New results from the Pierre Auger Observatory

Recent results from the Auger Observatory on the energy spectrum of high-energy cosmic rays and on the search for correlation with extragalactic objects are presented and discussed. The excess of high-energy events with arrival direction pointing to the region of Centaurus A is discussed in some detail

How is leadership experienced in joy-of-life-nursing-homes compared to ordinary nursing homes: a qualitative study

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Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains.

This article presents cross-country comparisons of trends in for-profit nursing home chains in Canada, Norway, Sweden, United Kingdom, and the United States. Using public and private industry reports, the study describes ownership, corporate strategies, costs, and quality of the 5 largest for-profit chains in each country. The findings show that large for-profit nursing home chains are increasingly owned by private equity investors, have had many ownership changes over time, and have complex organizational structures. Large for-profit nursing home chains increasingly dominate the market and their strategies include the separation of property from operations, diversification, the expansion to many locations, and the use of tax havens. Generally, the chains have large revenues with high profit margins with some documented quality problems. The lack of adequate public information about the ownership, costs, and quality of services provided by nursing home chains is problematic in all the countries. The marketization of nursing home care poses new challenges to governments in collecting and reporting information to control costs as well as to ensure quality and public accountability

Reflexivity on an Empirical Study about Cancer Patients’ Perception of Good Caring in Light of Goffman’s Theory

Dette er en pdf av forlagets publiserte versjon etter avtale. Tidsskriftets side: https://ejournals.library.ualberta.ca/index.php/IJQM/article/view/21318Findings from an empirical, qualitative study conducted by the first author regarding cancer patients' perceptions of good nursing care have previously been published. In this article, the entire research process of the study is analyzed and discussed in light of the social theories of Erving Goffman (1959, 1986), arriving at some complementary interpretations of the findings. Reflections are made specifically based on his theories concerning the interactional frames and the presentation of self in everyday life. The interviewer and the informants entered the interview situation from very different standpoints, with different expectations and objectives, social roles, theoretical backgrounds, and positions within the power structure of the clinical setting. Those differences naturally influence the interaction in the interview situation, not the least of which includes the self-presentation of the patients. The complementary insight dealt with in this article provides an important background for improving nursing care in practice as well as when planning further research

How is leadership experienced in joy-of-life-nursing-homes compared to ordinary nursing homes: a qualitative study

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Background: Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ (JoLNH) strategy which is based on a health-promoting approach building on the older persons’ resources. Meanwhile job satisfaction is closely related to less intention to leave, less turnover and reduced sick leave. The knowledge about adjustable infuences related with job satisfaction might help nursing home leaders to minimize turnover and preserve high quality of care. This study explores leadership in Norwegian nursing homes with and without implementation of JoLNH: How does leadership infuence the work environment and how is leadership experienced in JoLNH compared to ordinary Nursing Homes? Method: We used a qualitative approach and interviewed 19 health care personnel working in nursing homes in two Norwegian municipalities. The analysis was conducted following Kvale’s approach to qualitative analysis. Results: The main categories after the data condensing were [1] the importance of leadership, and [2] the importance of leadership for the work environment in a municipality with (a) and without (b) an implementation of the JoLNH strategy. Conclusions: The health care personnel in the municipality with an implementation of JoLNH emphasize that the leader’s infuence may lead to increased motivation among the staf and better control of changes and implementation processes. Our fndings may indicate that the employee from a JoLNH municipality experience a more trustful relationship to the leader.publishedVersio

Becoming a Nurse: Stories of Vulnerability

This article sets out to analyze written stories of nursing students focusing on challenging situations from clinical practice The analysis involves looking at how the stories present various versions of being and becoming a nurse. On the one hand, this calls for an examination of what is found in the stories, narrative structures, linguistic devices, word choice and so on. On the other hand, it implies looking at what is not found by reflecting on notable absences from the stories. The analysis underscores that vulnerability is a prominent feature of these stories. The article stresses the importance of honouring the stories while at the same time advocating the use of narrative pedagogy to put the stories in a larger context and thus develop the student nurses’ narrative resources

Becoming a Nurse: Stories of Vulnerability

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Scandinavian nurses’ use of social media during the COVID-19 pandemic—A Berger and Luckman inspired analysis of a qualitative interview study

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).There is a knowledge gap about nurses’ use of social media in relation to and during the COVID-19 pandemic, which demands the upholding of a physical distance to other people, including patients and their relatives. The study aims to explore how nurses in the Scandinavian countries used social media for professional purposes in relation to the first 15 months of the COVID-19 pandemic. Qualitative, semi-structured interviews with 30 nurses in three Scandinavian countries (Denmark, Norway, and Sweden) were conducted. Thematic analyses were made, methodically inspired by Braun and Clarke, and theoretically inspired by Berger and Luckmann’s theory about the construction of social reality. The Standards for Reporting Qualitative Research (SRQR) checklist was used. The results showed that social media was a socialisation tool for establishing new routines in clinical practice. Virtual meeting places supported collective understandings of a specific COVID-19 ‘reality’ and ‘knowledge’ amongst nurses, with the pandemic bringing to the fore the issue of eprofessionalism among nurses relating to their clinical practice. However, social media and virtual education were not commonly used in patient contacts. Further, nurses attempted a re-socialisation of the public to proper COVID-19 behaviour through social media. Moreover, blurred boundaries between acting as a private individual and a professional nurse were identified, where ethics of the nursing profession extended to nurses’ private lives.publishedVersio

It Is a Scandal: What Are the Results of Media Scandals on Nursing Home Policy?

The media helps bring the larger picture into personal concerns. It can then help to take these concerns to the public, which could create change to policy. Media focus on nursing care scandals helped people to question the current belief that the for-profit sectors will provide better, more effective, care services in nursing homes.Knowledge Mobilization at York York’s Knowledge Mobilization Unit provides services for faculty, graduate students, community and government seeking to maximize the impact of academic research and expertise on public policy, social programming, and professional practice. This summary has been supported by the Office of the Vice-President Research and Innovation at York and project funding from SSHRC and CIHR. [email protected] www.researchimpact.c

Et aldersvennlig Norge

Senter for omsorgsforskning (SOF) har fått i oppdrag å lage en kunnskapsoppsummering for temaområdet «aldersvennlige samfunn» og fire andre temaområder i oppdragsavtale av 23.01.19. De andre fire tematiske hovedområdene; mat og måltider, aktivitet og fellesskap, helsehjelp, sammenheng og overgang i tjenestene, anses i reformens dokumenter som viktige dimensjoner ved aldersvennlige samfunn og omgivelser. Dermed er også dokumenter og litteratur som gjennomgås i disse mer spesifikke emnene av høy relevans for temaet i denne kunnskapsoppsummeringen om aldersvennlige samfunn («Aldersvennlig Norge»). I temadelen Aldersvennlige samfunn er fokus både på friske eldre og på eldre i behov av langvarig og omfattende helsehjelp. Oppdraget SOF har fått er å understøtte kommunenes endringsarbeid, legge til rette for erfaringsdeling og kunnskapsutveksling, samt identifisere relevant kunnskap, spisse og skreddersy denne. Heller enn etablering av ny kunnskap er oppdraget spesifisert som tilrettelegging og spredning av eksisterende kunnskap». Følgende kilder til kunnskap nevnes konkret i oppdragsavtalen: a. stortingsmeldinger og eksisterende strategier og handlingsplaner (særlig omtalt i del 4), b. regionale dialogmøter, c. lokale eksempler (se del 6), og, d. kunnskapsoppsummeringer (se del 5)