ObjectiveThe basic aim in this paper is to discuss health care professionals’ experiences of person-centered collaboration and involvement in mental health rehabilitation and suggest ways of improving this perspective. Furthermore, the paper explains the supportive systems that are at work throughout the process of rehabilitation.MethodThe study design is a qualitative approach using three focus group interviews with a total of 17 informants with different professional backgrounds such as nurses, social workers, and social pedagogies. In addition, one nurse and one social worker participated in a semi-structured in-depth interview to judge validity.ResultsOur results may demonstrate deficits concerning mental health care on several levels. This understanding suggests firstly, that a person-centered perspective and involvement still are uncommon. Secondly, multidisciplinary work seems uncommon and only sporadically follows recommendations. Thirdly, family support is seldom involved. Lastly, firm leadership and knowledge about laws and regulations seems not to be systematically integrated in daily care.ConclusionTaking these matters together, the improvement of a person-centered perspective implies cooperation between different services and levels in mental health care. In order to bring about improvement the health care workers must critically consider their own culture, coordination of competence must be increased, and leadership at an institutional and organizational level must be improved so that scarce rehabilitation resources are used to the optimal benefit of people with a mental illness.
The Significance of Family relations to Informal Carers' Needs in interaction with
Sammendrag:Aim: This article illuminates informal carers experiences of conditions necessary to involve themselves in collaboration with staff in nursing homes. Background: Several studies show that there is a need for a better collaboration between health professionals and families. Methods: The study has a qualitative approach. Data were collected by means of interviews with eleven family members comprising wives, husbands, daughters, sons and daughters in law. The transcribed material from the interviews was analysed and categorised before interpretation. Findings: The results revealed that good communication, relationships and resources were a prerequisite for collaboration and involvement. The family members described the importance of being "seen" by the staff, but most of them deplored the lack of specific and professional information based on their individual needs. There also appeared to be a need for a clarification of roles between staff and family members to clarify what they expect from each other as a prerequisite for cooperation. Conclusion: It is required with a change in attitudes among staff to create an individual approach for informal carer involvement. Such change in attitudes may take place through systematic use of information, with time to listen to the stories told by the carers, and through that meet their needs. At the same time lack of resources and a high turn-over may influence the possibility of availability and continuity.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.
This paper is a case story discussing the experience of chronic pain from the perspective of the sufferer and suggests ways of improving the use of this perspective in nursing care. A narrative approach is adopted and the analysis was based on content analysis. A condensation of meaning-units revealed a variation in subthemes: the body in pain, striving to preserve self and self-fulfilment. The extent to which living a meaningful life is possible seems to depend on several complex factors, including a person's belief system, life experiences, personal resources, the meaning of pain and the extent to which nurses understand the overall situation. This story might indicate that nociceptive pain can be less important than pain that reduces long-term life quality. A better understanding of living with chronic pain based on cognitive-behavioural techniques could be linked to the information drawn from the narrative and used to improve nursing practice.
<p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; color: #333333; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-size: small;"><span style="font-family: Times New Roman;">Internet-based research; the possibilities and challenges involved in using Open Link for informant recruitment and data collection</span></span></span></em></p><p>Summary</p><p><em><span><span><span>This article discusses the methodological challenges involved in using the Internet for informant recruitment and data collection in research targeting a specific audience. The article is based on a study focusing on informal carers of people with health and/or social problems. The objectives were to gain knowledge of informal carers’ responsibilities and tasks, burdens and strain, as well as their collaboration with the Health Care Services. Information about the study was disseminated through Facebook and various web sites in autumn 2011, with an Open Link to a questionnaire. </span></span></span></em></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; color: #333333; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-family: Times New Roman; font-size: small;"> </span></span></em></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-size: small;"><span style="font-family: Times New Roman;">94 women and 14 men participated in the study, 47.3% of whom had a third level education and about 80% had been informal carers for over six years. The majority of respondents were informal carers of people suffering from mental illness, alcohol or drug abuse. Most of the respondents reported that collaboration with the health services was of major importance.</span></span></span></em></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-family: Times New Roman; font-size: small;"> </span></span></em></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-size: small;"><span style="font-family: Times New Roman;">The main focus of this article is the possibilities and challenges involved in using Open Link in<strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;"> </span></strong>terms of the sample and credibility of the data.</span></span></span></em></p>
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