Making sense of patient expertise
In: Social theory & health, Band 7, Heft 1, S. 1-19
ISSN: 1477-822X
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In: Social theory & health, Band 7, Heft 1, S. 1-19
ISSN: 1477-822X
In: Human relations: towards the integration of the social sciences, Band 59, Heft 7, S. 993-1016
ISSN: 1573-9716, 1741-282X
Competence and competence development are 'buzz words' widely used in organizations in Norway, as well as in other countries. Competence, as the company's most important and valuable resource, is constantly highlighted. But what does this imply for the organization and for the employees? What are comprised in the concept of competence? In this article we present different understandings of competence among employees in a large Norwegian oil company, Statoil, as well as some of the different views on competence found in the literature. Based on semi-structured interviews in two different stages of a process of implementing a netbased learning system, we find that the focus is more on competence as asset than competence as process. This leaves out important dimensions of competence in the complex society of today and as expressed by several of the employees in Statoil.
In: Norsk sosiologisk tidsskrift, Band 7, Heft 3, S. 1-16
ISSN: 2535-2512
In: Qualitative research, Band 23, Heft 3, S. 545-560
ISSN: 1741-3109
In this article, we explore methodological considerations of using the car as space for ethnographic research on police work. With a socio-material perspective, we are concerned about how the car's particular materiality and mobility shapes social interaction that takes place within it. We argue that this affects the researcher role, and that the researcher's spatial position in the car affects the researcher role further. The position's impact on interaction is made evident when the researcher is 'riding shotgun', rather than being placed in the back seat. We argue that this front-seat role comes with increased reciprocity towards the driver/officer, demanding a more (inter) active research practice. Hence, the riding shotgun position potentially increases the empirical input with the closer interaction between the researched and the researcher. More generally, the case illustrates the very delicate considerations of researcher positioning within ethnography on the move.
In: Sociology: the journal of the British Sociological Association, Band 52, Heft 2, S. 351-366
ISSN: 1469-8684
Given the pervasiveness of free Wi-Fi zones in cafes, use of laptops, tablets and smart phones supports the transformation of cafes from social spaces to work spaces for many customers. In this article we analyse, on the basis of an ethnographic study of individuals' laptop work in urban cafes in Norway and the UK, (1) what it is about cafes that makes people visit them for working purposes, and (2) how individual laptop work changes the social life of such venues. By linking our analysis to theories of communal processes and the domestication of technologies, we put forward the concept of 'situational domestication', encompassing the aspects of socially embedded individual working. Consequently, the close study of how cafe spaces are being used for work offers insights into how progressively technologised work and work habits influence not only work itself, but also public space at a broader level.
In: Sosiologisk tidsskrift: journal of sociology, Band 24, Heft 4, S. 281-302
ISSN: 1504-2928
In: Nordic journal of wellbeing and sustainable welfare development: Nordisk tidsskrift for livskvalitet og baerekraftig velferdsutvikling, Band 2, Heft 2, S. 6-21
ISSN: 2703-9986
In: Tidsskrift for velferdsforskning, Band 22, Heft 2, S. 146-162
ISSN: 2464-3076
In: Norsk sosiologisk tidsskrift, Band 7, Heft 6, S. 1-17
ISSN: 2535-2512
In: Tidsskrift for boligforskning, Band 3, Heft 2, S. 148-163
ISSN: 2535-5988
In: http://www.biomedcentral.com/1472-684X/15/61
Abstract Background Implementation of quality improvements in palliative care (PC) is challenging, and detailed knowledge about factors that may facilitate or hinder implementation is essential for success. One part of the EU-funded IMPACT project (IMplementation of quality indicators in PAlliative Care sTudy) aiming to increase the knowledge base, was to conduct national studies in PC services. This study aims to identify factors perceived as barriers or facilitators for improving PC in cancer and dementia settings in Norway. Methods Individual, dual-participant and focus group interviews were conducted with 20 employees working in different health care services in Norway: two hospitals, one nursing home, and two local medical centers. Thematic analysis with a combined inductive and theoretical approach was applied. Results Barriers and facilitators were connected to (1) the innovation (e.g. credibility, advantage, accessibility, attractiveness); (2) the individual professional (e.g. motivation, PC expertise, confidence); (3) the patient (e.g. compliance); (4) the social context (e.g. leadership, culture of change, face-to-face contact); (5) the organizational context (e.g. resources, structures/facilities, expertise); (6) the political and economic context (e.g. policy, legislation, financial arrangements) and (7) the implementation strategy (e.g. educational, meetings, reminders). Four barriers that were particular to PC were identified: the poor general condition of patients in need of PC, symptom assessment tools that were not validated in all patient groups, lack of PC expertise and changes perceived to be at odds with staff's philosophy of care. Conclusion When planning an improvement project in PC, services should pay particular attention to factors associated with their chosen implementation strategy. Leaders should also involve staff early in the improvement process, ensure that they have the necessary training in PC and that the change is consistent with the staff's philosophy of care. An important consideration when implementing a symptom assessment tool is whether or not the tool has been validated for the relevant patient group, and to what degree patients need to be involved when using the tool.
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In: Health and Technology, Band 8, Heft 1-2, S. 111-117
ISSN: 2190-7196
Background: Implementation of quality improvements in palliative care (PC) is challenging, and detailed knowledge about factors that may facilitate or hinder implementation is essential for success. One part of the EU-funded IMPACT project (IMplementation of quality indicators in PAlliative Care sTudy) aiming to increase the knowledge base, was to conduct national studies in PC services.This study aims to identify factors perceived as barriers or facilitators for improving PC in cancer and dementia settings in Norway.Methods: Individual, dual-participant and focus group interviews were conducted with 20 employees working in different health care services in Norway: two hospitals, one nursing home, and two local medical centers. Thematic analysis with a combined inductive and theoretical approach was applied.Results: Barriers and facilitators were connected to (1) the innovation (e.g. credibility, advantage, accessibility, attractiveness); (2) the individual professional (e.g. motivation, PC expertise, confidence); (3) the patient (e.g. compliance); (4) the social context (e.g. leadership, culture of change, face-to-face contact); (5) the organizational context (e.g. resources, structures/facilities, expertise); (6) the political and economic context (e.g. policy, legislation, financial arrangements) and (7) the implementation strategy (e.g. educational, meetings, reminders). Four barriers that were particular to PC were identified: the poor general condition of patients in need of PC, symptom assessment tools that were not validated in all patient groups, lack of PC expertise and changes perceived to be at odds with staff's philosophy of care.Conclusion: When planning an improvement project in PC, services should pay particular attention to factors associated with their chosen implementation strategy. Leaders should also involve staff early in the improvement process, ensure that they have the necessary training in PC and that the change is consistent with the staff's philosophy of care. An important ...
BASE
Background: Implementation of quality improvements in palliative care (PC) is challenging, and detailed knowledge about factors that may facilitate or hinder implementation is essential for success. One part of the EU-funded IMPACT project (IMplementation of quality indicators in PAlliative Care sTudy) aiming to increase the knowledge base, was to conduct national studies in PC services. This study aims to identify factors perceived as barriers or facilitators for improving PC in cancer and dementia settings in Norway. Methods: Individual, dual-participant and focus group interviews were conducted with 20 employees working in different health care services in Norway: two hospitals, one nursing home, and two local medical centers. Thematic analysis with a combined inductive and theoretical approach was applied. Results: Barriers and facilitators were connected to (1) the innovation (e.g. credibility, advantage, accessibility, attractiveness); (2) the individual professional (e.g. motivation, PC expertise, confidence); (3) the patient (e.g. compliance); (4) the social context (e.g. leadership, culture of change, face-to-face contact); (5) the organizational context (e.g. resources, structures/facilities, expertise); (6) the political and economic context (e.g. policy, legislation, financial arrangements) and (7) the implementation strategy (e.g. educational, meetings, reminders). Four barriers that were particular to PC were identified: the poor general condition of patients in need of PC, symptom assessment tools that were not validated in all patient groups, lack of PC expertise and changes perceived to be at odds with staff's philosophy of care. Conclusion: When planning an improvement project in PC, services should pay particular attention to factors associated with their chosen implementation strategy. Leaders should also involve staff early in the improvement process, ensure that they have the necessary training in PC and that the change is consistent with the staff's philosophy of care. An important consideration when implementing a symptom assessment tool is whether or not the tool has been validated for the relevant patient group, and to what degree patients need to be involved when using the tool. ; © 2016 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
BASE
Background Implementation of quality improvements in palliative care (PC) is challenging, and detailed knowledge about factors that may facilitate or hinder implementation is essential for success. One part of the EU-funded IMPACT project (IMplementation of quality indicators in PAlliative Care sTudy) aiming to increase the knowledge base, was to conduct national studies in PC services. This study aims to identify factors perceived as barriers or facilitators for improving PC in cancer and dementia settings in Norway. Methods Individual, dual-participant and focus group interviews were conducted with 20 employees working in different health care services in Norway: two hospitals, one nursing home, and two local medical centers. Thematic analysis with a combined inductive and theoretical approach was applied. Results Barriers and facilitators were connected to (1) the innovation (e.g. credibility, advantage, accessibility, attractiveness); (2) the individual professional (e.g. motivation, PC expertise, confidence); (3) the patient (e.g. compliance); (4) the social context (e.g. leadership, culture of change, face-to-face contact); (5) the organizational context (e.g. resources, structures/facilities, expertise); (6) the political and economic context (e.g. policy, legislation, financial arrangements) and (7) the implementation strategy (e.g. educational, meetings, reminders). Four barriers that were particular to PC were identified: the poor general condition of patients in need of PC, symptom assessment tools that were not validated in all patient groups, lack of PC expertise and changes perceived to be at odds with staff's philosophy of care. Conclusion When planning an improvement project in PC, services should pay particular attention to factors associated with their chosen implementation strategy. Leaders should also involve staff early in the improvement process, ensure that they have the necessary training in PC and that the change is consistent with the staff's philosophy of care. An important consideration when implementing a symptom assessment tool is whether or not the tool has been validated for the relevant patient group, and to what degree patients need to be involved when using the tool.
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