Implementering av teamtreningsprogrammet TeamSTEPPS® for bachelorstudenter i sykepleie: lærernes erfaringer

In today\u27s health service, most work takes place in teams. Effective and efficient teamwork is essential to ensure quality in a specialized and complex health service. In 2018 to 2020, teachers in a Bachelor of Nursing Education took part in an implementation of the TeamSTEPPS team training program. The program emphasis to train and practice four essential teamwork skills; communication, leadership, situation monitoring and mutual support. This study aims to explore teachers\u27 experiences of implementing a team training program for a cohort of nursing students. The study used a qualitative exploratory design. The sample consisted of 11 teachers in the bachelor\u27s degree program in nursing, divided into three focus groups. An inductive content analysis was conducted. The analysis resulted in one overarching theme, "learning yourself in order to learn further". This was generated from two categories: Category 1) "Contributes to professional confidence", based on the three subcategories "useful in a professional formation process", "provides common language and understanding", and "challenges to guidance in both procedural training and team skills". Category 2) "Follow-up is of great importance", based on the two subcategories "opportunity to make your own choices as a teacher is important" and "implementation requires resources and training".I dagens helsetjeneste foregår det meste av arbeidet i team. Et effektivt teamarbeid er essensielt for å sikre kvalitet i en spesialisert og kompleks helsetjeneste. Fra 2018 til 2020 bidro lærerne i en bachelorutdanning i sykepleie med implementering av teamtreningsprogrammet TeamSTEPPS. Programmet satte fokus på trening og bruk av fire sentrale teamferdigheter; kommunikasjon, ledelse, situasjonsovervåking og gjensidig støtte. Hensikten med denne studien er å utforske hvilke erfaringer lærere har med å implementere et teamtreningsprogram for et kull studenter i bachelor i sykepleie. Studien benyttet et kvalitativt utforskende design. Utvalget bestod av 11 lærere i bachelorutdanningen i sykepleie, fordelt i tre fokusgrupper. Det ble gjennomført en induktiv innholdsanalyse. Analyseprosessen resulterte i et overordnet tema, «å lære selv for å lære videre», Temaet ble generert ut fra to kategorier. 1) "bidrar til faglig trygghet", basert på de tre subkategoriene "nyttig i en faglig dannelsesprosess", "gir felles språk og forståelse" og "utfordrende å veilede i både prosedyretrening og teamferdigheter". 2) "oppfølging er av stor betydning", basert på de to subkategoriene "mulighet til å gjøre egne valg som lærer er viktig" og "implementeringen krever ressurser og opplæring"

Sykepleieres holdninger til involvering av pårørende: - en tverrsnittsstudie

In the future there will be more patients in need of care and fewer nurses. Relatives will have a more extensive caring role, which makes nurses’ collaboration with relatives important. The aim of the study was to investigate nurses’ attitudes towards involving relatives and see if there were differences between nurses in the municipal health service and hospitals. In addition, whether there were conditions that influenced their attitudes. The study was cross-sectional using a questionnaire (Importance in Nursing Care – Nurses’ Attitudes (FINC – NA) with a convenience sample of nurses from villages, densely populated areas, and small towns in central Norway (N = 318). No differences were found between nurses in the municipal health service and hospitals, and it was usual to show care for relatives. Relatives were seen as a resource for patients, and as an important collaboration partner. Nurses with further education had more positive attitudes.Fremover blir det trolig flere pasienter med omsorgsbehov og færre sykepleiere. Pårørende får en mer omfattende omsorgsrolle, og samarbeidet med de pårørende blir derfor sentralt. Hensikten med studien var å undersøke sykepleiernes holdninger til å involvere pårørende, og se på om det var forskjeller mellom sykepleiere i kommunehelsetjenesten og i sykehus. Videre om det var forhold som innvirket på holdningene. Studien var en tverrsnittstudie med spørreskjema (Importance in Nursing Care – Nurses’ Attitudes - the FINC-NA) i et bekvemmelighetsutvalg med sykepleiere fra bygder, tettbygde strøk og små byer i Midt-Norge (N = 318). Det var ingen forskjell mellom sykepleiere i kommunehelsetjenesten og i sykehus, og det var vanlig å vise omsorg for pårørende. Pårørende ble sett på som en ressurs for pasientene og som viktige samarbeidspartnere, og sykepleiere med videreutdanning hadde mer positive holdninger

Eksistentiel krise og kærlighedens kraft i en familie berørt af demens: – en søsters oplevelser

Dette essay belyser eksistentiel krise og kærlighed i mødet med demens set gennem en søsters perspektiv. Baseret på vignetter kastes lys på førsteforfatterens og hendes brors forskellige tilgange til omsorg for deres demente mor. En omsorg der blandes med eksistentielle problematikker som håbløshed, vrede og utilstrækkelighed, og som skaber spændinger i familierelationer. Essayet trækker på Knud Ejler Løgstrups og Kari Martinsens filosofiske betragtninger om etiske grundvilkår, og argumenterer for at kærlighed kan udgøre en meningsfuld drivkraft, der kan skabe eksistentiel ro og balance i en verden fyldt med usikkerhed og kaos for nærtstående til mennesker med demens. I dét møde kan kærligheden, sårbarheden, og de tætte familiære bånd udgøre et ståsted. Ved at balancere sansning og forståelse, og imødekomme den etiske fordring om barmhjertighed, kan nærtstående til mennesker med demens finde styrke og navigere gennem de svære tider. Men vi må slippe fuldkommenhedsmanien, og i stedet gribe kærlighedens kraft, hvor der kan findes sjælelige pejlemærker.The essay sheds light on existential crisis and love within a family affected by dementia, viewed from a sister\u27s perspective. Through examples, it highlights family dynamics such as powerlessness, disappointment, and grief. These relational and psychological dynamics occur «beside» the person with dementia and are identity-altering, potentially influencing roles and values within the family. The essay incorporates reflections on love and vulnerability from theologian and philosopher Knud Ejler Løgstrup and nurse and philosopher Kari Martinsen. It points out how these phenomena are fundamental prerequisites for people to relate to one another. Such insights can serve as a driving force for existential serenity in a world filled with uncertainty and chaos for those close to people with dementia. By balancing perception and understanding and focusing on the ethical demand, the essay suggests that one can find spiritual guidance and strength to navigate challenging times.Dette essay belyser eksistentiel krise og kærlighed i en familie berørt af demens set fra en søsters perspektiv. Baseret på eksempler kastes lys på familiære dynamikker som afmagt, skuffelse og sorg. Det er relationelle og psykologiske dynamikker der foregår «ved siden af» mennesket med demens, og som er identitetsændrende og kan påvirke roller og værdigrundlag i familien. Essayet inddrager teolog og filosof Knud Ejler Løgstrups og sygeplejerske og filosof Kari Martinsens betragtninger om kærlighed og sårbarhed, og peger på hvordan disse fænomener er elementære og forudsætningen for, at mennesker kan forholde sig til hinanden. Indsigten kan virke som drivkraft til eksistentiel ro i en verden fyldt med usikkerhed og kaos for nærtstående til mennesker med demens. Ved at balancere sansning og forståelse, og rette blikket mod den etiske fordring, kan her findes sjælelige pejlemærker og dermed styrke, gennem de svære tider

Nordic Reindeer Husbandry Conference 2025, 12-14 February, Alta, Norway: Reindeer Husbandry in an unpredictable future

Climate change, increasing land use pressures on the use of land, challenges and necessary adaptation are factors that lead to uncertainty for reindeer husbandry in the future. In collaboration with NKJ (The Nordic Joint Committee for Agricultural and Food Research) and RUF (Reindriftens utviklingsfond), NIBIO (Norwegian Institute for Bioeconomy) invites to a reindeer husbandry conference at Scandic Hotel Alta, 12th – 14th February 2025. The main topics of the conference are climate change and challenges of current and future land use. The conference will be divided into two parts: Part 1 (12th – 13th February) is mainly for researchers and is held in English but is also open to others. Part 2 (13th – 14th February) targets reindeer herders, administration/management and researchers, but others with an interest in reindeer husbandry can participate. Translation will be provided

Kommunal kannibalisme? Rasjonelle og irrasjonelle aspekter ved kommuners rekruttering av sykepleiere

The shortage of healthcare personnel is an increasing problem in Norway. Municipalities are attempting to recruit nurses by offering incentives beyond normal salary (recruitment bonuses). In this article, we examine this phenomenon through document analysis of public governance documents and relevant media and news articles, in light of sociological theories on collective action. In summary, our analysis shows the following: (a) Municipalities implement their own recruitment measures to meet their obligations by offering recruitment bonuses, (b) such recruitment measures are often perceived to lead to competition between municipalities with some negative consequences, and (c) the collective consequences of using recruitment bonuses appear to be little discussed in research. Our conclusion is that these recruitment practices are rational for the individual municipality, as they have a limited repertoire of available means to solve their staffing problems. Nevertheless, the practice can be criticized for having negative consequences for the municipalities as a whole. It is costly, can lead to "poaching" of healthcare personnel across municipalities, and limits the possibilities for municipalities to come up with more collectively rational solutions.Mangel på helsepersonell er et økende problem i Norge. Kommuner forsøker å rekruttere sykepleiere gjennom å tilby insentiver utover normallønn (rekrutteringstillegg). I denne artikkelen undersøker vi dette fenomenet gjennom dokumentanalyser av offentlige styringsdokumenter og relevante medie- og nyhetsartikler, i lys av sosiologiske teorier om kollektiv handling. Oppsummert viser vår analyse følgende: (a) Kommuner iverksetter egne rekrutteringstiltak for å møte sine forpliktelser gjennom å tilby rekrutteringstillegg, (b) slike rekrutteringstiltak oppleves ofte å føre til konkurranse mellom kommunene med noen negative konsekvenser, og (c) kollektive konsekvenser av bruken av rekrutteringstillegg ser ut til å være lite diskutert i forskning. Vår konklusjon er at disse rekrutteringspraksisene er rasjonelle for den enkelte kommune, som har et begrenset repertoar av tilgjengelige virkemidler for å løse sine bemanningsproblemer. Likevel kan praksisen kritiseres for å ha negative konsekvenser for kommunene samlet sett. Den er kostbar, kan medføre «tyveri» av helsepersonell på tvers av kommuner, og begrenser mulighetene for kommunene til å komme opp med mer kollektivt rasjonelle løsninger

The Final-over-Final Condition: Not a syntactic universal

The Final-over-Final Condition (FOFC) (Sheehan, Biberauer, Roberts, and Holmberg 2017) purports to be a universal word order constraint. In this article, we challenge this claim and demonstrate that the FOFC is of a statistical nature: It is a relativized¸ non-absolute version of cross-categorial harmony, where only a head-final projection dominating a head-initial projection is ruled out among the disharmonic configurations displaying different head directionalities. The cross-categorial generalizations in the World Atlas of Languages, referred to by Sheehan et al. (2017) in order to illustrate the crosslinguistic validity of the FOFC, are shown to be useless for determining head-directionality, given that they systematically gloss over functional categories. The Mandarin Chinese head-final split CP dominating a uniformly head-initial extended verbal projection and TP serves as a case study here, because it has challenged the FOFC since its very beginning. The numerous efforts to make the Chinese CP “FOFC-compliant”, the latest being Biberauer (2017), are shown to be unsuccessful and to ignore well-established principles of Chinese syntax. The data from Chinese thus add to the evidence from other languages likewise undermining the FOFC

The Workspace as a source of hierarchy in extended projections

Extended projections (EPs) in natural languages have several properties which have not yet been explained. (i) EPs conform to a Hierarchy of Projections (HoP), a crosslinguistically similar hierarchical arrangement of semantically grounded categories. (ii) Each token of an EP is linear, in the sense that it has a single dimension (with specifiers and adjuncts stripped out, it is a string). (iii) HoPs are rooted in a lexical category with conceptual content at the bottom, and a succession of functional elements above. I argue that these properties motivate a particular architecture of the workspaces in which sentences are constructed. I model the workspace as a Finite State Automaton (FSA) with a monotonicity property which underpins hierarchy. The FSA starts from a lexical category (cf. (iii)), `projecting\u27 it into an EP. Transitions correspond to applications of Merge, and states are stages in the derivation. The sequence of states in a path from start to accepting state is a string, the EP (cf. (ii)). The HoP is then the entire FSA, arranged with the start at the bottom and the final state, the complete clause or noun phrase, at the top (cf. (i))

Nyutdannede sykepleieres opplevelse av organisatorisk og psykososialt arbeidsmiljø i sykehus, i et arbeidshelseteoretisk perspektiv

A considerable amount of newly qualified nurses working at Norwegian hospitals are seeking alternative employment. The working environments affect nurses\u27 occupational health and their desire to remain at their jobs. There is little up-to-date knowledge concerning the working environment in Norwegian hospitals.   The purpose of this study was to gain knowledge about newly qualified nurses\u27 experiences of the organizational and psychosocial working environments in somatic wards, using an occupational health theoretical perspective. The study had a qualitative design, with data collection from semi-structured individual interviews with nine newly qualified nurses. The data material was analyzed based on Malterud\u27s systematic text condensation. The nurses experienced that the working environment was characterized by high workloads, role challenges, and a discrepancy between effort and reward. Furthermore, they described being a newly qualified nurse as professionally challenging. They experienced a high degree of social support from colleagues, but their experiences with management were varied. The findings suggest a discrepancy between job demands and job resources, which, according to theories about occupational health, can lead to physical and psychological stress. Strengthening nurses\u27 resources to meet job demands will be important in order to lessen the consequences of job demands, promote occupational health and hopefully contribute to keeping more nurses in work.Spesialisthelsetjenesten opplever en flukt av nyutdannede sykepleiere. Arbeidsmiljøet påvirker sykepleieres arbeidshelse og ønske om å bli værende i jobben. Det er lite oppdatert kunnskap om arbeidsmiljø ved norske sykehus.   Hensikten med denne studien var å få kunnskap om nyutdannede sykepleieres opplevelse av organisatorisk og psykososialt arbeidsmiljø på somatiske sengeposter, i et arbeidshelseteoretisk perspektiv.   Studien hadde et kvalitativt design, med datainnsamling fra semistrukturerte individuelle intervjuer med ni nyutdannede sykepleiere. Datamaterialet ble analysert ut fra Malteruds systematiske tekstkondensering. Sykepleierne opplevde at arbeidsmiljøet var preget av høyt arbeidspress, rolleutfordringer, samt misforhold mellom innsats og belønning. Videre beskrev de overgangen som nyutdannet sykepleier som faglig utfordrende. De opplevde stor grad av sosial støtte fra kollegaer, men hadde delte erfaringer med forholdet til ledelsen. Funnene antyder et misforhold mellom jobbkrav og jobbressurser, som kan medføre fysiske og psykiske påkjenninger. Å styrke sykepleieres ressurser i møte med jobbkravene vil være viktig for å dempe jobbkravenes konsekvenser, fremme arbeidshelse og forhåpentligvis bidra til å beholde flere sykepleiere i jobb

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Bohccuid dálvebiebman – váikkuhusat bohccuid láhttenvieruide, boazodoalu geavadagaide ja birrasii: Raporta NJK-bargobáji birra Árvvesjávrris 8.–9.6.2022

This report is based on the results from a Nordic network project funded by The Nordic Joint Committee for Agricultural and Food Research (NKJ) during the years 2021-2022. This network was created to encourage further cross-border discussions about the prospects of winter feeding of reindeer. In reindeer husbandry winter feeding has increased during the last decades due to competing land use activities and climate change. Herders in Norway, Sweden and Finland have previously raised concerns about the benefits and risks associated to the increasing need of winter feeding of reindeer in all three countries. The report, published in Swedish, Norwegian, Finnish and North Sámi, and covers the main findings from a series of preparatory workshops within each country and a main workshop in Arvidsjaur 8-9 June 2022. During the network activities, reindeer herders, researchers and managers discussed the effects of feeding on reindeer behaviour, herding practices and the environment. The two main topics discussed at the preparatory workshops were 1) the short- and long-term effects of winter feeding on reindeer behaviour, and 2) local to large scale effects of feeding on the environment and the natural pastures. During the main workshop, discussions were held about reasons for feeding of reindeer, the preconditions of feeding in the three countries, how winter feeding is usually performed, and best practices in relation to reindeer behaviour and the environment. The work aimed at promoting knowledge exchange on winter feeding of reindeer among all participants to help find solutions and mitigation actions to avoid changes in reindeer behaviour and negative effects of feeding on reindeer, reindeer herding and the environment. The report is aimed at herders, managers, as well as other land users, authorities and policymakers to give information on what was discussed and a summary of the challenges related to winter feeding and effects on reindeer behaviour and reindeer husbandry, and the environment. Rangifer Report No 23 is the North Sámi version of the report. The Swedish, Finnish and Norwegian versions have already been published (Rangifer Report No 18, 19 and 20 respectively).&nbsp