Hanssen Helene, Norheim Anne, Hanson Elizabeth
Department of Health Studies, University of Stavanger, Stavanger, Norway.
Swedish Family Care Competence Centre, Linnaeus University, Sweden, Visiting Reader, University of Sheffield, Sheffield, UK.
Health Soc Care Community. 2017 Mar;25(2):559-568. doi: 10.1111/hsc.12343. Epub 2016 Mar 10.
It is a central feature of current Norwegian health and social care policy to see informal carers as active partners. However, research has revealed that carers often experience a lack of recognition by professionals. In 2010, the Norwegian Directorate of Health initiated a web-based competence-building programme (CBP) for health and social care practitioners aimed at facilitating collaboration with carers. The programme comprised case presentations, e-lectures, exercises and topics for discussion, and was introduced in 2012. It was flexible and free of charge. This article is based on a study (2012-2013) that followed the piloting of this CBP in four settings. The study aimed to explore factors that influenced the implementation of the programme and whether or not using it affected health and social care practitioners' attitudes and perceived capacity for collaboration with carers. The study employed a mixed-methods design. A questionnaire was distributed to all staff before and 5 months after the CBP was introduced, followed by focus group interviews with a sample of staff members and individual interviews with the leadership in the involved settings and those who introduced the programme. The quantitative data were analysed using descriptive statistics, which subsequently formed the basis for the focus group interviews. The qualitative data were analysed by means of content analysis. The programme's introduction was similar across all research settings. Nevertheless, whether or not it was adopted depended to a large extent on leadership commitment and engagement. In settings where the programme's use was monitored, supported by management and formed part of on-the-job training, there seemed to be a positive impact on staff attitudes concerning collaboration with carers. Participant staff reported that their awareness of, motivation for and confidence in collaboration with carers were all strengthened. In contrast, the programme was of minimal benefit in settings with low leadership engagement.
将非正式护理人员视为积极合作伙伴是挪威当前卫生和社会护理政策的一个核心特征。然而，研究表明，护理人员经常感到未得到专业人员的认可。2010年，挪威卫生署为卫生和社会护理从业者启动了一项基于网络的能力建设项目（CBP），旨在促进与护理人员的合作。该项目包括案例展示、电子讲座、练习和讨论话题，并于2012年推出。它灵活且免费。本文基于一项在2012年至2013年期间对该CBP在四个场所进行试点的研究。该研究旨在探索影响该项目实施的因素，以及使用该项目是否会影响卫生和社会护理从业者与护理人员合作的态度和感知能力。该研究采用了混合方法设计。在引入CBP之前和之后5个月，向所有工作人员发放了问卷，随后对部分工作人员样本进行了焦点小组访谈，并对相关场所的领导以及引入该项目的人员进行了个人访谈。定量数据使用描述性统计进行分析，随后这些数据构成了焦点小组访谈的基础。定性数据通过内容分析进行分析。在所有研究场所，该项目的引入情况相似。然而，它是否被采用在很大程度上取决于领导的承诺和参与度。在对该项目的使用进行监督、得到管理层支持且成为在职培训一部分的场所，似乎对工作人员与护理人员合作的态度产生了积极影响。参与项目的工作人员报告称，他们与护理人员合作的意识、积极性和信心都得到了增强。相比之下，在领导参与度较低的场所，该项目的益处微乎其微。
