Molde University College PhD program in Health and Social Sciences: Conditions for Professional Practice Invitation to Ph.D. course (5 ECTS) - Professional Caring in the intersection between system and lifeworld An elective research course in the research training programme at the Ph.D. programme at Molde and Volda University college. Entry requirements: Master's degree (or the equivalent). Participants enrolled as a Ph.D. student at HiM, HVO, MIUN or a relevant Ph.D. programme have priority. Content: Caring in the health social services is performed in close relationships between the patients/users and the health professionals. The frames of professional caring are likewise usually public institutions, where the systems goal-rationality is prevailing, which can contribute to a caring crisis. Inside definite frames, such a crisis can be understood as the system s colonization of the life-world. The focus is on research that might shed light on caring both at the system and individual level. In this way, the course will ensure both a macro and micro perspective on caring. How the caring services are modeled at system or society level, constitute the frames of caring in the communication between the individual professional and user, often characterized by the term caring relationships. Different ideologies and values form the basis for caring relationships. The health and social professions can place emphasis on different caring values, which varies according to their professional background, e.g., feministic, humanistic, health and social professional perspectives. Tensions can appear both between the diverse professions and between superior ideologies in the society/values and professional values (rationality of caring contra instrumental rationality). In this course, the diversity of caring ideologies and theories will be the focus at both the professional level and that of the society. Research on professional caring will be illuminated and criticized. Learning outcomes: It is expected that this topic shall make the candidates capable of understanding the foundations for professional caring in the intersection between system and lifeworld. Further, the candidates shall have insight into the mechanism caused by the structural conditions and moral caring practice. Syllabus 2016: is available at www.himolde.no Course level: Ph.D. course Course code: Course time: February 16-18 th and April 27-28th, 2016 Course campus: Molde Course leader: Professor Solfrid Vatne.
Elective Ph.D. Course: Professional Caring in the intersection between system and lifeworld This course expand over a period of 5 days, departed in two sessions (3+2 days) and is first offered Spring 20016: First session: February 16th, 17th and 18th Second session: April 27th, 28th
Course Program First session- February 16 th 18th This part of the course is organized as lectures about the main topics of the course in addition to student teamwork. Day 1: Theme 1 - Theories of caring and caregiving Lectures: Professor Kit Chesla, UCSF, California, School of Nursing Professor Eva Gjengedal, UiB, HiMolde Readings: Gordon, S., P. Benner and N. Noddings. (Eds.) (1996). Caregiving: Readings in knowledge, practice, ethics and politics. Philadelphia: University of Pennsylvania Press. Chapter 2. Nell Noddings. The cared for. Chapter 3. Patricia Benner & Suzanne Gordon. Caring Practice Chapter 5. Alicia Carse. Facing up to moral perils. Chapter 10. Nell Noddings. The caring professional. (education as an example) Kari Martinsen: Care and Vulnerability (2005): Akribe Day 2: Theme 2 - Communicative rationality and rationality of caring Lectures: Professor Erik Oddvar Eriksen, professor and senterleder v/ ARENA - Senter for europaforskning Professor Emeritus: Kari Wærness, UiB Readings: Habermas, Jürgen (1999): «Det sivile samfunn og rettsstaten», p 65-78 i Habermas: Kraften i de bedre argumenter. Oslo: Gyldendal. Erik O. Eriksen: Fra strategisk til kommunikativ ledelse Wærness, K. Dialogue on Caring, University of Bergen: Centre for Women's and Gender Research. Wærness, K. (1984): "Women's culture and the care crisis in Scandinavian countries" in Women on the move, Paris: UNESCO, s. 271-282. Christensen, K. (2013). Disability, Independence and Care (DIC): A cross national study of cash-for-care in the UK and Norway. In J. Brannen, L. Hantrais and D. Filipović- Carter, Databank of International Social Research Methods Case Studies, ESRC National Centre for Research Methods, Southampton University, http://www.restore.ac.uk/isresmeth/. Christensen, K. (2008): Social Capital in Public Home Care Services, pp.249-271 in Wrede, Henriksson, Høst, Johansson & Dybbroe (eds.) Care Work in Crisis. Reclaiming
the Nordic Ethos of Care. Malmö: Studentlitteratur (we may consider more articles from this book, here excerpts from the review on a website Welfare policies in the Nordic countries have been restructured due to economic and demographic constraints and claims for efficiency, but also with respect to the competence required. The editors discuss the crisis in care work, its recruitment problems, educational models and care work cultures. They show that values and the ethos of welfare policy affect the care of clients as well as workers.). Day 3: Theme 3 - Concrete examples of documented breakdown of care in the health system Lectures: Professor Solfrid Vatne, HiMolde Professor Kit Chesla, UCSF, California, School of Nursing Readings: SS Phillips, P Benner (1994): The crisis of care: Affirming and restoring caring practices in the helping professions- picked chapters Peter, Elizabeth & Joan Liaschenko (2013). Moral distress: Reexamined a feminist interpretation of nurses identities, relationships and responsibilities. Bioethical Inquiry, 10: 337 345. Musto, L.C., Rodney, P. A. & Vanderheide, R. (2015). Toward interventions to address moral distress: Navigating structure and agency. Nurs Ethics 22(1) 91 102. Jameton, Andrew (2013). A reflection on moral distress in nursing together with a current application of the concept. Bioethical Inquiry, 10, 297 308. Aiken, L. et al. (2014) Nurse staffing and education and hospital mortality in 9 European countries: a retrospective observational study. Lancet; 383: 1824 30. http://dx.doi.org/10.1016/s0140-6736(13)62631-8. Please note: two full journal issues are devoted to moral distress. This is for your own extended reading. Bioethical Inquiry (2013), Volume 10. Nursing Ethics (2015), Vol 22, No. 1. Second session: April 27 th -28th Day 1: This session is organized around the students presentation of their work with their group-assignment between the two sessions. Each group provides a one-hour oral presentation. One half-hour is allotted for discussion. (For more details see Assignment description).
Day 2: Each student should prepare a discussion, about how this course might fit into or might be applied to their own PhD requirements. This session will be a group consultation with the course participants and core faculty. Evaluation of the course.
Professional caring in the intersection between system and lifeworld. Assignment Description. Students will work in groups of 4 5 to prepare a detailed presentation regarding a specific, current problem that arises at the intersection of the healthcare system and the professional's efforts to address the patient s or users' lifeworld concerns. Please consider dilemmas or problems that arise because of new or recent health care policy changes, social welfare policy changes, funding requirements, new or changed political or professional attitudes that constrain the health care professional. Also acceptable would be a new policy or set of procedures that has been required at a hospital, hospital unit or community setting that creates complexity for professionals attempting to care for users from a lifeworld perspective. Actual, current, practical problems, rather than theoretical, hypothetical problems are to be the focus of this assignment. The presentation should include: 1. A thorough description of the problematic situation. Legislative or professional background factors that led to the change in system level action, monitoring, reporting, or funding of the professional care should be laid out. Be as detailed as possible to give the audience the benefit of understanding the professional, legislative or other regulatory changes and how it has affected practice. 2. Analyze the problematic situation from a philosophic or sociologic perspective drawing on one of the theories presented in the course 3. Analyze the problematic situation from one theoretical lifeworld caring perspectives (for example, Noddings, Benner). Use the concepts or constructs employed by these theorists for analyzing the situation, and note how each theory lights up certain aspects of the situation and ignores others. Attempt to choose the work of one theorist that is particularly relevant for both understanding the situation, and for producing practical and/or theoretical solutions. 4. Review and critique research on professional action in similar situations. Depending upon the richness of the available research, do a comprehensive or selected review of literature on approximately 2 5 previous research projects that have explored or articulated a similar problematic situation. Be certain to not only describe the research, but how this past research informs your analysis of the current problematic situation. 5. Propose potential solutions to the problematic situation, drawing on the theories and research you have presented. Here, you are encouraged to be creative, but realistic. For example, proposing a change in recently enacted legislation that is just now being implemented in health or social systems is not likely realistic. However, suggesting professional actions that might be employed at the local or organizational level to influence how the legislation is enacted in statutes or professional standards may be more practical. 6. Criteria for evaluating projects: Oral and written presentations are in English A 1 page written brief presentation is provided to the audience that includes:
o o o o The parameters of the problem situation The chosen philosophical perspective and caring theory Clearly described issues at the intersection of institution and lifeworld Possible solutions to the problem All group members must participate in the preparation, and the presentation must have a practical and creative focus conform to the time limits one hour for each group