Young peoples' involvement in welfare service development—Is voice enough?—A thematic synthesis of qualitative studies

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Background: Young people need to be heard and take an active role in developing welfare services. When they are recognized as having skills and expertize, the advantages young people's involvement brings to both themselves and the organizations, are mobilization and empowering with impact on national decision‐making. Objective: To synthesize existing literature on how young people's involvement in coproduction can contribute to better welfare services. Search Strategy: We performed a systematic literature search in four databases (MEDLINE, EMBASE, PsycINFO and Cinahl). Inclusion Criteria: Publications whose abstracts contained themes as: Young people 12–25 years of age, receiving welfare, youth coproduction/involvement/participation and qualitative studies. Data Extraction and Synthesis: Of the 5469 documents retrieved, the full text of 58 studies was read, of which seven studies met the inclusion criteria. A thematic synthesis following Thomas and Harden was used. Main Results: Young people being involved in coproduction of developing welfare services experienced to be valued and supported by partnerships, but they also pointed out deficiencies in welfare services. Some of the adolescents expressed not being listened to, lack of trusted relations and not being involved in policy making or prospects. The staff members saw some challenges with partnering with youth; as the need for flexibility, to keep the youth engaged and to purposefully meet the adolescents where they need help, guidance or resources. Conclusions: More involvement should be stressed. Coproduction is often symbolic more than resulting in real changes in the welfare services. Consequently, what is crucial when young people are involved is that they are encouraged by adults to be clear about the degree of involvement they want. Patient or Public Contribution: Patient and public involvement was not explicit in this review.publishedVersio

The importance of being a compassionate leader: the views of nursing and midwifery managers from around the world

Introduction: Despite the importance of compassionate leadership in health care, many of the existing publications do not account for the effect of culture. The aim of this study is to explore the views of nursing and midwifery managers from different countries in relation to the definition, advantages, and importance of compassion. Methodology: A cross-sectional, descriptive, exploratory online survey was conducted across 17 countries, containing both closed and open-ended questions. Data from N = 1,217 respondents were analyzed using a directed hybrid approach focusing only on qualitative questions related to compassion-giving. Results: Four overarching themes capture the study’s results: (1) definition of compassion, (2) advantages and importance of compassion for managers, (3) advantages and importance of compassion for staff and the workplace, and (4) culturally competent and compassionate leadership. Discussion: Innovative research agendas should pursue further local qualitative empirical research to inform models of culturally competent and compassionate leadership helping mangers navigate multiple pressures and be able to transculturally resonate with their staff and patients

Socially assistive robots in health and social care: Acceptance and cultural factors. Results from an exploratory international online survey

Aim: This study explored the views of an international sample of registered nurses and midwives working in health and social care concerning socially assistive robots (SARs), and the relationship between dimensions of culture and rejection of the idea that SARs had benefits in these settings. Methods: An online survey was used to obtain rankings of (among other topics) the extent to which SARs have benefits for health and social care. It also asked for free text responses regarding any concerns about SARs. Results: Most respondents were overwhelmingly positive about SARs' benefits. A small minority strongly rejected this idea, and qualitative analysis of the objections raised by them revealed three major themes: things might go wrong, depersonalization, and patient‐related concerns. However, many participants who were highly accepting of the benefits of SARs expressed similar objections. Cultural dimensions of long‐term orientation and uncertainty avoidance feature prominently in technology acceptance research. Therefore, the relationship between the proportion of respondents from each country who felt that SARs had no benefits and each country's ratings on long‐term orientation and uncertainty avoidance were also examined. A significant positive correlation was found for long‐term orientation, but not for uncertainty avoidance. Conclusion: Most respondents were positive about the benefits of SARs, and similar concerns about their use were expressed both by those who strongly accepted the idea that they had benefits and those who did not. Some evidence was found to suggest that cultural factors were related to rejecting the idea that SARs had benefits

Dignity and Indignity Experienced by Immigrant Women on Long-term Sick Leave: A qualitative Study

In her thesis Dignity and indignity experienced by immigrant women on long-term sick leave, Line Nortvedt has studied immigrant women with chronic pain during a rehabilitation period. The main aim of the study was to explore how the immigrant women experience their daily life at home and at the workplace when they are on long-term sick leave. The study is based on participant observations during two rehabilitation courses at an outpatient clinic, and qualitative interviews with the women after the courses. The results demonstrate that the women experience their daily life as lonely and humiliating when being excluded by colleagues, managers or even by family members. The rejection at home and at the workplace reinforces the women's experience of shame and avoidance of telling anybody about their illness, thus contributing to more days on sick leave. The chronic pain is experienced as threatening, incomprehensible and unreal, without meaning or ability to be controlled. Despite the experiences of suffering and humiliation, the participants experience to maintain dignity through love and friendship, by getting connected with their "historical selves", by supporting relatives and being strong. Moreover, they are respected, believed and understood by other patients and healthcare professionals. Additionally, religious faith and hope for the future gave an experience of meaning, peace and dignity. The study concludes that immigrant women may experience poor health because of strains from migration, meaningless pain and humiliation, by being made to feel invisible, not understood, degraded, stigmatized and marginalized. On the other hand, they were able to adapt, learn and endure. Moreover, they find strength in personal relations in their families and with God, and demonstrate a solid integrity, inner strength, proudness, self-respect and acceptance. Hope and dignity serves as a healing force for the immigrant women

A Qualitative Study on How Younger Women Experience Living with an Ostomy

There is a growing demand that ostomy patients receive more systematic and individualised follow-up by ostomy nurses. The purpose of the study was to explore how younger women experience everyday life after an ostomy and to map what healthcare personnel can do to ensure that the patient group can feel safe and looked after. This qualitative study included four younger women who had a stoma fitted. Individual in-depth interviews were conducted, and two participants were interviewed twice. The findings resulted in three main themes: (1) The importance of follow-up and information from healthcare personnel, (2) Experience with illness and freedom in everyday life and (3) Self-image and social relationships. We found that time to prepare before surgery and learning to live with the stoma provide a good basis for handling the new everyday life with a stoma. We conclude that ostomy nurses provide support and security to those undergoing ostomy operations. Healthcare professionals should focus on providing individually tailored information to ensure that patients are receptive to the information being shared with them. Having parts of a bowel removed can be experienced as relief, especially when the disease has previously contributed to poor self-image and social isolation

The perceptions of older adults living with chronic musculoskeletal pain about participating in an intervention based on a behavioral medicine approach to physical therapy

Background: There is evidence that interventions based on a behavioral medicine approach to physical therapy (BMPI) are beneficial for older adults living with chronic pain; however, knowledge of the perceptions of older people regarding their participation in BMPI is lacking. Aim: The aim of this study was to describe the perceptions of older people about being participants in a home-based BMPI. Methods: Semi-structured interviews were conducted with 12 older adults living with chronic pain and participating in a BMPI. Data were analyzed using qualitative content analysis. Results: The respondents highlighted the importance of the home-based and individualized nature of the intervention. They perceived the support from the physical therapist (PT) as significant for their motivation and goal attainment. The benefits of the intervention were described in physical, psychological, social, and functional terms and as enabling participants to live at home for longer. Conclusion: The results show that participation in a BMPI was perceived as a positive and meaningful experience. Support from a PT is crucial to encouraging behavioral changes. Finally, participation in a BMPI may contribute to the ability of participants to “age in place” for longer

A courageous journey:Experiences of migrant Philippine nurses in Norway

Aims and objectives: To explore how Philippine-educated nurses explain their choice of Norway as their migration destination and their experience with the credential assessment process in Norway. Background: Norway has an increasing need for nurses, and nurses educated in nonEU countries are an important resource for the Norwegian health service. Philippine nurses compose the largest group of internationally educated nurses from outside the EU, but their Philippine nursing education is only credited as equivalent to 2 years in Norway. Migration is known to engender stressful experiences amongst migrant nurses, which may affect their health. However, studies on Philippine nurses' experiences of migrating to and working in Norway are lacking. Design and methods: The study used a hermeneutic design, conducting qualitative research interviews with ten Philippine nurses. All of them had a certification as auxiliary nurses, but not as registered nurses. The Consolidated Criteria for Reporting Qualitative Research is used. Results: The nurses' choice of a migration country appeared to be both random and based on the opportunity to find well-paid work, as well as having acquaintances who had already migrated to Norway. The migrated Philippine nurses seemed experienced and competent. In Norway, they were disappointed as they felt undervalued. The nurses struggled to learn Norwegian, while striving for survival when acquiring jobs or accommodations. They were excluded from acting as legal nurses in the Norwegian healthcare system; they fulfilled the governmental requirements, but they were repeatedly rejected. The informants saw this as harsh, but still hoped to be successful. Conclusions: There is a need to facilitate effective language training and a wellfounded, predictable system of credentialing. Relevance to clinical practice: Attention should be paid to the integration of immigrants and safeguarding and strengthening the professional competence the nurses bring with them

Helsevesenet trenger vår kompetanse- hvorfor ikke bruke den? En kvalitativ studie av filippinske sykepleieres opplevelse av veien til autorisasjon i Norge

The healthcare system need our competence - why not use it? A qualitative study of Filipino nurses experience of their way to accreditation in Norway Healthcare professionals educated outside the EU/EEA are an important source of labor in the Norwegian healthcare system, where nurses and auxiliary nurses from the Philippines constitute the largest group. Complicated authority requirements are attached to accreditation in Norway. The study explores how Filipino nurses with three different approvals in the authorization process, experience the process of accreditation in Norway, using qualitative research interviews. The results show that nurses face challenges related to the authorization process in Norway, which they experience as unworthy, unfair, baffling and economically burdensome, but also with experiences of hope for good prospects. A predictable and a dignified authorization process for Filipino nurses should be developed, so that their knowledge and competence can be included and appreciated in the Norwegian health care services

"Helsevesenet trenger vår kompetanse-hvorfor ikke bruke den?"En kvalitativ studie av filippinske sykepleieres opplevelse av veien til autorisasjon i Norge

Internasjonal sykepleiemigrasjon har vært økene de siste 15 årene og alt tyder på at det vil fortsette inn i framtiden (Debesay og Tschudi-Madsen, 2018). I dagens norske helsevesen er det underskudd på 2500 autoriserte sykepleiere, og beregninger viser at underskuddet vil, parallelt med et økende omsorgsbehov, være mer enn tidoblet innen 2035 (Samfunnsøkonomisk analyse, 2018; Gautun, 2016). Sykepleiere og helsefagarbeidere utdannet på Filippinene er den største kilden til arbeidskraft fra land utenfor EU/EØS i Norge, og de er et viktig bidrag for å dekke nevnte omsorgsbehov. I dag bor det 21.283 filippinske innvandrere i Norge (SSB, 2018) og i 2017 var 1808 helsefagarbeidere fra Filippinene sysselsatt i norsk helsevesen. Sansynligvis er de fleste helsefagarbeidere utdannet sykepleiere og ifølge Helsedirektoratet, et ubenyttet kompetansepotensiale (NHSP 2020-2023). I 2017 var det i Norge sysselsatt 946 sykepleiere fra Filippinene, og disse utgjorde den tredje største gruppen av utenlandske sykepleiere, etterfulgt av Sverige og Danmark. Imidlertid viser studier at migrasjon av sykepleiere kan skape utfordringer både i landet sykepleiere reiser fra og i landet sykepleiere reiser til (Delucas, 2014; Ortiga, 2014; Moyce, Lash, & de Leon Siantz, 2016). En sentral problemstilling i denne sammenheng er utfordringer knyttet til sykepleiernes autorisasjonsprosess, når en sykepleier er utdannet i ett land og skal utøve sin profesjon i et nytt land. Samtidig må alt helsepersonell ha autorisasjon for å utøve sitt yrke, noe som er viktig for pasientsikkerhet og for at befolkningen skal ha tillit til helsevesene