Kartlegging av kompetanse er nødvendig for å sikre gode helsetjenester

This chapter focuses on how nurses should act towards Sámi patients in order to promote cultural safety in meetings with the healthcare system. The method applied is a secondary analysis of interviews of 12 persons, as well as participatory observations. The findings show that there still are barriers between health personnel and Sámi patients due to the historic legacy and lack of knowledge. The barriers can be linguistic challenges, different understandings of an illness’s causes and authority distance due to the notion of the Sámi as inferior human beings.

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Kulturell trygghet for den samiske pasienten i møter med helsevesenet

Nymo¹

2021

Kunnskap om barns kollektive ansvarserfaringer og implikasjoner for tjenesteutøvelse i barnevernet

Høgmo¹,

Kassah²,

Kassah³

2021

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.

Ledelse av profesjonalisert velferd i et paradoksteoretisk perspektiv

Olsvik¹

2021

Despite an increased focus on the professionalisation of welfare leadership, leadership challenges in the healthcare sector and child welfare services are an unexplored area. This chapter deals with welfare leadership, and attention is directed at the nature of these challenges and how paradox theory can be used to describe and explain them. This chapter shows that the framework and conditions of welfare leadership are often contradictory and that demands and expectations are often characterised by paradoxes. Major reforms have been implemented in Norway in recent years, and increased quality, expanded expertise and stronger leadership have been among the focus areas. Many leaders in the healthcare sector and child welfare services increasingly experience conflicting and intersecting governance requirements, and everyday leadership is characterised by complexity, uncertainty and stress. Leaders in complex, contradictory and quotidian conditions experience challenges in the areas of managerial discretion and broader leadership competence. Finally, the author discusses the need for leaders to develop competence in handling dilemmas by acquiring training in paradoxical thinking and handling complexity.