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Biomedical subjects

Janecke Thesen

Publications and source records attributed to Janecke Thesen.

6 recordsLinked to original sources
PubMed2005

[How to improve continuing education and quality improvement in general practice?].

BACKGROUND: Research has shown that many activities routinely used for continuing education and quality improvement in general practice, such as written information and lectures, have little or no effect on practice. MATERIAL AND METHODS: The Norwegian Institute of Public Health initiated a consensus-building process on how to improve continuing education and quality improvement in Norwegian general practice. RESULTS AND INTERPRETATION: The work of the consensus panel led to a report in which nine initiatives were proposed: development of a national plan, strengthening of the support available for group-based learning, academic outreach visits, practice based activities, personal learning plans, a national centre for quality improvement in general practice, improved use of referral and discharge information, multidisciplinary collaboration, and patient involvement.

Biomedical Research↗
PubMed2005

From oppression towards empowerment in clinical practice--offering doctors a model for reflection1.

OBJECTIVES: This article aims to present an Oppression Model describing how and explaining why doctors sometimes take up the role of oppressor in clinical practice, and to furthermore create change by proposing alternatives. The model is intended to increase awareness of power issues in medical practitioners, thus creating an urge for empowering practices. DESIGN: The Oppression Model is constructed by theoretical reasoning, inspired by empirical findings of doctor-as-oppressor from a Norwegian research project with users of psychiatric services. The model is composed of the chosen theoretical elements, assembled as a staircase model. The model is intended to give descriptions and explanations and foster change relevant to oppressive processes in clinical practice, and is mainly relevant when meeting patients from vulnerable or stigmatized groups. An Empowerment Track is conceptualized in a similar way by theoretical reasoning. RESULTS: The Oppression Model describes a staircase built on a foundation of objectifying, proceeding by steps of stereotypes, prejudice, and discrimination up to the final step of institutionalized oppression. An Empowerment Track is proposed, built on a foundation of acknowledgement, proceeding by steps of diversity, positive regard, and solidarity towards empowerment. It represents, however, only one of several possible ways of proceeding in developing empowering practices. CONCLUSION: Keeping the Oppression Model in mind during patient encounters may help the busy clinician to counteract oppressive attitudes and actions.

Attitude of Health Personnel↗
PubMed2004

[Cardiopulmonary resuscitation in municipal health services--a simple program for training and maintenance].

BACKGROUND: Cardiopulmonary resuscitation (CPR) with defibrillation may be a life-saving procedure. We present a course for CPR training and skills preservation developed by local paramedics and GPs and aimed at primary care professionals. MATERIAL AND METHODS: In a three-hour course programme for 10-16 participants we simulate emergency scenarios with an advanced computerised phantom as patient. Participants work in teams with physicians, ambulance personnel and nurses responsible for defibrillation and medication, with the other participants providing basic cardiopulmonary resuscitation. Constructive feedback based on the national guidelines follows every training session. Instructors are the ambulance leader and a GP. RESULTS AND INTERPRETATION: The training is well received and courses fully booked. The optimal number of physicians is two to four. The success of the course suggests that there is a motivation for quality improvement in CPR in Norwegian local communities.

Cardiopulmonary Resuscitation↗
PubMed2003

[Medical students' evaluation of preceptorship in general practice in Vestlandet].

BACKGROUND: Preceptorship in general practice is increasingly popular the world over. Norwegian medical curricula include 4-8 weeks of such instruction. In this study we focus on the experience of University of Bergen medical students with preceptorships, based on their written evaluation. MATERIAL AND METHODS: In spring 2002, 60 sixth-year medical students had four-week preceptorships. All students returned an evaluation form, giving free-text descriptions on how satisfied they were with structure and supervision. RESULTS: Many students experienced working in general practice as surprisingly exiting and educational. Their preceptors were mostly experienced as very competent, and working conditions reported as safe and including. Quite a large number of students received supervision during clinical work and got constructive feedback from their preceptors, and many participated in structuring their own work schedule and educational progression. INTERPRETATION: Even though the preceptorship period was experienced by most of the students as productive for learning and evoked much enthusiasm, there is still a need for quality assurance in order to secure a sufficient level of skills among all preceptors.

Adult↗
PubMed2002

[To strengthen patient's own power and to counteract oppressive forces: Empowerment in a medical perspective].

The aim of this article is to describe the empowerment concept in a medical perspective. The concept originated as a reaction to the oppression of groups and individuals in the USA. Later it was introduced in relation to health promotion. Empowerment implies counteracting oppression of groups and individuals, and being conscious of different positions of power. The concept can be used to describe a goal and a process, as well as a strategy. It implies both the mobilisation of the patient's own power, as well as counteracting oppressive forces. It is concluded that empowerment is particularly important for the most disempowered patients (for instance people who have been given a psychiatric label). Empowerment in the health services is a relevant strategy to achieve fundamental changes in the control and influence of powerless groups, and thereby reduce inequality in health.

Concept Formation↗