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Inclusive education in the context of challenging behavior is one of the most demanding challenges for teachers. Good support systems help teachers become more positive about inclusion and gain greater confidence in realizing that they can succeed. Such support can be provided in the form of emotional support, internal or external guidance, courses, discussions or further education. As an alternative to a traditional individual-oriented approach to inclusion, this article argues that development of inclusive practice requires collaborative learning in the professional community, which again means that teachers have to make their own practice more transparent so that it can be explained, explored and challenged. This article is based on a qualitatively driven mixed-method case design, and the data come from interviews with and observations of 10 teachers, as well as a survey conducted at 16 schools in Western Norway. The findings show that many teachers struggle to find a balance between emotional support and asking exploratory questions about their schools' and their colleagues' practices. At the same time, it seems that schools that systematically ask each other critical questions have cultures that are more strongly characterized by a high degree of psychological safety and high professional standards. [ABSTRACT FROM AUTHOR]

Performing artists seem to remain in the culture sector despite the challenges with sustaining an artistic practice. Our research question is why the occupational commitment of the artistic precariat survives an external shock like the Covid-19 shutdown. We combined quantitative and qualitative survey data among performing artists in Norway (N = 607) one year into the pandemic. Innovation and portfolio management took place in tandem with intense identity work. The perception of "otherness" reinforced overall artist identity and thereby sustained occupational commitment. Any excess supply of practitioners in the sector seems to some degree disconnected from the actual economic conditions. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic mandated the reconstruction of educational programs globally. For nursing students in need of practical learning and training as a part of their curriculum, the pandemic also caused restrictions and alterations in practical placements and limited access to simulation training at campuses. The aim of this study is therefore, to describe and explore how the COVID- 19 pandemic influenced baccalaureate nursing students' experiences of learning and their social life as a student. Method: We used a mixed method study design including quantitative data from one of the universities (University of Agder) from a national Norwegian survey of baccalaureate nursing students and qualitative data from focus-group interviews from the same university. The quantitative survey included 396 baccalaureate nursing students (response rate, 46%). We arranged five focus groups with a total of 23 students (15 females and 8 males). The students took part in one of the focus-group interviews. The quantitative data were analyzed using chi-square test for categorical data and ANOVA tests for continuous data, while the qualitative data were analyzed using Systematic Text Condensation and an editing analysis style. Results: Most students (70%) were concerned about the quality of the education program. In clinical placement, 83% of students had cared for patients with confirmed COVID-19 or unclear COVID-19 status. The qualitative data revealed three main themes: missing the social dimension of learning; worries and challenges in clinical placement; and experiencing normal instructive days in clinical placement. The general picture emerging from our analysis is the importance of social interactions for learning. Conclusion: As the COVID-19 pandemic continues, our findings of students' worries about the quality of the education program and not reaching learning outcomes must be taken into consideration. Social interaction is considered crucial and fundamental for student learning. A follow-up study following baccalaureate completion is necessary to explore the consequences over time of disrupted education. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal disorders (MSDs) and common mental disorders (CMDs) are the most frequent reasons for long-term sick leave and work disability. Occupational rehabilitation programs are used to help employees return to work (RTW). However, knowledge regarding the effect of these programs is scarce, and even less is known about which programs are best suited for which patients. This study aims to compare the RTW results of two interdisciplinary occupational rehabilitation programs in Norway, as well as to examine the delivery and reception of the two programs and explore the active mechanisms of the participants' RTW processes.Methods/design: We will use a mixed-method convergent design to study the main outcome. Approximately 600 participants will be included in the study. Eligible study participants will be aged 18-60 years old and have been on sick leave due to MSDs, CMDs, or both for at least 6 weeks. Interdisciplinary teams at both participating clinics will deliver complex occupational rehabilitation programs. The inpatient rehabilitation program has a duration of 4 weeks and is full time. The outpatient program has a duration of 3 months and involves weekly sessions. The primary outcome is RTW. Secondary outcomes are differences in the incremental cost for an averted sick leave day, cost utility/benefit, and differences between the programs regarding improvements in known modifiable obstacles to RTW. Subgroup analyses are planned. The researchers will be blinded to the intervention groups when analyzing the quantitative RTW data.Discussion: This study aims to provide new insights regarding occupational rehabilitation interventions, treatment targets, and outcomes for different subgroups of sick-listed employees and to inform discussions on the active working mechanisms of occupational rehabilitation and the influence of context in the return-to-work process.Trial Registration: Current controlled trials ISRCTN12033424 , 15.10.2014, retrospectively registered. [ABSTRACT FROM AUTHOR]

Aim/s: To explore next of kin satisfaction with cancer care, map next of kin suggestions for involvement and combine this information to create a basis for improving quality and safety in hospitals. Design: Convergent parallel mixed‐methods design applying the 20‐item FAMCARE Scale survey instrument for quantitative measurement of satisfaction with care and with an open‐ended question used for qualitative analysis. Data sources: Responses from 238 next of kin (November 2016–November 2017). Methods: Exploratory factor analysis, regression analysis and qualitative content analysis were combined. Results: Both hospitals scored better in medical treatment (median, interquartile range: 1.5, 1.1–2.0), than in satisfaction with information and involvement of next of kin (1.9, 1.3–2.4), p <.001 (Wilcoxon signed ranks test). After adjusting for differences in demographical and clinical variables, the total FAMCARE scores were 13% higher (95% confidence interval: 1%–27%, Wald p =.029) at one of the hospitals. Qualitative findings support that the hospitals are not providing an equal offer to next of kin involvement in hospital cancer care that includes a proactive approach. Conclusion: As a basis for quality and safety improvement, next of kin satisfaction and involvement in cancer care should be addressed in a two‐sided perspective, balancing the next of kin's need for involvement in cancer treatment with the patient's perspective. Impact: There is limited knowledge of next of kin satisfaction with hospital cancer care and how next of kin would like to be involved in this trajectory. Several aspects of satisfaction with cancer care can prompt change to improve service quality and safety (e.g. information, involvement, practical care), but this is an underused source of information. Next of kin are key in cancer care and our study demonstrates a potential large impact on future practical ways of improving cancer care service provision in an integrative perspective including next of kin. [ABSTRACT FROM AUTHOR]

The benefits of walking are widely recognized. In this regard, the Norwegian government has urged local authorities to develop walking strategies. The aim of such strategies is to influence a local walking culture and framework conditions for pedestrians. Older citizens are an important focus group because what is an accessible environment for them can be attractive for all groups. The primary aim of this study is to improve our understanding of how physical, social and individual factors affect whether older groups perceive that they need, can and want to walk. Second, we show how a mixed-method approach for collecting data gives an important input when planning a walking strategy. Combining quantitative and qualitative data gave deeper insights into how elders perceived their walking environment. The three steps (survey, participatory observation and workshop) made it possible to involve elders and practitioners from the municipality and the Norwegian Public Roads Administration directly in the study. This gave first-hand experience about how to facilitate the environment for older pedestrians. The findings suggest that the need, can and want dimensions of walking interact and reinforce each other. We find that measures affecting more than one such dimension seem to provide the best response for walking activity. This can be important for practitioners to take into consideration when developing good walking areas in the city. [ABSTRACT FROM AUTHOR]

Objective The midwife assisting a birth has a considerable influence on the woman's experience of the birth. The aim of this study was to investigate the experience of the midwife's professional skills among women in Norway, Denmark, Iceland, and Sweden who chose a planned home birth. Design and Setting All known home birth midwives were asked to inform the mothers about the project and invite them to complete a questionnaire about different aspects of their home birth experience. Method The women were asked to assess 10 different aspects of the midwives' professional skills on a 4-graded scale below the main question: What was your experience of the midwife who assisted the labor? Furthermore, the mothers' experiences with the attending midwives were identified in the free text birth stories. The chosen method was a mixed method design. Findings The home birth midwives' professional skills were generally high scored. No statistically significant differences were found with respect to the assessment of the midwife. The content analyses yielded one overarching theme: The competence and presence of the midwife creates a safe haven, and three categories, midwife's safe hand, midwife's caring approach, and midwife's peaceful presence. Conclusion Women choosing a home birth in the four Nordic countries experienced that their midwives were highly skilled and they found the presence of the midwives valuable in helping them to feel safe and confident during birth. Despite differences in organization and guidelines for home births, the women's experience of the midwife's professional skills did not differ between the four countries. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to investigate staff's experiences with violation and humiliation during work in mental health care (MHC). A total of 1160 multi-professional MHC staff in Norway responded to an online questionnaire about their experiences with different kinds of violation and humiliation in the MHC setting. In addition, a sample of professionals (eight MHC nurses) were recruited for in-depth individual interviews.Method: The study used an explorative mixed method with a convergent parallel design; this included a web-based questionnaire to MHC staff in combination with individual interviews. The sample is considered to be equivalent to staff groups in MHC in Norway.Results: Between 70 and 80% of the staff reported experiencing rejection, being treated with disrespect, condescending behaviour or verbal harassment. Male workers were significantly more often victims of serious physical violence, and women were significantly more often targets for sexual harassment. In interviews, participants said they considered being exposed to violence and humiliation to be part of the job when working in MHC, and that experience, as well as social support from colleagues, helped MHC practitioners to cope better with violent situations and feel less humiliated at work.Discussion: A high amount of MHC staff report experiences of being violated and humiliated during work. The participants' perceptions of the users and their behaviour seem to influence their experience of feeling violated and humiliated. Knowledge about the dynamics of aggression between staff and users in MHC may be used in safeguarding staff and users, prevent coercion and heighten the quality of care. [ABSTRACT FROM AUTHOR]