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

2019 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Kari Dahl ◽  
Vibeke Lohne ◽  
Line Nortvedt
Keyword(s):  
Qualitative Research ◽  
Healthcare System ◽  
Health Care Services ◽  
Healthcare Professionals ◽  
The Philippines ◽  
Filipino Nurses ◽  
Care Services ◽  
Research Interviews ◽  
Auxiliary Nurses ◽  
The Eu

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.

Accomplishing “rapport” in qualitative research interviews: Empathic moments in interaction

2018 ◽  
Vol 9 (4) ◽  
pp. 487-511 ◽  
Author(s):  
Matthew T. Prior
Keyword(s):  
Qualitative Research ◽  
Conversation Analysis ◽  
Asylum Seeker ◽  
The Philippines ◽  
Study Data ◽  
Qualitative Interviewing ◽  
Research Interviews ◽  
Case Study Data

AbstractThis study seeks to bring a more interactionally grounded perspective to the concept of “rapport” and its relevance for qualitative interviewing practices. Building on work within conversation analysis (CA), it respecifies rapport as affiliation and, more specifically, empathy. Analysis centers on case study data from an interview with an asylum seeker from the Philippines. It examines how interviewer and interviewee move in and out of empathic moments across the interview sequences as they manage their affective stances related to the events the interviewee describes and, in turn, by managing their empathic alignments with each other. These empathic moments share a number of features: they primarily come after response delays and the interviewee’s response pursuits, they are part of assessment sequences built by lexical reformulation and repetition, they entail stance matching and upgrading mainly through the use of prosodic resources, and they involve the interviewee asserting his primary rights to characterize and assess his own experiences. The article concludes by recommending more attention to the affiliative and empathic dimensions of qualitative interviewing.

scholarly journals The Transformation of the Health Care Structure – Opportunity of Growth

Equilibrium ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. 27-47
Author(s):  
Barbel Held
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Health Care Services ◽  
Transformation Process ◽  
Governance System ◽  
Clear Trend ◽  
Care Services ◽  
Health Care Structure ◽  
Care System

The healthcare industry is a growth driver. However, the health system is facing a crisis, affected by the financial development in Europe. An almost completely regulated market is just as little use, as a largely deregulated market such as in the U.S.A. Both lead to gaps in the sustainable and comprehensive patient care. Based on the German Healthcare System, an analysis is performed. Currently, the German health care system is in a transformation process. Traditional forms of health care services provision and the existing governance system are coming to their limits. The current health care system no longer meets the requirements for ensuring accessible and affordable health care services. As new players on the German hospital market, commercial hospital groups have emerged. To get more informed on the effects at the regional level, a scenario analysis was performed. A trend scenario which shows a clear trend toward a substantial increase of regional imbalances was developed. On one hand, there are highly profitable regions with excellent medical service provision by commercial hospital groups, and on the other hand, there are peripheral regions with a second-rate medicine, which are left to the public sector. The paper derives first ideas about a new structure of the healthcare system for ensuring accessible and affordable health care services for the citizens. The paper shows first ideas about the transformation of healthcare as an opportunity for growth.

scholarly journals The Demand for Primary Health Care Services in the Bicol Region of the Philippines

1986 ◽  
Vol 34 (4) ◽  
pp. 755-782 ◽  
Author(s):  
John S. Akin ◽  
Charles C. Griffin ◽  
David K. Guilkey ◽  
Barry M. Popkin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
The Philippines ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

scholarly journals Kan tjenestedesign bidra til økt medvirkning og involvering for pasienter og brukere på individnivå i helse- og omsorgstjenestene?

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Trude Fløystad Eines ◽  
Ingunn Pernille Mundal ◽  
Cecilie Katrine Utheim Grønvik
Keyword(s):  
Health Care ◽  
Professional Practice ◽  
Health Care Services ◽  
Healthcare Professionals ◽  
User Involvement ◽  
Service Design ◽  
User Participation ◽  
Patients Rights ◽  
Care Services ◽  
Paternalistic Approach

Pasient – og brukermedvirkning er en lovfestet rettighet som skal sikre pasienter og brukere økt innflytelse i helse og omsorgstjenesten. Forskning viser imidlertid at helsepersonell anvender en paternalistisk tilnærming i sin yrkesutøvelse, noe som truer pasienters rettigheter. Helsepersonell anbefales derfor å ta i bruk tjenestedesign som metodikk for å øke den reelle medvirkningen og involveringen av pasienter og brukere. Formålet med økt bruker- og pasientmedvirkning og involvering er å utvikle tjenester av høy kvalitet med utgangspunkt i brukernes behov. Behovsdrevne tjenester vil oppleves som nyttige og meningsfulle for brukerne. Det er derfor viktig at helsepersonell forstår verdien av brukermedvirkning i kvalitetsarbeid og tilegner seg kunnskap om tjenestedesign. Can service design promote expanding user participation and user involvement in health care services? Patient- and user participation is a legislative right intending to ensure service users involvement in health care services. However, research shows that healthcare professionals employ a paternalistic approach in their professional practice, which may threaten patients' rights. Healthcare professionals are recommended to use service design as a methodology to increase the genuine user participation and user involvement, aiming to develop high-quality services based on users' needs. Demand-driven services may be perceived as beneficial and meaningful for the patients. Therefore, the health professionals’ knowledge and comprehension of the value of user participation and service design are of importance.

scholarly journals Access to Health Care Services by Individuals Who Are Deaf or Hard of Hearing (Dhh) in Botswana: Francistown and Tati

2020 ◽  
Author(s):  
Gorgeous Sarah Chinkonono ◽  
Vivian Namuli ◽  
Catherine Atuhaire ◽  
Hamida Massaquoi ◽  
Sourav Mukhopadhyay ◽  
...  
Keyword(s):  
Health Care ◽  
Hard Of Hearing ◽  
Access To Health Care ◽  
Health Care Services ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Structured Interview ◽  
Care Services ◽  
Main Challenge ◽  
The Impact

Abstract Background: Individuals who are Deaf or hard of hearing (DHH) face a lot of challenges when accessing health care services. The main barrier that they face is communication. Despite this, not much research had been carried out in Africa to understand how individuals who are DHH access healthcare services. This study sought to explore experiences of individuals who are DHH in Botswana when accessing healthcare services to propose recommendations towards improving their situation.Methods: This is a qualitative research study using phenomenological approach. Participants were observed at one point in time. Face-to-face in-depth interviews were conducted with 22 DHH individuals living in Francistown and Tati, using a semi-structured interview guide and an interpreter. Participants age range was between 18years to 40years. Purposive sampling and snowballing sampling techniques were used to select the participants.Results: The main challenge that individuals who are DHH in Botswana face is communication barrier which has culminated in their reception of poor healthcare services as the healthcare professionals fail to effectively attain to their health needs. This is evident through wrong prescriptions and treatment; poor counselling services, lack of confidentiality; poor maternal health services especially during child delivery; and limited health information. However, individuals who are DHH in Botswana continues to utilise healthcare services.Conclusion: Poor communication between healthcare professionals and individuals who are DHH act as an impediment to acquiring proper healthcare services by individuals who are DHH. This can lead to poor health outcomes for the DHH population as they are not well informed about health issues that they are at risk of and at times do not know where to seek specific healthcare services pertaining to the health problems they are experiencing. Therefore, there is a need to provide sign language interpreters in the healthcare centres to reduce the impact of this problem.

Cuidados Paliativos - Fundamentos e Abrangência: Revisão de Literatura/Palliative Care - Submissions and Comprehensiveness: Literature Review

1970 ◽  
Vol 3 (3) ◽  
pp. 56-73 ◽  
Author(s):  
José Vitor Da Silva ◽  
Francisco Noronha De Andrade ◽  
Rosa Maria Do Nascimento
Keyword(s):  
Palliative Care ◽  
Health Care Services ◽  
Professional Training ◽  
Healthcare Professionals ◽  
Interdisciplinary Approach ◽  
Current Approach ◽  
Multiprofessional Team ◽  
Care Services ◽  
Support Resources ◽  
Patient Families

Os objetivos deste estudo foram identificar os fundamentos e a abrangência dos cuidados paliativos; compreender as suas abordagens atuais e conhecer as categorias profissionais que integram os cuidados paliativos e o luto referente aos familiares e equipe multiprofissional. O conteúdo expresso mostrou que os cuidados paliativos estão baseados em princípios próprios; a dimensão humana deve prevalecer entre as atitudes profissionais e suas abordagens se estendem ao paciente, familiares e profissional de saúde. Todos os profissionais de saúde podem integrar a equipe de cuidados paliativos; porém, há necessidade de preparo profissional sob a luz da interprofissionalidade. O cuidado paliativo deve se iniciar com a elucidação diagnóstica e permanecer até o período de luto pós-morte. Conclui-se que os cuidados paliativos constituem resposta indispensável aos problemas relacionados com o final da vida. A sua instituição e manutenção nos serviços de saúde são recursos de assistência quando a ciência e a tecnologia saíram de cena. Palavras chave: cuidados paliativos; paciente; família; profissionalde saúde. ABSTRACT This study aims to identify the submissions and comprehensiveness of palliative care; to comprehend its current approach and to get to know the professional categories that integrate palliative care and mourning referring to families and the multiprofessional team. The expressing content showed that palliative cares are based on own principles, the human dimension must prevail in the professional attitudes and its approach extends to the patient, families and healthcare professionals. All the healthcare professionals can take part of the team of palliative care, but it’s necessary professional training by the light of interdisciplinary approach. Palliative care must initiate by diagnostic elucidation and remain up to the mourning period after death. It’s concluded that palliative cares constitutes indispensable answers to the problems related to the ending of life. Its institution and maintenancein the health care services is support resources when science and technology are out of scene.Keywords: palliative cares; patient; family; healthcare professional

Your Morality, My Mortality

2015 ◽  
Vol 24 (2) ◽  
pp. 214-230 ◽  
Author(s):  
BEN A. RICH
Keyword(s):  
Health Care ◽  
Advance Directives ◽  
Medical Staff ◽  
Health Care Services ◽  
Healthcare Professionals ◽  
Professional Standards ◽  
Care Services ◽  
Exponential Increase ◽  
Patient Morbidity ◽  
Patients Experience

Abstract:Recently the scope of protections afforded those healthcare professionals and institutions that refuse to provide certain interventions on the grounds of conscience have expanded, in some instances insulating providers (institutional and individual) from any liability or sanction for harms that patients experience as a result. With the exponential increase in the penetration of Catholic-affiliated healthcare across the country, physicians and nurses who are not practicing Catholics are nevertheless required to execute documents pledging to conform their patient care to the Ethical and Religious Directives for Health Care Services as a condition of employment or medical staff privileges. In some instances, doing so may result in patient morbidity or mortality or violate professional standards for respecting advance directives or surrogate decisionmaking. This article challenges the ethical propriety of such institutional mandates and argues that legal protections for conscientious refusal must provide redress for patients who are harmed by care that falls below the prevailing clinical standards.

scholarly journals Adaptation of international public service digital indicators in ukraine’s health system: prob­lems and prospects

2020 ◽  
pp. 47-52
Author(s):  
Gruzdova T. V.
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Electronic Systems ◽  
Medical Practitioners ◽  
Electronic Networks ◽  
Care Services ◽  
Use Of Data

Digital transformation of healthcare in many countries around the world is aimed at strengthening the healthcare system with respect to increasing staff shortages, aging of population and increasing number of chronic diseases. Technologies which are used for digitalization of healthcare system include electronic systems that provide electronic storage of patients’ medical data, electronic networks for exchange or transferring of patient data to other medical practitioners and professionals, electronic systems for diagnostic or prescription of drugs, telemedicine (providing health care services remotely), mobile phones and devices (more than 165,000 mobile applications for medical services have been developed), robotics, artificial intelligence and genomics, the scientific area that uses data on human genome to diagnose the disease. Permanent collection, analysis and use of data on patients’ health status can improve the quality and effectiveness of the health care service substantially. A number of indicators has been developed by the European Commission to monitor the level of diffusion and effectiveness of electronic health systems. Some of them are included in the Digital Economy and Society Index (DESI), which consists of more than 30 indicators for the EU member countries. Getting data on those indicators in Ukraine requires identification of problems of their applications in the Ukrainian economy by the indicators of the Digital Public Services (eHealth) section. Recommendations for solving the identified problems to ensure the effective implementation of electronic systems in the health care of Ukraine were elaborated in the paper.

scholarly journals Caregivers’ interactions with health care services – Mediator of stress or added strain? Experiences and perceptions of informal caregivers of people with dementia – A qualitative study

Dementia ◽  
2018 ◽  
Vol 18 (7-8) ◽  
pp. 2526-2542 ◽  
Author(s):  
Despina Laparidou ◽  
Jo Middlemass ◽  
Terence Karran ◽  
A Niroshan Siriwardena
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Process Model ◽  
Healthcare Professionals ◽  
Informal Caregivers ◽  
Well Being ◽  
Care Recipient ◽  
Stress Process ◽  
Care Services ◽  
People With Dementia

Background There are an estimated 46.8 million people worldwide living with dementia in 2015, being cared for usually by family members or friends (informal caregivers). The challenges faced by informal caregivers often lead to increased levels of stress, burden and risk of care-recipient institutionalisation. Aim The overarching aim of this study was to explore the experiences and perceptions of informal caregivers of people with dementia when interacting with the health care system, and whether the support received acted as a mediator of caregiver stress. The secondary aim was to investigate healthcare professionals’ views and current practice regarding people with dementia and their interactions with informal caregivers. Method We employed a qualitative research design, using focus groups and one face-to-face interview with a purposive sample of informal caregivers and healthcare professionals in Lincolnshire, UK. Data were collected between March and July 2015. We used the stress-process model of stress in caregivers as a theoretical framework. Results We interviewed 18 caregivers and 17 healthcare professionals. Five themes, mapped to the stress-process in caregivers’ model, captured the main challenges faced by caregivers and the type of support they wanted from health care services. Primary stressors included the challenge of diagnosing dementia; caregivers’ needs and expectations of an in-depth knowledge and understanding of dementia from healthcare professionals; and need for carer education. Secondary role strain included lack of support and mismatch of communication and expectations. Caregiver involvement in monitoring care and disease was a potential mediator tool. Conclusions Fragmentation of dementia care services, lack of training for healthcare professionals and the dearth of information for caregivers means health care services are only partially fulfilling a support role. In turn, lack of support may be intensifying caregiver stress leading to worsening in their health and well-being; thus, potentially increasing the risk of institutionalisation of their care-recipient.

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