language in both clinical practice and research.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2699357-0
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  • 6
    In: Nursing Ethics, SAGE Publications, Vol. 26, No. 4 ( 2019-06), p. 1149-1159
    Abstract: Eating disorders are serious conditions which also impact the families of adult patients. There are few qualitative studies of multifamily therapy with adults with severe eating disorders and none concerning the practice of therapists in multifamily therapy. Objectives: The aim of the study is to explore therapists’ practice in multifamily therapy. Research design and participants: A grounded theory approach was chosen. Data were collected through participant observation in two multifamily therapy groups and qualitative interviews with the therapists in those groups. Ethical considerations: The study conforms to the principles outlined in the Declaration of Helsinki. All participants in the multifamily therapy groups received information about the research project and signed consent forms. The data are treated confidentially and anonymised. Findings: The core category was identified as ‘having many strings to one’s bow’, consisting of three subcategories: ‘planning and readjusting’, ‘developing as therapist and team’ and ‘regulating the temperature of the group’. This article discusses the empirical findings in the frame of Aristotelian virtue ethics.
    Type of Medium: Online Resource
    ISSN: 0969-7330 , 1477-0989
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2031461-9
    SSG: 0
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  • 7
    Online Resource
    Online Resource
    SAGE Publications ; 1998
    In:  Nordic Journal of Nursing Research Vol. 18, No. 3 ( 1998-09), p. 20-25
    In: Nordic Journal of Nursing Research, SAGE Publications, Vol. 18, No. 3 ( 1998-09), p. 20-25
    Type of Medium: Online Resource
    ISSN: 2057-1585 , 2057-1593
    Language: Norwegian
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 2846935-5
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  • 8
    Online Resource
    Online Resource
    SAGE Publications ; 1998
    In:  Nordic Journal of Nursing Research Vol. 18, No. 2 ( 1998-06), p. 16-21
    In: Nordic Journal of Nursing Research, SAGE Publications, Vol. 18, No. 2 ( 1998-06), p. 16-21
    Type of Medium: Online Resource
    ISSN: 2057-1585 , 2057-1593
    Language: Norwegian
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 2846935-5
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  • 9
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  SAGE Open Nursing Vol. 9 ( 2023-01), p. 237796082211507-
    In: SAGE Open Nursing, SAGE Publications, Vol. 9 ( 2023-01), p. 237796082211507-
    Abstract: Nurses working in municipal long-term care face ethical challenges that can lead to moral distress and discomfort for the nurse and affect the quality of patient care. Tools and methods that contribute to increased ethical awareness and support for nurses dealing with moral issues are lacking. Technological innovations may be suitable for ethics work, but little research has been conducted on how such solutions could be designed or their potential benefit. Therefore, this study contributes knowledge about the development and testing of a digital tool for ethics support among nurses. Objective To investigate how digital ethical reflection can support ethics work among nurses working in long-term care. Methods A digital ethical reflection tool was designed and tested in nursing homes and home nursing care in collaboration with two Norwegian municipalities. The study used sequential explanatory mixed-methods design. Over a 6-week period, at the end of each shift, nurses digitally reported the ethical challenges they had experienced. Their responses and experiences were described using descriptive statistics. Additionally, focus group interviews were conducted and analyzed using reflexive thematic analysis (TA). Results During the study period, 17 nurses reported a total of 223 registrations, with 24.8% stating that they had been in an ethically difficult situation. The digital reporting was perceived as practically applicable and helped to increase nurses’ awareness of morally charged situations. The value of the registrations was found to depend on manager participation and the application of the obtained information. The participating nurses become aware that they lacked an arena for meaningful dialogue with and recognition from their manager. Conclusions Information obtained through digital reflection can form the basis for ethical reflections at the departmental level. Digital reflection has the potential to become a tool for managers in their support for employees facing ethical challenges when providing long-term care.
    Type of Medium: Online Resource
    ISSN: 2377-9608 , 2377-9608
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2865437-7
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  • 10
    Online Resource
    Online Resource
    Norwegian Nurses Organisation ; 2020
    In:  Sykepleien Forskning , No. 81474 ( 2020), p. e-81474
    In: Sykepleien Forskning, Norwegian Nurses Organisation, , No. 81474 ( 2020), p. e-81474
    Type of Medium: Online Resource
    ISSN: 1890-2936
    Language: Norwegian
    Publisher: Norwegian Nurses Organisation
    Publication Date: 2020
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