http://hdl.handle.net/10143/24253 Sat, 25 May 2013 06:26:28 GMT 2013-05-25T06:26:28Z http://hera.helsebiblioteket.no:80/hera/retrieve/46289/24054.gif http://hdl.handle.net/10143/24253 http://hdl.handle.net/10143/144129 Title: Experiences of existential problems and psychiatric nurses' ways of addressing them Authors: Bjelland, Stine Dyste; Severinsson, Elisabeth Abstract: Research on patients’ experiences of existential problems in psychiatric care is scarce. The aim of this study was to create a synthesis of published research about how psychiatric nurses address patients’ existential problems. Fourteen papers met the criteria for this review. Four were empirical papers focusing on patients in psychiatric care, eight had a theoretical approach, while two were on the subject of psychiatric nursing care. The findings revealed that the patients’ existential problems were related to lack of self-confidence, self-reflection, social relationships and inability to make choices. In addition, they found it difficult to take an interest in other people and felt alienated from themselves and others. Self-reflection is important for strengthening the identity of patients suffering from existential problems. Psychiatric nurses can promote a stronger identity in their patients by raising questions with a focus on self-reflection, by being present, inviting the patients into a dialogue and using different theories and models to achieve mental health. In conclusion, psychiatric nursing needs to focus to a greater extent on existential problems in order to support patients to discuss and deal with such concerns. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/10143/144129 2011-01-01T00:00:00Z http://hdl.handle.net/10143/123879 Title: Informasjon om fastlegeordningen til flerkulturelle befolkningsgrupper - en utfordring for helsevesenet Authors: Goth, Ursula Småland Abstract: Mange nyankomne innvandrere har problemer med å orientere seg i det norske helsesystemet og kjenner ikke sine pasientrettigheter godt nok. Økt forbruk av legevakttjenester i denne gruppen kan indikere mangelfull informasjon om fastlegeordningen. Vi presenterer her resultatene av en nylig gjennomført studie for å belyse denne problemstillingen. Fri, 01 Jan 2010 00:00:00 GMT http://hdl.handle.net/10143/123879 2010-01-01T00:00:00Z http://hdl.handle.net/10143/123410 Title: Migrant participation in Norwegian health care. A qualitative study using key informants. Authors: Goth, Ursula G. Småland; Berg, John E Abstract: Abstract Background: Little is known about how migrants adapt to first-world public health systems. In Norway, patients are assigned a registered general practitioner (RGP) to provide basic care and serve as gatekeeper for other medical services. Objectives: To explore determinants of migrant compliance with the RGP scheme and obstacles that migrants may experience. Methods: Individuals in leadership positions within migrant organizations for the 13 largest migrant populations in Norway in 2008 participated in this qualitative study. Semi-structured interviews, with migrants serving as key informants, were used to elucidate possible challenges migrant patients face in navigating the local primary health-care system. Conversations were structured using an interview guide covering the range of challenges that migrant patients meet in the health-care system. Results: According to informants, integration into the RGP scheme and adequacy of patient-physician communication varies according to duration of stay in Norway, the patient's country of origin, the reason for migration, health literacy, intention to establish permanent residence in Norway, language proficiency, and comprehension of information received about the health system. Informants noted as obstacles: doctor-patient interaction patterns, conflicting ideas about the role of the doctor, and language and cultural differences. In addressing noted obstacles, one strategy would be to combine direct intervention by migrant associations with indirect intervention via the public-health system. Conclusion: Our results will augment the interpretation of forthcoming quantitative data on migrant integration into the public-health system and shed light on particular obstacles. Thu, 04 Nov 2010 00:00:00 GMT http://hdl.handle.net/10143/123410 2010-11-04T00:00:00Z http://hdl.handle.net/10143/123290 Title: The Intercultural Challenges of General Practitioners in Norway with Migrant Patients Authors: Goth, Ursula Småland; Berg, John Erik; Akman, Haci Abstract: Migrants to Norway disproportionately use emergency medical services while under-using primary care, obviating the medical and cost advantages of the Regular General Practitioner (RGP) scheme. Little is known about migrants' use of the RGP scheme and the obstacles that affect ability and motivation to obtain or comply with treatment. The authors questioned 12 GPs around Oslo who serve migrants, using a semi-structured interview guide. GPs defined migrants in terms of socio-cultural difference rather than legal status, these differences often obstructing doctor-patient communication and understanding. GPs reported that migrants often seem helpless in dealing with the public health service owing to language difficulties, differences in expectations and a systemic failure to co-ordinate care. The findings suggest the importance of providing information about health services in a migrant's mother tongue upon arrival in Norway, of GPs taking detailed patient histories from the beginning to identify obstacles to communication and treatment, and of co-ordinating emergency services with other care. Mon, 26 Jul 2010 00:00:00 GMT http://hdl.handle.net/10143/123290 2010-07-26T00:00:00Z