This project addresses how settings and contexts which enhance people-centred care can be created.
In Norway, as elsewhere, there is a call for a paradigm shift in the way health and social care services are managed and delivered. Services should be more coordinated around people’s needs and should be co-produced in partnership with individuals, families and communities.
Although the movement towards integrated person-centred care has shown some positive effects, research indicates that outcomes are highly context-specific. Success depends for instance on whether care organizations are able to influence the mindset of the staff and modify the way work is organized.
The implication, motivating this project, is that new research should address how settings and contexts which enhance people-centred care can be created. The overall issue is why interventions aiming at integrated person-centred care succeed in some settings, but fail in others.
The major part of the project consists of case studies of six local care systems which differ in national contexts (four Norwegian, two Danish study sites), type of community (urban/rural), and administrative style (more or less inspired by New Public Management).
The analyses will pay particular attention to measures aiming at horizontal integration, such as (a) integration of medical work and home care/ reablement,(b) co-creation of social care between care staff, volunteers and social entrepreneurs, (c) inter-professional collaboration in home care reablement , and (d) forming trusting relations between staff and home care recipients.
Contextual preconditions for successful outcomes, in terms of aspects both of the care organizations and the surrounding environments, will be identified. The main technique of the case studies is a site switching approach drawing on the skills of a multi-disciplinary research team of academics and practitioners.
Qualitative data from case studies will be linked to statistical analyses of a large Nordic survey among staff in elderly care conducted in 2005 (N=5,000) and 2015 (N=8,000).
Participants at OsloMet
Partner institutions
- Centre for Care Research, Western Norway University of Applied Sciences
- University of Oslo, Institute of Health and Society
- The Danish Center for Social Science Research – VIVE
- Roskilde University
Publications
Graff, L. og Vabø, M. (2023). Unravelling the dichotomisation of care and reablement: an ethnographic exploration of contradictions between policy rhetoric and practice in Danish and Norwegian eldercare. International Journal of Care and Caring
Øye, C., Norvoll, R., & Vabø, M. (2023). ‘Keeping up appearances’–negotiating identities of being fit in older age: a multi-site ethnographic study of daily life in contemporary day centres. Ageing & Society
Jensen, M.C.F. og Vabø, M. (2023). Making assessment protocols workable: Navigating transparency and person-centredness in Norwegian reablement. Sociology of Health & Illness
Graff, L., & Vabø, M. (2023). Making sense of reablement within different institutional contexts. Collaborative service ideals in Norwegian and Danish home care. International Journal of Social Welfare
Drange, I., & Ingelsrud, M. H. (2023). Career choices after completion of vocational training: the case of licensed practical nurses. Journal of Vocational Education & Training
Øye, C., Kamp, A., & Dybbroe, B. (2023). Når sosial omsorg bringes til taushet: En analyse av hvordan sosial omsorg praktiseres, med eksempler ved dagsentre og i hjemmetjenestene i norsk og dansk eldreomsorg. Tidsskrift for omsorgsforskning
Kamp, A., & Dybbroe, B. (2023). Training the ageing bodies: New knowledge paradigms and professional practices in elderly care. Sociology of Health & Illness
Hansen, H. C., & Neumann, C. B. (2023). Logistics of care: Trust-reform and self-managing teams in municipal home care services. Journal of Social Policy, 1-16
Norvoll, R., Øye, C., & Skatvedt, A. H. (2022). Like a Social Breath: Homecare’s Contributions to Social Inclusion and Connectedness of Older Adults
Øye, C. (2022). Fresh news as meaningful? A multi‐site ethnographic analysis of meaningful activities at four day centres in Denmark and Norway. Health & Social Care in the Community
Hansen, H. C. (2022). Fra tillitspolicy til praksis: Styringsrelasjoner i hjemmetjenestens førstelinje. Norsk Sosiologisk Tidsskrift
Vabø, M. Zechner, M. Stranz, A., Graff, L. Sigurðardóttir, S. H. (2022) Is Nordic elder care facing a (new) collaborative turn? Social Policy & Administration
Elstad, JI. & Vabø, M. (2021) Lack of recognition at the societal level heightens turnover considerations among Nordic eldercare workers: a quantitative analysis of survey data. BMC Health Services Research
Drange, I. & Vabø, M. (2021) A cross-sectional study of sustainable employment in Nordic eldercare, Nordic Journal of Working Life Studies
Vabø, M. (2019) Tverrprofesjonelt samarbeid i ulike styringskontekster – hverdagsrehabilitering som eksempel. I: Organisasjonsperspektiv på samordning av helse- og velferdstjenester. Cappelen Damm Akademisk
Vabø, M., Drange, I. & N. Amble (2019). Den vanskelige deltidsknuten – en særnorsk utfordring som rammer unge helsefagarbeidere. (fagfellevurdert) Fagbladet samfunn og økonomi
