Cristin-prosjekt-ID: 539326
Sist endret: 10. oktober 2018 11:35

Cristin-prosjekt-ID: 539326
Sist endret: 10. oktober 2018 11:35
Prosjekt

Work package 4: Communication of death in nursing homes: a multi-cultural and multi-religious setting

prosjektleder

Ellen Ramvi
ved Det helsevitenskapelige fakultet ved Universitetet i Stavanger

prosjekteier / koordinerende forskningsansvarlig enhet

  • Senter for omsorgsforskning vest ved Høgskulen på Vestlandet

Finansiering

  • Norges forskningsråd
    Prosjektkode: 256617

Klassifisering

Vitenskapsdisipliner

Samfunnsvitenskap • Helsefag • Religionsvitenskap, religionshistorie • Etikk

Emneord

Det flerkulturelle samfunn • Helsepersonell • Eksistensiell erfaring • Døden • Dødsskikker • Sykehjem

Kategorier

Prosjektkategori

  • Grunnforskning

Tidsramme

Avsluttet
Start: 10. oktober 2016 Slutt: 10. september 2019

Beskrivelse Beskrivelse

Tittel

Work package 4: Communication of death in nursing homes: a multi-cultural and multi-religious setting

Populærvitenskapelig sammendrag

In nursing homes, there is one existential issue which directly or indirectly affects both residents, next of kin and health care personnel, and which in the end is a fundamental aspect of daily life in the nursing home: death. Norwegian nursing homes have increasingly become a multicultural work place. Consequently, this work package seeks to explore whether or not this new staff composition affects communication about death among the staff and how institutional procedures, structures or rituals connected to the death of a patient may be affected.

Vitenskapelig sammendrag

This project constitutes work package 4 in Multicultural workforce in nursing homes: Contemporary challenges, opportunities and potentials for the future in the Norwegian municipal care sector MULTICARE.

What are the dominant ways of dealing with emotions, meanings and understandings of the transition from life to death in a secularised ‘moment’ characterized by globalization, migration, multi-culturalism and multi-religiosity (cf. Parkes et al. 1997; Gatrad 2008)? Historically, Western societies have gradually shiftet end of life care and death from containment in the home to treatment in hospitals and nursing homes (Ariès 1976). Death is in a sense a neglected area in secularized cultures, frequently reduced to “a technical phenomenon” which consequentially appears to have “erased the great dramatic act of death” (Ariès 1976:88, 89). Despite a seemingly increasing openness about death in Norwegian mass media and public sphere, there is little knowledge of how ethnic minority and majority health personnel confronted with death at their work in nursing homes experience their possibilities for communicating personal and existential issues (comparative studies; see Nasir 2008; Sneesby 2011; Iranmanesh et al. 2011). This project will fill a gap within palliative care and end of life care research as our objective is to investigate how the death of a patient is handled institutionally, collegially and individually in nursing homes. In order to seize how death is dealt in these three dimensions, we will encourage health personnel to share how they perceive the conditions for communicating deeper personal and existential experiences of being confronted with death at work, as well as producing observational data on practices within the institutions. 

A health care personnel who provides care for people who are in vulnerable situations must be willing to use one’s self as a professional tool. Personnel who care for seriously ill, dying, and bereaved people experience suffering and distress and have been identified as being in peril of burnout and compassion fatigue (cf. Cassell 2004; Renzenbrink 2011). Based on a psycho-social perspective of interdependence of inner (psychic) and outer (social/societal) life (Froggett 2002) our conceptualization of conditions for communication of personal and existential experiences, comprises an intersection of four domains of experience: intra-psychic, inter-personal, organizational/institutional and macro-societal (e.g. Ramvi 2015). A broad definition of the term ‘spiritual’ covers our understanding of the term existential and refers to the dynamic dimension of human life related to the ways actors experience, express meaning, purpose and transcendence, and the way they connect to the moment, to self, to others, to nature, and to the significant and/or the sacred (The European Association for Palliative Care-EAPC).

MULTICARE is funded by the Research Council of Norway through the HelseVel programme. The project is led by Professor Frode F. Jacobsen, Centre for Care Research (CCR West), Western Norway University of Applied Sciences (HVL). MULTICARE is a cross-sectorial and multi-disciplinary project with participant researchers from Center for Care Research (CCR West and East), Uni Research Rokkan, University of Stavanger, University of Tromsø, Stavanger University Hospital and the Netherlands Institute for Health Research (NIVEL).

 

 

Metode

Part-study one (PhD project): We will conduct ethnographic fieldwork in two nursing homes in Norway with a multicultural workforce. The focus will be on staff members’ conversations about personal and existential issues concerning death in the staff room and at staff meetings as well as on institutional procedures, structures and rituals connected to the death of a patient. 

Part-study two: We will conduct in-depth interviews with health care personnel of ethnic minority background from nursing homes in Norway. When confronted with death at work, do ethnic minority health care personnel use their self as a tool – in the sense of applying one’s own cultural and/or spiritual capital? In order to build knowledge about potential cultural and religious resources relevant to the interviewees, we will recruit participants who identify themselves with a religious view of life.

 

 

 

 

Tittel

Kommunikasjon om døden mellom helsepersonell i sykehjem: en multikulturell og multireligiøs setting.

Vitenskapelig sammendrag

Arbeidspakke 4 handler om hvordan helsepersonell i en multikulturell stab på sykehjem møter døden som en del av sin arbeidsdag.

Arbeidspakke 4 blir ledet at førsteamanuensis Ellen Ramvi, UiS. De tre andre forskerne i arbeidspakke 4 er professor Marta Høyland Lavik, SUS, VID, postdoc Birgitta Haga Gripsrud, UiS og PhD stipendiat Anne Kristine Ådland, UiS. 

Hele MULTICARE studien er finansiert gjennom HelseVel programmet i Norges forskingsråd. Professor Frode Jacobsen ved Senter for omsorgsforskning Vest, Høgskolen på Vestlandet er leder for prosjektet som blir gjennomført i nært samarbeid med Senter for omsorgsforskning Øst, Universitetet i Bergen/Uni Research, Universitetet i Tromsø, Universitetet i Stavanger, Universitetssjukehuset i Stavanger og Nederlandsk institutt for helseforskning/Dutch Institute for health research. 

Metode

Intervju med helsepersonell med innvandrerbakgrunn.

Feltarbeid i to sykehjem med en multikulturell stab

prosjektdeltakere

prosjektleder

Ellen Ramvi

  • Tilknyttet:
    Prosjektleder
    ved Det helsevitenskapelige fakultet ved Universitetet i Stavanger
Aktiv cristin-person

Marta Høyland Lavik

  • Tilknyttet:
    Prosjektdeltaker
    ved Helse Stavanger HF - Stavanger universitetssjukehus

Anne Kristine Ådland

  • Tilknyttet:
    Prosjektdeltaker
    ved Det helsevitenskapelige fakultet ved Universitetet i Stavanger
Aktiv cristin-person

Birgitta Haga Gripsrud

  • Tilknyttet:
    Prosjektdeltaker
    ved Det helsevitenskapelige fakultet ved Universitetet i Stavanger
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Resultater Resultater

Hvordan kommuniserer helsepersonell med innvandrerbakgrunn om døden på sykehjem i Norge?

Ramvi, Ellen; Lavik, Marta Høyland. 2018, Landskonferanse i palliasjon. SUS, UISPoster

The experience of ethical dilemmas in the transition between the country of origin and the country of destination. A qualitative study of migrant health care personnel working with death in a welfare state.

Ramvi, Ellen; Lavik, Marta Høyland; Gripsrud, Birgitta Haga. 2018, Gender, Justice and Care. 19th International Nursing Ethics Conference, 4th International Ethics in Care Conference. SUS, UISVitenskapelig foredrag

Å snakka om døden på sjukeheimen: Erfaringar frå eit multikulturelt arbeidsfelllesskap.

Lavik, Marta Høyland; Ramvi, Ellen. 2018, Symposium. SUS, UISVitenskapelig foredrag
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