SK158 Municipal health service and mental health work. Subject 8

Subject 8 takes its point og departure in the local community where the patient and/or recipient of services live. The subject focuses on acquiring nursing competence with regard to people with a need for health care because of aging, mental illness, chronic illness and permanent physical disabilities.

At times, the patient and/or recipient of services may have a need for more specialised health services, including mental health care. The subject is clearly meant to have a user's perspective.

The student:

• Has a knowledge of nursing as part of the locally based health and social services, with emphasis on the elderly, the chronically ill and the physically disabled and practices nursing based on research-based and experience-based knowledge
• Has a knowledge of nursing in mental health care and practices nursing based on research-based and experience-based knowledge
• Has an understanding of relevant professional and theoretical scientific issues, shows a critical and analytical attitude and takes part in processes of change
• Has incomplete operational competence to manage and administer nursing to groups of patients and co-workers
• Practices nursing in keeping with key values of nursing and of the health service, shows the capacity for ethical reflection and ethical assessment
• Cooperates systematically with the patient, his/her network, other occupational groups and the voluntary sector
• Has a knowledge of how mental illness arises, mental illnesses, the main traditions and methods in treatment
• Has a knowledge of how failing health and illness appear in the elderly
• Has insight into how long-term physical and mental illness affect the individual and his/her relatives' life situation
• Establishes and further develops relations that facilitate coping among users and their families in connection with acute and long-term failing health
• Can document and evaluate his/her own practice of nursing

Subject 6 must be passed before final assessment of subject 8.

Ideology, ethics and frameworks for nursing

• Key political and legal frameworks for the municipal health service and mental health work and/or mental health care
• Traditions of knowledge and scientific theory related to nursing in mental health work and the municipal health service
• Coping and resilience
• User organisations and relatives as players in the health service
• Chronic illness – quality of life, living conditions and health problems
• Family perspective and network collaboration
• The issue of compulsion
• Professional ethics and ethical dilemmas

Incomplete operational competence and operational competence in nursing of the relevant target groups

• Arena for nursing; home, local community, various care and treatment centres and consequences for practicing nursing
• Development of constructive relations
• Survey of nursing needs, nursing intervention and milieu therapy
• Health-promoting and preventive nursing
• Treatment, relief, (re)habilitation
• Mental illnesses; psychoses, anxiety, depression, issues of suicide, alcohol and drug addiction
• Multiple pathology, atypical illness presentation and course of illness, psychosocial aspects of aging, geriatric psychiatry
• Individual plan and user cooperation, cooperation with relatives
• Administration of medication

Organisation, leadership, professional development and education

• Leadership, administrative procedures and organisation of public service programmes
• Interdisciplinary and interdepartmental cooperation
• Quality assurance and quality improvement
• Health pedagogic activities aimed at patients and relatives and instruction and guidance of co-workers and students and/or pupils
• ICT as a tool in documentation and pedagogic activities

• • Introductory lectures
  • Study groups with and without guidance
  • Training in a group with role play and the use of video
  • Case-based instruction and group work
  • Instruction on written assignments
  • Clinical practice programmes of study
  • Written assignments, response from fellow students, guidance from a teacher
  • Instruction in certain parts of the subject may be held in English

8 week clinical practice programme of study in mental health work
8 week clinical practice programme of study in the municipal health service

The whole subject may be taken as a period of study abroad. Certain parts of the subject (15 ECTS credits related to the municipal health service) may be taken by English-speaking students.

• • Obligatory attendance of introductory lectures
  • Instruction and active training at the nursing skills centre
  • Obligatory attendance of practically-oriented training (PU)
  • Work on written assignments
  • Study groups with and without guidance
  • Responses from two fellow students to written assignments

SK158 103 Praksis i heimebaserte tenester/omsorgsbustadar. Greidd/ikkje greidd.
SK158 104 Praksis i psykisk helsearbeid. Greidd/ikkje greidd.

SK158 101 Mappevurdering i kommunehelsetenesta og psykisk helsearbeid. Individuell. Vekting 60 % Bokstavkarakter
Arbeidsmappe: Seks skriftlege arbeid innan kommunehelseteneste og psykisk helsearbeid
Presentasjonsmappe: To av arbeida skal inngå i presentasjonsmappa. Eit arbeid blir valt ut av studenten og eit av fagtilsette.

Ved karakteren F eller ved forbetring av mappa vert det ny utveljing blant dei seks skriftlege arbeida i arbeidsmappa. Eit arbeid blir valt ut av studenten og eit av fagtilsette.

SK158 102 Munnleg eksamen i kommunehelsetenesta og psykisk helsearbeid, individuell. Vekting 40% Bokstavkarakter.

SK158 103 Clinical practice in home care services and/or assisted living. Passed/failed.
SK158 104 Clinical practice in mental health work. Passed/failed.

SK158 101 Portfolio assessment in the municipal health service and mental health work. Individual. Weighting 60 %. Letter grade.
Portfolio: Six written assignments in municipal health service and mental health work.
Presentation folder: Two of the assignments shall be included in the presentation folder. One assignment will be selected by the student and one of the faculty.

With the grade of F or with an improvement of the portfolio, there will be a new selection among the six written assignments in the portfolio. One assignment will be selected by the student and one of the faculty.

SK158 102 Oral examination in the municipal health service and mental health work, individual. Weighting 40%. Letter grade.

Barth, T., Børtveit, T. and Prescott, P. (2001). Endringsfokusert rådgivning (Motivational interviewing). Oslo, Norway: Gyldendal Norsk Forlag. Ch. 9. (Compendium).

Berge, T. and Repål, A. (2000). Den indre samtalen: Innføring i kognitiv terapi. (The interior monologue: Introduction to cognitive therapy). Oslo, Norway: Gyldendal Norsk Forlag. Ch. 1. (Compendium).

Bodenheimer T., et al. (2002). Patient Self-management of Chronic Disease in Primary Care. The Journal of the American Medical Association (JAMA). 2002; 288: 2469-2475. (Compendium).

Bondevik, M. and Nygaard, H. (eds.) (2006). Tverrfaglig geriatri – en innføring. (Interdisciplinary geriatrics – an introduction). 2nd ed.
Bergen, Norway: Fagbokforlaget. Chs. 2-3, 6-10, 12, 14, 17-19, 21.

Bredland, E.L., Linge, O.A. and Vik, K. (2002). Det handler om verdighet. Ideologi og praksis i rehabiliteringsarbeid. (A matter of dignity. Ideology and clinical practice in rehabilitation work). 2nd ed. Oslo, Norway: Gyldendal Akademisk.

Faulkner, A. (1998). Å samtale med kreftpasienter og deres familier. (Talking with cancer patients and their families). Oslo, Norway: Tano Aschehoug. Chs. 8-9.

Falck, J.A. and Bugge, C. (2004) Pasienten som kunnskapsleverandør? (The patient as a knowledge provider?) Tidsskrift for den norske Lægeforening. (Journal of the Norwegian Medical Association). no. 4, 2004; 124: 513-4. (Compendium).

Farvolden, P. (et al.) (2005). Usage and Longitudinal Effectiveness of a Web-Based Self-help Cognitive Behavioral Therapy Program for Panic Disorder. Journal of medical internet research 2005 (March 26); 7(1): e7. (Compendium).

Gråwe, R.W. (2006). Forståelse og behandling av personar med alvorlege psykiske lidelser og rusmisbruk. (Understanding and treatment of persons with serious mental disorders and substance abuse). In: Almvik, A. and Borge, L. (eds.). Psykisk helsearbeid i nye sko. (Mental health work in new shoes). Bergen, Norway: Fagbokforlaget. Ch. 8. (Compendium).

Garsjø, O. (2001). Sosiologisk tenkemåte – En introduksjon for helse og sosialarbeidere. (Sociological reasoning – an introduction to health and social work.) 2nd ed. Oslo, Norway: Gyldendal Akademisk. pp. 248-274.

Heap, K. (2002). Samtalen i eldreomsorgen: kommunikajson, minner, kriser. (Conversing with elderly patients: communication, memories, crises). Kommuneforlaget, Chs. 1-2, 4 (pp. 80-105), 5-7, 12, 15.

Hjort, P. (2000). Fysisk aktivitet og eldres helse – gå på! (Physical activity and geriatric health – go for it!)Tidsskrift Norsk Lægeforening. (Journal of the Norwegian Medical Association). no. 24, 2000; 120: 2915-19. (Compendium).

Hummelvoll, J.K. (2004). Helt ikke stykkevis og delt. (Holistic - not divided piecemeal). Oslo, Norway: Gyldendal Norsk Forlag. 6th edition, 1st printing. Chs. 1, 3, 4, 6, 7, 8, 9, 10 (up to p 265), 12, 14, 16, 18.

Haaland, K. (2005). LØFT og narrativer i profesjonelle samtaler. Fra nederlag til trappetrinn. (Problem-focused approach and narratives in professional discussions. From failure to step by step progress) Oslo, Norway: Universitetsforlaget. Chs. 3 and 5. (Compendium).

Jakobsen, R., Knudsen, L.B., Eggen, M. (et al.) (2003). Å huske og å minnes – to sider av samme sak: erfaringer fra reminisens og minnegrupper ved undervisningssykehjemmene i Tromsø og Oslo. (To remember and be remembered – two aspects of the same situation: experiences from reminiscence and memory groups at the teaching nursing homes in Tromsø and Oslo, Norway). Teaching nursing home Report no. 2/03. Bergen, Norway: Nasjonalt formidlingssenter i geriatri. (National Geriatric Dissemination Centre). Ch. 2. (Compendium).

Johannesen, A. (2005). Hverdagslivet for svækkede gamle. (Everyday life for frail elderly persons). Klinisk sygepleje. (Clinical nursing). No. 1. (Compendium).

Kemper-Jørgensen, F., Almind, G. (2003). Forebyggende sundhedsarbejde. Bakgrund, analyse, arbejdsmetoder. (Preventive health work. Background, analysis, working methods). Copenhagen, Denmark: Munksgaard. Chs. 19, 28, 29. (Compendium).

Kirkevold, M. and Ekern, K.S. (2001). Familien i Sykepleiefaget. (The family in the field of nursing).Oslo, Norway: Gyldendal Akademisk. Chs. 1, 2, and 5-10.

Directorate of Health and Social Affairs (2004). Kvalitet i pleie og omsorgstjenestene. Veileder til forskrift om kvalitet i pleie- og omsorgstjenestene for tjenesteyting etter kommunehelsetjenesteloven og sosialtjenesteloven. (Quality in the nursing and care services. Guide to regulations concerning quality in the nursing and care services for the provision of services pursuant to the Act relating to the municipal health services and the Act relating to social services). IS-1201. Chs. 1-2.

Martinsen, E.W. et al. (2004). Kropp og sinn: Fysisk aktivitet og psykisk helse. (Body and mind: Physical activity and mental health). Fagbokforlaget. Chs. 14-17, up to p. 153. (Compendium).

Mehlum, L. (ed.) (1999). Tilbake til livet. Selvmordsforebygging i teori og praksis. (Back to life. Prevention of suicide in theory and practice). Kristiansand, Norway: Høyskoleforlaget. Chs. 8, 10, 11. (Compendium).

Norvoll, R. (2001)."Sosiale avvik og sosial kontroll". (Social deviance and social control). In: Brodtkorb, E., Norvoll, R., Rugkåsa, M. (ed.). Mellom mennesker og samfunn (Between people and society). Oslo, Norway: Gyldendal Akademsk. Ch. 4. (Compendium).

Nyttingnes, O. and Skjerve, A.G. (2005). "Hvis brukerne fikk bestemme…". (If the users got to decide...). In: Almvik, A. and Borge, L. (eds.). Psykisk helsearbeid i nye sko. (Mental health work in new shoes). Bergen, Norway: Fagbokforlaget. Ch. 13. (Compendium).

Pfeiffer, R. (2002). Sykepleier og leder. (Nurse and leader). Bergen, Norway: Fagbokforlaget. Chs. 4 and 7.

Rantz, M.J. and Zwygart Stauffacher, M. (2004). "Back to the Fundamentals of Care. A Roadmap to Improve Nursing Home Care Quality". Journal of nursing care quality.
Vol. 19 no. 2, pp. 92-94. (Compendium).

Røkenes, O.H. and Hanssen P.H. (2006). Bære eller briste: Kommunikasjon og relasjon i arbeid med mennesker. (Swim or sink: Communication and relation in work with people). Bergen, Norway: Fagbokforlaget. 2nd edition. Chs. 1-7.

Sandvoll, A.M. (2006)."Urovekkande gode resultat". (Disturbingly good result). Tidsskriftet Sykepleien. (Journal of Nursing). No. 9. pp. 63-64. (Compendium).

Schanke, A.K. (2005). Vi – de andre og Oss. Kulturpsykologiske perspektiver på funksjonshemming med vekt på identitet og myndiggjøring. (We – the others and Us. Cultural psychological perspectives on physical disability with emphasis on identity and empowerment). Tønsberg, Norway: Forlaget Aldring og Helse.

Snoek, J.E. and Engedal, K. (2005). Psykiatri: kunnskap, forståelse, utfordringer. (Psychiatry: knowledge, understanding, challenges). Oslo, Norway: Akribe. 2nd edition. Chs. 1-12, 13.

Solheim, M. and Aarheim, K.A. (2004). Kan eg komme inn? Verdiar og val i heimesjukepleie. (Can I come in? Values and choices in home nursing). Oslo, Norway: Gyldendal Akademisk.

Solheim, M. (2001). "Skal vi bry oss om skilnaden mellom Hyen og Byen?". (Shall we worry about the distinction between rural and urban?) In: Befring, E. and Heggheim, S. (eds.). Liv og læring på landsbygda. (Life and learning in rural villages). Oslo, Norway: Samlaget. pp. 15-30. (Compendium).

Stamsø, M.A. (ed.) (2005). Velferdsstaten i endring, - norsk helse- og sosialpolitikk ved starten av et nytt århundre. (The welfare state in transition – Norwegian health and social policy at the dawn of a new century). Oslo, Norway. Gyldendal Akademisk. Ch. 1.

Sægrov, S. and Lorentzen, M. (2001). Kommunal oppfølging av personar med kreft. (Municipal follow-up of persons with cancer). Vård i Norden. (Nordic health care). No. 4. pp. 21-25. (Compendium).

Øgar, P. and Hovland, T. (2004). Mellom kaos og kontroll. Ledelse og kvalitetsutvikling i kommunehelsetjenesten. (Between chaos and control. Management and quality improvement in the municipal health service). Oslo, Norway: Gyldendal Akademisk. Ch. 2.

Recommended literature

Askheim, O.P. (2006). Å leve er mer enn å overleve - Funksjonshemmede med brukerstyrt personlig assistanse forteller. (Living is more than just surviving – Disabled persons with user-controlled personal assistance speak out). Oslo, Norway: Gyldendal Akademisk.

Austrem, L.M. (2006). Hør, jeg har noe å fortelle - Om psykisk helsevern. (Listen, I have something to say – about mental health care). Oslo, Norway: Gyldendal Akademisk.

Birkeland, A. and Kristoffersen, K. (2004). Opplevelse av behov for hjelp hos psykiatriske pasienter som bor i egen bolig. (Experiencing the need for help among psychiatric patients who live in their own home). Vård i Norden (Nordic Health Care) 4, vol. 24, pp.15-20.

Bondevik, M. (2000). De eldste eldre – erfaringer og refleksjoner. (The oldest of the elderly – experiences and reflections). Oslo, Norway: Gyldendal Akademisk.

Grue, L. (2004). Funksjonshemmet er bare et ord. Forståelser, fremstillinger og erfaringar. (Disabled is just a word. Understandings, presentations and experiences). Oslo, Norway: Abstrakt Forlag.

Hegerstrøm, T. (2002). Om relasjoner i hjemmetjenestene. (Relations in the home care services) Oslo, Norway: Universitetsforlaget.

Hummelvoll, J.K. (2004). Helt - ikke stykkevis og delt (Holistic - not divided piecemeal). Gyldendal Norsk Forlag. 6th edition. 1st printing. Ch. 11.

Lauvås, K. and Lauvås, P. (2005). Tverrfaglig samarbeid: Perspektiv og strategi. (Interdisciplinary collaboration: perspectives and strategy). 2nd ed. Oslo, Norway: Universitetsforlaget.

Magnusson, L. (2005). Designing a responsive support service for family carers of frail older people using information and communication technology. Doctoral thesis, GöteborgUniversity, Studies in educational sciences 231.

Nilssen, E. (2006). Omsorg for de annerledes svake - Et overvåket hverdagsliv. (Care of the different weak – A monitored everyday life). Oslo, Norway: Gyldendal Akademisk.

Normann, T., Tveit Sandvin, J., Thommesen, H. (2003). Om rehabilitering. Mot en helhetlig og felles forståelse. (Rehabilitation. Working for a holistic and common understanding.) Oslo, Norway: Kommuneforlaget.

Repstad, P. (ed.) (2004). Dugnadsånd og forsvarsverker: tverretatlig samarbeidi teori og praksis.(Community spirit and political turf: interdeparmental collaboration in theory and practice). 2nd ed. Oslo, Norway: Universitetsforlaget.

Smebye, K.L. and Hotvedt, K. (1999). Fra fortvilelse til forståelse. Pårørendegrupper, samarbeid mellom frivillige og kommunen: et eksempel fra Østfold. (From despair to understanding. Groups of relatives, cooperation between volunteers and the municipality: an example from ØstfoldCounty). Pårørendeskolen (The School for Caregivers): course for caregivers of persons with dementia.
Sem: The Norwegian Centre for Dementia Research, The INFO bank.

Thommesen, H., Normann, T. and Sandvin, J.T. (2003). Individuell planEt sesam, sesam? (Individual plan - a panacea?) Oslo, Norway: Kommuneforlaget.

Lubkin, I.M. and Larsen, P.D. (2005). Chronic illness: impact and interventions. 6th ed. Boston: Jones and Bartlett.

Clarke, G., Reid, E., Eubanks, D. (et al.) (2002). "Overcoming Depression on the Internet (ODIN): A Randomized Controlled Trial of an Internet Depression Skills Intervention Program". Journal of Medical Internet Research. ISSN: 1438-8871. Web-site: http://www.jmir.org/2002/3/e14/ (date: 2 June 2006).