Suchergebnisse

The Norwegian government has launched a policy titled cancer patient pathways (CPPs), which assigns maximum deadlines to the various phases of the diagnostic investigation. In this article, I examine the starting point of CPPs through the lens of institutional ethnography—that is, how physicians work with the referral of patients in the context of CPPs. Based on qualitative interviews with physicians in both primary and secondary care across Norway (N = 37), the findings reveal that the distinction between CPP or not is by no means clear-cut for either primary or specialist physicians. The starting point of CPPs is mediated by the interaction between physicians and patients and how the referral is composed, as well as how and by whom the referral is interpreted, in conjunction with overarching discourses, policies, and guidelines for practice. The findings challenge the notion that all potential cancer patients can and should be equally prioritized.

The Norwegian government has launched a policy titled cancer patient pathways (CPPs), which assigns maximum deadlines to the various phases of the diagnostic investigation. In this article, I examine the starting point of CPPs through the lens of institutional ethnography—that is, how physicians work with the referral of patients in the context of CPPs. Based on qualitative interviews with physicians in both primary and secondary care across Norway (N = 37), the findings reveal that the distinction between CPP or not is by no means clear-cut for either primary or specialist physicians. The starting point of CPPs is mediated by the interaction between physicians and patients and how the referral is composed, as well as how and by whom the referral is interpreted, in conjunction with overarching discourses, policies, and guidelines for practice. The findings challenge the notion that all potential cancer patients can and should be equally prioritized. ; CPP or Not, That Is the Question: Physicians' Work With Activating CPPs ; publishedVersion

Alongside other Nordic countries, the Norwegian government has introduced Cancer Patient Pathways (CPPs) for faster diagnostic assessment and timely treatment to improve the quality of cancer care. A key aspect of CPPs is the introduction of time limits for each phase of the diagnostic investigation. Occurring simultaneously are ongoing advances in medical technology, complicating the process of diagnosing and treating cancer. In this article, using institutional ethnography, we examine: how does the CPP policy influence physicians' experiences of diagnostic work? Data were collected from May 2018 to May 2019, through semi‐structured interviews with physicians across five hospitals in Norway (N = 27). Our findings indicate that the implementation of various strategies aimed at enhancing quality in cancer care collide, compelling physicians to negotiate between diagnostic precision and rapid decision‐making. We conclude that attention to interfaces between multiple guidelines and their implications for practice is crucial for understanding and developing quality of care.

This article is based on three waves of data collected by the Nord-Trøndelag Health Study (HUNT), Norway. It investigates changes in life satisfaction associated with transition both into and out of marital unions (marriages and cohabitations). It provides longitudinal data on life satisfaction for a larger sample ( N=57,446), a longer age span (19–101 years) and over a longer observation period (22 years) than previously published research on this topic. The large sample permits interaction analyses focusing on small gender/age categories. Results indicate that marriage and cohabitation does enhance life satisfaction, but more for some groups than for others. Cohabitation enhances life satisfaction no less than marriage. There is little difference in life satisfaction between the non-partnered statuses when adjusted for selection. Both men and women are more satisfied as married or cohabiting than as non-partnered. However, transition into widowhood is more harmful to men than to women, and divorce is much more harmful to young males (below 35) than to any other age or gender group.

Originally developed by the Canadian sociologist Dorothy E. Smith, institutional ethnography is an approach to research that aims to explore and challenge power relations in society. In Norway and the other Nordic countries, the approach is used by researchers in a variety disciplines and professional fields. In Experiences with Institutional Ethnography, we gain insight into several different researchers' motivation for, experiences with and reflections on delving into and using institutional ethnography in their own research. We gain insight into specific research processes and their attendant methodological approaches, into experiences of using key concepts from institutional ethnography, and into reflections on the researcher's role.

This book will be a useful tool for researchers, master's students and research fellows who utilize – or are considering utilizing – institutional ethnography in their work. - Institusjonell etnografi er en forskningstilnærming som opprinnelig ble utviklet av den kanadiske sosiologen Dorothy E. Smith, og som har som formål å utforske og utfordre maktforhold i samfunnet. I Norge og Norden for øvrig brukes tilnærmingen av forskere fra ulike disipliner og fagfelt. I Erfaringer med institusjonell etnografi får vi innblikk i ulike forskeres motivasjon for, erfaringer med og refleksjoner rundt å sette seg inn i og bruke institusjonell etnografi i sin egen forskning. Vi får innblikk i bestemte forskningsprosesser og metodiske grep i slike prosesser, i erfaringer med å bruke sentrale begreper fra institusjonell etnografi og i refleksjoner over forskerrollen.

Boken er et nyttig redskap for forskere, masterstudenter og stipendiater som benytter – eller vurderer å benytte – institusjonell etnografi i sin forskning.