Siden 2007 har HOD og KS satset store ressurser på prosjektet «Samarbeid om etisk kompetanseheving» i kommunale helse- og omsorgstjenester. Hensikten med prosjektet har vært å heve de ansattes etiske kompetanse, og ett av de iverksatte tiltakene har vært å etablere refleksjonsgrupper i etikk. Denne artikkelen er basert på en evaluering av arbeidet i refleksjonsgruppene med fokus på hvordan etikkveilederen, også kalt fasilitator, beskriver arbeidet i gruppene. Hensikten med studien var å utvikle kunnskap om hvordan arbeidet med etikk-refleksjon foregår, samt (...) å diskutere om måten det arbeides på kan forventes å bidra til etisk kompetanseheving blant gruppemedlemmene. Vinteren 2012 gjennomførte vi fokusgruppeintervju i åtte kommuner med ansatte fra ulike deler av den kommunale helse- og omsorgstjenesten, ett intervju i hver kommune, til sammen 33 personer. Data ble analysert og fortolket i tråd med hermeneutisk metode. Resultatene viser at de i refleksjonsgruppene diskuterer alt fra verdier, begreper, fiktive case, dilemmaer til vanskelig situasjoner fra egen praksis. Refleksjonsmetodene varierer i spennet fra fri diskusjon til en strukturert samtale. Fasiltatorenes helsefaglige grunnutdanning og kunnskap om etikk og refleksjon ser ut til å være avgjørende faktorer for om refleksjonsgrupper i etikk mest fungerer som et pusterom, eller blir en læringsarena for etisk kompetanseheving. Resultatene diskuteres i lys av lærings- og refleksjonsteori.Nøkkelord: Etikk, evaluering, fasilitatorer, kommunehelsetjenesten, læring, refleksjonsgrupper English Summary: Ethics reflection groups: Just a “time out” or a learning arena?Since 2007, there has been a nationally prioritised programme aiming to enhance ethics competence in Norwegian community health care. One of many measures has been to establish ethics reflection groups. The purpose of this study was to obtain knowledge about how ethics reflection is carried out and if the reflection strengthens the participants´ competence in ethics. In this article, we focus on how the role of the facilitator, and the objective is to describe and discuss how the facilitator work and facilitate in the groups. We conducted focus group interviews with facilitators from various clinical settings in eight different municipalities. Data were analysed and interpreted according to hermeneutic methodology. The findings show that the discussions in the reflection groups varied from values, concepts and fictional cases to dilemmas and ethically difficult situations from the participants own practice. The methods used varied from free conversation to structured reflection. Competence in ethics and methods of reflection are essential skills facilitators must employ/have to run the groups. We discuss the findings using learning- and reflection theory.Article first published online: 22 MARCH 2016. (shrink)

From the outset the Belgian press has been a political press. The catholic and liberal newspapers, however, have never been tightly linked to the corresponding political parties, whereas the socialist and communistnewspapers depend officially from their respective political party so that they can be considered as real party-papers.Of the 39 Belgian newspapers 20 can be defined as catholic, 7 as liberal, 7 as socialist and 1 as communist ; 4 newspapers call themselves «neutral», but on several political occasions they heve (...) nevertheless taken up position. Among these 39 newspapers only 19 can be considered as «independent» : of the 20 catholic newspapers 16 belang to 5 different newspaper chains ; 7 of the liberal dailies are owned by only 3 newspaper groups; 3 of the 7 socialist papers belang to the same chain and 3 of the so-called «neutral» dailies are published by only one group.From the circulation figures of the Flemish press it emerges that the catholic and liberal newspapers make some progress, while the socialist dailies are constantly regressing. The total circulation of the Frenchspeaking newspapers is slightly receding, but here again the socialist newspapers are the big losers. It should be noticed that only the circulation figures of the Flemish newspapers are officially ascertained, whereas the major part of the French-speaking newspapers do not allow such an official control.From this it is clear that in Belgium there exists a real disproportion between the number of readers of political opinionnewspapers and the voters for the corresponding political parties. For the moment the number of readers of catholic newspapers surpasses the amount of voters for the CVP-PSC-party in an considerable way. This also applies to the liberal press, where the amount of readers outnumbers the voters for the PW-PLP-party. On the other hand, the number of readers of socialist newspapers even does not amount to half of the numbers of voters for the BSP-PSB-party. (shrink)