Forutsetninger for vellykket sosial innovasjon i sykehjem: ledernes perspektiv – en kvalitativ intervjustudie

Abstract

Preconditions for successful social innovation in nursing homes: Managers' perspectives - a qualitative interview studyIn this article, we investigate preconditions for social innovation in institution-based elderly care in Norway and Denmark. The article draws on two semi-structured interviews and one focus-group interview. The interviewees are managers in elderly-care facilities that are known to be proficient with regards to innovation. The analysis point to three principles managers describe as being pertinent to successful social innovation. Firstly, an overall theme across the interviews was that the managers underscored the importance of eagerness and willingness to change as a prerequisite for innovation. Secondly, the managers claimed that another crucial condition to facilitate innovation is to involve the employees in both the negotiation and the implementation of innovation. Thirdly, the managers reported that they strive to create a learning environment, arguing that learning and social innovation are interrelated terms and should be treated as such.

Practice-based learning and innovation in nursing homes

“…The managers actively include their staff in professional development conversations and encourage them to participate in training courses, among other practices. The managers’ active role in including staff in making institution-wide decisions is considered important for learning and innovative practices to occur within elderly care services (Bezboruah et al , 2014; Brodtkorb et al , 2019; Totcheva et al , 2019). This Norwegian nursing home works systematically to facilitate professional activities and capacity-building.…”

“…Despite these addressed challenges, research on learning and innovation in nursing homes is relatively scarce. The studies that exist-both Norwegian (Totcheva, Vedeler and Slettebø, 2019;Eines, Angelo and Vatne, 2019;Eines and Vatne, 2018;Glette et al, 2018;Øye et al, 2016) and international (Brodtkorb, Skaar and Slettebø, 2019;Bezboruah Paulson and Smith, 2014;Wegener, 2016)-highlight the importance of leadership and management engagement and capacities when innovation processes are initiated at nursing homes. Other studies approaching learning as a prerequisite for innovation point to the potential in care workers everyday work practices where problems occur, new ideas are tried out, and colleagues serve as reflection partners (Verleye and Gemmel, 2011;Fuglsang, 2010;Wegener and Tanggaard, 2013;Wegener, 2012) Some studies find that, to improve the quality of care delivered to nursing home residents, the care professionals must be educated on the evidence-based practice and proper use of guidelines derived from the theory of gerotranscendens.…”

Kunstfaglig metodikk og sosial innovasjon i demensomsorgen

“…Sosial innovasjon som perspektiv i forskningen på demensomsorgen blir brukt innen flere felt, vi ser bl.a. prosjekter innen arkitektur, organisering og tverrsektorielt samarbeid (Totcheva et al, 2019;Igarashi & Okada, 2015). Innovasjon har blitt en selvfølgelig del av nasjonale styringsdokumenter for helse-og sosialomsorgen (Willumsen & Ødegård, 2015;NOU 2011: 11;Tanggaard & Wegener, 2016).…”

Etikkdrøftinger i kommunale etikkomiteer – hva bidrar det til?

“…Refleksjon kan føre til korreksjon, utvikling og nye veivalg (142,145). Da kan arbeidsplassen fremstå som en laeringsplass fremfor kun en produksjonsplass (130).…”