Ivar Refsdals skoleatlas. Atlasets innhold og betydning for samtiden

Ivar Refsdal’s school atlases were the most used school atlases in Norway for most of the 20th century. The article shows that his maps where highly appreciated by his contemporary citizens as a new mean for geography education in Norwegian schools. Making maps always means choices of content and mapmaking technique. Therefor the article is discussing some of the map making choices made by Refsdal to display the world for the students.

Education for Sustainable Development in Norwegian Geography curricula

In Norway, environmental education (EE) has been part of schools’ curricula since the 1970s. The concept of education for sustainable development (ESD) was introduced after Agenda 21 was introduced at the UN conference on environment and development held in Rio in 1992. The article shows there has been little change in the geography curricula since the concept ESD was introduced, and no important differences are found between curricula for mandatory schooling (classes 1–10) and curricula for upper secondary schools. ESD is mentioned in the geography curricula but without explanation and implementation. Core goals in the general national core curricula may indicate a change to ESD, but they have not been followed in the development of geography curricula in Norway.

Quality in palliative care from the patient perspective : Instrument development, perceptions of care received and the importance of care

The overall aim was to investigate the quality of palliative care from the patient perspective, to adapt and psychometrically evaluate the Quality from Patients’ Perspective instrument specific to palliative care (QPP-PC) and investigate the relationship between the combination of person- and organization-related conditions and patients’ perceptions of care quality. Methods: In the systematic literature review (I), 23 studies from 6 databases and reference lists in 2014 were synthesized by integrative thematic analysis. The quantitative studies (II–IV) had cross-sectional designs including 191 patients (73% RR) from hospice inpatient care, hospice day care, palliative units in nursing homes and home care in 2013–2014. A modified version of QPP was used. Additionally, person- and organization-related conditions were assessed. Psychometric evaluation, descriptive and inferential statistics were used. Main findings: Patients’ preferences for palliative care included living a meaningful life and responsive healthcare personnel, care environment and organization of care (I). The QPP-PC was developed, comprising 12 factors (49 items), 3 single items and 4 dimensions: medical–technical competence, physical–technical conditions, identity–oriented approach, and socio-cultural atmosphere (II). QPP-PC measured patients’ perceived reality (PR) and subjective importance (SI) of care quality. PR differed across settings, but SI did not (III). All settings exhibited areas of strength and for improvement (II, III). Person-related conditions seemed to be related to SI, and person- and organization-related conditions to PR, explaining 18–30 and 22-29% respectively of the variance (IV). Conclusions: The patient perspective of care quality (SI and PR) should be integrated into daily care and improvement initiatives in palliative care. The QPP-PC can measure patients’ perceptions of care quality. Registered nurses and other healthcare personnel need awareness of person- and organization-related conditions to provide high-quality person-centred care.