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dc.contributor.authorEika, Marianne
dc.contributor.authorDale, Bjørg
dc.contributor.authorEspnes, Geir Arild
dc.contributor.authorHvalvik, Sigrun
dc.date.accessioned2015-09-11T11:52:16Z
dc.date.accessioned2015-09-17T08:09:53Z
dc.date.available2015-09-11T11:52:16Z
dc.date.available2015-09-17T08:09:53Z
dc.date.issued2015
dc.identifier.citationBMC Health Services Research 2015, 15(125)nb_NO
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/11250/300390
dc.description.abstractBackground: Future challenges in many countries are the recruitment of competent staff in long-term care facilities, and the use of unlicensed staff. Our study describes and explores staff interactions in a long-term care facility, which may facilitate or impede healthy transition processes for older residents in transition. Methods: An ethnographic study based on fieldwork following ten older residents admission day and their initial week in the long-term care facility, seventeen individual semi-structured interviews with different nursing staff categories and the leader of the institution, and reading of relevant documents. Results: The interaction among all staff categories influenced the new residents’ transition processes in various ways. We identified three main themes: The significance of formal and informal organization; interpersonal relationships and cultures of care; and professional hierarchy and different scopes of practice. Conclusions: The continuous and spontaneous staff collaborations were key activities in supporting quality care in the transition period. These interactions maintained the inclusion of all staff present, staff flexibility, information flow to some extent, and cognitive diversity, and the new resident’s emerging needs appeared met. Organizational structures, staff’s formal position, and informal staff alliances were complex and sometimes appeared contradictory. Not all the staff were necessarily included, and the new residents’ needs not always noticed and dealt with. Paying attention to the playing out of power in staff interactions appears vital to secure a healthy transition process for the older residents. Keywords: Long-term care facility, Staff interactions, Transition, Complexity science, Resident, Ethnography.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.titleNursing staff interactions during the older residents' transition into long-term care facility in a nursing home in rural Norway: an ethnographic studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer revieweden_GB
dc.date.updated2015-09-11T11:52:16Z
dc.source.volume15nb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.source.issue125nb_NO
dc.identifier.doi10.1186/s12913-015-0818-z
dc.identifier.cristin1236005
dc.description.localcode© 2015 Eika et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.nb_NO


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