Nordisk tidsskrift for helseforskning 2020-01-18T10:29:36+01:00 Johanne Alteren Open Journal Systems <p>er i første rekke ment som et tilbud til undervisnings- og forskningspersonalet ved institusjoner i Norden som driver med helsefagutdanning.&nbsp;Tidsskriftet vil holde en bred faglig profil som reflekterer forsknings- og utviklingsarbeid ved Nordiske helsefagutdanninger og tilhørende praksisfelt.</p> Leder 2020-01-18T10:29:09+01:00 Johanne Alteren 2020-01-17T16:21:13+01:00 Opphavsrett 2020 Johanne Alteren Å skrive om livsmot 2020-01-18T10:29:36+01:00 Anne Clancy Rolf Thorsen <p><strong>Concerning "livsmot"</strong></p> <p>The phenomenon of ‘Livsmot’ can be expressed in a myriad of ways. This essay is the introductory text to a special issue in Nordisk Tidsskrift for Helseforskning that in its entirety concerns ‘livsmot’. The collection of essays should be of interest to students, researchers, health professionals and others. The issue highlights and discusses different philosophical approaches that can promote our understanding of what can give us courage and hope on good and bad days, in sickness and in health. The authors in the article collection write in essay form and use examples from life and research to bring forth their understanding of the phenomenon. This text contextualizes the various articles by presenting thoughts on and interpretations of ‘Livsmot’&nbsp;</p> 2020-01-17T16:15:38+01:00 Opphavsrett 2020 Anne Clancy, Rolf Thorsen Natur, fortelling og sykdomserfaringer - betydning for opplevelse av livsmot 2019-11-15T10:29:38+01:00 Bjørg Balteskard <p><strong>The significance of nature, narratives and illness experiences for our courage to live</strong><br>This essay is based on a description of the live-giving space of nature. The sense of local belonging, the power of narrative and the listener’s susceptibility to impressions are live-giving phenomena in a situation where disease threatens. Disease often disrupts the life one wants to live. Narrating is related to one’s identity and can help maintain continuity in a life threatened by disease. A new narrative may arise, creating nuanced understanding and recognition of who one is in a changing world. One may thus narrate one’s way back into life, rebuild one’s identity and rediscover the courage to live. Providing space to tell about the presence of nature can help the ill person towards a renewed experience of being in good places. Time is not bound by illness and may provide relief. Here, the relationship to the narrator is of crucial importance and an impressionable listener is an important sounding board for the one who narrates</p> 2019-11-14T18:57:43+01:00 Opphavsrett 2019 Bjørg Balteskard Steder, stedsfortellinger og livsmot 2019-11-24T18:04:10+01:00 Anne Clancy <p><strong>The vital urge to live and find meaning - stories of place </strong></p> <p>This essay develops an understanding of how attachment to place and how physical, virtual and symbolic places can nurture or constrain a person’s will to carry on and find meaning. The nursing home is presented as an illustration of a physical place and the online gaming world represents a virtual place. Young and old share stories of how the symbolic meaning of place or memories of place can nurture hope and meaning. The stories also show how their attachment to place can result in a constricted understanding of who they are. Memories of vitality and envisioning themselves as strong and active create meaning and provide a welcome distraction in their everyday lives. The author mediates with the philosophies of Levinas, Tillich and Casey in order to develop an understanding of how certain places and our understanding of them can nurture or constrain a person’s will to carry on and find meaning.</p> 2019-11-15T00:00:00+01:00 Opphavsrett 2019 Anne Clancy Nære relationers indvirkning på livsmodet 2019-11-09T10:56:02+01:00 Charlotte Delmar <p><strong>The impact of close relations on life courage</strong><br>The purpose of this essay is to describe how close relations have impact on sick person’s life courage. Life courage is an existential life phenomenon. The life phenomena life courage and joy of life are in this article the key phenomena to be focused on. The article describes both differences and similarities between relational-ethical and existential life phenomena, which can promote but also restrict life. Moreover, some of the important differences between needs and life phenomena are also brought forward. The argumentation is based on empirical research examples of how close relations can contribute to creating life conducive or life restrictions for the ill and suffering person. It is in the interaction with others and through the importance of close relations that life courage possibilities arise. The article shows relational experiences from chronically ill persons, persons with a life-threatening disease and dying persons.</p> 2019-11-08T00:00:00+01:00 Opphavsrett 2019 Charlotte Delmar Arbeidsglede i hjemmesykepleien 2019-11-27T10:40:22+01:00 Tone Glad <p><strong>Work enjoyment in home nursing</strong></p> <p>This essay is a reflection on work enjoyment in home care nursing. Nurses describe working days that provide little pleasure. Work enjoyment tends to be the result of nurses’ relationship with colleagues and the people they are in contact with and care for. In interviews, home nurses describe busy days of physical and mental pressure to complete all their tasks. There is little enjoyment and a feeling of inadequacy in their work. They call for space for joy that gives them the possibility to achieve work satisfaction. An attempt is made to describe the factors that promote and constrain work enjoyment in nursing through reflection on home nurses’ experiences and the use of texts from the history of ideas and from nursing.</p> 2019-11-26T13:38:49+01:00 Opphavsrett 2019 Tone Glad Håp og livsmot i sykdomsfortellinger etter hjerneslag 2019-11-26T10:20:20+01:00 Gabriele Kitzmüller <p><strong>Hope and life courage in illness narratives after stroke</strong></p> <p>This essay illuminates the meaning of hope and life courage in the narratives of Tomas and Maria, a couple who had experienced the life changing consequences of Maria’s stroke. Hope is supported by the couple’s strong and loving relationship and by empathy and caring in their relationships with professional caregivers. In this way, the relational component of hope is revealed as the most important prerequisite for maintaining hope. The analysis demonstrates that life courage and hope are strongly needed for trust in the future and rehabilitation efforts. However, careless and unprofessional attitudes and practices of clinicians may lead to loss of control, poorer self-image and hopelessness. To support the hope of patients and relatives, clinicians must show caring attitudes and use both medical and humanistic knowledge. They should not devalue the phenomenon of hope as unrealistic.</p> 2019-11-25T12:59:34+01:00 Opphavsrett 2019 Gabriele Kitzmüller Kan det finnes kime til livsmot i forskningssamtaler med etterlatte pårørende, der sorg danner bakteppe? 2019-11-26T10:20:20+01:00 Ranveig Lind <p><strong>Can research conversations with the relatives of deceased ICU patients provide the germ of courage for life against a backdrop of grief?</strong></p> <p>This essay deals with conducting research interviews with the relatives of deceased ICU patients, where grief is a fundamental element. Based on the underlying profound seriousness of these conversations, the term “interview” is discarded in order to emphasize their relational aspect. Care and consideration to maintain dignity is shaped by these research conversations. The relationship between researcher and participant is not of a private nature. Yet a dialogue that persistently aims at the research goal is not possible either. The text touches on the various considerations necessary to include when planning and conducting studies aimed at this group of relatives. The risk of role change from researcher to therapist is described. But the ethical care aspect of this interpersonal encounter is of greater importance than the “therapeutic” aspect. Against the backdrop of a life phenomenon such as grief, care is used to protect the other and promote courage for life. The material is drawn from reflections on research interviews for a PhD project that was completed in 2013.</p> 2019-11-25T16:04:57+01:00 Opphavsrett 2019 Ranveig Lind Fortellingens betydning for å fremme livsmotet i møte med alvorlig sykdom 2019-11-15T10:29:10+01:00 Kjersti Sunde Mæhre <p><strong>The importance of the story to promote hope and life courage in the face of serious illness</strong><br>In connection with my PhD (Mæhre, 2017), I conducted qualitative interviews with five critically ill patients in an enhanced ward of a nursing home, based on the Coordination Reform. The purpose of the interviews was to increase understanding of patient experiences of the ward, and their perceived challenges and needs for assistance. The research method was a hermeneutic-phenomenological approach. The essay is based on one of the patient interviews, which has been rewritten as a narrative. This narrative emphasizes how the patient has fought against her illness, and her need to be seen as herself as a person and not understood in terms of a diagnosis. The illness narrative becomes part of her life story. The article highlights opportunities for narratives in the face of serious illness. The narrative reveals how a changed life situation, despite severe illness, can add courage and joy to life, but also how it can lead to hopelessness, doubt, and uncertainty.</p> 2019-11-14T19:04:09+01:00 Opphavsrett 2019 Kjersti Sunde Mæhre En sang til (livs)motet - en undring omkring fenomenet livsmot 2019-11-26T10:20:21+01:00 Rolf Thorsen <div><strong>Reflections on life courage</strong></div> <div>This essay addresses various aspects of the phenomenon of “life courage”. The approach is phenomenological and draws on a Danish tradition of life philosophy. The aim is not to find definitions, but to approach the topic cautiously to reveal new aspects of the phenomenon. The text is an outer and inner journey through experience, art, literature and poetry. This journey starts by dwelling on the apparent absence of courage for life in situations of extreme darkness. Later in the essay, light gradually appears, accompanied by increased life courage.</div> 2019-11-25T00:00:00+01:00 Opphavsrett 2019 Rolf Thorsen Livsmod 2019-11-25T10:39:32+01:00 Mogens Pahuus <p><strong>Courage to be</strong><br>In the first part of the essay the question is: What is and what characterizes courage to be? - I here distinguish between courage to be in children, where it is attached to children´s play, and the courage to be in adults, where ist combined with self-conquest and with integration of the ability to act purposely. I stress five dimensions in courage to be: power, possibility, vitality, courage and meaning. It is made clear, that even if courage to be in adults are not attached to bodily unfolding, yet it is stored in the body and therefore can be called forth in a bodily way. In the second part of the essay I discuss the relation between courage to be on one side and fear of life, selfishness and joy of life on the other side. It is demonstrated, that what nourishes and maintains courage to be is joy of life and self-devotion. The thesis of the essay is accordingly that courage to be is created and maintained partly by vitality in its different forms, partly by its attachment to joy of life.</p> 2019-11-24T18:02:58+01:00 Opphavsrett 2019 Mogens Pahuus