Cristin-prosjekt-ID: 2503258
Sist endret: 18. november 2021, 14:44

Cristin-prosjekt-ID: 2503258
Sist endret: 18. november 2021, 14:44
Prosjekt

Work Package 2: Becoming a healthcare professional in technology-mediated care practices (CARING FUTURES)

prosjektleder

Birgitta Haga Gripsrud
ved Avdeling for omsorg og etikk ved Universitetet i Stavanger

prosjekteier / koordinerende forskningsansvarlig enhet

  • Avdeling for omsorg og etikk ved Universitetet i Stavanger

Finansiering

  • Norges forskningsråd
    Prosjektkode: 301827

Klassifisering

Vitenskapsdisipliner

Samfunnsvitenskap • Humaniora

HRCS-helsekategori

  • Forplantning og fødsel
  • Generell helserelevans

HRCS-forskningsaktivitet

  • 4 Påvising, screening og diagnose
  • 2.3 Psykologiske, sosiale og økonomiske faktorer
  • 7.1 Individuelle omsorgsbehov
  • 8.3 Politikk, etikk og god vitenskapelig praksis
  • 8.5 Ressurser og infrastruktur (helse-, omsorgs- og sosialtjenesteforskning)

Kategorier

Prosjektkategori

  • Grunnforskning

Tidsramme

Aktivt
Start: 1. januar 2020 Slutt: 31. desember 2023

Beskrivelse Beskrivelse

Tittel

Work Package 2: Becoming a healthcare professional in technology-mediated care practices (CARING FUTURES)

Vitenskapelig sammendrag

Work Package 2 (WP2) Becoming a healthcare professional in technology-mediated care practices is part of the larger transdisciplinary research project Caring Futures: Developing Care Ethics for Technology-mediated Care Practices (QUALITECH).

Background for WP2: When new technology is introduced in healthcare, new ethical dilemmas can arise and may affect professionals’ motivation to change their caring practices. Ideals and realities in care practice are informed by professionals’ self- understanding, in turn shaped by their life and work experiences, as well as their societal context (Ramvi 2015). Caring professionals need to be reflexively in touch with their own responses, emotions and vulnerabilities in order to engage in effective therapeutic relationships with users. Further to this, becoming a professional reflects life-long learning as a ‘dynamic subjective experience of (socially situated) realities’ (Salling Olesen 2017).

As a practice, caring implies a capacity for ethical conduct (Levine, 2013), where the ability to put oneself in another person’s place is central. For professionals, ethical capacity thus requires ‘use of self’ and reflecting on experiences at work (Froggett, Ramvi & Davies 2015; Ramvi & Gripsrud 2017). Ethical conduct demands sensitivity to unequal power distributions in caring relationships and to relational dilemmas. Professionals may therefore feel concerned about how new technology plays into therapeutic relationships. Some may feel that provision of innovative technology-based care may not be the most appropriate or preferred use of their skills. Caring professionals may worry that future technologies will challenge conditions for sustaining therapeutic relationships or even shift the rationale for professional relational care.

Despite such concerns, there is currently a policy-driven societal impetus toward rapid implementation of new technology to alleviate care work for vulnerable population groups, such as the elderly (see e.g. Demensplanen 2020). However, if it is the case that some professionals feel reluctant to use new technologies and their concerns are not addressed by policy makers and healtcare management, such implementations may invite risky forms of practice.

Work Package 2 therefore seeks to expand the knowledge base on the relationship between healthcare professionals’ self- understanding and their ideals in low- and high-tech care practices, and how this relates to their motivation for taking new technology into use and their ethics of care.

Objectives

1) to expand knowledge of how healthcare professionals’ self-understanding and ideals in high- and low technology-mediated care influence their motivation for taking new technology into use and their care ethics, and

2) to support reflective practice in midwifery care.

Metode

Work package 2 consists of four part-studies:

Study 1a) is post-doctoral Sissel Merete Finholt-Pedersen's research project based on life-history interviews (Salling Olesen, 2012) with healthcare professionals. Life-history interviews generate rich narratives from a sample small enough to allow for extensive in-depth interpretation.

Study 1b) is a researcher project based on six focus groups (n=35) to cover variations in professionals’ ideals in high-tech and low-tech care healthcare sectors, and their attitudes to technology-mediated care. Researchers: Professors Birgitta Haga Gripsrud & Ellen Ramvi.

Analysis: both data sets from Study 1a and Study 1b will illuminate healthcare professionals’ self-understanding, becoming and attitudes as part of a social practice, linked to subjective life-history and life-long learning, as well as societal reproduction and future innovation (Salling Olesen, 2012).

Study 1c) is Post-doctoral Fellow/MD Damoun Nassehi's research project on relational ethics in technology-mediated medical practice, relying on semi-structured interviews for data collection.

Both Post-Doctoral Fellows are supervised/mentored by Professor Ellen Ramvi and Professor Birgitta Haga Gripsrud.

Study 2) is an educational project. Inspired by Hansen’s (2006) Sophos Model, two documentary films will be used as stimulus material for midwives’ reflection groups. Films portray 2 routine antenatal ultrasound consultations with 2 different midwives and 2 pregnant women at an outpatient clinic. Three groups of 3-5 midwives are subsequently recruited for 2-3-hour group sessions, watching the film twice. The researchers facilitate 1) free associations and comments during screening and 2) a post-screening reflection group on care ethics in technology-mediated midwifery care. All three groups are video-recorded (subject to consent) to make data available for transcription and analysis. Films and data are used to develop a Sophos model to support group reflective practice in technology-mediated midwifery care, providing an Educational Package to the newly established (2019) midwifery program (UiS). Analysis: identifies whether the model contributed to midwives’ reflective practice and care ethics in light of increasingly technology-mediated professional practice (leading to a publication on the educational project).

Researchers: Associate Professor, RN/midwife Christina Furskog-Risa with RN/PhD Signe Egenberg

Key reference for the Sophos model:

Hansen, H.K. (2006) Ældreomsorg I et pædagogik perspektiv. PhD thesis. Roskilde Universitet. Forskerskolen i Livslang Læring. (The Sophos model was originally developed by Hansen in her doctoral project).

prosjektdeltakere

prosjektleder
Aktiv cristin-person

Birgitta Haga Gripsrud

  • Tilknyttet:
    Prosjektleder
    ved Avdeling for omsorg og etikk ved Universitetet i Stavanger
Aktiv cristin-person

Marta Høyland Lavik

  • Tilknyttet:
    Prosjektdeltaker
    ved Senter for misjon og globale studier ved VID vitenskapelige høgskole
  • Tilknyttet:
    Prosjektdeltaker
    ved Avdeling for omsorg og etikk ved Universitetet i Stavanger
  • Tilknyttet:
    Prosjektdeltaker
    ved Avdeling fag, forskning og utdanning ved Helse Stavanger HF - Stavanger universitetssjukehus
Aktiv cristin-person

Damoun Nassehi

  • Tilknyttet:
    Prosjektdeltaker
    ved Avdeling for omsorg og etikk ved Universitetet i Stavanger
Aktiv cristin-person

Sissel Merete Finholt-Pedersen

  • Tilknyttet:
    Prosjektdeltaker
    ved Avdeling for omsorg og etikk ved Universitetet i Stavanger

Ellen Ramvi

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Stavanger
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