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Disabled women in Ghana still face various forms of abuse that appear to be generally accepted because of cultural beliefs and norms, and they employ various strategies to cope with abuse and sustain their female identity. There is the need for awareness programmes at all societal levels to eradicate prejudices and practices that expose disabled women to abuse. Implications for Rehabilitation The rehabilitation of abused disabled women should include empowering processes that enable them to overcome abusive relationships. The dignity of abused disabled women can be restored by increasing their access to rehabilitation facilities. Cultural stereotypes that legitimate abuse should be addressed in efforts to rehabilitate abused, disabled women. Abused, disabled women may increase their female identity when they engage in rehabilitation processes such as networking and participation in full-time work.

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Siri TønnessenOffentlig godkjent sykepleier, kandidat i sykepleievitenskap, PhD medisinsk etikk, Førsteamanuensis, Høgskolen i Sørøst-Norge, Fakultet for helsevitenskap, ISV campus Vestfold, siri.tonnessen@hbv.no I artikkelen presenteres en intervjustudie av 7 hjemmesykepleieres erfaring med samhandling med tildelingskontor, fastleger og legevakt. Hensikten var å utvikle kunnskap om deres opplevelse av utfordringer i samhandlingen og hvordan utfordringer imøtekommes. Datamaterialet er analysert og fortolket etter fenomenologisk hermeneutisk metode. Undersøkelsen viser at tildelingskontorets maktforvaltning og hjemmesykepleieres absorbering av ansvar styrer samhandlingen med tildelingskontoret. Når samhandlingen med fastleger lykkes, er moralsk forpliktelse et baerende element. I samhandling med legevakten gir hjemmesykepleiere fra seg ansvaret for pasienter når de opplever seg presset ut over egen kompetanse. Studien tyder på at det er behov for å myndiggjøre hjemmesykepleiere og å utvikle en felles forståelse for samhandling.Nøkkelord samhandling, hjemmesykepleie, myndiggjøring og makt.

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This chapter provides an overview of key concepts and theoretical perspectives used in the anthology and points out fundamental challenges in the practice of professional welfare. ‘Competence’ and ‘knowledge’ often have different meanings, and there is a need for increased awareness of the understanding of these concepts. This chapter highlights how the managerial discretion, learning, system blindness, power executing and paradoxes may cause tensions and how these in turn may inhibit the realization of required changes. Internal or external job recruitment may have an impact on managers’ freedom to act. To raise the quality and competence within the professional welfare services, it is necessary to be aware of the unique and multi-faceted challenges in the field.

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A major goal of the Child Welfare Services is to provide the best possible support to children in challenging life situations, including cross-cultural children, in Norway. However, there is inadequate knowledge about cross-cultural children’s responsibility taking and its implications for service delivery in Norwegian municipalities. This chapter discusses the importance of increased knowledge of the responsibility-taking practices of cross-cultural children for Municipal Child Welfare Service workers’ service delivery. The authors based the chapter on literature from studies on responsibility-taking experiences of children from Peru, Norway and other countries outside Europe. The literature indicates that many children have responsibilities to work and contribute to the sustenance of their families. Often, the children experienced feelings of identity, belonging and pride in mastering work roles. It is, therefore, difficult to understand the practices of these children as destructive parentification. On the contrary, the expectation that children provide for the upkeep of their families often attracts the destructive parentification label in European countries. Also, we argue that nuanced understanding of cross-cultural children’s responsibility-taking practices and identities may equip Child Welfare Services workers with competence that may enable them to provide the best possible support to cross-cultural children in Norway.