Hans K Normann | University of Tromsø (original) (raw)

Papers by Hans K Normann

Research paper thumbnail of Nursing homes as learning environments: The impact of professional dialogue

Nurse Education Today, 2012

s u m m a r y Nursing students' clinical experiences are important with respect to their impact o... more s u m m a r y Nursing students' clinical experiences are important with respect to their impact on attitudes towards care for older people and preferences for future workplaces. The purpose of this paper is to explore how professional dialogue has an impact on nursing students' clinical learning and professional development in nursing homes. A qualitative design based on field work, field notes and qualitative research interviews was employed with 12 third year nursing students undergoing clinical practise in three nursing homes in Norway. The nursing students who participated in this study displayed positive attitudes towards older people. However, their experiences and perceptions of the learning environment in the nursing homes, varied. The nursing students expressed that a positive learning environment included participation in nursing care and professional dialogue to support their learning process and outcomes. Their primary wish was to develop their knowledge about care for older people through participation and dialogue as critical and reflective processes in a community of practise.

Research paper thumbnail of Roads not taken: A narrative positioning analysis of older adults' stories about missed opportunities

The point of departure for this article is narrative gerontology's conceptualization of life as s... more The point of departure for this article is narrative gerontology's conceptualization of life as storied and the assumption that identity development and meaning making do not cease at any age, but rather continue throughout life. We suggest that if identity construction is considered to be a lifelong project, narrative gerontology would benefit from applying analytical perspectives focused on the situated activity of narration. In this article, we apply a three-level positioning analysis to segments of interviews with two elderly Sami women concerning missed
opportunities or roads not taken and, more specifically, to narrations about missed opportunities for education. We argue that such narrations should not necessarily be considered expressions of regret or processes of reconciliation but rather as pivotal in here-and-now identity constructions.
Narrations about missed opportunities demonstrate thatwhat narrators choose to insert into their life stories is chosen for a purpose and for an audience in a specific interpersonal and discursive context. We suggest that narrative gerontology would benefit from a broader focus on the diversity of sites of engagement in which older adults perform identity constructions. This shift implies moving beyond traditional studies of older adults' life stories and biographical narratives
as related in the context of qualitative research interviews (of which the present study of Sami older adults' life stories is indeed an example).

Research paper thumbnail of Development and testing of the Norwegian version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale

International journal of nursing education scholarship, 2012

Several instruments have been developed to monitor nursing students' subjective evaluation of... more Several instruments have been developed to monitor nursing students' subjective evaluation of clinical placement. The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale measures five dimensions. The purpose of this study was to translate and test the construct validity and internal consistency of the evaluation scale within a Norwegian context. The questionnaire was distributed to all students in four university colleges (n=1229) in 2009 with a response rate of 41.6 % (n=511). Only students from institutional practice settings (n=407) were included in the analysis. The instrument has properties suitable for evaluation also within a Norwegian context, despite some minor differences in factor structure, indicating common underlying properties regarding students' evaluation of the clinical learning environment and how they rate the premises of nursing on the ward.

Research paper thumbnail of To what extent does the oral shift report stimulate learning among nursing students? A qualitative study*

Journal of Clinical Nursing, 2010

The aim of this study was to describe oral shift reporting and to discuss whether it stimulates l... more The aim of this study was to describe oral shift reporting and to discuss whether it stimulates learning for nursing students in clinical rotations in nursing homes. The goal was to investigate aspects that are important for oral shift report to be instructive for nursing students.

Research paper thumbnail of How do people in the early stage of Alzheimer's disease see their future?

Dementia (London, England), Jan 4, 2015

Older people fear Alzheimer's disease. Central to the fear of the disease is the dread of the... more Older people fear Alzheimer's disease. Central to the fear of the disease is the dread of the loss of identity or self. The aim of this study is to investigate the thoughts people in an early stage of Alzheimer's disease have about their future selves, and the consequences these thoughts have for their temporary lives. The concepts of future and self are understood in terms of the concepts 'possible selves' and 'selfhood'. The participants in the study are two men in their early 60 s. The data consist of four individual interviews and 11 facilitated family conversations including two of their next of kin. The data were collected over a two-year period. The data were interpreted using a hermeneutic analysis inspired by Gadamer. The main findings were the efforts made by the participants to live in the present and their worries about a future as 'living dead'.

Research paper thumbnail of Student experiences in learning person-centred care of patients with Alzheimer’s disease as perceived by nursing students and supervising nurses

Journal of Clinical Nursing, 2010

The aims and objectives of this paper are to illuminate and discuss the experiences and perceptio... more The aims and objectives of this paper are to illuminate and discuss the experiences and perceptions of nursing students and supervising nurses regarding the students' learning of person-centred care of patients with Alzheimer's disease in a teaching nursing home. This information is then used to develop recommendations as to how student learning could be improved.

Research paper thumbnail of The experience of self and threats to sense of self among relatives caring for people with Alzheimer's disease

Dementia, 2014

This study explored how the relatives of people with Alzheimer&am... more This study explored how the relatives of people with Alzheimer's disease expressed Self 2 and Self 3 according to Harré's social constructionist theory of selfhood. Having a relative with Alzheimer's disease affects one's life. In this study, we concentrated on how close relatives of people with Alzheimer's disease experienced their sense of self. This study was descriptive and qualitative. Interviews were conducted with 20 relatives of 10 people with Alzheimer's disease from 2009 to 2011. The data were analysed according to Harré's social constructionist theory of selfhood including Selves 2 and 3. Participants reported that Alzheimer's disease challenged their personal attributes, relations and positioning. Understanding how Alzheimer's disease affects the sense of self among close relatives is important, as this knowledge is pivotal for supporting these relatives who are often informal caregivers in ways that enable a fulfilling and meaningful life.

Research paper thumbnail of Processes of user participation among formal and family caregivers in home-based care for persons with dementia

Dementia, 2015

Scandinavian health policy supports prolonged home-based care for people with dementia. User part... more Scandinavian health policy supports prolonged home-based care for people with dementia. User participation is expected to reduce family burden. The aim of this study was to explore how formal and family caregivers experience collaboration while providing home-based dementia care, with a focus on user participation. Seventeen qualitative in-depth interviews were conducted among formal and family caregivers in rural municipalities. The theme identified during this process was 'negotiating participation in decisions'. This theme was analysed using positioning theory. Concepts such as user participation are ambiguous, and caregivers negotiate positions during decision-making processes. Such negotiations are caused by the problematic relationships among patients' legal consent, undefined spokespersons and pragmatic care practices. These constant negotiations enable or obstruct collaboration in several situations. User participation as a concept might contribute to conflicts during collaborations. Dialogues about user participation that focus on consent and spokespersons could reduce the burden created by negotiations in practice.

Research paper thumbnail of Processes of user participation among formal and family caregivers in home-based care for persons with dementia

Dementia, 2015

Scandinavian health policy supports prolonged home-based care for people with dementia. User part... more Scandinavian health policy supports prolonged home-based care for people with dementia. User participation is expected to reduce family burden. The aim of this study was to explore how formal and family caregivers experience collaboration while providing home-based dementia care, with a focus on user participation. Seventeen qualitative in-depth interviews were conducted among formal and family caregivers in rural municipalities. The theme identified during this process was 'negotiating participation in decisions'. This theme was analysed using positioning theory. Concepts such as user participation are ambiguous, and caregivers negotiate positions during decision-making processes. Such negotiations are caused by the problematic relationships among patients' legal consent, undefined spokespersons and pragmatic care practices. These constant negotiations enable or obstruct collaboration in several situations. User participation as a concept might contribute to conflicts during collaborations. Dialogues about user participation that focus on consent and spokespersons could reduce the burden created by negotiations in practice.

Research paper thumbnail of Nurses’ and carers’ appraisals of workload in care of frail elderly awaiting nursing home placement

Scandinavian Journal of Caring Sciences, 2009

Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerni... more Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerning if and when nursing home placement for frail older awaiting placement was needed, and to illuminate ethical issues involved in decisions regarding nursing home placement.

Research paper thumbnail of Functional levels and nurse workload of elderly awaiting nursing home placement and nursing home residents: a comparative study

Scandinavian Journal of Caring Sciences, 2009

The aim of this study was twofold: to compare the functional levels of elderly awaiting nursing h... more The aim of this study was twofold: to compare the functional levels of elderly awaiting nursing home placement and nursing home residents, and to compare their nurses' physical and psychological workloads. In Norway, the demand for nursing home placement has increased greatly. Elderly awaiting placement can receive care from home health care services and/or from their families. Documenting elderly's functional levels may illuminate the extent of the carers' workloads and the need for support during the waiting period. The study was conducted in 2005 on two groups in northern Norway. Using the Multi-Dimensional Dementia Assessment Scale to assess functional levels, one group of nurses assessed elderly awaiting nursing home placement (n=36) and another group of nurses assessed nursing home residents (n=47). The nurses also reported physical and psychological workloads in caring for these elderly.

Research paper thumbnail of Carers’ and nurses’ appraisals of needs of nursing home placement for frail older in Norway

Journal of Clinical Nursing, 2009

Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerni... more Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerning if and when nursing home placement for frail older awaiting placement was needed, and to illuminate ethical issues involved in decisions regarding nursing home placement.

Research paper thumbnail of Lucidity in a woman with severe dementia related to conversation. A case study

Journal of Clinical Nursing, 2005

Lucidity in a woman with severe dementia related to conversation. A case study Aims and objective... more Lucidity in a woman with severe dementia related to conversation. A case study Aims and objectives. The aim of this study was to explore the presence of lucidity in a woman with severe dementia during conversations and whether it occurred when conversational partners or the woman with severe dementia initiated the conversation topics about the present, past or future time and whether she was presented with support or demands during the conversation. Background. Communication problems as well as episodes of lucidity in people with dementia are reported in the literature. Design. A researcher held 20 hours of conversation with a woman with severe dementia. A daughter participated for about three and a half hours. The conversation was tape-recorded and transcribed verbatim. Methods. The text was divided into units of analysis. Each unit of analysis was then assessed separately and discussed among the authors. Chi-square tests and logistic regression analysis were performed. An ethics committee approved the study. Results. The woman as initiator of the conversation topic and support to the women during conversation from the conversation partner were found to be the most significant factors explaining lucidity, while conversation about the present or past time showed no connection with lucidity. Very few topics (n ¼ 7) concerned future time and they were not used in the statistical analysis. The researcher initiated 41%, the woman 43% and the daughter 16% of the topics. Support was registered in 49%, demands in 15% and both support and demands in 16% of the units of analysis. There were 58% topics about present and 40% about the past time.

Research paper thumbnail of Clinical learning environment and supervision: experiences of Norwegian nursing students - a questionnaire survey

Journal of Clinical Nursing, 2011

Metodi. 875 studenti frequentanti il Corso di Laurea in Infermieristica di 3 Università italiane ... more Metodi. 875 studenti frequentanti il Corso di Laurea in Infermieristica di 3 Università italiane hanno partecipato allo studio. Sono state calcolate l'alfa di Cronbach, le correlazioni item-totale, asimmetria e curtosi; è stata eseguita l'analisi fattoriale utilizzando la fattorizzazione dell'asse principale (PAF) e la rotazione obliqua dei fattori. Risultati. I risultati hanno mostrato un'alfa di Cronbach di 0.95 della scala e variabile da 0.80 a 0.96 fra i fattori; gli item hanno verificato le correlazioni item-totale e i criteri di variabilità di risposta. L'analisi fattoriale ha mostrato un modello a 7 fattori, in grado di spiegare oltre il 67% della varianza, la maggiore varianza è spiegata dal fattore "clima di apprendimento" (37.61%). Il fattore riguardante il tutor universitario, nel modello italiano, è suddiviso in 3 sotto-fattori: integrazione teoria-pratica, cooperazione con l'equipe di reparto e relazione con il tutor clinico e lo studente. Conclusioni. I risultati di questo studio allargano il dibattito internazionale sulla struttura teorica del CLES+T e mettono a disposizione uno strumento valido e affidabile per la comparazione dei modelli tutoriali nel guidare l'apprendimento clinico degli studenti infermieri.

Research paper thumbnail of Confirmation and lucidity during conversations with a woman with severe dementia

Journal of Advanced Nursing, 2002

Research paper thumbnail of “The Old Sami” – who is he and how should he be cared for? A discourse analysis of Norwegian policy documents regarding care services for elderly Sami

Acta Borealia, 2013

ABSTRACT This study examined four policy documents published by the Norwegian government from 199... more ABSTRACT This study examined four policy documents published by the Norwegian government from 1995 to 2009 describing issues regarding the provision of public services to elderly Sami in Norway. Adopting a Foucauldian discourse analytic approach, we explored how the statements regarding elderly Sami and care services in these documents are situated within contemporary ethnopolitical and healthcare discourses. The documents exhibited two major and interrelated trends: the predominant portrayal of the Sami and the ethos of cultural congruent care. The analysis demonstrated a high degree of discursive continuity throughout the four documents, with the image of the elderly Sami constructed in the earliest document reproduced to a large extent in the newer documents.We suggest that a critical cultural perspective offers an alternative to the understanding of culture and the concept of cultural congruent care found in the documents. Froma critical cultural perspective, culture is seen as relational, changing over time, and dependent on social context, history, gender, and other factors. In this view, cultural competence does not involve learning a fixed, coherent body of knowledge comprising ‘‘the Sami culture’’. A critical cultural perspective challenges those who provide care to the elderly Sami to become aware of social, political, and historical processes while simultaneously acknowledging that the impacts of these processes on the lives of the individuals they encounter can never be fully known. Furthermore, this perspective prompts healthcare providers to reflect on how their assumptions about the people they encounter are shaped by their own social, cultural, economic, and professional backgrounds. We suggest that the authorities initiate a new policy document based on current insights into the everyday experiences of the current cohort of elderly Sami as well as contemporary social, ethno-political, and healthcare discourses.

Research paper thumbnail of Struggles of being and becoming: a dialogical narrative analysis of the life stories of Sami elderly

Journal of Aging Studies, 2013

Research paper thumbnail of Indigenous life stories as narratives of health and resistance: A dialogical narrative analysis

Research paper thumbnail of Nursing homes as learning environments: The impact of professional dialogue

Nurse Education Today, 2012

s u m m a r y Nursing students' clinical experiences are important with respect to their impact o... more s u m m a r y Nursing students' clinical experiences are important with respect to their impact on attitudes towards care for older people and preferences for future workplaces. The purpose of this paper is to explore how professional dialogue has an impact on nursing students' clinical learning and professional development in nursing homes. A qualitative design based on field work, field notes and qualitative research interviews was employed with 12 third year nursing students undergoing clinical practise in three nursing homes in Norway. The nursing students who participated in this study displayed positive attitudes towards older people. However, their experiences and perceptions of the learning environment in the nursing homes, varied. The nursing students expressed that a positive learning environment included participation in nursing care and professional dialogue to support their learning process and outcomes. Their primary wish was to develop their knowledge about care for older people through participation and dialogue as critical and reflective processes in a community of practise.

Research paper thumbnail of Roads not taken: A narrative positioning analysis of older adults' stories about missed opportunities

The point of departure for this article is narrative gerontology's conceptualization of life as s... more The point of departure for this article is narrative gerontology's conceptualization of life as storied and the assumption that identity development and meaning making do not cease at any age, but rather continue throughout life. We suggest that if identity construction is considered to be a lifelong project, narrative gerontology would benefit from applying analytical perspectives focused on the situated activity of narration. In this article, we apply a three-level positioning analysis to segments of interviews with two elderly Sami women concerning missed
opportunities or roads not taken and, more specifically, to narrations about missed opportunities for education. We argue that such narrations should not necessarily be considered expressions of regret or processes of reconciliation but rather as pivotal in here-and-now identity constructions.
Narrations about missed opportunities demonstrate thatwhat narrators choose to insert into their life stories is chosen for a purpose and for an audience in a specific interpersonal and discursive context. We suggest that narrative gerontology would benefit from a broader focus on the diversity of sites of engagement in which older adults perform identity constructions. This shift implies moving beyond traditional studies of older adults' life stories and biographical narratives
as related in the context of qualitative research interviews (of which the present study of Sami older adults' life stories is indeed an example).

Research paper thumbnail of Development and testing of the Norwegian version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale

International journal of nursing education scholarship, 2012

Several instruments have been developed to monitor nursing students' subjective evaluation of... more Several instruments have been developed to monitor nursing students' subjective evaluation of clinical placement. The Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale measures five dimensions. The purpose of this study was to translate and test the construct validity and internal consistency of the evaluation scale within a Norwegian context. The questionnaire was distributed to all students in four university colleges (n=1229) in 2009 with a response rate of 41.6 % (n=511). Only students from institutional practice settings (n=407) were included in the analysis. The instrument has properties suitable for evaluation also within a Norwegian context, despite some minor differences in factor structure, indicating common underlying properties regarding students' evaluation of the clinical learning environment and how they rate the premises of nursing on the ward.

Research paper thumbnail of To what extent does the oral shift report stimulate learning among nursing students? A qualitative study*

Journal of Clinical Nursing, 2010

The aim of this study was to describe oral shift reporting and to discuss whether it stimulates l... more The aim of this study was to describe oral shift reporting and to discuss whether it stimulates learning for nursing students in clinical rotations in nursing homes. The goal was to investigate aspects that are important for oral shift report to be instructive for nursing students.

Research paper thumbnail of How do people in the early stage of Alzheimer's disease see their future?

Dementia (London, England), Jan 4, 2015

Older people fear Alzheimer's disease. Central to the fear of the disease is the dread of the... more Older people fear Alzheimer's disease. Central to the fear of the disease is the dread of the loss of identity or self. The aim of this study is to investigate the thoughts people in an early stage of Alzheimer's disease have about their future selves, and the consequences these thoughts have for their temporary lives. The concepts of future and self are understood in terms of the concepts 'possible selves' and 'selfhood'. The participants in the study are two men in their early 60 s. The data consist of four individual interviews and 11 facilitated family conversations including two of their next of kin. The data were collected over a two-year period. The data were interpreted using a hermeneutic analysis inspired by Gadamer. The main findings were the efforts made by the participants to live in the present and their worries about a future as 'living dead'.

Research paper thumbnail of Student experiences in learning person-centred care of patients with Alzheimer’s disease as perceived by nursing students and supervising nurses

Journal of Clinical Nursing, 2010

The aims and objectives of this paper are to illuminate and discuss the experiences and perceptio... more The aims and objectives of this paper are to illuminate and discuss the experiences and perceptions of nursing students and supervising nurses regarding the students' learning of person-centred care of patients with Alzheimer's disease in a teaching nursing home. This information is then used to develop recommendations as to how student learning could be improved.

Research paper thumbnail of The experience of self and threats to sense of self among relatives caring for people with Alzheimer's disease

Dementia, 2014

This study explored how the relatives of people with Alzheimer&am... more This study explored how the relatives of people with Alzheimer's disease expressed Self 2 and Self 3 according to Harré's social constructionist theory of selfhood. Having a relative with Alzheimer's disease affects one's life. In this study, we concentrated on how close relatives of people with Alzheimer's disease experienced their sense of self. This study was descriptive and qualitative. Interviews were conducted with 20 relatives of 10 people with Alzheimer's disease from 2009 to 2011. The data were analysed according to Harré's social constructionist theory of selfhood including Selves 2 and 3. Participants reported that Alzheimer's disease challenged their personal attributes, relations and positioning. Understanding how Alzheimer's disease affects the sense of self among close relatives is important, as this knowledge is pivotal for supporting these relatives who are often informal caregivers in ways that enable a fulfilling and meaningful life.

Research paper thumbnail of Processes of user participation among formal and family caregivers in home-based care for persons with dementia

Dementia, 2015

Scandinavian health policy supports prolonged home-based care for people with dementia. User part... more Scandinavian health policy supports prolonged home-based care for people with dementia. User participation is expected to reduce family burden. The aim of this study was to explore how formal and family caregivers experience collaboration while providing home-based dementia care, with a focus on user participation. Seventeen qualitative in-depth interviews were conducted among formal and family caregivers in rural municipalities. The theme identified during this process was 'negotiating participation in decisions'. This theme was analysed using positioning theory. Concepts such as user participation are ambiguous, and caregivers negotiate positions during decision-making processes. Such negotiations are caused by the problematic relationships among patients' legal consent, undefined spokespersons and pragmatic care practices. These constant negotiations enable or obstruct collaboration in several situations. User participation as a concept might contribute to conflicts during collaborations. Dialogues about user participation that focus on consent and spokespersons could reduce the burden created by negotiations in practice.

Research paper thumbnail of Processes of user participation among formal and family caregivers in home-based care for persons with dementia

Dementia, 2015

Scandinavian health policy supports prolonged home-based care for people with dementia. User part... more Scandinavian health policy supports prolonged home-based care for people with dementia. User participation is expected to reduce family burden. The aim of this study was to explore how formal and family caregivers experience collaboration while providing home-based dementia care, with a focus on user participation. Seventeen qualitative in-depth interviews were conducted among formal and family caregivers in rural municipalities. The theme identified during this process was 'negotiating participation in decisions'. This theme was analysed using positioning theory. Concepts such as user participation are ambiguous, and caregivers negotiate positions during decision-making processes. Such negotiations are caused by the problematic relationships among patients' legal consent, undefined spokespersons and pragmatic care practices. These constant negotiations enable or obstruct collaboration in several situations. User participation as a concept might contribute to conflicts during collaborations. Dialogues about user participation that focus on consent and spokespersons could reduce the burden created by negotiations in practice.

Research paper thumbnail of Nurses’ and carers’ appraisals of workload in care of frail elderly awaiting nursing home placement

Scandinavian Journal of Caring Sciences, 2009

Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerni... more Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerning if and when nursing home placement for frail older awaiting placement was needed, and to illuminate ethical issues involved in decisions regarding nursing home placement.

Research paper thumbnail of Functional levels and nurse workload of elderly awaiting nursing home placement and nursing home residents: a comparative study

Scandinavian Journal of Caring Sciences, 2009

The aim of this study was twofold: to compare the functional levels of elderly awaiting nursing h... more The aim of this study was twofold: to compare the functional levels of elderly awaiting nursing home placement and nursing home residents, and to compare their nurses' physical and psychological workloads. In Norway, the demand for nursing home placement has increased greatly. Elderly awaiting placement can receive care from home health care services and/or from their families. Documenting elderly's functional levels may illuminate the extent of the carers' workloads and the need for support during the waiting period. The study was conducted in 2005 on two groups in northern Norway. Using the Multi-Dimensional Dementia Assessment Scale to assess functional levels, one group of nurses assessed elderly awaiting nursing home placement (n=36) and another group of nurses assessed nursing home residents (n=47). The nurses also reported physical and psychological workloads in caring for these elderly.

Research paper thumbnail of Carers’ and nurses’ appraisals of needs of nursing home placement for frail older in Norway

Journal of Clinical Nursing, 2009

Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerni... more Aims and objectives. The aim of this paper was to explore carers' and nurses' appraisals concerning if and when nursing home placement for frail older awaiting placement was needed, and to illuminate ethical issues involved in decisions regarding nursing home placement.

Research paper thumbnail of Lucidity in a woman with severe dementia related to conversation. A case study

Journal of Clinical Nursing, 2005

Lucidity in a woman with severe dementia related to conversation. A case study Aims and objective... more Lucidity in a woman with severe dementia related to conversation. A case study Aims and objectives. The aim of this study was to explore the presence of lucidity in a woman with severe dementia during conversations and whether it occurred when conversational partners or the woman with severe dementia initiated the conversation topics about the present, past or future time and whether she was presented with support or demands during the conversation. Background. Communication problems as well as episodes of lucidity in people with dementia are reported in the literature. Design. A researcher held 20 hours of conversation with a woman with severe dementia. A daughter participated for about three and a half hours. The conversation was tape-recorded and transcribed verbatim. Methods. The text was divided into units of analysis. Each unit of analysis was then assessed separately and discussed among the authors. Chi-square tests and logistic regression analysis were performed. An ethics committee approved the study. Results. The woman as initiator of the conversation topic and support to the women during conversation from the conversation partner were found to be the most significant factors explaining lucidity, while conversation about the present or past time showed no connection with lucidity. Very few topics (n ¼ 7) concerned future time and they were not used in the statistical analysis. The researcher initiated 41%, the woman 43% and the daughter 16% of the topics. Support was registered in 49%, demands in 15% and both support and demands in 16% of the units of analysis. There were 58% topics about present and 40% about the past time.

Research paper thumbnail of Clinical learning environment and supervision: experiences of Norwegian nursing students - a questionnaire survey

Journal of Clinical Nursing, 2011

Metodi. 875 studenti frequentanti il Corso di Laurea in Infermieristica di 3 Università italiane ... more Metodi. 875 studenti frequentanti il Corso di Laurea in Infermieristica di 3 Università italiane hanno partecipato allo studio. Sono state calcolate l'alfa di Cronbach, le correlazioni item-totale, asimmetria e curtosi; è stata eseguita l'analisi fattoriale utilizzando la fattorizzazione dell'asse principale (PAF) e la rotazione obliqua dei fattori. Risultati. I risultati hanno mostrato un'alfa di Cronbach di 0.95 della scala e variabile da 0.80 a 0.96 fra i fattori; gli item hanno verificato le correlazioni item-totale e i criteri di variabilità di risposta. L'analisi fattoriale ha mostrato un modello a 7 fattori, in grado di spiegare oltre il 67% della varianza, la maggiore varianza è spiegata dal fattore "clima di apprendimento" (37.61%). Il fattore riguardante il tutor universitario, nel modello italiano, è suddiviso in 3 sotto-fattori: integrazione teoria-pratica, cooperazione con l'equipe di reparto e relazione con il tutor clinico e lo studente. Conclusioni. I risultati di questo studio allargano il dibattito internazionale sulla struttura teorica del CLES+T e mettono a disposizione uno strumento valido e affidabile per la comparazione dei modelli tutoriali nel guidare l'apprendimento clinico degli studenti infermieri.

Research paper thumbnail of Confirmation and lucidity during conversations with a woman with severe dementia

Journal of Advanced Nursing, 2002

Research paper thumbnail of “The Old Sami” – who is he and how should he be cared for? A discourse analysis of Norwegian policy documents regarding care services for elderly Sami

Acta Borealia, 2013

ABSTRACT This study examined four policy documents published by the Norwegian government from 199... more ABSTRACT This study examined four policy documents published by the Norwegian government from 1995 to 2009 describing issues regarding the provision of public services to elderly Sami in Norway. Adopting a Foucauldian discourse analytic approach, we explored how the statements regarding elderly Sami and care services in these documents are situated within contemporary ethnopolitical and healthcare discourses. The documents exhibited two major and interrelated trends: the predominant portrayal of the Sami and the ethos of cultural congruent care. The analysis demonstrated a high degree of discursive continuity throughout the four documents, with the image of the elderly Sami constructed in the earliest document reproduced to a large extent in the newer documents.We suggest that a critical cultural perspective offers an alternative to the understanding of culture and the concept of cultural congruent care found in the documents. Froma critical cultural perspective, culture is seen as relational, changing over time, and dependent on social context, history, gender, and other factors. In this view, cultural competence does not involve learning a fixed, coherent body of knowledge comprising ‘‘the Sami culture’’. A critical cultural perspective challenges those who provide care to the elderly Sami to become aware of social, political, and historical processes while simultaneously acknowledging that the impacts of these processes on the lives of the individuals they encounter can never be fully known. Furthermore, this perspective prompts healthcare providers to reflect on how their assumptions about the people they encounter are shaped by their own social, cultural, economic, and professional backgrounds. We suggest that the authorities initiate a new policy document based on current insights into the everyday experiences of the current cohort of elderly Sami as well as contemporary social, ethno-political, and healthcare discourses.

Research paper thumbnail of Struggles of being and becoming: a dialogical narrative analysis of the life stories of Sami elderly

Journal of Aging Studies, 2013

Research paper thumbnail of Indigenous life stories as narratives of health and resistance: A dialogical narrative analysis