{"id":167,"date":"2018-01-27T00:10:55","date_gmt":"2018-01-26T22:10:55","guid":{"rendered":"https:\/\/wordpress.usn.no\/214088\/?page_id=167"},"modified":"2018-01-27T00:15:52","modified_gmt":"2018-01-26T22:15:52","slug":"den-kliniske-fortellingen-som-utgangspunkt-for-helsefremmende-dialog","status":"publish","type":"page","link":"https:\/\/wordpress.usn.no\/214088\/publiserte-artikler\/den-kliniske-fortellingen-som-utgangspunkt-for-helsefremmende-dialog\/","title":{"rendered":"Masteroppgave i helsefagvitenskap"},"content":{"rendered":"<p>http:\/\/urn.nb.no\/URN:NBN:no-38781<\/p>\n<header>\n<div class=\"navbar navbar-default navbar-static-top\" role=\"navigation\">\n<div class=\"container\">\n<div class=\"navbar-header\"><\/div>\n<div class=\"navbar-header pull-right hidden-xs\">\n<ul class=\"nav navbar-nav pull-left\">\n<li><a href=\"https:\/\/www.duo.uio.no\/login\"><span class=\"hidden-xs\">Administrasjon<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/header>\n<div class=\"trail-wrapper\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-xs-12\">\n<ul class=\"breadcrumb hidden-xs\">\n<li><i class=\"glyphicon glyphicon-home\"><\/i>\u00a0 <a href=\"https:\/\/www.duo.uio.no\/\">Hjem<\/a><\/li>\n<li><a href=\"https:\/\/www.duo.uio.no\/handle\/10852\/181\">Det medisinske fakultet<\/a><\/li>\n<li><a href=\"https:\/\/www.duo.uio.no\/handle\/10852\/37322\">Institutt for helse og samfunn<\/a><\/li>\n<li><a href=\"https:\/\/www.duo.uio.no\/handle\/10852\/37326\/discover?rpp=100&amp;sort_by=dc.date.issued_dt&amp;order=DESC\">Helsefag<\/a><\/li>\n<li class=\"active\">Vis innf\u00f8rsel<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"main-container\" class=\"container\">\n<div class=\"row row-offcanvas row-offcanvas-right\">\n<div class=\"horizontal-slider clearfix\">\n<div class=\"col-xs-12 col-sm-12 col-md-9 main-content\">\n<div>\n<div id=\"aspect_artifactbrowser_ItemViewer_div_item-view\" class=\"ds-static-div primary\">\n<div class=\"item-summary-view-metadata\">\n<h2 class=\"page-header first-page-header\">Den kliniske fortellingen som utgangspunkt for helsefremmende dialog : En kvalitativ studie av pasienters erfaring med fortelling og samtale i psykomotorisk fysioterapi<\/h2>\n<div class=\"simple-item-view-authors item-page-field-wrapper table\"><a href=\"https:\/\/www.duo.uio.no\/discover?filtertype_1=author&amp;filter_relational_operator_1=equals&amp;filter_1=Busvold,%20Kari%20Irene%20Homleid\">Busvold, Kari Irene Homleid<\/a><\/div>\n<div class=\"row\">\n<div class=\"col-sm-4\">\n<div class=\"row\">\n<div class=\"col-xs-6 col-sm-12\">\n<div class=\"simple-item-view-date word-break item-page-field-wrapper table\"><span class=\"bold\">Master thesis<\/span><\/div>\n<div class=\"item-page-field-wrapper table\">\n<h5>\u00c5pne<\/h5>\n<div><a style=\"background-color: transparent;color: #607890;text-decoration: underline\" href=\"https:\/\/www.duo.uio.no\/bitstream\/handle\/10852\/37292\/Busvold-Master.pdf?sequence=2&amp;isAllowed=y\"><i><span id=\"icon-pdf\"><\/span><\/i> Busvold-Master.pdf (975.7Kb)<\/a><\/div>\n<\/div>\n<div class=\"simple-item-view-date word-break item-page-field-wrapper table\">\n<h5>\u00c5r<\/h5>\n<p>2013<\/p><\/div>\n<div class=\"simple-item-view-uri item-page-field-wrapper table\">\n<h5>Permanent lenke<\/h5>\n<p><a href=\"http:\/\/urn.nb.no\/URN:NBN:no-38781\" target=\"_blank\" rel=\"noopener\">http:\/\/urn.nb.no\/URN:NBN:no-38781<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"simple-item-view-show-full item-page-field-wrapper table\">\n<h5>Metadata<\/h5>\n<p><a href=\"https:\/\/www.duo.uio.no\/handle\/10852\/37292?show=full\">Vis metadata<\/a><\/div>\n<div class=\"simple-item-view-collections item-page-field-wrapper table\">\n<h5>Finnes i f\u00f8lgende samling<\/h5>\n<ul class=\"ds-referenceSet-list\">\n<li><a href=\"https:\/\/www.duo.uio.no\/handle\/10852\/37326\/discover?rpp=100&amp;sort_by=dc.date.issued_dt&amp;order=DESC\">Helsefag<\/a> [177]<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"col-sm-8\">\n<div class=\"simple-item-view-description item-page-field-wrapper table\">\n<h5>Sammendrag<\/h5>\n<p>Oppgavens form\u00e5l er \u00e5 utforske pasienters erfaringer med fortelling og samtale i psykomotorisk fysioterapi, i et tilfriskningsperspektiv. Hensikten med unders\u00f8kelsen er \u00e5 identifisere elementer som kan bidra til helsefremmende dialog, ogs\u00e5 utenfor en psykomotorisk kontekst. Bakgrunn for dette er praksiserfaringer og forskning som tilsier n\u00f8dvendigheten av en utvidet forst\u00e5else av pasienter med sammensatte lidelser og uspesifiserte tilstander. For mange av disse er plagene vedvarende og de opplever i liten grad \u00e5 bli hjulpet. En biomedisinsk sykdomsforst\u00e5else alene, synes \u00e5 v\u00e6re utilstrekkelig i m\u00f8tet med disse. Pasientenes subjektive erfaringer blir viktige kunnskapskilder i en slik sammenheng.Teori: Studien plasserer seg innenfor humanvitenskaplig sykdomsl\u00e6re og narrativ medisin, og tar utgangspunkt i begrepet \u201dden kliniske fortellingen\u201d. Fortelling anses her som menneskelig erkjennelseskategori, og det kliniske m\u00f8te betraktes som hermeneutisk og semiotisk virksomhet. Symptomer betraktes som meningsb\u00e6rende tegn, og tanken er at samtaler med utgangspunkt i den kliniske fortellingen kan bidra til \u00e5 avdekke \u201duforklarte\u201d symptomers budskap. Metode: Studien er forankret i en kvalitativ tradisjon og best\u00e5r av dybdeintervjuer av fem kvinnelige pasienter, som alle presenterer et sammensatt symptombilde. Analysen er basert p\u00e5 en kombinasjon av temasentrert og personsentrert meningsfortolkning. Resultater: Samtaleerfaringene er knyttet til opplevelsesmessige aspekter og betydningen av samtalen i et endringsperspektiv. Gjennom samtalene opplever informantene \u00e5 bli tatt p\u00e5 alvor og anerkjent som unike individ, med gyldig kompetanse p\u00e5 egen tilstand. Analysen viser at samtalens bevisstgj\u00f8rende effekt er viktig for tilfriskning; bevisstgj\u00f8ring av mentale vaner og handlingsm\u00f8nstre, sammenhengen mellom f\u00f8lelser og kroppslige reaksjoner, og sammenhengen mellom sykehistorie og livshistorie. Dette skaper grunnlag for ny forst\u00e5else for symptomers meningsinnhold. Oppsummering: Unders\u00f8kelsen har belyst pasienterfaringer med den kliniske fortellingen som utgangspunkt for samtale. Resultatene viser at den kliniske fortellingen danner grunnlag for fruktbare kliniske m\u00f8ter, p\u00e5 veien mot tilfriskning. Samtaler basert p\u00e5 den kliniske fortellingen bidrar til ny erkjennelse, mestring og nye fortellinger.<\/p>\n<div class=\"spacer\"><\/div>\n<p>The objective of this assignment is to investigate patients\u2019 experiences of narrative and conversation in psychomotor physiotherapy, from a recovery perspective. The purpose of the study is to identify elements that may contribute to a health-promoting dialogue, including outside of a psychomotor context.The background for this is the research and experiences from praxis that indicate the need for a broader understanding of patients with complex illnesses and non-specific conditions. For many of these, the afflictions are long-lasting and the degree of help they receive is small. A biomedical understanding of disease alone is regarded being inadequate in the encounter with these individuals. In such a context, the patients\u2019 subjective experiences become important sources of knowledge. Theory: The study is situated within human scientific learning on disease and narrative medicine, and takes the concept of \u201cthe clinical tale\u201d as its basis. The telling of tales is here considered to be a category of human recognition, and the clinical encounter is regarded as a hermeneutic and semiotic activity. Symptoms are regarded as signs that carry meaning, and the idea is that conversations based on the clinical narrative can help reveal the message of \u201cunexplained\u201d symptoms. Method: The study is embedded in a qualitative tradition and consists of in-depth interviews with five female patients, all presenting with a complex symptom picture. The analysis is based on a combination of theme-centred and person-centred interpretation of meaning. Results: The experiences of conversations are linked to experiential aspects and the meaning of the conversation in a change perspective. Through the conversations, the informants experience being taken seriously and recognised as unique individuals with relevant competence regarding their own condition. The analysis shows that the awareness-raising effect of the conversation is important for recovery; raising awareness of mental habits and patterns of behaviour, the association between feelings and bodily reactions, and the association between the history of illness and life history. This creates a basis for new understanding of the symptoms\u2019 content of meaning. Summary: The study has elucidated patient experiences of the clinical tale as a basis for conversation. The results show that the clinical tale forms the basis for fruitful clinical encounters on the route to recovery. Conversations based on the clinical tale contribute to new acknowledgement, coping and new narratives.<\/p><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"sidebar\" class=\"col-xs-6 col-sm-3 sidebar-offcanvas\" role=\"navigation\">\n<div id=\"ds-options\" class=\"word-break\">\n<div id=\"ds-search-option\" class=\"ds-option-set\">\n<form id=\"ds-search-form\" class=\"\" action=\"https:\/\/www.duo.uio.no\/discover\" method=\"post\">\n<fieldset>\n<div class=\"input-group\"><button class=\"ds-button-field btn btn-primary\" title=\"S\u00f8k\"><\/button><\/div>\n<div class=\"radio\"><label>S\u00f8k i hele DUO<\/label><\/div>\n<div class=\"radio\"><label>Kun denne samlingen<\/label><\/div>\n<\/fieldset>\n<\/form>\n<\/div>\n<div class=\"list-group\"><a class=\"list-group-item active\"><span class=\"h5 list-group-item-heading  h5\">For studenter \/ ansatte<\/span><\/a><a class=\"list-group-item ds-option\" 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