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Posts tagged ‘Ellen Karine Grov’

Patient and Informal Caregiver Participation in Research (PAICPAIR) Part 1


The current featured ANS article is titled “Patient and Informal Caregiver Participation in Research (PAICPAIR) Part 1” The authors are PhD. candidate Katrine Staats, Professor Ellen Karine Grov, Professor Bettina Husebø, and Postdoctoral fellow Oscar Tranvåg. In this inventive article, the authors presents a framework for Patient and Informal Caregiver Participation In Research (PAICPAIR) — creating a stronger foundation for democracy, equality and research quality by promoting the active participation of vulnerable people with incurable life-threatening illness, as co-researchers. You can access this open access article anytime at no cost; we welcome your comments and responses!

Establishing research collaboration with vulnerable human beings implies ethical challenges and considerations. We do however believe it is unethically not to include patients and their informal caregivers as co-researchers solely based on vulnerability. Little attention is paid to how vulnerable people, living with incurable life-threatening illness, and their informal caregiver, actively can participate as co-researchers.

In this work, we present the first paper of two presenting the PAICPAIR framework for Patient and Informal Caregiver Participation in Research. The framework is founded on learnings from research collaboration with a patient and two informal caregivers experiencing incurable, life-threatening illness − participating as our co-researchers in the ‘Dying with dignity-project’. We describe and discuss crucial aspects of the first part of this research collaboration; how we constituted and developed a formal research collaboration, and how we supported and empowered the co-researchers during the initial stages while developing study aim, research questions, interview guides and letters of information.

From the early stages of the research process we have implemented a thorough collaboration with patients and informal caregivers – as partners of our research team. We acknowledge them as experts of the subject under investigation, making their contributions and unique competence of great value to all phases of the research process. These patient and informal caregivers,representing a large group of people experiencing incurable life-threatening illness, are seated in the projects’ advisory board as well as the steering group. Regularly scheduled planning sessions, plus systematic follow-up phone calls, helps ensure that the project receives adequate consideration from our co-researchers in all phases of the the research project. A strong working relationship of professional researchers and patient and informal caregiver co-researchers, has been a vital foundation throughout the PAICPAIR process thus far. And in this series of research actions a continous awareness of their potential vulnerability is highlighted while placing us as a team at the center of our methodolgical approach.

Learning experiences from the second and conclusive part of the PAICPAIR process will be published in a later article (PAICPAIR framework part 2) − a description and critical discussion of the PAICPAIR process of data analysis, formulating and developing a plan for disseminating of study results – and how we as a research team implement it into practice.

About the Authors

Katrine Staats

Katrine Staats is MSc, oncology nurse, PhD candidate, Centre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, University of Bergen, Norway.

 

 

Ellen Karine Grov

Ellen Karine Grov is Professor, Institute of Nursing and Health Promotion, Oslo Metropolitan University, Norway.

 

 

 

 

Bettina Husebø

 

is Professor, Centre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, University of Bergen, Norway.

 

 

 

Oscar Tranvåg

Oscar Tranvåg is Postdoctoral fellow, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway, and; Norwegian National Advisory Unit on Women’s Health, Oslo University Hospital, Rikshospitalet, Norway.

 

Family Relationships in the Context of Palliative Care


The current ANS featured article explores the challenges that families face when one of their loved ones is receiving palliative care.  The article, titled “A Valuable but Demanding Time: Family Life During Advanced Cancer in an Elderly Family Member” by Marianne Fjose, MScN, RN; Grethe Eilertsen, PhD; Marit Kirkevold, EdD; and Ellen Karine Grov, PhD is available at no charge while it is featured on the ANS website! Marianne Fjose shared this message for ANS readers about her work:

My mentors Dr Ellen Karine Grov, Dr Marit Kirkevold, Dr Grethe Eilertsen and I are pleased to share this article

Marianne Fjose

Marianne Fjose

with ANS readers. The article is part of my PhD project aimed to explore how elderly patients with advanced cancer in the palliative phase and their nearest family members experiences their relationships.

As a nurse and nurse educator, I have always been interested in palliative care. My masters degree therefore focused on how patients with cancer in the palliative phase experienced their close relationships. In this project, I discovered that little knowledge existed about family relationships within palliative care. We do know that cancer in a palliative phase not only affect the patient, but also his or her family members and the entire life of the family. Knowledge about how family relationships, interactions, and communication patterns are affected are sparse. Therefore, this became the focus for my PhD project.

 “A valuable but demanding time” is the first article in this project. Additionally two articles are in process. They will report findings about different family caregiver groups (e.g. spouses and

Grethe Eilertsen

Grethe Eilertsen

children/children-in-law) perspectives on caregiver burden and social support, and patients and family

members’ experiences with the health care system. Family group interviews is the main data collection method. In addition, quantitative data are collected by means of two standardized measures: CRA: The Caregiver Reaction Assessment and SPS: Social Provisions Scale.

The experience to sit down, communicate, and listen to families experiencing such a hard time in life has been challenging, but foremost educational. I think of the families with gratitude and respect for sharing with me their thoughts and experiences.

We think that the family group interviews have been an advantage in this study, bringing the perspectives of different family members to the research topic. In addition, this has given us the opportunity to collect data about family interactions and communication, data that are hard to achieve through individual interviews. Many of the

Marit Kirkevold

Marit Kirkevold

findings in our study regarding what was important and difficult in relationships were not revealed through the manifest content of the text. Instead, these results were uncovered from the latent content in the conversations, that is, through the way patients and family members talked, and acted. However, further methodological research is needed to evaluate the strengths and limitations of this method in different contexts.

Ellen Karine Grov

Ellen Karine Grov