Marianne Storm

• Eilertsen, Grethe; Hansen, Anette; Tønnessen, Siri & Storm, Marianne (2026). HEIME – Flere gode dager hjemme for eldre og deres pårørende. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 12(1), s. 10–10. doi: 10.18261/tfo.12.1.9. Fulltekst i vitenarkiv
• Wang, Bo; Mundal, Ingunn Pernille; Fortuna, Karen L.; Grønvik, Cecilie Katrine Utheim; Eines, Trude Fløystad & Storm, Marianne (2026). What matters in digital health technology adoption for mental healthcare? - A multistakeholder qualitative study. Digital Health. 12, s. 1–17. doi: 10.1177/20552076261469387. Fulltekst i vitenarkiv Vis sammendrag

  Objective Digital health technologies hold great promises for supporting people with mental health challenges and promoting their well-being. However, various challenges persist in the adoption of technologies as care modalities in mental healthcare. The study aims to explore what matters in adopting technology in mental healthcare from a multistakeholders’ perspective. Methods We conducted a qualitative interview study with 26 mental health stakeholders recruited from government authorities, regional health authorities/hospitals, municipalities, universities/research institutions, health industries/entrepreneurs/clusters, and user organizations. Semi-structured individual interviews were conducted via Microsoft Teams between August and October 2024. The interviews were audio recorded, transcribed into text, and analyzed using abductive thematic analysis. Results Four main themes emerged from the analysis. Stakeholders identified flexible, personal adaptive technology supported by peer support and co-creation, coupled with continuous and tailored human follow-ups, as core values for people receiving mental healthcare. For successful adoption, stakeholders informed that such technology must be evidence-informed and demonstrate clear and scalable service delivery benefits in mental healthcare, while requiring visionary leadership and dedicated staff resources for organizational adoption. They further highlighted that nationwide access depends on compatible digital health systems and on clear policies and guidelines that support scaling for the benefit both service users and staff. Conclusion Stakeholders considered technology adoption in mental healthcare as jointly shaped by human-centered values and broader contextual factors. They interpreted that effective strategies need to foster human connection while enabling broader access and knowledge transfer to ensure safe and scalable technology use.

• Sorsa, Minna Anneli; Hammervold, Unn Elisabeth; Rimstad, Silje Lill; Storm, Marianne & Sagvaag, Hildegunn (2025). Organising housing and service provision for persons with co-occurring substance use and mental health problems: a scoping review in the ROP Municipal. BMC Psychiatry. 26(2026). doi: 10.1186/s12888-025-07621-6. Fulltekst i vitenarkiv Vis sammendrag

  Background Persons with co-occurring disorders, both substance use and mental health problems (COP) may be encountered within various disciplinary systems and organisational levels of treatment. In western countries, the most common evidence-based housing programme for persons with complex, long-term needs due to severe mental illness and substance use is Housing First. The context of this study were the Nordic countries, granting universal access to treatment and free public services. The aim was to examine how multidisciplinary and integrated housing services are organised and coordinated for persons with COP. Methods We conducted a systematic search for literature in six databases (i.e. CINAHL, Ovid, SocINDEX, Web of Science, Scopus, and Social Services Abstracts), along with manual searches. After blinded review by two authors in Rayyan, the full texts of 75 articles were reviewed for inclusion, the quality of the selected research articles was completed according to checklists from the Joanna Briggs Institute. A thematic analysis of nine articles was completed according to a coding scheme. Results From the Nordic perspective, introduced as a model in this article, regions need to develop the organisation and the workforce skills of health and social services as an integrated whole, with special focus on defining responsibilities at different levels, maintaining and improving relationships within a multidisciplinary, integrated, comprehensive, and community-based system of care inclusive of housing services. Supporting the recovery of persons with COP means giving them a voice and having professionals skilled in COP aid them. Conclusions The approach of emphasizing primary care and multidisciplinary mental health is yet today a challenge even in high-income areas. The integration of services was not on an ideal level, even though the housing policies were rights-based. We identified societal responsibilities stemming from national policies. It is possible that functional integration does not take place in all regions. As the working methods were based on active relationship building to be able to help persons with COP, we interpreted this as a sign of clinical integration. The recommendations for the organisation and coordination of services for persons with COP include ensuring the right to a home, ensuring social integration and community involvement, combatting stigma, and systemising user involvement. There are research gaps in all Nordic countries and the research within housing for persons with COP is scarce. We call for using multi-dimensional research approaches. Clinical trial number Not applicable.

• Larsen, Bente Hamre; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine; Dieckmann, Gerhard Peter & Storm, Marianne (2025). Simulation training for holistic and systematic health needs assessments of older adults: a qualitative study. Advances in Simulation. 10. doi: 10.1186/s41077-025-00388-6. Fulltekst i vitenarkiv Vis sammendrag

  Background As more people age, healthcare professionals require skills in using tools for interprofessional, holistic health needs assessments to support aging in place. While simulation training is recognized to build professional skills, its application in training interprofessional teams by using tools to holistically assess and plan care for older adults at home remains limited. Aim To explore healthcare professionals’ perceptions of interprofessional simulation training in assessing the holistic health needs of older adults living at home (i.e., physical, cognitive, mental, sensory, behavioral, and social) and their views on appropriate measures. Method A qualitative, exploratory study with five simulation training sessions focused on assessing health needs in older adults living at home. The simulation included 11 participants (nurses, physical therapists, and occupational therapists). The simulation sessions comprised introduction, briefing, scenario with role play, and debriefing, and were conducted in a home-like laboratory. The introduction prepared participants through e-modules. The briefing covered information about the scenario, participant roles, and tools to assess physical, cognitive, mental, sensory, behavioral, and social health needs. Participants chose either an active or an observer role in a scenario involving a health needs assessment in an older adult’s home. This was followed by debriefing during which participants shared their experiences. The debriefing transcripts served as the study data and were analyzed using thematic analysis. Results Participants reported that the tools to assess health needs provided systematic and holistic insight on the health of a simulated older adult. They perceived that interprofessional collaboration supported both the assessment process and engagement with the older adult. Participants perceived that assessment scores informed decisions about necessary measures and could enhance older adults’ awareness of their functional abilities, potentially stimulating health-promoting actions. Participants perceived the simulation training as useful and realistic, and both the active and observer roles gave valuable experiences. Conclusion Interprofessional simulation training enabled healthcare professionals to practice holistic assessment and identify the health needs of older adult. They perceived that such assessments could inform appropriate measures and promote health. The participants reported the simulation training to be authentic and meaningful.

• Storm, Marianne (2025). Coordinating health care for people with serious mental illness. Michael. ISSN 1893-9651. 22(34), s. 54–59. doi: https:/www.michaeljournal.no/article/2025/10/Coordinating%20health%20care%20for%20people%20with%20serious%20mental%20illness. Fulltekst i vitenarkiv Vis sammendrag

  Healthcare systems often struggle to meet the care and treatment needs of individuals with serious mental illness. My Harkness project investigated how services are coordinated for people with serious mental illness, the factors influencing coordination, and the role of peer support in facilitating integrated health care. The project is structured in three parts:

• Skjærpe, Jorunn Nærland; Fjellså, Hilde Marie Hunsbedt; Fortuna, Karen L; Wang, Bo & Storm, Marianne (2025). Co-creating DigiPer mobile application: A digital peer support tool for managing mental, physical, and social health in serious mental illness. Digital Health. 11, s. 1–17. doi: 10.1177/20552076251380648. Fulltekst i vitenarkiv Vis sammendrag

  Background People with serious mental illness (SMI) often encounter physical health issues and persistent symptoms of mental illness. Digital tools and peer support can empower people with SMI to self-manage their mental, physical, and social health. This study aims to co-create and culturally adapt the DigiPer mobile application with service users, peer support workers, and Norwegian community mental healthcare professionals. Methods We used a qualitative participatory design and principles of co-creation to develop DigiPer. We conducted workshops, videoconference demonstrations, and application testing with key stakeholders in the co-creation process. Written material from the co-creation process was transcribed and analyzed using reflexive thematic analysis. Results Five themes and ten subthemes were developed. Theme (1) Feedback and challenges in DigiPer functioning, including usability in DigiPer and managing complexity in DigiPer classes. Theme (2) The peer support worker's role within DigiPer should include recognizing and addressing user challenges and balancing self-responsibility and support. Theme (3) The content of DigiPer addresses day-to-day challenges, supporting personal growth and goal setting, and DigiPer can be used as a tool to build supportive networks. Theme (4) DigiPer can encourage a healthy lifestyle, address substance uses and smoking habits and improve sleep and stress management. Theme (5) Provides a holistic view of health, connecting users to relevant services and addressing the need for support to overcome financial challenges. Conclusions DigiPer demonstrated usability among Norwegian community mental healthcare stakeholders. It was perceived as relevant and functional and a promising tool to help people with SMI to self-manage their mental, physical, and social health. This study contributes to ongoing efforts to refine digital peer support interventions in Norway.

• Østrem, Signe; Strömberg, Anna; Gjeilo, Kari Hanne; Storm, Marianne & Morken, Ingvild Margreta (2025). The process of self-care in patients with heart failure after nurse-assisted remote patient monitoring : a qualitative longitudinal approach. International Journal of Nursing Studies Advances (IJNS Advances). 9. doi: 10.1016/j.ijnsa.2025.100426. Fulltekst i vitenarkiv Vis sammendrag

  Background Effective self-care, including symptom monitoring and treatment adherence, is essential for individuals with heart failure. It can enhance quality of life, improve survival, and reduce hospital admissions. The home is the primary setting where individuals with heart failure perform self-care. However, many struggle to recognize symptoms that indicate worsening of their condition. Remote patient monitoring allows nurses to track symptoms, weight, and blood pressure while supporting self-care behaviours that help prevent exacerbations. A clearer understanding of these interventions is needed, particularly regarding how they influence patients’ views on self-care over time. Objective This study explored short- and long-term experiences of self-care among individuals with heart failure after a six-week, nurse-assisted remote patient monitoring intervention. Setting Twelve participants were recruited from the intervention group in a randomised controlled trial. Clinical trial ID 301472. Methods This study employed a qualitative longitudinal approach. Eleven semi-structured interviews were conducted at two time points: at time one, immediately after participants had completed the nurse-assisted remote patient monitoring intervention; and at time two, six months post-discharge. One participant did not respond to the second interview, resulting in 23 interviews in total. A qualitative content analysis was undertaken to explore the dynamic self-care process over time. Results ‘Transition from digital dependence to independent self-care management’ emerged as the overarching theme describing participants’ experiences at both time points. This theme was illustrated by four subthemes identified at time one: (1) guidance to interpret symptoms and bodily signs; (2) establishing a daily routine in monitoring vital signs; (3) support for changes in lifestyle and medication adherence; and (4) sense of security. At time two, three subthemes were identified: (1) increased confidence in bodily awareness and symptom monitoring; (2) recognition of self-care routines; and (3) feeling in control due to prior feedback from a previous nurse navigator. Conclusions Individuals with heart failure experienced self-care as an evolving process. This was demonstrated by their transition from reliance on digital support from nurses and the remote patient monitoring intervention to increased independence and proactivity in managing their self-care. There is an urgent need to respond to the pressures facing overburdened health-care systems. These findings highlight the importance of developing a digital environment that supports sustainable transitional care from hospital to home for individuals with heart failure.

• Austin, Rosalynn; Karlsen, Bjørg; Richardson, Alison; Elwyn, Glyn; Storm, Marianne & Husebø, Anne Marie Lunde [Vis alle 7 forfattere av denne artikkelen] (2025). Taxonomy of chronic illness research recruitment: a restricted scoping review. BMC Health Services Research. 25. doi: 10.1186/s12913-025-13115-8. Fulltekst i vitenarkiv Vis sammendrag

  Background Chronic illness prevalence is increasing and research recruitment in these populations remains challenging. Individuals with chronic illness often have poorer quality of life, restricted access to hospitals where research occurs, and can be reluctant to participate. Researchers need multiple simultaneous strategies to achieve success. No taxonomy of recruitment factors in chronic illness research could be identified in the literature. This paper aims to describe a comprehensive taxonomy of recruitment for chronic illness research (inclusive of a nursing focus) to inform the design and reporting of recruitment strategies by creating a list of practical questions. Methods A restricted scoping review was conducted on articles reporting on recruitment factors in chronic illness research. Main search restrictions were the number of years and databases searched with broad eligibility criteria. Included articles were critically assessed and data extracted. A code book was used to examine findings and results sections line by line, both deductively and inductively. The final codebook and the content of the codes informed the taxonomy construction and the practical questions. Results Core components of research recruitment were identified as people, place, and project. The component of People included factors of researchers, clinicians, recruiters, and participants roles. The component of Place included factors of national or local research oversight institutions, healthcare environments, and community spaces. Finally, the component of Project included factors of research design, participant research journey, and research promotion. The final taxonomy informed a practical list of questions to aid researchers in the design and reporting of research recruitment strategies. Conclusions The chronic illness research recruitment taxonomy describes and characterises factors reported to impact on research recruitment. It provides a framework for designing and reporting on recruitment strategies. While the taxonomy requires further testing, it is the first to offer a broad characterisation of recruitment factors in chronic illness research.

• Hansen, Marte Johanne Tangeraas; Syre, Heidi; Husebø, Anne Marie Lunde; Dalen, Ingvild & Storm, Marianne (2025). Stability in Crisis: Nurses’ Attitudes and Self-Efficacy Towards Caring for Patients With Multidrug-Resistant Bacteria During the Pandemic. INQUIRY (INQ). ISSN 0046-9580. 62. doi: 10.1177/00469580251332060. Fulltekst i vitenarkiv Vis sammendrag

  Multidrug-resistant bacteria (MDRB) are microorganisms with global impact that also share modes of transmission with severe acute respiratory syndrome coronavirus 2. Nurses’ attitudes and self-efficacy towards caring for patients with MDRB are crucial in understanding their preventive behaviour, and a pandemic may acquire extraordinary Infection Prevention and Control (IPC) measures. To explore trends in nurses’ attitudes and self-efficacy when caring for patients with MDRB. This quantitative, prospective, longitudinal study used a repeated cross-sectional design. Nurses from 5 surgical wards and 2 oncology/haematology wards were invited to participate. The data were collected via 2 instruments: the Multidrug-Resistant Bacteria Attitude Questionnaire and the General Perceived Self-Efficacy Scale. The results were summarised with descriptive statistics, and longitudinal analyses were performed with mixed linear regression. No sample size calculations were made for this study. A total of 512 responses were received, the response rates for the time points were 60% (n = 131, T1), 32% (n = 72, T2), 47% (n = 109, T3), 48% (n = 108, T4), and 41% (n = 92, T5). No significant longitudinal changes in nurses’ attitudes and self-efficacy regarding infection prevention and control when caring for patients with MDRB were found. However, a small but significant negative change in nurses’ professional and emotional approach to caring for such patients was observed towards the end of the study period. A small but significant change in the nurses’ self-efficacy was observed between May 2020 and March 2021, indicating an increase in infection control self-efficacy during the first year of the COVID-19 pandemic. The stable knowledge, behavioural intentions and emotional responses contradict similar international studies. Nonetheless, moderate but stable emotional responses and high self-efficacy may indicate mental resilience in the nursing workforce, a pandemic preparedness resource that should be preserved.

• Wang, Bo; Grønvik, Cecilie Katrine Utheim; Fortuna, Karen L.; Eines, Trude Fløystad; Mundal, Ingunn Pernille & Storm, Marianne (2025). What is in there for artificial intelligence to support mental health care for persons with serious mental illness? : opportunities and challenges. Studies in Health Technology and Informatics. ISSN 0926-9630. 325, s. 8–15. doi: 10.3233/SHTI250208. Fulltekst i vitenarkiv Vis sammendrag

  Artificial intelligence (AI) holds potential to support persons with serious mental illness, but evidence remains limited. To explore opportunities and challenges there, we conducted qualitative interviews with multiple Norwegian mental health stakeholders. Data was analyzed using thematic analysis and sentiment analysis. Twenty-two informants shared their opinions, with half expressing moderately negative sentiments. Findings suggest AI can optimize mental health service delivery and encourage a flexible approach to recovery. However, AI’s ability to provide emotional support may inadvertently worsen isolation, highlighting the need for a more holistic approach to human oversight and personal adaptation. Enhancing AI literacy and gathering more evidence from both persons and service providers is essential for future development.

• Hansen, Marte Johanne Tangeraas; Syre, Heidi; Storm, Marianne & Husebø, Anne Marie Lunde (2025). Caring for patients with multidrug-resistant bacteria in a pandemic: A qualitative, longitudinal focus group study of nurses’ experiences. The Nordic Journal of Nursing Research (NJNR). ISSN 2057-1585. 45. doi: 10.1177/20571585251335871. Fulltekst i vitenarkiv
• Wathne, Hege Bjøkne; Storm, Marianne; Morken, Ingvild Margreta & Husebø, Anne Marie Lunde (2025). Nurse-assisted remote patient monitoring for self-management support to patients with long-term illness : a qualitative multimethod study. Journal of Advanced Nursing. ISSN 0309-2402. 81(9). doi: 10.1111/jan.16736. Fulltekst i vitenarkiv Vis sammendrag

  Aim: To explore patients and nurses' experiences of digital self-management support following participation in a remote patient monitoring intervention. Design: An exploratory qualitative multimethod study. Methods: The study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis. Results: The analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self-management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self-management support. The analysis also identified a unifying key theme: ‘bridging technology and self-management support through remote caring encounters’, which firmly connected the three themes. Conclusion: Remote patient monitoring appeared to benefit both patients and nurses by altering patients' self-management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.

• Hammervold, Unn Elisabeth; Gytri, Silje; Storm, Marianne; Lid, Torgeir Gilje & Sagvaag, Hildegunn (2024). What is known about persons with co-occurring problems’ experiences with supported housing, recovery, and health promotion? : a scoping review. BMC Health Services Research. 24(1). doi: 10.1186/s12913-024-11736-z. Fulltekst i vitenarkiv Vis sammendrag

  Background: Having a home is the foundation of most people’s lives. People with co-occurring substance use and mental health problems may experience challenges in acquiring and keeping housing. Many also have major health challenges. Supported housing is the subject of increasing interest, but there seems to be a lack of studies exploring supported housing’s potential for facilitating recovery and health promotion. Therefore, a scoping review was performed to answer our review question: What is known in the literature about the experiences of persons with co-occurring substance use and mental health problems with supported housing, including experiences of recovery and health promotion? Methods: Systematic searches were conducted in the Ovid MEDLINE, Embase, PsycInfo, CINAHL, Social Services Abstracts, Web of Science, Scopus, and Oria, and Idunn.no databases. The search terms were derived from the population, concepts, and context. The search for grey literature was conducted in various Norwegian sources. Results: Forty studies were included: 7 with quantitative design, 28 with qualitative design and 5 with mixed methods design. The studies were from Canada, Ireland, Norway, Scotland, and the USA. The review identified four themes related to tenants’ experiences with supported housing: 1)The importance of a permanent and safe home; 2) Housing’s importance for physical health; 3) A shoulder to lean on – the importance of relationships and support; 4) the value of choice and independence. Factors that may influence physical health were poorly represented. Conclusions: Long-term housing and safety are prerequisites for recovery for people with co-occurring problems. Programmes such as Housing First and Assertive Community Teams, especially, were experienced to support recovery. Autonomy was valued, including access to individual and respectful support from service providers when needed. Supported housing may be a health-promoting arena, especially in relation to mental health. More attention should be given to how service providers can support tenants to protect their physical health, especially related to nutrition, meals and communal cooking. Further research is needed to tailor optimal services and support for people with co-occurring problems, including balancing support and autonomy with the aim of promoting health and recovery. Peer specialists’ contributions to supported housing are scarce and need further development.

• Skjærpe, Jorunn Nærland; Iakovleva, Tatiana Aleksandrovna & Storm, Marianne (2024). Responsible coordination of municipal health and care services for individuals with serious mental illness : a participatory qualitative study with service users and professionals. BMC Health Services Research. 24. doi: 10.1186/s12913-024-10999-w. Fulltekst i vitenarkiv Vis sammendrag

  Background: Care coordination is crucial to ensure the health of individuals with serious mental illness. The aim of this study was to describe and analyze an inclusive innovation process for coordinating municipal health and care services for individuals with serious mental illness. Methods: We conducted café dialogues with professionals and service users with serious mental illness. The café dialogues engaged participants in conversation and knowledge exchange about care coordination, adressing topics of efficiency, challenges, and improvement. We used a responsible innovation framework to analyze the innovation process. Results: Responsible coordination requires promoting service users’ health and ensuring communication and mutual awareness between professionals. Individual-level factors supporting responsible coordination included service users knowing their assigned professionals, personalized healthcare services, and access to meaningful activities. Providerlevel factors included effective coordination routines, communication, information exchange, and professional familiarity. Results reflect professionals’ and service users’ perspectives on efficient care coordination, existing challenges, and measures to improve care coordination. Conclusion: Café dialogues are an inclusive, participatory method that can produce insights into the responsible coordination of municipal health and care services for individuals with serious mental illness. The responsible innovation framework is helpful in identifying care coordination challenges and measures for responsible coordination.

• Kvalsvik, Fifi Tjan; Larsen, Bente Hamre; Eilertsen, Grethe; Falkenberg, Helle Kristine; Dalen, Ingvild & Haaland, Stine Johansen [Vis alle 7 forfattere av denne artikkelen] (2024). Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study. JMIR Research Protocols. 13(1). doi: 10.2196/55192. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine; Dieckmann, Peter & Storm, Marianne (2024). Training healthcare professionals in assessment of health needs in older adults living at home : a scoping review. BMC Medical Education. 24. doi: 10.1186/s12909-024-06014-9. Fulltekst i vitenarkiv Vis sammendrag

  Background Interprofessional assessment and management of health needs for older adults living at home can help prioritize community service resources and enhance health, yet there is a shortage of professionals with the necessary competencies. Therefore, support and training for healthcare professionals in community settings to assess older adults’ health with the aim of for health promotion are needed. Aim To identify and provide an overview of published papers describing approaches for training healthcare professionals in assessing physical, mental, and social health needs in older adults living at home. Method A systematic literature search of the Cinahl, Medline, Academic Search Ultimate, Scopus, Embase, and British Nursing Index databases was performed. We considered studies focusing on the training of healthcare professionals in assessing a single or multiple health needs of older adults aged 65 and above living at home. We considered studies published between 1990 – and March 2024. The review evaluated qualitative, quantitative, and mixed methods studies published in English-language peer-reviewed academic journals. A quality appraisal was conducted via the Mixed Methods Appraisal Tool (MMAT). Results Twenty-three studies focused on training healthcare professionals to assess health needs and plan care for older adults living at home were included. The majority of the included studies combined teacher-driven pedagogical approaches consisting of educational sessions, written materials or e-learning, and more participant- engaging pedagogical approaches such as knowledge exchange or various forms of interactive learning. Healthcare professionals were trained to detect and manage single and multiple health needs, and some studies additionally incorporated interprofessional collaboration. Healthcare professionals were satisfied with the training content and it increased their confidence and competencies in health needs assessment and care planning for older adults. Moreover, some studies have reported that training interventions foster the implementation of new and effective ways of working and lead to positive outcomes for older adults. Conclusion Healthcare professionals were satisfied with a combination of participant-engaging and teacher- driven pedagogical approaches used to train them in assessing health needs and planning care for older adults living at home. Such training can lead to enhanced assessment skills and facilitate improvements in practice and health promotion for older adults. Future research is recommended on interprofessional simulation training for conducting structured and comprehensive health needs assessments of older adults living at home, as well as on the implementation of such assessments and health-promoting interventions.

• Wathne, Hege Bjøkne; May, Carl; Morken, Ingvild Margreta; Storm, Marianne & Husebø, Anne Marie Lunde (2024). Acceptability and usability of a nurse-assisted remote patient monitoring intervention for the post-hospital follow-up of patients with long-term illness: A qualitative study. International Journal of Nursing Studies Advances (IJNS Advances). 7. doi: 10.1016/j.ijnsa.2024.100229. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patients living with long-term chronic illnesses often need ongoing medical attention, lifestyle adjustments, and psychosocial support beyond the initial diagnosis and treatment phases. Many experience illness deterioration and subsequently require hospitalisation, especially in the transition period after hospital discharge. A promising strategy for managing long-term conditions is promoting self-management. eHealth interventions involving remote patient monitoring have the potential to promote self-management and offer a more seamless bridge between the hospital and the patient´s home environment. However, such interventions can only significantly impact health and health care if they are effective, accepted and adopted by users, normalised into routine practice and everyday life, and able to be widely implemented. Feasibility studies are used to determine whether an intervention is suitable for the target population and effective in achieving its intended goal. They may also provide critical information about an intervention´s acceptability and usability. Objectives: We aimed to evaluate the acceptability and usability of a nurse-assisted remote patient monitoring intervention for the post-hospital follow-up of patients with long-term illnesses by use of the core constructs of normalisation process theory. Design: A descriptive and explanatory qualitative approach was used, with patients observed during training and semi-structured interviews conducted with patients and nurses after study completion. Settings: Participants were recruited from two university hospitals in Norway between December 2021 and February 2023. Participants: Ten patients were observed during training, and 27 patients and eight nurses were interviewed after study completion. Methods: Structured and overt observations were made while the patients received training to operate the remote patient monitoring service, guided by an observation guide. Semi-structured interviews were conducted with patients and nurse navigators about their experiences of remote follow-up care, guided by open ended questions. Data analysis followed a stepwise deductive inductive method. Results: `Achieving acceptance and usability through digital social interaction´ emerged as a unifying theme that bridged the experiences of patients with long-term illnesses and the nurse navigators. This overarching theme was illustrated by four sub-themes, which all reflected the usability and acceptability of the nurse-assisted remote patient monitoring service in various ways. Conclusion: Acceptability and usability are critical factors to consider when evaluating remote patient monitoring interventions. In this study, the most important feature for promoting acceptability and usability was the interaction between patients and nurse navigators. Therefore, the intervention´s feasibility and implementation potential rested upon the relationship between its deliverer and receiver.

• Austin, Rosalynn; Husebø, Anne Marie Lunde; Wathne, Hege Bjøkne; Storm, Marianne; Urstad, Kristin Hjorthaug & Morken, Ingvild Margreta [Vis alle 7 forfattere av denne artikkelen] (2024). Use of the chronic illness research recruitment taxonomy to evaluate recruitment strategies in an eHealth feasibility study. Contemporary Clinical Trials Communications. 43. doi: 10.1016/j.conctc.2024.101420. Fulltekst i vitenarkiv Vis sammendrag

  Background Chronic illness research has many challenges making research recruitment difficult. Despite reports of facilitators and barriers to research recruitment challenges remain. The reporting of research strategies and their impact on recruitment and subsequent randomised control trials is not sufficient. A newly developed chronic illness research recruitment taxonomy (CIRRT) details factors and elements observed to impact recruitment around the components of Project, People, and Place. This paper aims to use the chronic illness research recruitment taxonomy to report and evaluate the recruitment strategies, impact they had on recruitment, and alterations to an eHealth feasibility study. Methods Retrospective mixed method approach was used to inductively code the research team meeting minutes during the recruitment period. The coding was then abductively matched to the chronic illness research recruitment taxonomy and gaps in the CIRRT noted. Dated coding data were integrated with recruitment progress to explore the impact of research recruitment strategies. Results Meeting minutes (n = 66) were analysed, recruitment strategies identified and matched to CIRRT. The reporting and identification of the recruitment strategies was aided by CIRRT use. By integrating the codes that aligned with CIRRT with recruitment progress was observed to be impacted by staffing and researcher visits. Conclusions CIRRT may be a useful tool in the evaluation and reporting of research recruitment strategies. Altering the roles of nurses involved and researcher visits to recruiting sites may positively impact on chronic illness research recruitment.

• Braut, Harald; Storm, Marianne & Mikkelsen, Aslaug (2023). A Qualitative Study on Distributed Leadership in Integrated Care: Exploring the Experiences of Elderly Multimorbid Patients with GP Collaboration. Journal of Multidisciplinary Healthcare. 16, s. 3167–3177. doi: 10.2147/JMDH.S412283. Fulltekst i vitenarkiv Vis sammendrag

  Objective: This study explores how the collaboration between elderly multimorbid patients and general practitioners contributes to the patient’s experience of integrated care in the municipality. The research also investigates whether the municipality’s integrative mechanisms creating integrated care can be understood as distributed leadership. Method: In this qualitative study, we conducted a thematic analysis of semi-structured interviews with twenty elderly multimorbid patients living at home and their general practitioners. Results: Analysis of patients’ and general practitioners’ experience of healthcare service characterized by collective efforts identified four themes: 1) an impression of collective processes as difficult for patients to access and influence; 2) that the fluidity and location of leadership is dependent on the individual patient and his or her health condition; 3) that collective implementation of healthcare services is separated in time, geography and between organizations; and 4) that patients experience individual healthcare workers as specialized and unable to support the medical and holistic goals of the collective. The Direction, Alignment, and Commitment or DAC framework, is used to investigate the capabilities of the collective. Conclusion: To promote distributed leadership and create a patient experience of integrated care in the municipality, healthcare organizations must develop collective processes that enhance patient participation to a greater extent. General practitioners and other healthcare personnel should be encouraged to play a more central role in solving elderly multimorbid patients’ healthcare needs in the municipality.

• Husebø, Anne Marie Lunde; Søreide, Jon Arne; Kørner, Hartwig; Storm, Marianne; Wathne, Hege Bjøkne & Richardson, Alison [Vis alle 10 forfattere av denne artikkelen] (2023). eHealth interventions to support colorectal cancer patients’ self-management after discharge from surgery : an integrative literature review. Supportive Care in Cancer. ISSN 0941-4355. 32(1). doi: 10.1007/s00520-023-08191-7. Fulltekst i vitenarkiv Vis sammendrag

  Introduction: Colorectal cancer (CRC) creates elevated self-management demands and unmet support needs post-discharge. Follow-up care through eHealth post-primary surgery may be an effective means of supporting patients’ needs. This integrative review describes the evidence regarding eHealth interventions post-hospital discharge focusing on delivery mode, user-interface and content, patient intervention adherence, impact on patient-reported outcomes and experiences of eHealth. Methods: A university librarian performed literature searches in 2021 using four databases. After screening 1149 records, the authors read 30 full-text papers and included and extracted data from 26 papers. Two authors analysed the extracted data using the ‘framework synthesis approach’. Results: The 26 papers were published between 2012 and 2022. The eHealth interventions were mainly delivered by telephone with the assistance of healthcare professionals, combined with text messages or video conferencing. The user interfaces included websites, applications and physical activity (PA) trackers. The interventions comprised the monitoring of symptoms or health behaviours, patient information, education and counselling. Evidence showed a better psychological state and improved PA. Patients reported high satisfaction with eHealth. However, patient adherence was inadequately reported. Conclusions: eHealth interventions may positively impact CRC patients’ anxiety and PA regardless of the user interface. Patients prefer technology combined with a human element.

• Willumsen, Anna Elisabeth; Wegener, Charlotte & Storm, Marianne (2023). Sykehjemmet som knutepunkt for helsefremmende innovasjon. I Rokstad, Anne Marie Mork; Anvik, Cecilie Høj & Ødegård, Atle (Red.), Sykehjemmet : hjem, helseinstitusjon og arbeidsplass. Fagbokforlaget. ISSN 9788245033137. s. 171–183. Fulltekst i vitenarkiv Vis sammendrag

  Sykehjemmet er en kompleks institusjon, og skal dekke mange behov og funksjoner. Utfordringene knyttet til mennesker i en livsfase hvor de trenger avansert helsehjelp, omsorg og andre forhold, er mange og sammensatte. Nettopp derfor er det er viktig å beskrive og forstå sykehjem med forskjellige faglige blikk, som får fram ulike aspekter og dimensjoner ved sykehjemmet. Forfatterne ønsker å bidra til en bred forståelse både av hva et sykehjem er, og hvilke utfordringer sektoren står overfor. Boka er en tverrfaglig vitenskapelig antologi. De fagfellevurderte kapitlene viser et mangfold av faglige perspektiver som gir innspill til hvordan vi kan planlegge for fremtidige behov og kompetanse, og utvikle sykehjemmet i tråd med disse. Et felles mål for boken er å gi et kunnskapsgrunnlag som kan bidra til å skape best mulig tjenestekvalitet i sykehjem. Dette er viktig både for de som skal bo i sykehjem, for pårørende og for de ansatte. Målgruppen for boka er profesjonelle utøvere innen helse- og sosialfagene, herunder alle som arbeider i sykehjem og studenter. Undervisningspersonell i universiteter og høgskoler, ansatte i administrasjon og ledelse, samt pårørende vil også kunne finne boka interessant. Anne Marie Mork Rokstad er professor ved Høgskolen i Molde og seniorforsker ved Nasjonalt senter for aldring og helse. Hun er utdannet psykiatrisk sykepleier med klinisk erfaring fra alderspsykiatri og har en doktorgrad på temaet implementering av personsentrert omsorg i sykehjem. Videre forskning har blant annet vært knyttet til dagaktivitetstilbud, forebygging av risikofaktorer for kognitiv svikt og behov hos personer med demens. Cecilie Høj Anvik er professor i velferdssosiologi ved Nord universitet. Hennes forskningsfelt er utsatte grupper og tjenester innenfor velferdsstaten, med særlig tematisk innretning mot institusjonsbasert eldreomsorg, unge i sårbare livssituasjoner og funksjonshemning. Anvik har en doktorgrad i sosialantropologi fra NTNU. Atle Ødegård er psykologspesialist i Helse Møre og Romsdal HF (Avdeling for Spesialisert habilitering) og professor ved Høgskolen i Molde. Forskningsinteressene hans er tverrprofesjonelt samarbeid i praksis og utdanning, samt utvikling av ny forskningsmetodikk innenfor disse feltene. Han er tilknyttet Helseinnovasjonssenteret i Kristiansund og har også en professor II-stilling ved Nordlandsforskning der han har spesielt fokus på innovasjon i offentlig sektor.

• Fjellså, Hilde Marie Hunsbedt; Husebø, Anne Marie Lunde; Braut, Harald; Mikkelsen, Aslaug & Storm, Marianne (2023). Older adults’ experiences with participation and eHealth in care coordination : qualitative interview study in a primary care setting. Journal of Participatory Medicine (JoPM). 15(1). doi: 10.2196/47550. Fulltekst i vitenarkiv Vis sammendrag

  Background: Owing to the demographic changes in the elderly population worldwide, delivering coordinated care at home to multimorbid older adults is of great importance. Older adults living with multiple chronic conditions need information to manage and coordinate their care. eHealth can be effective for gaining sufficient information, communicating, and self-managing chronic conditions. However, incorporating older adults’ health preferences and ensuring active involvement remain challenging. More knowledge is needed to ensure successful participation and eHealth use in care coordination. Objective: This study aimed to explore multimorbid older adults’ experiences with participation and eHealth in care coordination with general practitioners (GPs) and district nurses (DNs). Methods: The study had a qualitative explorative approach. Data collection included semistructured interviews with 20 older adults with multimorbidity receiving primary care services from their GPs and DNs. The participants were included by their GPs or nurses at a local intermunicipal acute inpatient care unit. The data analysis was guided by systematic text condensation. Results: We identified 2 categories: (1) older adults in charge of and using eHealth in care coordination, and (2) older adults with a loss of control in care coordination. The first category describes how communication with GPs and DNs can facilitate participation, the importance of managing own medication, and how eHealth can support older adults’ information needs. The second category focuses on older adults who depend on guidance and help from their GPs and DNs to manage their health, describing how a lack of capacity and system support to be involved makes these adults lose control of their care coordination. Conclusions: Being in charge of care coordination is important for older multimorbid adults. The results show that older adults are willing to use eHealth to be informed and to seek information, which ensures high levels of participation in care coordination. Future research should investigate how older adults can be involved in electronic information sharing with health care providers.

• Morken, Ingvild Margreta; Wathne, Hege Bjøkne; Karlsen, Bjørg; Storm, Marianne; Nordfonn, Oda Karin & Gjeilo, Kari Hanne [Vis alle 9 forfattere av denne artikkelen] (2023). Assessing a nurse-assisted eHealth intervention posthospital discharge in adult patients with non-communicable diseases: a protocol for a feasibility study. BMJ Open. 13(8). doi: 10.1136/bmjopen-2022-069599. Fulltekst i vitenarkiv Vis sammendrag

  Introduction A growing number of patients with non-communicable diseases (NCDs), such as heart failure (HF) and colorectal cancer (CRC), are prone to comorbidity, a high rate of readmissions and complex healthcare needs. An eHealth intervention, however, could potentially ameliorate the increasing burdens associated with NCDs by helping to smoothen patient transition from hospital to home and by reducing the number of readmissions. This feasibility study therefore aims to assess the feasibility of a nurse-assisted eHealth intervention posthospital discharge among patients with HF and CRC, while also examining the preliminary clinical and behavioural outcomes of the intervention before initiating a full-scale randomised controlled trial. The recruitment ended in January 2023. Methods and analysis Twenty adult patients with HF and 10 adult patients with CRC will be recruited from two university hospitals in Norway. Six hospital-based nurse navigators (NNs) will offer support during the transition phase from hospital to home by using a solution for digital remote care, Dignio Connected Care. The patients will use the MyDignio application uploaded to an iPad for 30 days postdischarge. The interactions between patients and NNs will then be assessed through direct observation and qualitative interviews in line with a think-aloud protocol. Following the intervention, semistructured interviews will be used to explore patients’ experiences of eHealth support and NNs’ experiences of eHealth delivery. The feasibility testing will also comprise a post-test of the Post-System Usability Questionnaire and pretesting of patient-reported outcomes questionnaires, as well as an inspection of user data collected from the software. Ethics and dissemination The study has been approved by the Norwegian Centre for Research Data (ID.NO: 523386). All participation is based on informed, written consent. The results of the study will be published in open-access, peer-reviewed journals and presented at international and national scientific conferences and meetings.

• Haaland, Guro Hognestad; Øygarden, Olaug; Storm, Marianne & Mikkelsen, Aslaug (2023). Understanding registered nurses’ career choices in home care services : a qualitative study. BMC Health Services Research. 23(1), s. 1–12. doi: 10.1186/s12913-023-09259-0. Fulltekst i vitenarkiv Vis sammendrag

  Background: The anticipated growth in number of older people with long-term health problems is associated with a greater need for registered nurses. Home care services needs enough nurses that can deliver high quality services in patients’ homes. This article improves our understanding of nurses’ career choices in home care services. Methods: A qualitative study using individual semi-structured interviews with 20 registered nurses working in home care services. The interviews were audio-recorded, transcribed and thematically analyzed. Results: The analysis resulted in three themes emphasizing the importance of multiple stakeholders and contextual factors, fit with nurses’ private life, and meaning of work. The results offer important insights that can be used to improve organizational policy and HR practices to sustain a workforce of registered nurses in home care services. Conclusion: The results illustrate the importance of having a whole life perspective to understand nurses’ career choices, and how nurses’ career preferences changes over time.

• Hansen, Marte Johanne Tangeraas; Storm, Marianne; Syre, Heidi; Dalen, Ingvild & Husebø, Anne Marie Lunde (2023). Attitudes and self-efficacy towards infection prevention and control and antibiotic stewardship among nurses : a mixed-methods study. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 32(17/18), s. 6268–6286. doi: 10.1111/jocn.16657. Fulltekst i vitenarkiv Vis sammendrag

  Aims: To gain a comprehensive understanding of nurses' infection control practices, antibiotics stewardship attitudes and self-efficacy when caring for patients with multidrug-resistant bacterial infections in a hospital setting. Background: Multidrug-resistant bacteria cause a substantial health burden by complicating infections and prolonging hospital stays. Attitudes and self-efficacy can inform professional behaviour. Nurses' attitudes and self-efficacy concerning multidrug-resistant bacteria, infection prevention and control and antibiotic stewardship are vital in keeping patients safe. Design: A descriptive and convergent mixed-methods design involving quantitative and qualitative approaches was used. Methods: Two hundred and seventeen nurses working in clinical practice at seven different hospital wards (i.e., general medicine, surgical, haematological and oncology) at a Norwegian university hospital were invited to participate. Data were collected in February and March 2020 via two questionnaires: the Multidrug-Resistant Bacteria Attitude Questionnaire and the General Perceived Self-Efficacy Scale (n = 131) and four focus group interviews (n = 22). The data were analysed using descriptive statistics and systematic text condensation. Results: Most nurses showed moderate knowledge, adequate behavioural intentions towards infection prevention and antibiotic stewardship, and high self-efficacy. However, they reported negative emotions towards their knowledge level and negative emotions towards nursing care. The nurses appeared uncertain about their professional influence and role in antibiotic stewardship practices. Organisational and relational challenges and ambivalent perceptions of nurses' role were potential explanations. Conclusion: Nurses report moderate attitudes and high self-efficacy when caring for patients with multidrug-resistant bacterial infections. This study suggests that nurses experience organisational and relational factors in their work environment that challenge their attitudes towards infection prevention and control and antibiotic stewardship practices. Measures that strengthen their knowledge and emotional response underpin correct infection prevention and control behaviour. A role clarification is needed for antibiotic stewardship.

• Wegner, Charlotte; Storm, Marianne & Willumsen, Anna Elisabeth (2023). The nursing home as a hub : boundary work as a key to community health promotion. Health Promotion International. ISSN 0957-4824. 38(2). doi: 10.1093/heapro/daad020. Fulltekst i vitenarkiv Vis sammendrag

  This article considers ways in which a nursing home can come to serve as a hub for community health promotion. Inspired by the term ‘boundary crossing’ (Akkerman and Bakker. Boundary crossing and boundary objects. Rev Educ Res 2011;81:132–69), we suggest the notion of ‘boundary work’ to illustrate how a nursing home arranges community activities and includes a wide range of participants. In health research, a ‘hub’ refers to a space in which activities and expertise are ‘bound together’ over time. The concept of the hub indicates that health organizations have the power to become centres for health promotion by initiating new collaborations and opening up initiatives in two-way processes with the local community. The term ‘boundary work’ supports a perspective that dissolves organizational, professional and conceptual boundaries and directs attention towards social inclusion as a key to community health promotion in and beyond institutionalized elderly care. The article is based on a 4-year-long practice-based study of social innovation in elderly care in Norway and Denmark. Empirical illustrations show boundary work in which a nursing home comes to serve as a hub. We discuss a flexible framework for understanding, mapping and planning participatory approaches for health and wellbeing (South et al. An evidence-based framework on community-centred approaches for health: England, UK. Health Promot Int 2019;34:356–66) and briefly connect these approaches to the concept of social innovation as a possible future research path.

• Collins-Pisano, Caroline; Johnson, Michael; Mois, George; Brooks, Jessica; Myers, Amanda & Mazina, Deanna [Vis alle 16 forfattere av denne artikkelen] (2023). Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study. JMIR Human Factors. 10, s. 1–9. doi: 10.2196/40607. Fulltekst i vitenarkiv Vis sammendrag

  Background: Digital peer support enhances engagement in mental and physical health services despite barriers such as location, transportation, and other accessibility constraints. Digital peer support involves live or automated peer support services delivered through technology media such as peer-to-peer networks, smartphone apps, and asynchronous and synchronous technologies. Supervision standards for digital peer support can determine important administrative, educative, and supportive guidelines for supervisors to maintain the practice of competent digital peer support, develop knowledgeable and skilled digital peer support specialists, clarify the role and responsibility of digital peer support specialists, and support specialists in both an emotional and developmental capacity. Objective: Although digital peer support has expanded recently, there are no formal digital supervision standards. The aim of this study is to inform the development of supervision standards for digital peer support and introduce guidelines that supervisors can use to support, guide, and develop competencies in digital peer support specialists. Methods: Peer support specialists that currently offer digital peer support services were recruited via an international email listserv of 1500 peer support specialists. Four 1-hour focus groups, with a total of 59 participants, took place in October 2020. Researchers used Rapid and Rigorous Qualitative Data Analysis methods. Researchers presented data transcripts to focus group participants for feedback and to determine if the researcher’s interpretation of the data match their intended meanings. Results: We identified 51 codes and 11 themes related to the development of supervision standards for digital peer support. Themes included (1) education on technology competency (43/197, 21.8%), (2) education on privacy, security, and confidentiality in digital devices and platforms (33/197, 16.8%), (3) education on peer support competencies and how they relate to digital peer support (25/197, 12.7%), (4) administrative guidelines (21/197, 10.7%), (5) education on the digital delivery of peer support (18/197, 9.1%), (6) education on technology access (17/197, 8.6%), (7) supervisor support of work-life balance (17/197, 8.6%), (8) emotional support (9/197, 4.6%), (9) administrative documentation (6/197, 3%), (10) education on suicide and crisis intervention (5/197, 2.5%), and (11) feedback (3/197, 1.5%). Conclusions: Currently, supervision standards from the Substance Abuse and Mental Health Services Administration (SAMHSA) for in-person peer support include administrative, educative, and supportive functions. However, digital peer support has necessitated supervision standard subthemes such as education on technology and privacy, support of work-life balance, and emotional support. Lack of digital supervision standards may lead to a breach in ethics and confidentiality, workforce stress, loss of productivity, loss of boundaries, and ineffectively serving users who participate in digital peer support services. Digital peer support specialists require specific knowledge and skills to communicate with service users and deliver peer support effectively, while supervisors require new knowledge and skills to effectively develop, support, and manage the digital peer support role.

• Dyrstad, Dagrunn Nåden & Storm, Marianne (2023). Deltakelse i simulering for læring og helsefremming. I Storm, Marianne & Willumsen, Anna Elisabeth (Red.), Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISSN 9788245037722. s. 269–283. Fulltekst i vitenarkiv
• Storm, Marianne & Willumsen, Anna Elisabeth (2023). Deltakelse for helsefremming i helse og velferd. I Storm, Marianne & Willumsen, Anna Elisabeth (Red.), Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISSN 9788245037722. s. 21–36. Fulltekst i vitenarkiv
• Øksnevad, Linn & Storm, Marianne (2023). Erfaringsmedarbeideren som deltaker i det tverrprofesjonelle samarbeidet i psykisk helsearbeid. I Storm, Marianne & Willumsen, Anna Elisabeth (Red.), Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISSN 9788245037722. s. 179–195. Fulltekst i vitenarkiv
• Grønvik, Cecilie Katrine Utheim; Storm, Marianne & Eines, Trude Fløystad (2023). Virtuell avdeling : en modell for økt helsefremming i primærhelsetjenesten? I Storm, Marianne & Willumsen, Anna Elisabeth (Red.), Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISSN 9788245037722. s. 255–268. Fulltekst i vitenarkiv
• Fortuna, Karen L.; Lebby, Stephanie; Geiger, Pamela; Johnson, Diane; MacDonald, Sandi & Chefetz, Ilana [Vis alle 45 forfattere av denne artikkelen] (2023). Lived Experience-Led Research Agenda to Address Early Death in People With a Diagnosis of a Serious Mental Illness: A Consensus Statement. JAMA Network Open. 6(5). doi: 10.1001/jamanetworkopen.2023.15479. Fulltekst i vitenarkiv Vis sammendrag

  Importance People with serious mental illness (SMI), defined as a diagnosis of schizophrenia spectrum disorder, bipolar disorder, or disabling major depressive disorder) die approximately 10 to 25 years earlier than the general population. Objective To develop the first-ever lived experience–led research agenda to address early mortality in people with SMI. Evidence Review A virtual 2-day roundtable comprising 40 individuals convened on May 24 and May 26, 2022, and used a virtual Delphi method to arrive at expert group consensus. Participants responded to 6 rounds of virtual Delphi discussion via email that prioritized research topics and agreement on recommendations. The roundtable was composed of individuals with lived experience of mental health and/or substance misuse, peer support specialists, recovery coaches, parents and caregivers of people with SMI, researchers and clinician-scientists with and without lived experience, policy makers, and patient-led organizations. Twenty-two of 28 (78.6%) of the authors who provided data represented people with lived experiences. Roundtable members were selected by reviewing the peer-reviewed and gray literature on early mortality and SMI, direct email, and snowball sampling. Findings The following recommendations are presented in order of priority as identified by the roundtable participants: (1) improve the empirical understanding of the direct and indirect social and biological contributions of trauma on morbidity and early mortality; (2) advance the role of family, extended families, and informal supporters; (3) recognize the importance of co-occurring disorders and early mortality; (4) redefine clinical education to reduce stigma and support clinicians through technological advancements to improve diagnostic accuracy; (5) examine outcomes meaningful to people with an SMI diagnosis, such as loneliness and sense of belonging, and stigma and their complex relationship with early mortality; (6) advance the science of pharmaceuticals, drug discovery, and choice in medication use; (7) use precision medicine to inform treatment; and (8) redefine the terms system literacy and health literacy. Conclusions and Relevance The recommendations of this roundtable are a starting point for changing practice and highlighting lived experience–led research priorities as an option to move the field forward.

• Hansen, Anette; Tønnessen, Siri; Storm, Marianne & Eilertsen, Grethe (2023). Balansert deltakelse : helsefremmende tjenester til eldre hjemmeboende. I Storm, Marianne & Willumsen, Anna Elisabeth (Red.), Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISSN 9788245037722. s. 77–97. Fulltekst i vitenarkiv
• Sevic, Aleksandra; Hashemi, Neda Soleiman Pour; Thørrisen, Mikkel Magnus; Strømstad, Kine; Skarpaas, Lisebet Skeie & Storm, Marianne [Vis alle 7 forfattere av denne artikkelen] (2023). Effectiveness of eHealth interventions targeting employee health behaviors : systematic review. Journal of Medical Internet Research (JMIR). ISSN 1439-4456. 25, s. 1–21. doi: 10.2196/38307. Fulltekst i vitenarkiv Vis sammendrag

  Background: The number of people with noncommunicable diseases is increasing. Noncommunicable diseases are the major cause of disability and premature mortality worldwide, associated with negative workplace outcomes such as sickness absence and reduced work productivity. There is a need to identify scalable interventions and their active components to relieve disease and treatment burden and facilitate work participation. eHealth interventions have shown potential in clinical and general populations to increase well-being and physical activity and could be well suited for workplace settings. Objective: We aimed to provide an overview of the effectiveness of eHealth interventions at the workplace targeting employee health behaviors and map behavior change techniques (BCTs) used in these interventions. Methods: A systematic literature search was performed in PubMed, Embase, PsycINFO, Cochrane CENTRAL, and CINAHL in September 2020 and updated in September 2021. Extracted data included participant characteristics, setting, eHealth intervention type, mode of delivery, reported outcomes, effect sizes, and attrition rates. Quality and risk of bias of the included studies were assessed using the Cochrane Collaboration risk-of-bias 2 tool. BCTs were mapped in accordance with the BCT Taxonomy v1. The review was reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist. Results: In total, 17 randomized controlled trials met the inclusion criteria. The measured outcomes, treatment and follow-up periods, content of eHealth interventions, and workplace contexts had high heterogeneity. Of the 17 studies, 4 (24%) reported unequivocally significant findings for all primary outcomes, with effect sizes ranging from small to large. Furthermore, 53% (9/17) of the studies reported mixed results, and 24% (4/17) reported nonsignificant results. The most frequently targeted behavior was physical activity (15/17, 88% of the studies); the least frequently targeted behavior was smoking (2/17, 12% of the studies). Attrition varied greatly across the studies (0%-37%). Risk of bias was high in 65% (11/17) of the studies, with some concerns in the remaining 35% (6/17). Interventions used various BCTs, and the most frequently used were feedback and monitoring (14/17, 82%), goals and planning (10/17, 59%), antecedents (10/17, 59%), and social support (7/17, 41%). Conclusions: This review suggests that, although eHealth interventions may have potential, there are still unanswered questions regarding their effectiveness and what drives the mechanism behind these effects. Low methodological quality, high heterogeneity and complexity, the characteristics of the included samples, and often high attrition rates challenge the investigation of the effectiveness and the making of sound inferences about the effect sizes and significance of the results. To address this, new studies and methods are needed. A megastudy design in which different interventions are evaluated in the same population over the same period on the same outcomes may solve some of the challenges.

• Wathne, Hege Bjøkne; Morken, Ingvild Margreta; Storm, Marianne & Husebø, Anne Marie Lunde (2023). Designing a future eHealth service for posthospitalization self-management support in long-term illness : qualitative interview study. JMIR Human Factors. 10, s. 1–18. doi: 10.2196/39391. Fulltekst i vitenarkiv Vis sammendrag

  Background: For patients with noncommunicable diseases (NCDs; eg, heart failure [HF] and colorectal cancer [CRC]), eHealth interventions could meet their posthospital discharge needs and strengthen their ability to self-manage. However, inconclusive evidence exists regarding how to design eHealth services to meet the complex needs of patients. To foster patient acceptability and ensure the successful development and implementation of eHealth solutions, it is beneficial to include different stakeholders (ie, patients and health care professionals) in the design and development phase of such services. The involvement of different stakeholders could contribute to ensuring feasible, acceptable, and usable solutions and that eHealth services are developed in response to users’ supportive care needs when transitioning to home after hospitalization. This study is the first step of a larger complex intervention study aimed at meeting the postdischarge needs of 2 NCD populations. Objective: This study aimed to explore the perspectives of patients with HF and CRC and health care professionals on patient self-management needs following hospital discharge and investigate how a future nurse-assisted eHealth service could be best designed to foster patient acceptability, support self-management, and smooth the transition from hospital to home. Methods: A qualitative, explorative, and descriptive approach was used. We conducted 38 semistructured interviews with 10 patients with HF, 9 patients surgically treated for CRC with curative intent, 6 registered nurses recruited as nurse navigators of a planned eHealth service, and 13 general practitioners experienced in HF and CRC treatment and follow-up care. Patients were recruited conveniently from HF and CRC outpatient clinics, and the nurses were recruited from the cardiology and gastro-surgical departments at a university hospital in the southwest of Norway. The general practitioners were recruited from primary care in surrounding municipalities. Semistructured interview guides were used for data collection, and the data were analyzed using thematic analysis. Results: In total, 3 main themes were derived from the data analysis: expecting information, reassurance, and guidance when using eHealth for HF and CRC self-management; expecting eHealth to be comprehensible, supportive, and knowledge promoting; and recognizing both the advantages and disadvantages of eHealth for HF and CRC self-management. The data generated from this interview study depicted the diverse needs for self-management support of patients with CRC and HF after hospital discharge. In addition, valuable suggestions were identified regarding the design and content of the eHealth service. However, participants described both possible advantages and disadvantages of a remote eHealth service. Conclusions: This study is the first step in the development of an eHealth service for posthospitalization self-management support for long-term illnesses. It concerns patients’ supportive care needs and user requirements of an eHealth service. The findings of this study may add value to the planning and development of eHealth interventions for patients with NCDs.

• Åkerblom, Kristina Bakke; Storm, Marianne & Ness, Ottar (2023). Erfaringskonsulenters roller og involvering i helse- og velferdstjenester. I Åkerblom, Kristina Bakke & Mohn-Haugen, Torbjørn (Red.), Erfaringskonsulenten : funksjoner, roller og involvering. Fagbokforlaget. ISSN 9788245046700. s. 59–82. Fulltekst i vitenarkiv
• Skjærpe, Jorunn Nærland; Hegelstad, Wenche ten Velden; Joa, Inge & Storm, Marianne (2023). Exploring key determinants of health among individuals with serious mental Illness : qualitative insights from a first episode psychosis cohort, 20 years postdiagnosis. BMC Psychiatry. 23(1). doi: 10.1186/s12888-023-05270-1. Fulltekst i vitenarkiv Vis sammendrag

  Background: Individuals with serious mental illness (SMI) are more likely to experience functional decline, low well-being, comorbidities, shorter lifespan, and diminished quality of life than the general population. This qualitative study explores determinants of health that individuals with SMI perceive as important to their health, well-being, and ability to live a meaningful life. Method: We conducted interviews with 13 individuals with early detected first episode psychosis as part of a 20-year follow-up study of a larger cohort. Interview data were analyzed using qualitative content analysis. Results: Analysis identified two themes comprising eight categories representing determinants of health. The first theme reflected management of mental and physical health. Categories in this theme were: access to mental healthcare adapted to individual needs, strategies during deterioration, use of psychotropic medication, maintenance of physical health and lifestyle. The second theme reflected social health determinants in coping with mental illness and comprised three categories: family and friends, engaging in meaningful hobbies and activities, and the influence of employment on mental health. Conclusions: Individuals with SMI outlined mental, physical, and social determinants of health that were important for their health, well-being, and ability to live a meaningful life. In future clinical practice, coordinated care addressing the complexity of health determinants will be important.

• Eines, Trude Fløystad; Storm, Marianne & Grønvik, Cecilie K Utheim (2023). Interprofessional collaboration in a community virtual ward : a focus group study. Scandinavian Journal of Caring Sciences. ISSN 0283-9318. 37(3), s. 677–686. doi: 10.1111/scs.13152. Fulltekst i vitenarkiv Vis sammendrag

  Background: The problem of a lack of nurses is expected to worsen in the future. With an ever-increasing number of elderly patients with multimorbidity and a shortage of healthcare professionals, primary care must innovatively organise their services to offer more sustainable healthcare services. Organising healthcare services in a community virtual ward has been found to improve the quality of life for vulnerable elderly populations. Aim: The aim of the study was to explore healthcare professionals' experiences of interprofessional collaboration in care for patients with multimorbidity in a community virtual ward in the Norwegian context. Methods: Focus group interviews were conducted in this qualitative exploratory study. A purposive sample of 17 healthcare professionals working in a community virtual ward in Norway was interviewed. Data were analysed using thematic analysis. Results: The study results show that healthcare professionals recognise a need for patient involvement in the community virtual ward to offer more sustainable healthcare services at home. Furthermore, the results show how healthcare professionals experience the use of assessment tools and whiteboard meetings as useful tools for facilitating interprofessional collaboration. The study results also describe how interprofessional and holistic follow-up with patients with multimorbidity contributes to increased focus on health promotion in the community virtual ward. Conclusion: We found that interprofessional collaboration in community virtual wards may be a sustainable way of organising healthcare services for patients with multimorbidity living at home. Interprofessional collaboration with a patient-centred and health promotion approach, seems to increase the quality of the follow-up for patients with multimorbidity living at home. Additionally, mutual interprofessional trust and respect seems to be essential for making use of the unique expertise of different professions in the follow-up for patients with multimorbidity. In the future, both the patient's voice and opinion of their next of kin should be considered in the development of more sustainable homecare services.

• Venegas, Maria D.; Brooks, Jessica M.; Myers, Amanda L.; Storm, Marianne & Fortuna, Karen L. (2022). Peer Support Specialists and Service Users' Perspectives on Privacy, Confidentiality, and Security of Digital Mental Health. IEEE pervasive computing. ISSN 1536-1268. 21(2), s. 41–50. doi: 10.1109/MPRV.2022.3141986. Fulltekst i vitenarkiv Vis sammendrag

  As the digitalization of mental health systems progresses, the ethical and social debate on the use of these mental health technologies has seldom been explored among end-users. This article explores how service users (e.g., patients and users of mental health services) and peer support specialists understand and perceive issues of privacy, confidentiality, and security of digital mental health interventions. Semi-structured qualitative interviews were conducted among service users (n = 17) and peer support specialists (n = 15) from a convenience sample at an urban community mental health center in the United States. We identified technology ownership and use, lack of technology literacy including limited understanding of privacy, confidentiality, and security as the main barriers to engagement among service users. Peers demonstrated a high level of technology engagement, literacy of digital mental health tools, and a more comprehensive awareness of digital mental health ethics. We recommend peer support specialists as a potential resource to facilitate the ethical engagement of digital mental health interventions for service users. Finally, engaging potential end-users in the development cycle of digital mental health support platforms and increased privacy regulations may lead the field to a better understanding of effective uses of technology for people with mental health conditions. This study contributes to the ongoing debate of digital mental health ethics, data justice, and digital mental health by providing a first-hand experience of digital ethics from end-users’ perspectives.

• Braut, Harald; Øygarden, Olaug; Storm, Marianne & Mikkelsen, Aslaug (2022). General practitioners' perceptions of distributed leadership in providing integrated care for elderly chronic multi-morbid patients: a qualitative study. BMC Health Services Research. 22(1), s. 1–12. doi: 10.1186/s12913-022-08460-x. Fulltekst i vitenarkiv Vis sammendrag

  Background: Distributed Leadership (DL) has been suggested as being helpful when different health care professionals and patients need to work together across professional and organizational boundaries to provide integrated care (IC). This study explores whether General Practitioners (GPs) adopt leadership actions that transcend organizational boundaries to provide IC for patients and discusses whether the GPs’ leadership actions in collaboration with patients and health care professionals contribute to DL. Methods We interviewed GPs (n = 20) of elderly multimorbid patients in a municipality in Norway. A qualitative interpretive case design and Gioia methodology was applied to the collection and analysis of data from semi-structured interviews. Results: GPs are involved in three processes when contributing to IC for elderly multimorbidity patients; the process of creating an integrated patient experience, the workflow process and the process of maneuvering organizational structures and medical culture. GPs take part in processes comparable to configurations of DL described in the literature. Patient micro-context and health care macro-context are related to observed configurations of DL. Conclusion: Initiating or moving between different configurations of DL in IC requires awareness of patient context and the health care macro-context, of ways of working, capacity of digital tools and use of health care personnel.

• Bjønness, Stig Erlend; Grønnestad, Trond Erik; Johannessen, Jan Olav & Storm, Marianne (2022). Parents' perspectives on user participation and shared decision‐making in adolescents' inpatient mental healthcare. Health Expectations. ISSN 1369-6513. 25, s. 994–1003. doi: 10.1111/hex.13443. Fulltekst i vitenarkiv Vis sammendrag

  Background Parents are a resource that can be of considerable importance in supporting their adolescents' recovery and shared decision-making processes. However, involving both adolescents and their parents in treatment creates challenges. Understanding the roles of all decision stakeholders is vital to the implementation of shared decision-making and delivery of high-quality healthcare services. Objective The aim of this study is to explore parents' experiences with adolescents' participation in mental health treatment and how parents perceive being involved in decision-making processes. Design This was a qualitative study with a phenomenological, inductive design. Content analysis of data from qualitative interviews was performed. Setting and Participants This study took place in a Norwegian public healthcare setting. Twelve parents of adolescents who received treatment for severe mental illness participated. Results Four themes were identified: (1) self-determined treatment, but within limits; (2) the essential roles of parents; (3) the need for information and support; and (4) the fight for individualized treatment and service coordination. Conclusion User participation is vital in adolescent mental healthcare and parents play essential roles regarding the shared decision-making process. However, user participation and shared decision-making pose several dilemmas. Parental involvement in treatment decisions may be necessary when adolescents are mentally ill, but could simultaneously hinder those adolescents' empowerment and recovery. Cooperation among parents, adolescents and healthcare professionals can improve treatment engagement and adherence, but may be challenged by divergent interests. Health services should provide family-oriented services to utilize the potential of parents as a resource and minimize conflicting interests. Patient or Public Contribution Two adolescent user representatives participated in designing the study.

• Skjærpe, Jorunn Nærland; Joa, Inge; Willumsen, Anna Elisabeth; Hegelstad, Wenche; Iakovleva, Tatiana Aleksandrovna & Storm, Marianne (2022). Perspectives on coordinating health services for individuals with serious mental illness : a qualitative study. Journal of Multidisciplinary Healthcare. 15, s. 2735–2750. doi: 10.2147/JMDH.S384072. Fulltekst i vitenarkiv Vis sammendrag

  Purpose: Individuals with serious mental illness (SMI) might require coordinated health services to meet their healthcare needs. The overall aim of this study was to describe the perspectives of professionals (registered nurses, medical doctors, social educators, and social workers) on care coordination and measures to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI. More specifically, we investigated which measures are taken by employees in municipal health and care services to prevent the deterioration of health conditions and which measures are taken in cases where deterioration occurs despite preventive efforts. Method: The study comprised individual qualitative interviews with professionals employed in municipal health and care services in two Norwegian municipalities. The interview material was analyzed using systematic text condensation. Results: Three categories and seven subcategories were created in the data analysis: 1) Maintain a stable and meaningful home life, including ensuring proper housing and access to services and assistance in receiving healthcare; 2) Measures to prevent deterioration of the health condition, including close monitoring of symptoms, emergency psychiatric care plans and emergency room calls and visits; and 3) Inpatient care to stabilize acute and severe symptoms, including municipal inpatient care, returning home after inpatient care and a need for shared responsibility for treatment and care. Conclusion: Professionals employed in municipal health and care services coordinate health services to ensure proper and coordinated follow-up of the healthcare needs of individuals with SMI by ensuring housing services and access to the required healthcare. Measures taken when deterioration occurs include monitoring symptoms, use of emergency psychiatric care plans, emergency room contacts, or inpatient care.

• Aoki, Yumi; Yaju, Yukari; Utsumi, Tomohiro; Sanyaolu, Leigh; Storm, Marianne & Takaesu, Yoshikazu [Vis alle 10 forfattere av denne artikkelen] (2022). Shared decision-making interventions for people with mental health conditions. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD007297.pub3. Fulltekst i vitenarkiv
• Fjellså, Hilde Marie Hunsbedt; Husebø, Anne Marie Lunde & Storm, Marianne (2022). eHealth in care coordination for older adults living at home : scoping review. Journal of Medical Internet Research (JMIR). ISSN 1439-4456. 24(10), s. 1–18. doi: 10.2196/39584. Fulltekst i vitenarkiv Vis sammendrag

  Background: The population of older adults is projected to increase, potentially resulting in more older adults living with chronic illnesses or multimorbidity. Living with chronic illnesses increases the need for coordinated health care services. Older adults want to manage their illnesses themselves, and many are positive about using eHealth for care coordination (CC). CC can help older adults navigate the health care system and improve information sharing. Objective: This study aimed to map the research literature on eHealth used in CC for older adults living at home. This study assessed CC activities, outcomes, and factors influencing the use of eHealth in CC reported by older adults and health care professionals. Methods: We used a scoping review methodology. We searched four databases—MEDLINE, CINAHL, Academic Scoping Premier, and Scopus—from 2009 to 2021 for research articles. We screened 630 records using the inclusion criteria (older adults aged >65 years, primary health care setting, description of an eHealth program or intervention or measure or experiences with the use of eHealth, and inclusion of CC or relevant activities as described in the Care Coordination Atlas). The analysis of the included articles consisted of both a descriptive and thematic analysis. Results: A total of 16 studies were included in this scoping review. Of these 16 studies, 12 (75%) had a quantitative design, and the samples of the included studies varied in size. The categories of eHealth used for CC among older adults living at home were electronic health records and patient portals, telehealth monitoring solutions, and telephone only. The CC activity communication was evident in all studies (16/16, 100%). The results on patient- and system-level outcomes were mixed; however, most studies (7/16, 44%) reported improved mental and physical health and reduced rehospitalization and hospital admission rates. Observing changes in patients’ health was a facilitator for health care professionals using eHealth in CC. When using eHealth in CC, available support to the patient, personal continuity, and a sense of security and safety were facilitators for older adults. Individual characteristics and lack of experience, confidence, and knowledge were barriers to older adults’ use of eHealth. Health care professionals reported barriers such as increased workload and hampered communication. Conclusions: We mapped the research literature on eHealth-enabled CC for older adults living at home. We did not map the gray literature as we aimed to map the research literature (peer-reviewed research articles published in academic journals). The study results showed that using eHealth to coordinate care for older adults who live at home is promising. To ensure the successful use of eHealth in CC, we recommend customized eHealth-enabled health care services for older adults, including individualized education and support.

• Sippel, Lauren M.; Myers, Amanda L.; Brooks, Jessica M.; Storm, Marianne; Mois, George & Fortuna, Karen L. (2022). Risk and Protective Factors in Relation to Early Mortality Among People With Serious Mental Illness: Perspectives of Peer Support Specialists and Service Users. Psychiatric rehabilitation journal. ISSN 1095-158X. doi: 10.1037/prj0000522. Fulltekst i vitenarkiv
• Morken, Ingvild Margreta; Storm, Marianne; Søreide, Jon Arne; Urstad, Kristin Hjorthaug; Karlsen, Bjørg & Husebø, Anne Marie Lunde (2022). Posthospitalization follow-up of patients with heart failure using eHealth solutions : restricted systematic review. Journal of Medical Internet Research (JMIR). ISSN 1439-4456. 24(2), s. 1–20. doi: 10.2196/32946. Fulltekst i vitenarkiv Vis sammendrag

  Background: Heart failure (HF) is a clinical syndrome with high incidence rates, a substantial symptom and treatment burden, and a significant risk of readmission within 30 days after hospitalization. The COVID-19 pandemic has revealed the significance of using eHealth interventions to follow up on the care needs of patients with HF to support self-care, increase quality of life (QoL), and reduce readmission rates during the transition between hospital and home. Objective: The aims of this review are to summarize research on the content and delivery modes of HF posthospitalization eHealth interventions, explore patient adherence to the interventions, and examine the effects on the patient outcomes of self-care, QoL, and readmissions. Methods: A restricted systematic review study design was used. Literature searches and reviews followed the (PRISMA-S) Preferred Reporting Items for Systematic Reviews and Meta-Analyses literature search extension checklist, and the CINAHL, MEDLINE, Embase, and Cochrane Library databases were searched for studies published between 2015 and 2020. The review process involved 3 groups of researchers working in pairs. The Mixed Methods Appraisal Tool was used to assess the included studies’ methodological quality. A thematic analysis method was used to analyze data extracted from the studies. Results: A total of 18 studies were examined in this review. The studies were published between 2015 and 2019, with 56% (10/18) of them published in the United States. Of the 18 studies, 16 (89%) were randomized controlled trials, and 14 (78%) recruited patients upon hospital discharge to eHealth interventions lasting from 14 days to 12 months. The studies involved structured telephone calls, interactive voice response, and telemonitoring and included elements of patient education, counseling, social and emotional support, and self-monitoring of symptoms and vital signs. Of the 18 studies, 11 (61%) provided information on patient adherence, and the adherence levels were 72%-99%. When used for posthospitalization follow-up of patients with HF, eHealth interventions can positively affect QoL, whereas its impact is less evident for self-care and readmissions. Conclusions: This review suggests that patients with HF should receive prompt follow-up after hospitalization and eHealth interventions have the potential to improve these patients’ QoL. Patient adherence in eHealth follow-up trials shows promise for successful future interventions and adherence research. Further studies are warranted to examine the effects of eHealth interventions on self-care and readmissions among patients with HF. Keywords: adherence; eHealth; heart failure; posthospitalization follow-up; patient outcome; review.

• Storm, Marianne; Venegas, Maria; Gosinski, Alyssia; Myers, Amanda; Brooks, Jessica & Fortuna, Karen L. (2021). Stakeholders' perspectives on partnering to inform the software development lifecycle of smartphone applications for people with serious mental illness. IEEE Global Humanitarian Technology Conference (GHTC). ISSN 2377-6919. s. 195–199. doi: 10.1109/GHTC53159.2021.9612444. Fulltekst i vitenarkiv Vis sammendrag

  Serious mental illness (SMI) is a leading disability worldwide. Partnering with people with SMI to co-produce smartphone apps to support mental health outcomes throughout the software development lifecycle may support patient engagement with smartphone health app interventions. Partnering with this community is often challenging and requires a highly specialized community engagement training and skillset. The purpose of this study was to identify stakeholders' perspectives on partnering to inform the software development lifecycle of a smartphone health app intervention for people with SMI. We conducted thirty-five semi-structured qualitative interviews with 20 mental health patients and 15 peer support specialists. We identified six themes: (1) co-produce health app intervention content; (2) selection of app technology features; (3) integration of human factors in digital health apps; (4) consideration of personalized patient preferences in digital health apps; (5) identify unrecognized concerns early in the software development lifecycle; and (6) inclusion of real-world social, cognitive, and environmental contexts. Integration of these considerations may elucidate the partnering process to facilitate engagement among vulnerable populations that commonly disengage from mental health smartphone apps use such as people with SMI.

• Collins-Pisano, Caroline; Court, Juan Velez; Johnson, Michael; Mois, George; Brooks, Jessica & Myers, Amanda [Vis alle 15 forfattere av denne artikkelen] (2021). Core Competencies to Promote Consistency and Standardization of Best Practices for Digital Peer Support: Focus Group Study. JMIR Mental health. 8(12). doi: 10.2196/30221. Fulltekst i vitenarkiv Vis sammendrag

  Background: As digital peer support is quickly expanding across the globe in the wake of the COVID-19 pandemic, standardization in the training and delivery of digital peer support can advance the professionalism of this field. While telehealth competencies exist for other fields of mental health practice, such as social work, psychiatry, and psychology, limited research has been done to develop and promote digital peer support competencies. Objective: The goal of this study is to introduce the coproduction of core competencies that can guide digital peer support. Methods: Peer support specialists were recruited through an international listserv and participated in a 1-hour virtual focus group. A total of four focus groups were conducted with 59 peer support specialists from 11 US states and three countries. Results: Analysis was conducted using the rigorous and accelerated data reduction (RADaR) technique, and 10 themes were identified: (1) protecting the rights of service users, (2) technical knowledge and skills in the practice of digital peer support, (3) available technologies, (4) equity of access, (5) digital communication skills, (6) performance-based training, (7) self-care, (8) monitoring digital peer support and addressing digital crisis, (9) peer support competencies, and (10) health literacy (emerging). The authors present recommendations based on these themes. Conclusions: The introduction of digital peer support core competencies is an initial first step to promote the standardization of best practices in digital peer support. The established competencies can potentially act as a guide for training and skill development to be integrated into US state peer support specialist competencies and to enhance competencies endorsed by the Substance Abuse and Mental Health Services Administration (SAMHSA).

• Brooks, Jessica M.; Wu, Jia-Rung; Umucu, Emre; Storm, Marianne; Chiu, Chung-Yi & Walker, Robert [Vis alle 7 forfattere av denne artikkelen] (2021). Key Components of Recovery Predict Occupational Performance and Health in Peer Support Specialists. Psychiatric rehabilitation journal. ISSN 1095-158X. doi: 10.1037/prj0000479. Fulltekst i vitenarkiv Vis sammendrag

  Objective: The primary purpose of the study was to explore and identify how components of recovery are associated with occupational performance and health among peer support specialists. Methods: One hundred and twenty-one peer support specialists were recruited from statewide peer certification training programs and the International Association of Peer Supporters. Study respondents completed a survey package including demographic questions and psychometrically sound self-report measures. Two hierarchical multivariable linear regression models were conducted to evaluate whether the recovery components of the process of recovery, social support for recovery, and work self-determination (i.e., work autonomy, work competence, and work relatedness) were associated with indicators of occupational performance (i.e., work engagement) and health (i.e., job satisfaction). Results: Work autonomy was associated with the occupational performance indicator, while the process of recovery and social support for recovery were the only recovery components associated with the indicator for occupational health. Conclusions and Implications for Practice: Findings support the importance of work self-determination and social support and recovery for occupational performance and health among peer support specialists. Mental health and rehabilitation professionals should address these key components of recovery when working with and supporting the work well-being of peer support specialists.

• Viksveen, Petter; Bjønness, Stig Erlend; Cardenas, Nicole Elizabeth; Game, Julia Rose; Berg, Siv Hilde & Salamonsen, Anita [Vis alle 8 forfattere av denne artikkelen] (2021). User involvement in adolescents’ mental healthcare: a systematic review. European Child and Adolescent Psychiatry. ISSN 1018-8827. doi: 10.1007/s00787-021-01818-2. Fulltekst i vitenarkiv Vis sammendrag

  More than one out of ten adolescents suffer from mental illness at any given time. Still, there is limited knowledge about their involvement in mental healthcare. Adolescents have the right to be involved in decisions affecting their healthcare, but limited research focuses on their engagement and decision-making. Therefore, this systematic review aims to explore the existing experiences with, the effectiveness of, and safety issues associated with user involvement for adolescents’ mental healthcare at the individual and organizational level. A systematic literature review on user involvement in adolescents’ mental healthcare was carried out. A protocol pre-determined the eligibility criteria and search strategies, and established guidelines were used for data extraction, critical appraisal, and reporting of results. Quantitative studies were analysed individually due to heterogeneity of the studies, while qualitative studies were analysed using thematic synthesis. A total of 31 studies were included in the review. The experiences with user involvement were reported in 24 studies with three themes at the individual level: unilateral clinician control versus collaborative relationship, capacity and support for active involvement, the right to be involved; and two themes at the organizational level: involvement outcomes relevant to adolescents’ needs, conditions for optimal involvement. The effectiveness of user involvement was reported in seven studies documenting fragmented evidence related to different support structures to facilitate adolescents’ involvement. The safety associated with user involvement was not reported in any studies, yet a few examples related to potential risks associated with involvement of adolescents in decision-making and as consultants were mentioned.

• Husebø, Anne Marie Lunde; Storm, Marianne; Ødegård, Atle; Wegener, Charlotte; Aakjær, Marie & Pedersen, Anne Lyngby [Vis alle 8 forfattere av denne artikkelen] (2021). Exploring social innovation (SI) within the research contexts of higher education, healthcare, and welfare services : a scoping review. Nordic Journal of Social Research. 12(1), s. 72–110. doi: 10.7577/njsr.3455. Fulltekst i vitenarkiv Vis sammendrag

  ntroduction: Nordic countries face societal challenges for which social innovation may represent solutions. The aim of this scoping review is to explore the concept of social innovation within the research contexts of higher education, ealthcare, and welfare services. Method: A scoping review methodology was used, including a literature search and the identification of eligible studies published between 2007 and 2019, in addition to data extraction and synthesis. Forty-three studies were included in this review. Results: Across the research contexts, social innovation is conceptualized as a set of novel, creative, human-centred, and value-driven processes aiming to bring about change. Qualitative research methods dominate social innovation research. In welfare services, social innovation concerns the relationship between policy and praxis, new forms of leadership and management, and the promotion of societal inclusion and cohesion. Social innovation in healthcare comprises the use of technology to digitalize service, enhance patients’ well-being, and improve service quality. In higher education, social innovation research focuses on educational reforms involving non-profit stakeholders. Discussion: Social innovation is a multifaceted concept related to change at the organizational or societal level, often with various stakeholders working together to create improvements. The lack of a common definition and framework of social innovation makes this concept difficult to measure or quantify, reflecting the dominance of qualitative research methods in the selected research contexts. Across these research contexts, social innovation can be defined and used for various research purposes, which are often political and value-based, with the latter connected to the common good and people’s well-being. Moreover, few social innovation studies have been performed in Nordic countries.

• Bjønness, Stig Erlend & Storm, Marianne (2021). En kvalitativ studie om hvorfor ungdom møter til poliklinisk behandling i psykisk helsevern. Tidsskrift for psykisk helsearbeid. ISSN 1503-6707. 18(4), s. 320–330. doi: 10.18261/issn.1504-3010-2021-04-02. Fulltekst i vitenarkiv Vis sammendrag

  Despite the high prevalence of mental disorders among adolescents, many refuses to accept help or do not complete treatment. This qualitative study aimed to gain knowledge about what inhibits or promotes adolescents' attendance to outpatient therapy. Fourteen adolescents were interviewed, and five themes were identified through thematic content analysis: 1] patient-therapist relationship, 2] information and understanding, 3] to be taken seriously, 4] belief in recovery, and 5] flexibility and accessibility. Based on this study, a person-centered approach emphasizing shared decision-making and the relationship between youth and therapist is recommended.

• Fortuna, Karen L.; Mbao, Mbita; Kadakia, Arya; Myers, Amanda; Fischer, Daniel & McDonald, Sandi [Vis alle 20 forfattere av denne artikkelen] (2021). Peer and non-peer academic scientists and peer support specialist community of practice : stakeholder engagement to advance the science of peer support. IEEE Global Humanitarian Technology Conference (GHTC). ISSN 2377-6919. s. 188–194. doi: 10.1109/GHTC53159.2021.9612411. Fulltekst i vitenarkiv Vis sammendrag

  Community of Practice, a community-engagement method that encourages a group of people to interact regularly towards a common goal, may promote satisfying experiences in patient-outcomes research among marginalized populations. Peer support specialists are increasingly being involved in peer-informed mental health research due to their lived experiences of mental illness and are an asset in co-designing healthcare programs along with researchers. In 2015, ten scientists and ten mental health service users joined as a Community of Practice that trained to engage in patient-centered outcomes research. The group has so far has presented at 20 conferences, published three book chapters and 30 peer-reviewed publications, and developed two smartphone applications. Of note are the co-production of a smartphone application, a digital peer support certification program, an app decision support tool, and an instrument to assess the value of patient-research partnerships. Future research will assess the feasibility of incorporating more stakeholders to enhance research outcomes.

• Umucu, Emre; Fortuna, Karen L.; Jung, Hyejin; Bialunska, Anita; Lee, Beatrice & Mangadu, Thenral D. [Vis alle 10 forfattere av denne artikkelen] (2021). A National Study to Assess Validity And Psychometrics of The Short Kessler Psychological Distress Scale (K6). Rehabilitation counseling bulletin. ISSN 0034-3552. doi: 10.1177/00343552211043261. Fulltekst i vitenarkiv
• Storm, Marianne; Fjellså, Hilde Marie Hunsbedt; Skjærpe, Jorunn Nærland; Myers, Amanda L.; Bartels, Stephen J. & Fortuna, Karen L. (2021). Usability testing of a mobile health application for self-management of serious mental illness in a Norwegian community mental health setting. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 18(16). doi: 10.3390/ijerph18168667. Fulltekst i vitenarkiv Vis sammendrag

  Background: For digital tools to have high usability and fit service users’ health needs and socio-environmental context, it is important to explore usability with end-users and identify facilitators and barriers to uptake. Objective: To conduct user testing of the smartphone health application, PeerTECH, in a Norwegian community mental health setting. Methods: Semistructured interviews and usability testing of the PeerTECH app using the Think-Aloud approach and task analysis among 11 people (three individuals with a serious mental illness, two peer support workers, and six mental health professionals). Results: Study participants perceived PeerTECH as a relevant tool to support self-management of their mental and physical health conditions, and they provided valuable feedback on existing features as well as suggestions for adaptions to the Norwegian context. The task analysis revealed that PeerTECH is easy to manage for service users and peer support workers. Conclusions: Adapting the PeerTECH smartphone app to the Norwegian context may be a viable and useful tool to support individuals with serious mental illness.

• Østhus, Nille; Storm, Marianne & Kristoffersen, Margareth (2021). Sykepleiere i helsetjenester i hjemmet – hvorfor fortsetter de i sin stilling? Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 17(1), s. 1–19. doi: 10.7557/14.4975. Fulltekst i vitenarkiv Vis sammendrag

  High-quality nursing care is a goal and requirement in health services. The Norwegian primary health care is challenged by a shortage of nurses, difficulties with recruiting and retaining nurses. This study aims to describe and interpret important aspects allowing nurses working in home healthcare to remain in their current position. A qualitative research design was used. The setting was one district municipality’s home healthcare. Six nurses aged between 26 and 60 years were recruited through strategic sampling to individual interviews. Data were analyzed using a phenomenological hermeneutic method. Four themes emerged from the analysis: Being welcome at the patients’ home; experiencing community with colleagues and leader; experiencing work task variety; traveling in scenic surroundings. Thus, the significance of having a sense of coherence, comprehensibility, and manageability cannot be too strongly emphasized. The study indicates that remaining in home healthcare practice seems to revolve around achieving a sense of success as a nurse.

• Bjønness, Stig Erlend; Viksveen, Petter; Johannessen, Jan Olav & Storm, Marianne (2020). User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals' perspectives. Child and Adolescent Psychiatry and Mental Health (CAPMH). 14(2). doi: 10.1186/s13034-020-0310-3. Fulltekst i vitenarkiv Vis sammendrag

  Background Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents’ mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore healthcare professionals’ perspectives on user participation, and opportunities for shared decision-making in Child and Adolescent Mental Health Service (CAMHS) inpatient units. Methods Healthcare professionals at CAMHS inpatient units participated in three focus group interviews. Fifteen participants with experience with user participation and shared decision-making were recruited from five hospitals in Norway. Results Five themes emerged: (1) involvement before admission; (2) sufficient time to feel safe; (3) individualized therapy; (4) access to meetings where decisions are made; and (5) changing professionals’ attitudes and practices. Conclusion User participation and shared decision-making require changes in workplace culture, and routines that allow for individualized mental health services that are adapted to adolescents’ needs. This calls for a flexible approach that challenges clinical pathways and short-stay hospital policies. The results of this study may inform further work on strengthening user participation and the implementation of shared decision-making.

• Storm, Marianne; Fortuna, Karen L.; Gill, Emily; Pincus, Harold Alan; Bruce, Martha & Bartels, Stephen J. (2020). Coordination of Services for People with Serious Mental Illness and General Medical Conditions: Perspectives from Rural Northeastern United States. Psychiatric rehabilitation journal. ISSN 1095-158X. doi: 10.1037/prj0000404. Fulltekst i vitenarkiv
• Gill, Emily; Dykes, Patricia; Rudin, Robert S; Storm, Marianne; McGrath, Kelly & Bates, David W (2020). Technology-Facilitated Care Coordination in Rural Areas: What Is Needed? International Journal of Medical Informatics. ISSN 1386-5056. 137. doi: 10.1016/j.ijmedinf.2020.104102. Fulltekst i vitenarkiv
• Storm, Marianne & Husebø, Anne Marie Lunde (2020). Digital innovasjon i helse. I Willumsen, Elisabeth & Ødegård, Atle (Red.), Samskaping : sosial innovasjon for helse og velferd. Universitetsforlaget. ISSN 9788215034089. s. 163–176. Fulltekst i vitenarkiv
• Aakjær, Marie; Wegener, Charlotte; Willumsen, Elisabeth; Storm, Marianne; Ødegård, Atle & Husebø, Anne Marie Lunde (2020). Hvad skete der med innovationen da den blev social. I Willumsen, Elisabeth & Ødegård, Atle (Red.), Samskaping : sosial innovasjon for helse og velferd. Universitetsforlaget. ISSN 9788215034089. s. 278–291. Fulltekst i vitenarkiv
• Storm, Marianne; Fortuna, Karen L.; Brooks, Jessica & Bartels, Stephen J. (2020). Peer support in Coordination of Physical and Mental Health Services for People with Lived Experience of a Serious Mental Illness. Frontiers in Psychiatry. doi: 10.3389/fpsyt.2020.00365. Fulltekst i vitenarkiv Vis sammendrag

  Background: Engaging peer support to augment and enhance traditional mental health services presents novel opportunities to improve service engagement and delivery. However, there has not been an in-depth analysis of the processes and methods behind the coordination of physical health and mental health care by peer support specialists. Study aim: To explore the potential of peer support specialists in community mental health centers and as a means to improve coordination of physical health and mental health services for people with a serious mental illness. Methods: We conducted 28 semi-structured qualitative interviews with peer support specialists and mental healthcare professionals in community mental health centers in two states (blinded for review) in the United States. Data were triangulated to explore peer support specialists and mental health professionals’ perspectives. Results: We found five themes characterizing the role of peer support services in the coordination of physical health and mental health services for individuals with serious mental illness: (1) Advocacy in interprofessional meetings, clinical teams, and advisory councils; (2) Sharing lived experiences and connecting with available resources and services; (3) Preparing for mental health and physical health care visits; (4) Mutuality; and (5) Affiliations, funding, and sustainability of peer support services. Conclusion: This study suggests that peer support specialists can uniquely contribute to the coordination of physical health and mental health services for individuals with serious mental illness.

• Bjønness, Stig Erlend; Grønnestad, Trond Erik & Storm, Marianne (2020). I’m not a diagnosis: Adolescents’ perspectives on user participation and shared decision-making in mental healthcare. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology. 8, s. 139–148. doi: 10.21307/sjcapp-2020-014. Fulltekst i vitenarkiv Vis sammendrag

  Background: Adolescents have the right to be involved in decisions affecting their healthcare. More knowledge is needed to provide quality healthcare services that is both suitable for adolescents and in line with policy. Shared decision-making has the potential to combine user participation and evidence-based treatment. Research and governmental policies emphasize shared decision-making as key for high quality mental healthcare services. Objective: To explore adolescents’ experiences with user participation and shared decision-making in mental healthcare inpatient units. Method: We carried out ten in-depth interviews with adolescents (16-18 years old) in this qualitative study. The participants were admitted to four mental healthcare inpatient clinics in Norway. Transcribed interviews were subjected to qualitative content analysis. Results: Five themes were identified, representing the adolescents’ view of gaining trust, getting help, being understood, being diagnosed and labeled, being pushed, and making a customized treatment plan. Psychoeducational information, mutual trust, and a therapeutic relationship between patients and therapists were considered prerequisites for shared decision-making. For adolescents to be labeled with a diagnosis or forced into a treatment regimen that they did not initiate or control tended to elicit strong resistance. User involvement at admission, participation in the treatment plan, individualized treatment, and collaboration among healthcare professionals were emphasized. Conclusions: Routines for participation and involvement of adolescents prior to inpatient admission is recommended. Shared decision-making has the potential to increase adolescents’ engagement and reduce the incidence of involuntary treatment and re-admission to inpatient clinics. In this study, shared decision-making is linked to empowerment and less to standardized decision tools. To be labeled and dominated by healthcare professionals can be a barrier to adolescents’ participation in treatment. We suggest placing less emphasis on diagnoses and more on individualized treatment.

• Skjærpe, Jorunn Nærland; Kristoffersen, Margareth & Storm, Marianne (2020). Brukermedvirkning i samhandling i psykisk helsearbeid. Sykepleien Forskning. ISSN 1890-2936. 15. doi: 10.4220/Sykepleienf.2020.80125. Fulltekst i vitenarkiv Vis sammendrag

  Bakgrunn: Politiske og juridiske føringer vektlegger brukermedvirkning i samhandlingen mellom distriktspsykiatrisk senter (DPS) og kommuner i psykisk helsearbeid. Studien innhenter kunnskap om brukermedvirkning i samhandlingen rundt personer med alvorlige psykiske lidelser som mottar helsetjenester fra DPS og kommune. Hensikt: Å beskrive hvordan helsepersonell ivaretar brukermedvirkning i sin samhandling og hvilke utfordringer de står overfor når personer med alvorlige psykiske lidelser har behov for helsetjenester fra DPS og samarbeidende kommuner. Metode: Studien har et kvalitativt design. Vi gjennomførte tolv individuelle intervjuer med helsepersonell ansatt i et DPS og fire samarbeidende kommuner. Intervjudeltakerne var involvert i samhandlingen om personer med alvorlige psykiske lidelser. Datamaterialet ble analysert med kvalitativ innholdsanalyse. Resultat: Helsepersonell samhandler om og ivaretar brukermedvirkning for personer med alvorlige psykiske lidelser ved at brukerne involveres i innleggelser i DPS-et, i samhandlingsmøter under og etter innleggelser og ved utskrivning til hjemmet. Brukermedvirkningen i samhandling utfordres når helsepersonell fra kommunene og brukeren ikke blir involvert i å vurdere innleggelsesgrunnlag og behandlingsbehov ved akutte innleggelser. Utfordringer oppstår også når brukeren ikke deltar på samhandlingsmøter, eller når det er uenighet blant helsepersonellet om ansvarsfordeling og tiltak. Utskrivning til hjemmet ble utfordret når DPS-et og kommunen var uenige om hvorvidt brukeren var utskrivningsklar, dersom brukeren ikke ville ta imot tjenester, eller når det manglet egnet tjenestetilbud i kommunene. Konklusjon: Helsepersonell ivaretar brukermedvirkningen i overføringer, samhandlingsmøter og tjenestetilbud når brukeren er hjemme. Brukermedvirkning i samhandling vanskeliggjøres når helsepersonell tar beslutninger om innleggelsesgrunnlag og behandlingsbehov, når brukeren ikke deltar i samhandlingsmøter, eller når helsepersonell fra DPS-et og kommunene er uenige om ansvarsfordeling og tiltak.

• Brooks, Jessica M.; Umucu, Emre; Storm, Marianne; Chiu, Chungyi; Wu, Jia-Rung & Fortuna, Karen L. (2020). Preliminary outcomes of an older peer and clinician co-facilitated pain rehabilitation intervention among adults aged 50 years and older with comorbid chronic pain and mental health conditions. Psychiatric quarterly. ISSN 0033-2720. doi: 10.1007/s11126-020-09831-5. Fulltekst i vitenarkiv
• Storm, Marianne; Husebø, Anne Marie Lunde; Thomas, Elisabeth; Elwyn, Glyn & Zisman-Ilani, Yaara (2019). Coordinating mental health services for people with serious mental illness: A scoping review of transitions from psychiatric hospital to community. Administration and Policy in Mental Health and Mental Health Services Research. ISSN 0894-587X. 46(3), s. 352–367. doi: 10.1007/s10488-018-00918-7. Fulltekst i vitenarkiv Vis sammendrag

  Effective coordination as people with serious mental illness (SMI) move between care settings is essential. We aimed to review challenges to care coordination for people with SMI and identify approaches for improving it. Sixteen articles were identified. Two main challenges emerged: people with SMI facing adjustment challenges during transitions and services struggling to provide continuity of care. Effective approaches addressed coordination challenges and resulted in better improvements in service utilization, social functioning and quality of life. Future interventions may benefit from shared decision-making, support for caregivers, and addressing the challenges associated with complicated medication regimes and accessing medications.

• Fortuna, Karen L.; Naslund, John A; Aschbrenner, Kelly A.; Lohman, Matthew C.; Storm, Marianne & Batsis, John A [Vis alle 7 forfattere av denne artikkelen] (2019). Text Message Exchanges between Older Adults With Serious Mental Illness and Older Certified Peer Specialists in a Smartphone-Supported Self-Management Intervention. Psychiatric rehabilitation journal. ISSN 1095-158X. 42(1), s. 57–63. doi: 10.1037/prj0000305. Fulltekst i vitenarkiv
• Ree, Eline; Wiig, Siri; Manser, Tanja Nicole & Storm, Marianne (2019). How is patient involvement measured in patient centeredness scales for health professionals? A systematic review of their measurement properties and content. BMC Health Services Research. 19. doi: 10.1186/s12913-018-3798-y. Fulltekst i vitenarkiv Vis sammendrag

  Background Patient centeredness is an important component of patient care and healthcare quality. Several scales exist to measure patient centeredness, and previous literature provides a critical appraisal of their measurement properties. However, limited knowledge exists regarding the content of the various scales in terms of what type of patient centeredness they represent and how they can be used for quality improvement. The aim of this study was to explore the measurement properties of patient centeredness scales and their content with a special focus on patient involvement, and assess whether and how they can be used for quality improvement. Methods A systematic review of patient centeredness scales was conducted in Medline, CINAHL, Embase, and SCOPUS in April and May 2017. Inclusion criteria were limited to articles written in English published from 2005 to 2017. Eligible studies were critically appraised in terms of internal consistency and reliability, as well as their content, structural, and cross-cultural validity. Type of studies included were scale-development articles and validation studies of relevant scales, with healthcare personnel as respondents. We used directed content analysis to categorize the scales and items according to Tritter’s conceptual framework for patient and public involvement. Results Eleven scales reported in 22 articles were included. Most scales represented individual, indirect, and reactive patient involvement. Most scales included items that did not reflect patient centeredness directly, but rather organizational preconditions for patient centered practices. None of the scales included items explicitly reflecting the use of patient experiences of quality improvement. Conclusions There is a lack of patient centeredness scales focusing on direct and proactive involvement of patients in quality improvement. It would be useful to develop such instruments to further study the role of patient involvement in quality improvement in healthcare. Furthermore, they could be used as important tools in quality improvement interventions.

• Husebø, Anne Marie Lunde; Storm, Marianne; Morken, Ingvild Margreta; Espeland, Jens; Hagen, Laila Garberg & Karlsen, Bjørg (2019). Discussing a nurse assisted ehealth service from hospital to home. IEEE International Conference on Wireless and Mobile Computing, Networking, and Communications. ISSN 2160-4886. 2019-October, s. 1–6. doi: 10.1109/WiMOB.2019.8923545. Fulltekst i vitenarkiv
• Johannessen, Torunn Beate; Storm, Marianne & Holm, Anne Lise (2019). Safety for older adults using telecare: Perceptions of homecare professionals. Nursing Open. 6(3), s. 1254–1261. doi: 10.1002/nop2.328. Fulltekst i vitenarkiv Vis sammendrag

  Aim: The aim of this study was to explore homecare professionals' perceptions of safety related to the use of telecare by older adults. Design: An exploratory qualitative design was employed. Methods: Two focus group interviews with ten female homecare professionals (nine Registered Nurses and one occupational therapist) were carried out between June– December 2017. The participants were recruited from six community homecare services in two Norwegian municipalities. Data were analysed using qualitative content analysis. Results: The participants perceived that the use of telecare protects older adults against injury and insecurity by preventing harm and giving them a feeling of safety. However, they also stated that the use of telecare involves challenges that could lead to harm to older adults due to technological limitations and difficulties managing and understanding the technology. Although telecare can enhance safety, it is necessary to develop reliable technology and adapt it to the user's abilities, skills and resources.

• Johannessen, Torunn Beate; Holm, Anne Lise & Storm, Marianne (2019). Trygg og sikker bruk av velferdsteknologi i hjemmebasert helse- og omsorgstjeneste. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 5(3), s. 71–83. doi: 10.18261/issn.2387-5984-2019-03-07. Fulltekst i vitenarkiv Vis sammendrag

  Hensikten med studien var å utforske hva ledere og helsepersonell opplever som viktig for trygg og sikker bruk av velferdsteknologi for eldre i hjemmebasert helse- og omsorgstjeneste. Studien har et eksplorativt, kvalitativt design. Det ble gjennomført fire fokusgrupper med tilsammen 20 deltagere: ti ledere fra åtte kommuner og ti helsepersonell fra to kommuner. Dataene ble analysert ved hjelp av kvalitativ innholdsanalyse. Resultatene viser at deltakerne opplevde det som viktig at både helsepersonell og brukere får nødvendig informasjon og opplæring om velferdsteknologien som benyttes. Det ble videre ansett som avgjørende at både teknologi og bruken av den følges tett opp, og at løsningene som tilbys er i samsvar med brukernes individuelle ønsker, behov og ressurser. Deltagerne viste også til betydningen av å øke oppmerksomheten mot tidlig innsats og bruk av velferdsteknologi i et forebyggende perspektiv.

• Chambers, Mary & Storm, Marianne (2019). Resilience in Healthcare: A Modified Stakeholder Analysis. I Wiig, Siri & Fahlbruch, Babette (Red.), Exploring Resilience A Scientific Journey from Practice to Theory. Springer Nature. ISSN 9783030031893. s. 113–119. doi: 10.1007/978-3-030-03189-3_14. Fulltekst i vitenarkiv
• Storm, Marianne; Schulz, Jörn & Aase, Karina (2018). Patient safety in transitional care of the elderly: effects of a quasi-experimental interorganisational educational intervention. BMJ Open. 8(8). doi: 10.1136/bmjopen-2017-017852. Fulltekst i vitenarkiv Vis sammendrag

  Objective The study objective was to assess the effects of an interorganisational educational intervention called the ‘Meeting Point’ on patient safety culture among staff in hospital and nursing home wards. Design The study employs a quasi-experimental, non-randomised design with a hospital and nursing home intervention group and a hospital and nursing home control group. The study uses one preintervention and two postintervention survey measurements. The intervention group participated in an educational programme ‘The Meeting Point’ including interorganisational staff meetings combining educational sessions with a discussion platform focusing on quality and safety in transitional care of the elderly. Results The results show a stable development over time for the patient safety culture factor ‘Handoff and transitions’, and small improvements for ‘Overall perceptions of patient safety culture’ and ‘Organisational learning - continuous improvement’ for the hospital intervention group. No similar development was reported in the nursing home intervention group, which is most likely explained by ongoing organisational changes. Qualitative data show the existence of ongoing initiatives in the hospital to improve transitional care, but not all were connected to the ‘Meeting Point’. Conclusion The ‘Meeting Point’ has the potential to be a useful measure for healthcare professionals when aiming to improve patient safety culture in transitional care. Further refinement of the key components and testing with a more robust study design will be beneficial.

• Fortuna, Karen L.; Storm, Marianne; Aschbrenner, Kelly A. & Bartels, Stephen J. (2018). Integration of Peer Philosophy into a Standardized Self-Management Mobile Health Intervention. Psychiatric quarterly. ISSN 0033-2720. s. 1–6. doi: 10.1007/s11126-018-9578-3. Fulltekst i vitenarkiv
• Larsen, Bente Hamre & Storm, Marianne (2018). Pasientperspektiv i innleggelsesskriv for akutt psykisk helsehjelp. Tidsskrift for psykisk helsearbeid. ISSN 1503-6707. 15(2-3), s. 135–147. doi: 10.18261/issn.1504-3010-2018-02-03-05. Fulltekst i vitenarkiv
• Fortuna, Karen L.; Storm, Marianne; Naslund, John A.; Chow, Philip; Aschbrenner, Kelly A. & Lohman, Matthew C. [Vis alle 7 forfattere av denne artikkelen] (2018). Certified Peer Specialists and Older Adults With Serious Mental Illness' Perspectives of the Impact of a Peer-Delivered and Technology-Supported Self-Management Intervention. Journal of Nervous and Mental Disease. ISSN 0022-3018. 206(11), s. 875–881. doi: 10.1097/NMD.0000000000000896. Fulltekst i vitenarkiv
• Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Storm, Marianne & Aase, Ingunn [Vis alle 13 forfattere av denne artikkelen] (2018). Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention. BMJ Open. 8:e020933(3), s. 1–8. doi: 10.1136/bmjopen-2017-020933. Fulltekst i vitenarkiv Vis sammendrag

  Introduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. Methods and analysis The aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers’ and staffs’ knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention. Ethics and dissemination The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care.

• Husebø, Anne Marie Lunde; Storm, Marianne; Våga, Bodil Bø; Rosenberg, Adriana & Akerjordet, Kristin (2018). Status of knowledge on student-learning environments in nursing homes: A mixed-method systematic review. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 27(7-8), s. 1344–1359. doi: 10.1111/jocn.14299. Fulltekst i vitenarkiv
• Storm, Marianne & Wiig, Siri (2018). Care Coordination, Samhandling, and Patient Safety. I Torgersen, Glenn-Egil (Red.), Interaction: ‘Samhandling’ Under Risk: A Step Ahead of the Unforeseen. Cappelen Damm Akademisk. ISSN 9788202535025. s. 429–450. doi: 10.23865/noasp.36.ch23. Fulltekst i vitenarkiv
• Cappelen, Kathrine; Harris, Anette; Storm, Marianne & Aase, Karina (2017). Healthcare staff perceptions of patient safety culture in nursing home settings - a cross-sectional study. Open Journal of Nursing. ISSN 2162-5336. 7(9), s. 1069–1085. doi: 10.4236/ojn.2017.79078. Fulltekst i vitenarkiv Vis sammendrag

  In nursing homes, knowledge about patient safety culture is still limited. This study investigates staff perceptions of patient safety culture in Norwegian nursing homes, measured with the Nursing Home Survey on Patient Safety Culture (NHSOPSC). 466 (69%) staff from 12 different nursing homes participated. The total percentages of positive responses for each patient safety culture dimension and differences in perceptions according to staff’s educational background and position were calculated. Multiple linear regression analysis was used to test if the NHSOPSC dimensions predicted participants’ ratings of the question “Please give this nursing home an overall rating on patient safety”. The proportion of positive responses was high, with six of ten dimensions having an average percentage above 70%. “Supervisor expectations and actions promoting patient safety” (88%), “feedback and communication about inci- dents” (87%), and a “non-punitive response to mistakes” (78%) had high average scores, while “staffing” (46%) and “training and skills” (56%) had the lowest average scores. Managers reported higher scores on all dimensions, except for “compliance with procedures” compared with other staff groups. Educational level had less influence on staff’s perceptions of patient safety culture than management position. The ten NHSOPSC dimensions explained 47.2% of the variance for the overall rating question “Please give this nursing home an overall rating on patient safety” (F [10, 384] = 34.39, p < 0.001). “Management and organizational learning” had the strongest unique contribution (28.1%). This study suggests that staff working at the bedside have confidence in their nursing managers’ attention to patient safety issues and that a non-punitive environment is prevalent in Norwegian nursing homes.

• Kajander, Martine & Storm, Marianne (2017). ‘Kontakt med ett trykk’: hjemmeboende brukeres erfaringer med videosamtaler. Nordisk sygeplejeforskning. ISSN 1892-2678. 7(1), s. 6–20. doi: 10.18261/issn.1892-2686-2017-01-02. Fulltekst i vitenarkiv Vis sammendrag

  Antall brukere med behov for kommunale helse- og omsorgstjenester forventes å øke i nær fremtid. Videobesøk kan være et nyttig verktøy i helsetjenesten som del av tjenestetilbudet og oppfølgingen av personer som bor hjemme. Studien undersøker hjemmeboende eldre og kroniske syke sine erfaringer med bruk av videosamtaler for å kommunisere med helsepersonell, og om oppfølging ved hjelp av videobesøk kan bidra til å støtte hjemmeboende brukere sin egenomsorg. Data ble samlet inn gjennom individuelle dybdeintervjuer med fjorten brukere, i alderen 56 til 90 år. Funnene viser at brukerne opplevde videobesøkene som nært et fysisk møte, det var nesten som å snakke «ansikt-til-ansikt». Videobesøkene bidro til at brukerne enkelt kom i kontakt med kompetent helsepersonell som hadde tid til dem, og de fikk mulighet til å stille spørsmål og få råd om helserelaterte bekymringer. Brukerne verdsatte det sosiale aspektet ved videosamtalen; det var godt å få noen å snakke med, de følte seg trygge og ivaretatt. Konklusjonen er at videobesøk kan være et lovende hjelpemiddel i helsetjenesten for å følge opp hjemmeboende eldre og kronisk syke, bidra med informasjon etter sykehusinnleggelser, og for å støtte egenomsorg.

• Storm, Marianne (2017). The Role of Professionals’ Competencies in Care Transitions. I Aase, Karina; Waring, Justin & Schibevaag, Lene (Red.), Researching quality in care transitions : international perspectives. Palgrave Macmillan. ISSN 9783319623450. s. 143–157. doi: 10.1007/978-3-319-62346-7. Fulltekst i vitenarkiv Vis sammendrag

  In this chapter, Marianne Storm aims to describe the connection between healthcare professionals’ competencies, and the subsequent quality of care transitions. The chapter draws attention to Boyatzis’ theory relating to professional competency as an individual characteristic, and uses aspects relating to “cost of coordination” and “agency problem” to explain components relating to professionals’ competencies in supporting transitional care. The author uses empirical examples from an observational study, an interview study with 16 healthcare personnel and relevant literature to illustrate approaches to improve professionals’ competencies.

• Dyrstad, Dagrunn Nåden & Storm, Marianne (2017). The Role of Next of Kin in Care Transitions. I Aase, Karina; Waring, Justin & Schibevaag, Lene (Red.), Researching quality in care transitions : international perspectives. Palgrave Macmillan. ISSN 9783319623450. s. 87–101. doi: 10.1007/978-3-319-62346-7_5. Fulltekst i vitenarkiv Vis sammendrag

  In this chapter, Dyrstad and Storm draw attention to the important role that next of kin play in care transitions, especially for vulnerable or older patients. The chapter describes the legal responsibility of healthcare professionals to involve next of kin and then discusses theories of relevance to the understanding of the next of kin’s role in transitional care. The chapter uses relevant literature and empirical examples to provide new understandings and proposes a conceptual model for the role of next of kin in care transitions. Lastly, the chapter offers suggestions about the next of kin’s role from the healthcare professionals’ perspective.

• Guise, Veslemøy; Husebø, Anne Marie Lunde; Storm, Marianne; Moltu, Kirsti & Wiig, Siri (2016). Telecare in Home Healthcare Services: Implications for Quality and Safety. I Aase, Karina & Schibevaag, Lene (Red.), Researching Patient Safety and Quality in Health Care: A Nordic Perspective. Taylor & Francis. ISSN 9781472477132. s. 179–193. doi: 10.1201/9781315605609-13. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden & Storm, Marianne (2016). Interprofessional simulation to improve patient participation in transitional care. Scandinavian Journal of Caring Sciences. ISSN 0283-9318. 31(2), s. 273–284. doi: 10.1111/scs.12341. Fulltekst i vitenarkiv Vis sammendrag

  Background: Educating and training healthcare professionals is known to improve the quality of transitional care for older adults. Arranging interprofessional meetings for healthcare professionals might be useful to improve patient participation skills in transitional care. Aim: To describe the learning activities used in The Meeting Point programme, focusing on patient participation in transitional care, and assess whether they increase healthcare professionals’ awareness of and competencies relating to patient participation in the transitional care of older patients. Design: Data were collected as part of an educational intervention programme, The Meeting Point, including three seminars on ‘Patient participation in the transitional care of older patients’ and four follow-up meetings. Participants were nurses, care assistants, doctors, physiotherapists, patient coordinators and administrative personnel from hospital, nursing homes and home-based care services. Method: The Meeting Point was organised around four pillars: introduction, teaching session, group work activity and plenary discussion. Qualitative data included log reports, summaries of meetings, notes from group work activities, and reports from participants and from follow-up meetings. Results: Feedback from participants shows that they were satisfied with meeting healthcare professionals from other units of care. A film scenario was perceived relevant for group work activity and useful in focusing participants’ attention to patient participation. Follow-up meetings show that some nursing home wards, the emergency department and one medical ward at the hospital continued with ongoing work to improve quality of care. Efforts included implementation of an observational waiting room with comfortable chairs, planning for discharge in hospital admission, a daily patient flow registration system and motivational interviewing during admission to nursing home. Conclusions: The description of the learning activities used at The Meeting Point seminars shows that they were useful to increase awareness of and competencies on patient participation in transitional care.

• Husebø, Sissel Iren Eikeland; Wiig, Siri; Guise, Veslemøy; Storm, Marianne & Hansen, Britt Sætre (2016). Status of Nordic Research on Patient Safety and Quality of Care. I Aase, Karina & Schibevaag, Lene (Red.), Researching Patient Safety and Quality in Health Care: A Nordic Perspective. Taylor & Francis. ISSN 9781472477132. doi: 10.1201/9781315605609-2. Fulltekst i vitenarkiv
• Storm, Marianne & Coulter, Angela (2016). Patient-centred care in the Nordic Countries. I Aase, Karina & Schibevaag, Lene (Red.), Researching Patient Safety and Quality in Health Care: A Nordic Perspective. Taylor & Francis. ISSN 9781472477132. s. 27–42. doi: 10.1201/9781315605609-3. Fulltekst i vitenarkiv
• Nedreskår, Heidi Helen & Storm, Marianne (2016). Coordination of discharge practices for elderly patients in light of a Health care reform. I Aase, Karina & Schibevaag, Lene (Red.), Researching Patient Safety and Quality in Health Care: A Nordic Perspective. Taylor & Francis. ISSN 9781472477132. s. 145–160. doi: 10.1201/9781315605609-11. Fulltekst i vitenarkiv
• Cappelen, Kathrine; Aase, Karina; Storm, Marianne; Hetland, Jørn & Harris, Anette (2016). Psychometric properties of the Nursing Home Survey on Patient Safety Culture in Norwegian nursing homes. BMC Health Services Research. 16:446. doi: 10.1186/s12913-016-1706-x. Fulltekst i vitenarkiv Vis sammendrag

  Background: Developing a culture where staff are actively aware of how to prevent adverse events is a challenge. The use of survey tools to assess the status of patient safety culture seems to be acceptable as an early step in improving patient safety. The Nursing Home Survey on Patient Safety Culture (NHSOPSC) includes 12 dimensions and is specifically developed for nursing homes. In this study, we describe a Norwegian version of the NHSOPSC and assess its psychometric properties when tested on a sample of healthcare staff in nursing homes. Methods: The NHSOPSC was translated into Norwegian and pilot tested before being distributed to 12 nursing homes in Norway. Of the 671 healthcare staff invited, 466 (69 %) answered the questionnaire. SPSS 23.0 was used for descriptive data analysis and estimating internal consistency (Cronbach’s alpha). The dimensional structure of the questionnaire was tested by confirmatory factor analysis (CFA) using Mplus (version 7.2). Results: The CFA testing of the original 12-factor solution suggested that some modifications were needed because of the high correlations between three of the latent factors. A subsequent analysis resulted in a final ten-factor solution. The final model showed acceptable fit to the data (root mean square error of approximation = 0.060, 90 % confidence interval: 0.057–0.063, comparative fit index = 0.934, Tucker-Lewis index = 0.926, χ 2 = 2058.33, df = 765, p < 0.001) and acceptable factor loadings ranging from 0.402 to 0.891. Moreover, moderate-to-strong correlations ranging from 0.455 to 0.812 were found between the ten latent factors. Finally, moderate-to-high correlations were found between the ten latent factors and an overall rating of patient safety in the nursing home. Conclusions: Factor analysis indicated that a modified ten-factor model fitted the data set in a Norwegian community healthcare context with acceptable goodness-of-fit values and could be recommended as a useful tool to assess staff perceptions of patient safety issues in Norwegian nursing homes.

• Haugen, Arvid Steinar & Storm, Marianne (2015). Sikkerhetskultur i sykehus. I Aase, Karina (Red.), Pasientsikkerhet teori og praksis. Universitetsforlaget. ISSN 9788215024813. s. 77–86. Fulltekst i vitenarkiv
• Storm, Marianne & Wiig, Siri (2015). Pasientperspektivet og sikkerhet. I Aase, Karina (Red.), Pasientsikkerhet teori og praksis. Universitetsforlaget. ISSN 9788215024813. s. 62–73. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden; Laugaland, Kristin A & Storm, Marianne (2015). An observational study of older patients' participation in hospital admission and discharge - exploring patient and next of kin perspectives. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 24(11-12), s. 1693–1706. doi: 10.1111/jocn.12773. Fulltekst i vitenarkiv Vis sammendrag

  Aims and objectives. To explore older patients’ participation during hospital admission and discharge. Background. Patient participation is suggested as a means to improve the quality of transitional healthcare. Older people with chronic diseases, physical disabilities and cognitive impairments often need to transfer from primary to hospital healthcare and vice versa. Design. This study adopts a participant observational research design. Methods. Participant observations of 41 older patients (over 75 years of age) during hospital admission and discharge were conducted in two hospitals in Norway (in 2012). The observations included short conversations with the patient and their next of kin to capture their participation experiences. Systematic text condensation was used to analyse the data material from the field notes. Results. Varying degrees of information exchange between healthcare professionals and patients, and a lack of involvement of the patient in decision-making (in admission and discharge) were observed and experienced by patients and their next of kin. The next of kin appeared to be important advocates for the patients in admission and provided practical support both during admission and discharge. Data suggest that patient participation in admission and discharge is influenced by time constraints and the heavy workloads of healthcare professionals. Patients’ health conditions and preferences also influence participation. Conclusions. Several issues influence the participation of the older patients during hospital admission and discharge. Participation of the older patients needs continuous support from healthcare professionals that acknowledges both the individual patient’s preferences and their capacity to participate. Relevance to clinical practice. Study findings report discrepancies in the involvement of older people and their next of kin. There is a need to increase and support older patients’ participation in hospital admission and discharge.

• Dyrstad, Dagrunn Nåden; Testad, Ingelin & Storm, Marianne (2015). Older patients’ participation in hospital admissions through the emergency department: an interview study of healthcare professionals. BMC Health Services Research. 15(October). doi: 10.1186/s12913-015-1136-1. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patient participation is an important aspect of healthcare quality and may be one way to improve the quality of transitional care for older patients. Research reveals minimal awareness about patient participation in hospital admissions. Hospital admissions require attention to individuals’ specific needs beyond patient frailty, and to involve patients and their families in shared decision-making. The aim of this study was to identify factors influencing patient participation by exploring healthcare professionals’ views on patient participation during the hospital admission of older patients through the emergency department (ED). Methods: The study used a qualitative and descriptive design with face-to-face interviews. A total of 27 interviews were conducted with 15 healthcare professionals from one hospital and 12 from another. The data were analyzed using systematic text condensation. Results: Healthcare professionals thought that patient participation in hospital admissions was influenced by five main factors: 1) routine treatment and care during hospital admission, and in particular certain procedures such as medical examinations; 2) the frail and thankful older patients, and the overall picture of their medical needs; 3) hospital resources, such as available staff and beds; 4) healthcare professionals’ attitude towards finding out about older patients’ experiences; and 5) the presence of a supportive and demanding next of kin acting as an advocate for the patient. Conclusions: Patient participation in hospital admissions of older patients is dependent on the way the service is organized, the patients’ condition, hospital resources, healthcare professionals’ attitudes, and support from patients’ next of kin. Some of the participants had high expectations of themselves and actively involved patients, but others did not find patient participation relevant in the emergency department. Some used crowded wards as a reason not to engage older patients in their own care.

• Dyrstad, Dagrunn Nåden; Aase, Karina; Testad, Ingelin & Storm, Marianne (2014). A review of the literature on patient participation in transitions of the elderly. Cognition, Technology & Work. ISSN 1435-5558. 17(1), s. 15–34. doi: 10.1007/s10111-014-0300-4. Fulltekst i vitenarkiv Vis sammendrag

  Patient participation is highlighted in healthcare policy documents as an important area to address in order to improve and secure healthcare quality. The literature on healthcare quality and safety furthermore reveals that transitional care carries a risk of adverse events. Elderly persons with co-morbidities are in need of treatment and healthcare from several care professionals and are transferred between different care levels. Patient-centered care, shared decision-making and user involvement are concepts of care that incorporate patient participation and the patients’ experiences with care. Even though these care concepts are highlighted in healthcare policy documents, limited knowledge exists about their use in transitions, and therefore points to a need for a review of the existing literature. The purpose of the paper is to give an overview of studies including patient participation as applied in transitional care of the elderly. The methodology used is a literature review searching electronic databases. Results show that participation from elderly in discharge planning and decision-making was low, although patients wanted to participate. Some tools were successfully implemented, but several did not stimulate patient participation. The paper has documented that improvements in quality of transitional care of elderly is called for, but has not been well explored in the research literature and a need for future research is revealed. Clinical practice should take into consideration implementing tools to support patient participation to improve the quality of transitional care of the elderly.

• Dyrstad, Dagrunn Nåden; Testad, Ingelin & Storm, Marianne (2014). A review of the literature on patient participation in transitions of the elderly. Cognition, Technology & Work. ISSN 1435-5558. Fulltekst i vitenarkiv
• Storm, Marianne; Groene, Oliver; Testad, Ingelin; Dyrstad, Dagrunn Nåden; Heskestad, Randi Nisja & Aase, Karina (2014). Quality and safety in the transitional care of the elderly (phase 2): the study protocol of a quasi-experimental intervention study for a cross-level educational program. BMJ Open. 4(7), s. 1–9. doi: 10.1136/bmjopen-2014-005962. Fulltekst i vitenarkiv Vis sammendrag

  Introduction Transitional care and patient handover are important areas to ensure quality and safety in elderly healthcare services. Previous studies showed that healthcare professionals have little knowledge of the setting they are transferring patients to and a limited understanding of roles and functions; these constitute barriers to effective communication and shared care responsibilities across levels of care. Aim The main objective is to implement a cross-level education-based intervention programme with healthcare professionals aimed at (1) increasing professionals’ awareness and competencies about quality and safety in the transitional care of the elderly; (2) creating a discussion platform for knowledge exchange and learning across levels and units of care and (3) improving patient safety culture, in particular, in transitional care. Methods and analysis A quasi-experimental control group study design with an intervention group and a control group; this includes a pretest, post-test and 1-year follow-up test assessment of patient safety culture. Qualitative data will be collected during the intervention programme and between the measurements. The study design will be beneficial for addressing the effects of the cross-level educational intervention programme on reports of patient safety culture and for addressing the feasibility of the intervention measures. Ethics and dissemination The study has been approved by the Regional Committees for Medical and Health Research Ethics in Norway, Ref. No. 2011/1978. The study is based on informed written consent; informants can withdraw from the study at any point in time. The results will be disseminated at research conferences, in peer review journals and through public presentations outside the scientific community.

• Husebø, Anne Marie Lunde & Storm, Marianne (2014). Virtual Visits in Home Health Care for Older Adults. Scientific World Journal. doi: 10.1155/2014/689873. Fulltekst i vitenarkiv Vis sammendrag

  Background. This review identifies the content of virtual visits in community nursing services to older adults and explores the manner in which service users and the nurses use virtual visits. Design. An integrative literature review. Method. Data collection comprised a literature search in three databases: Cinahl,Medline, and PubMed. In addition, a manual search of reference lists and expert consultation were performed. A total of 12 articles met the inclusion criteria. The articles were reviewed in terms of study characteristics, service content and utilization, and patient and health care provider experience. Results. Our review shows that in most studies the service is delivered on a daily basis and in combination with in-person visits.The findings suggest that older homedwelling patients can benefit from virtual visits in terms of enhanced social inclusion and medication compliance. Service users and their nurses found virtual visits satisfactory and suitable for care delivery in home care to the elderly. Evidence for cost-saving benefits of virtual visitswas not found. Conclusions.The findings can inform the planning of virtual visits in home health care as a complementary service to in-person visits, in order to meet the increasingly complex needs of older adults living at home.

• Storm, Marianne; Siemsen, Inger Margrete D; Laugaland, Kristin A; Dyrstad, Dagrunn Nåden & Aase, Karina (2014). Quality in transitional care of the elderly: Key challenges and relevant improvement measures. International Journal of Integrated Care (IJIC). 14(Apr–Jun). doi: 10.5334/ijic.1194. Fulltekst i vitenarkiv Vis sammendrag

  Introduction: Elderly people aged over 75 years with multifaceted care needs are often in need of hospital treatment. Transfer across care levels for this patient group increases the risk of adverse events. The aim of this paper is to establish knowledge of quality in transitional care of the elderly in two Norwegian hospital regions by identifying issues affecting the quality of transitional care and based on these issues suggest improvement measures. Methodology: Included in the study were elderly patients (75+) receiving health care in the municipality admitted to hospital emergency department or discharged to community health care with hip fracture or with a general medical diagnosis. Participant observations of admission and discharge transitions (n = 41) were carried out by two researchers. Results: Six main challenges with belonging descriptions have been identified: (1) next of kin (bridging providers, advocacy, support, information brokering), (2) patient characteristics (level of satisfaction, level of insecurity, complex clinical conditions), (3) health care personnel's competence (professional, system, awareness of others’ roles), (4) information exchange (oral, written, electronic), (5) context (stability, variability, change incentives, number of patient handovers) and (6) patient assessment (complex clinical picture, patient description, clinical assessment). Conclusion: Related to the six main challenges, several measures have been suggested to improve quality in transitional care, e.g. information to and involvement of patients and next of kin, staff training, standardisation of routines and inter-organisational staff meetings.

• Wiig, Siri; Guise, Veslemøy; Anderson, Janet; Storm, Marianne; Husebø, Anne Marie Lunde & Testad, Ingelin [Vis alle 8 forfattere av denne artikkelen] (2014). Safer@home- Simulation and training: the study protocol of a qualitative action research design. BMJ Open. 4(7). doi: 10.1136/bmjopen-2014-004995. Fulltekst i vitenarkiv
• Aase, Karina; Laugaland, Kristin A; Dyrstad, Dagrunn Nåden & Storm, Marianne (2013). Quality and Safety in Transitional Care of the Elderly: The Study Protocol of a case study research design (Phase 1). BMJ Open. 2013(3). doi: 10.1136/bmjopen-2013-003506. Fulltekst i vitenarkiv Vis sammendrag

  Introduction: Although international studies have documented that patients ’ transitions between care providers are associated with the risk of adverse events and uncoordinated care, research directed towards the quality and safety of transitional care between primary and secondary health and care services, especially for the elderly receiving care from multiple healthcare providers due to complex health problems, is lacking. This study investigates how different aspects of transitional care can explain the quality and safety of elderly healthcare services in Norway. The overall aim of the study was to explore different aspects of transitional care of the elderly, in different contexts and how they might explain the quality and safety of care. Methods and analysis: The study applies a case study design. Two cases are chosen: one city-based hospital and one rural hospital with associated nursing homes and home-based nursing services. Admission and discharge to/from hospital to/from nursing homes or home-based nursing services constitute the main focal areas of the study, including the patient, next-ofkin and the professional perspective. The qualitative methods employed include participant observation, individual interviews and document analysis. To ensure trustworthiness in the data analysis, we will apply analyst triangulation and member checks. A total impression of the data material will first be created in a systematic text condensation approach. Second, the qualitative data analysis will involve in-depth analyses of two specific themes: the risk perspective and the patient perspective in transitional care. Ethics and dissemination: The study is approved by the Norwegian Regional Committees for Medical and Health Research Ethics. The study is based on informed written consent, and informants can withdraw from the study at any point in time. Interview and observation data material will be managed confidentially. Results: It will be disseminated at research conferences, in peer-reviewed journals and through public presentations to people outside the academic community.

• Storm, Marianne & Edwards, Adrian (2013). Models of User Involvement in the Mental Health Context: Intentions and Implementation Challenges. Psychiatric quarterly. ISSN 0033-2720. 84(3), s. 313–327. doi: 10.1007/s11126-012-9247-x. Fulltekst i vitenarkiv Vis sammendrag

  Pasient-sentrert omsorg, felles beslutninger og pasientmedvirkning er eksempler på modeller for omsorg som innlemmer brukerinvolvering og pasientperspektiver på behandling og omsorg. Målene med denne artikkelen er å undersøke ulike omsorgsmodeller og deres tilknytning til brukermedvirkning i psykisk helse-kontekst og diskutere noen av utfordringene knyttet til gjennomføringen. De kilder som brukes er helsepolitiske dokumenter og publisert litteratur og forskning på pasientsentrert omsorg, felles beslutningsprosess, brukermedvirkning og utvinning.

• Storm, Marianne & Edwards, Adrian (2013). Models of user involvement in mental health. I Keating, Mary A.; McDermott, Aoife & Montgomery, Kathleen (Red.), Patient-centred health care : achieving coordination, communication and innovation. Palgrave Macmillan. ISSN 9781137308924. s. 214–227. doi: 10.1057/9781137308931.0025. Fulltekst i vitenarkiv Vis sammendrag

  Patient-centered care, shared decision-making, patient participation and the recovery model incorporate user involvement and patients’ perspectives on their treatment and care. Here we aim to examine these care models in the mental health context and discuss the challenges associated with their implementation. Several policy documents advocate that mental health services should encompass patients’ or users’ needs, participation and involvement. They also emphasize recovery and integration of people with mental disorders in the community. However, these collaborative care models have been subject to limited empirical research about effectiveness. There are also challenges to implementation in inpatient care. What evidence there is indicates tensions between patients’ and providers’ perspectives on treatment and care. There are issues related to the person’s capacity for user involvement and lack of competence and awareness among providers. Further work on training, evaluation and implementation is needed to ensure that inpatient mental health services are adapting user oriented care models.

• Wiig, Siri; Storm, Marianne; Aase, Karina; Gjestsen, Martha Therese; Solheim, Marit & Harthug, Stig [Vis alle 8 forfattere av denne artikkelen] (2013). Investigating the use of patient involvement and patient experience in quality improvement in Norway: rhetoric or reality? BMC Health Services Research. 13(206). doi: 10.1186/1472-6963-13-206. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patient involvement in health care decision making is part of a wider trend towards a more bottomup approach to service planning and provision, and patient experience is increasingly conceptualized as a core dimension of health care quality. The aim of this multi-level study is two-fold: 1) to describe and analyze how governmental organizations expect acute hospitals to incorporate patient involvement and patient experiences into their quality improvement (QI) efforts and 2) to analyze how patient involvement and patient experiences are used by hospitals to try to improve the quality of care they provide. Methods: This multi-level case study combines analysis of national policy documents and regulations at the macro level with semi-structured interviews and non-participant observation of key meetings and shadowing of staff at the meso and micro levels in two purposively sampled Norwegian hospitals. Fieldwork at the meso and micro levels was undertaken over a 12-month period (2011–2012). Results: Governmental documents and regulations at the macro level demonstrated wide-ranging expectations for the integration of patient involvement and patient experiences in QI work in hospitals. The expectations span from systematic collection of patients’ and family members’ experiences for the purpose of improving service quality through establishing patient-oriented arenas for ongoing collaboration with staff to the support of individual involvement in decision making. However, the extent of involvement of patients and application of patient experiences in QI work was limited at both hospitals. Even though patient involvement was gaining prominence at the meso level − and to a lesser extent at the micro level − relevant tools for measuring and using patient experiences in QI work were lacking, and available measures of patient experience were not being used meaningfully or systematically. Conclusions: The relative lack of expertise in Norwegian hospitals of adapting and implementing tools and methods for improving patient involvement and patient experiences at the meso and micro levels mark a need for health care policymakers and hospital leaders to learn from experiences of other industries and countries that have successfully integrated user experiences into QI work. Hospital managers need to design and implement wider strategies to help their staff members recognize and value the contribution that patient involvement and patient experiences can make to the improvement of healthcare quality.

• Storm, Marianne; Hausken, Kjell & Knudsen, Knud (2011). Inpatient service providers' perspectives on service user involvement in Norwegian community mental health centres. International Journal of Social Psychiatry. ISSN 0020-7640. 57(6), s. 551–563. doi: 10.1177/0020764010371270. Fulltekst i vitenarkiv Vis sammendrag

  Analysen forfatterne har brukt viste at de ansattes oppfatninger og bevissthet om brukermedvirkning kan måles ved tre skalaer: organisatorisk brukermedvirkning; samarbeid med pasient; og assistert brukerengasjement. Lite brukermedvirkning ble rapportert på instituttnivå. Ansatte rapporterte oftere brukerengasjement på individnivå.

• Storm, Marianne; Knudsen, Knud; Davidson, Larry; Hausken, Kjell & Johannessen, Jan Olav (2011). 'Service user involvement in practice?: The evaluation of an intervention program for service providers and inpatients in Norwegian Community Mental Health Centers. Psychosis. ISSN 1752-2439. 3(1), s. 29–40. doi: 10.1080/17522439.2010.501521. Fulltekst i vitenarkiv
• Storm, Marianne & Davidson, Larry (2010). Inpatients' and Providers' Experiences with User Involvement in Inpatient Care. Psychiatric quarterly. ISSN 0033-2720. 81(2), s. 111–125. doi: 10.1007/s11126-009-9122-6. Fulltekst i vitenarkiv Vis sammendrag

  A qualitative study of inpatients' perspectives on what it means to be involved in their own care, and providers' experiences with encouraging user involvement in care planning and service provision is reported. Twenty semi-structured interviews with inpatients, fourteen log reports from providers and sixteen sets of written minutes from staff meetings constitute the study data. Differences were found between inpatient and provider perspectives. Inpatients reported few opportunities to have meaningful input in the decision-making regarding their care, while providers reported difficulty engaging inpatients into discussions or care planning. Although participants described providers as nice, understanding and supportive, these qualities did not always translate into their feeling seen and heard as unique individuals. When experiencing difficulty in engaging inpatients in existing forms of treatment, providers reported being aware of few options for them to try in increasing user involvement. Such different perspectives will need to be addressed in future efforts to increase service user involvement in inpatient care.

• Storm, Marianne; Hausken, Kjell & Knudsen, Knud (2010). Inpatient service providers' perspectives on service user involvement in Norwegian Community Mental Health Centers. International Journal of Social Psychiatry. ISSN 0020-7640. doi: 10.1177/0020764010371270. Fulltekst i vitenarkiv Vis sammendrag

  Background of the study: For two decades, mental health services in Norway have focused on service user involvement. Despite this, there is little knowledge about how inpatient mental health services have promoted user involvement. Study aim: To examine service providers? reports of service user involvement at the individual and departmental levels in Norwegian Community Mental Health Centers (CMHCs). Methods: 186 inpatient service providers in five CMHCs filled out a questionnaire. Results: Confirmatory factor analysis shows that service provider? perceptions and awareness of service user involvement can be measured by three subscales: organizational user involvement, patient collaboration, and assisted patient involvement. Little user involvement was reported at the departmental level. Providers more often reported user involvement at the individual level. Providers in two of the CMHCs reported a somewhat higher degree of departmental-level user involvement. There were no significant differences across gender, age, leader position, profession, and job tenure, though evening/night shift workers reported a lesser degree of user involvement. Conclusion: The study result suggests that user involvement at the departmental level needs to be addressed in future efforts to promote user involvement in CMHCs.

• Storm, Marianne; Hausken, Kjell & Mikkelsen, Aslaug (2010). User involvement in in-patient mental health services: operationalisation, empirical testing, and validation. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 19(13-14), s. 1897–1907. doi: 10.1111/j.1365-2702.2009.03036.x. Fulltekst i vitenarkiv Vis sammendrag

  Artikkelen presenterer en studie hvor man har testet et instrument for måling av brukermedvirkning i psykisk helse, fra helsepersonell perspektiv.

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• Storm, Marianne & Willumsen, Anna Elisabeth (2023). Deltakelse : et helsefremmende perspektiv. Fagbokforlaget. ISBN 9788245037722. 291 s. Fulltekst i vitenarkiv
• Haugen, Arvid Steinar & Storm, Marianne (2018). Sikkerhetskultur i sykehus. Redaktør: Aase K. I: Pasientsikkerhet. Teori og praksis. Universitetsforlaget. ISBN 9788215030678. 328 s. Fulltekst i vitenarkiv
• Storm, Marianne & Rennesund, Åslaug Botnevik (2009). Brukermedvirkning i psykisk helsearbeid. Gyldendal Akademisk. ISBN 9788205391666. 160 s. Fulltekst i vitenarkiv Vis sammendrag

  Hva er brukermedvirkning i psykisk helsearbeid? Hva innebærer brukermedvirkning i samhandlingen mellom helsepersonell og pasienter i en psykiatrisk avdeling i et psykiatrisk sykehus eller i et distriktspsykiatrisk senter? Hvordan får brukermedvirkningutslag i konkrete handlinger? Brukermedvirkning i psykisk helsearbeid søker å gi svar på slike spørsmål. Boken presenterer konkrete forskningsbaserte verktøy for arbeid med brukermedvirkning. Intensjonen er å sette brukermedvirkning på dagsordenen hoshelsepersonell og pasienter ved å legge systematisk til rette for at brukermedvirkning konkretiseres og videreutvikles i et samarbeid mellom pasienter, deres pårørende, brukerrepresentanter og helsepersonell. Boken er gjennomgående supplert med nyttigeerfaringer fra tidligere pasienter og brukerrepresentanter.Boken egner seg for alle som ønsker både et teoretisk fundament og en praktisk veileder til arbeid med brukermedvirkning i psykisk helsearbeid. Den henvender seg til nyutdannende så vel som erfarne fagfolk, til studenter og ansatte ved utdanningsinstitusjonene, til brukere av sosial- og helsetjenester, og til politikere og ledere innen sosial- og helsefeltet.

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• Melbye, Elisabeth Lind; Wegener, Charlotte & Storm, Marianne (2026). Social innovation in municipal health and care services: Co-creating and implementing Interprofessional Health Needs Assessment for Older Adults Living at Home. Fulltekst i vitenarkiv Vis sammendrag

  This PhD project is part of the Norwegian Research Council-funded initiative Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment for Older Adults Living at Home (IMPACT-IHNA). The overall project aims to develop, implement, and evaluate a systematic Interprofessional Health Needs Assessment (IHNA) in two municipalities in Western Norway, responding to the growing need for early identification and coordinated follow-up of health needs among home-living older adults. The PhD focuses on social innovation and implementation processes across the micro (clinical practice), meso (organizational), and macro (policy) levels. It will investigate the codesign of INHA in terms of how IHNA is developed and adopted in municipal health and care services, what barriers and facilitators influence implementation, and how interprofessional collaboration and decision-making are transformed through this social innovation. A qualitative multi-method design will be used, combining co-designing IHNA, shadowing of IHNA sessions and municipal meetings and focus group interviews involving professionals, leaders, and policymakers. Data will be analyzed using thematic analysis (Braun & Clarke, 2006), providing insights into professional practices, organizational learning, and contextual factors shaping implementation. By examining implementation in depth, the aim it to contribute with new knowledge about health service delivery for older adults, enhance the sustainability and equality of municipal care, and provide transferable knowledge relevant for scaling IHNA nationally.

• Storm, Marianne; Skjærpe, Jorunn Nærland; Larsen, Bente Hamre; Gottschlich, Katharina Natalie; Isberg, Heidi Synnøve & Kajander, Martine [Vis alle 10 forfattere av denne artikkelen] (2026). Interprofessional Health Needs Assessment (IHNA) for Older Adults Living at Home (Impact-INHA). doi: https:/clinicaltrials.gov/study/NCT07686172?tab=study. Fulltekst i vitenarkiv Vis sammendrag

  This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Specifically, the trial will assess the effects of IHNA on health-related quality of life, social care-related quality of life, survival, and health service utilization. The primary objective is to determine the effect of IHNA on participants' health-related quality of life at 12 months. Secondary objectives are to assess its effects on social care-related quality of life, survival (time to death), health service utilization, and quality-adjusted life years (QALYs) at 6 and 12 months.

• Skjærpe, Jorunn Nærland; Gottschlich, Katharina Natalie; Husebø, Anne Marie Lunde; Kajander, Martine; Larsen, Bente Hamre & Melbye, Elisabeth Lind [Vis alle 9 forfattere av denne artikkelen] (2026). Effects of structured health needs assessment on health-related quality of life and healthcare utilization in home‑living older adults: a systematic review and meta-analysis. doi: https:/www.crd.york.ac.uk/PROSPERO/view/CRD420261392708. Fulltekst i vitenarkiv Vis sammendrag

  As the population of older adults continues to grow, there is increasing interest in interventions that support aging in place, maintain health-related quality of life, and ensure efficient utilization of healthcare resources. Increased longevity is a positive development, but many older adults live with chronic conditions, functional impairments, and frailty, reducing quality of life and placing substantial demands on healthcare systems and caregivers. Health needs assessment is a structured approach to identifying health and care needs, prioritizing, and tailoring interventions. In home care settings, such assessments may support more appropriate service provision and efficient use of healthcare resources. However, approaches to health needs assessment vary in structure, health domains assessed, and follow-up intervention, which may contribute to variation in assessment practices and service allocation. Consequently, the impact on health-related quality of life and healthcare utilization might be uncertain. This systematic review will synthesize evidence from randomized controlled trials to evaluate the effects of structured health needs assessment, delivered either as a standalone intervention or as part of assessment-led care, on health-related quality of life and healthcare utilization among older adults living at home. The results may inform clinical practice, service design, and future intervention development.

• Storm, Marianne & Larsen, Bente Hamre (2026). Når eldre søker hjemmetjenester, kan viktige behov bli oversett. Forskning.no. ISSN 1891-635X. doi: https:/www.forskning.no/aldring-helsetjenester-partner/nar-eldre-soker-hjemmetjenester-kan-viktige-behov-bli-oversett/2662759. Fulltekst i vitenarkiv
• Storm, Marianne (2026). HelseKart: Implementering og Evaluering av Tverrfaglig kartlegging av helsebehov hos Hjemmeboende Eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2026). HelseKart: Et forskningsprosjekt hvor vi tverrfaglig kartlegger hjemmeboende eldre sin helse. Fulltekst i vitenarkiv
• Storm, Marianne (2026). HelseKart: Et forskningsprosjekt hvor vi samskaper, implementerer og undersøker effekter av tverrfaglig kartlegging av hjemmeboende eldre sin helse i kommunale helse- og omsorgstjenester. Fulltekst i vitenarkiv
• Storm, Marianne (2026). HelseKart: Tverrfaglig kartlegging av helsebehov hos hjemmeboende eldre for å styrke bærekraften i de kommunale helse- og omsorgstjenestene. Fulltekst i vitenarkiv
• Storm, Marianne; Wang, Bo; Mundal, Ingunn Pernille; Eines, Trude Fløystad; Grønvik, Cecilie Katrine Utheim & Skjærpe, Jorunn Nærland (2026). Digital tjenesteutvikling i psykisk helse- og rusfeltet – hva må til for å lykkes? Erfaringer fra Digital likePerson (DigiPer) for psykisk uhelse prosjektet. Fulltekst i vitenarkiv
• Kristoffersen, Margareth; Østhus, Nille & Storm, Marianne (2026). Nurses in Home Healthcare Services and What Is Essential for Remaining in Their Position. I Kristoffersen, Margareth (Red.), Why Nurses Remain in the Nursing Profession : Insights and Perspectives. Routledge. ISSN 9781003504658. s. 142–155. Fulltekst i vitenarkiv Vis sammendrag

  High-quality nursing care is a goal and requirement in Norwegian healthcare services. However, municipal healthcare services are challenged by a shortage of registered nurses and difficulties in recruiting and retaining them. Therefore, the chapter explores what is essential for nurses working in municipal home healthcare services to remain in their current position. It does so by drawing on salutogenic health perspectives used as analytical tools to explore examples of how nurses express their experiences. The empirical examples demonstrate that the home healthcare nurses remain because they travel in scenic surroundings, are welcome at the patients’ homes, have a community with colleagues, and have variety in everyday working life. The chapter concludes that salutogenic processes appear essential to remain. Remaining seems possible for the nurses who engage in a home healthcare environment perceived as meaningful, comprehensible, and manageable, which provides the nurses with a sense of coherence and a feeling of success. If such an achievement is maintained, the need to recruit new nurses may be somewhat reduced.

• Wang, Bo; Mundal, Ingunn Pernille; Fortuna, Karen; Grønvik, Cecilie Katrine Utheim; Eines, Trude Fløystad & Muzny, Miroslav [Vis alle 8 forfattere av denne artikkelen] (2026). Testing a mobile peer support intervention for persons with serious mental illness (DigiPer) in community mental health services: a feasibility study protocol. doi: 10.1136/bmjopen-2025-111869. Fulltekst i vitenarkiv Vis sammendrag

  Introduction Persons with serious mental illness (SMI) often have coexisting medical conditions and experience a significantly reduced life expectancy compared with the general population. Peer support is considered an effective care approach for this population, and with rapid technological advancements, digital peer support, such as the DigiPer mobile application, can be a feasible self-management tool for persons with SMI. The study aims to assess the feasibility of DigiPer for persons with SMI in the Norwegian community mental health service settings. Methods and analysis This feasibility study will incorporate both qualitative and quantitative methods. The study consists of three phases: (1) simulation-based training among peer support workers using qualitative individual interviews; (2) pre–post study of DigiPer among peer support workers and service users using quantitative questionnaires and (3) process evaluation for peer support workers and service users using qualitative individual interviews. Peer support workers (n=5) and service users with SMI (n=15) will be recruited to evaluate the feasibility of DigiPer. Ethics and dissemination Ethics approval was granted from the Regional Committee for Medical Research Ethics (reference no. 853041), along with an assessment of processing of personal data by the Norwegian Agency for Shared Services in Education and Research (reference no. 810990). Findings will be disseminated through peer-reviewed publications and presentations at relevant national and international scientific conferences.

• Storm, Marianne; Melbye, Elisabeth Lind; Larsen, Bente Hamre; Lie, Knut Sommerseth; Syse, Elise Rosenvinge & Haslerud, Sonja [Vis alle 9 forfattere av denne artikkelen] (2026). Kan tverrfaglig kartlegging av helsebehov gi en bedre alderdom? Dagens medisin. ISSN 1501-4290. Fulltekst i vitenarkiv Vis sammendrag

  Anna (82) bor alene i en eldre enebolig. Etter et hoftebrudd og et kort sykehusopphold er hun nå hjemme igjen og har søkt om kommunale tjenester. Hun ønsker å klare seg selv, men er ustø, har dårlig matlyst, søvnproblemer og lite energi til daglige gjøremål. Det er risiko for funksjonsfall og behov for at noen systematisk og helhetlig vurderer hva hun trenger.

• Frøiland, Christina Tølbøl; Larsen, Bente Hamre; Johannessen, Torunn Beate & Storm, Marianne (2025). UiS tilbyr helsepersonell høyaktuell kompetanse i nye digitale masteremner. [Journal]. NSF Rogaland. Fulltekst i vitenarkiv Vis sammendrag

  I løpet av neste studieår kan helsepersonell styrke sin kompetanse innen demensomsorg og kartlegging av helsebehov hos hjemmeboende eldre. Digitale samlinger gjør at du kan kombinere studier med jobb.

• Frøiland, Christina Tølbøl; Johannessen, Torunn Beate; Storm, Marianne; Larsen, Bente Hamre; Husebø, Anne Marie Lunde & Dyrstad, Dagrunn Nåden [Vis alle 7 forfattere av denne artikkelen] (2025). Nytt løft for demensomsorg og eldres helse. [Internet]. Universitetet i Stavanger. doi: https:/www.uis.no/nb/om-uis/nytt-loft-for-demensomsorg-og-eldres-helse. Fulltekst i vitenarkiv
• Syse, Elise Rosenvinge; Melbye, Elisabeth Lind; Wegener, Charlotte & Storm, Marianne (2025). Helsekart - implementering og evaluering i kommunen. Vis sammendrag

  Politisk legges det økende vekt på tidlig oppdagelse av helsebehov for å gjøre det mulig å sette inn tiltak og tjenester som kan bidra til at eldre kan bo hjemme lenger. I prosjektet HelseKart skal vi undersøke hvordan en systematisk interprofesjonell helsebehovsvurdering kan bidra til dette. Min doktorgrad vil fokusere på hvordan implementeringen av HelseKart skjer i praksis, og hvordan den kan forstås som en sosial innovasjon i kommunale helsetjenester. I studien anvendes en kvalitativ tilnærming som inkluderer shadowing og fokusgrupper (1-3). Shadowing innebærer at jeg følger helsepersonell og ledere i deres daglige arbeid mens de utfører og implementerer tverrfaglig vurdering av helsebehov, for å dokumentere hvordan vurderinger gjøres, hvilke beslutninger som tas, og hvilke utfordringer og muligheter som oppstår i møtet mellom ulike profesjoner og nivåer i kommunen (mikro, meso og makro). I neste fase gjennomføres seks fokusgruppeintervjuer med helsepersonell, ledere og beslutningstakere i kommunene som deltar i prosjektet. Fokusgruppene gir mulighet til å drøfte erfaringer, barrierer og suksessfaktorer for implementering av HelseKart. Analysen forankres i teori om sosial innovasjon. Sosial innovasjon i kommunale helsetjenester handler om å utvikle og implementere nye løsninger, som tjenester, modeller eller samarbeidsformer, som bedre møter innbyggernes helse- og omsorgsbehov og skaper mer bærekraftige og inkluderende tjenester. (4,5). Jeg vil undersøke hvordan HelseKart bidrar til nye former for samarbeid, læring og ressursbruk i kommunene, og hvordan dette kan styrke likeverdig tilgang til helsetjenester for eldre som søker om kommunale helse og omsorgstjenester. Avhandlingen vil bidra med ny kunnskap om hvordan tverrfaglig helsebehovsvurderinger kan gjennomføres ved vurdering og tildeling av kommunale helse- og omsorgstjenester, hvilke barrierer som oppstår, og hvordan implementering kan støttes gjennom sosial innovasjon. Resultatene skal informere utviklingen av «best practice»-retningslinjer for helsebehovsvurdering i kommunale helse- og omsorgstjenester nasjonalt for å bidra til kvalitet, rettferdig ressursfordeling og prioritering, og økt livskvalitet for hjemmeboende eldre. Kilder: 1. Czarniawska-Joerges B. Shadowing: and other techniques for doing fieldwork in modern societies. Malmö, Sweden : Herndon, VA : Oslo:Liber ; Copenhagen Business School Press ; Universitetsforlaget; 2007. 134 s. 2. Sirris S, Lindheim T, Askeland H. Observation and Shadowing: Two Methods to Research Values and Values Work in Organisations and Leadership. I: Espedal G, Jelstad Løvaas B, Sirris S, Wæraas A, redaktører. Researching Values [Internett]. Cham: Springer International 3. Kvale S, Brinkmann, S. Det kvalitative forskningsintervju. Gyldendal. 3.utgave. 4. Murray, R., Caulier-Grice, J., & Mulgan, G. (2010). The open book of social innovation. London: National endowment for Science, Technology and the Art. 5. Nicholls, A., Simon, J., & Gabriel, M. (2015). New Frontiers in Social Innovation Research. (A. Nicholls, J. Simon, & M. Gabriel, Eds.). Hampshire: Palgrave Macmillan.

• Storm, Marianne (2025). Digital psykisk helse for personer med alvorlig psykisk sykdom - DigiPer en app for dialog med likepersoner. doi: https:/www.uis.no/nb/forskning/arrangementer/fou-i-front-seminar-for-forskningsdrevet-innovasjon-i-spenningsfeltet. Fulltekst i vitenarkiv
• Storm, Marianne; Wegener, Charlotte; Melbye, Elisabeth Lind; Syse, Elise Rosenvinge; Larsen, Bente Hamre & Ydstebø, Arnt Egil [Vis alle 8 forfattere av denne artikkelen] (2025). HelseKart- utvikling, implementering og effekter av tverrfaglig vurdering av hjemmeboende eldres helsebehov. doi: https:/www.sintef.no/contentassets/b61b617f30e94c5cbd1e3e55b037a374/abstraktbok_4nov.pdf. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine & Storm, Marianne (2025). Tverrprofesjonell simuleringstrening for systematisk og helhetlig kartlegging av eldre hjemmeboende. Fulltekst i vitenarkiv
• Kvalsvik, Fifi Tjan & Storm, Marianne (2025). Kartlegging av helsebehov hos hjemmeboende eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2025). Tverrfaglig kartlegging av helsebehov hos eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2025). Simulering og trening for kartlegging av hjemmeboende eldres helse. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine; Dieckmann, Gerhard Peter & Storm, Marianne (2025). Exploring Simulation Training for Interprofessional Systematic Health Needs Assessments in Older Adults Living at Home. Fulltekst i vitenarkiv
• Storm, Marianne; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine & Dieckmann, Gerhard Peter (2025). Simulering og trening for kartlegging av hjemmeboende eldres helse. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine; Dieckmann, Gerhard Peter & Storm, Marianne (2025). Erfaringer med simulering for opplæring og utprøving av å kartlegge hjemmeboende eldres helse med kartleggingsverktøy. Fulltekst i vitenarkiv
• Storm, Marianne; Larsen, Bente Hamre & Dyrstad, Dagrunn Nåden (2025). Virtual simulation with registered nurses for assessing the health needs of older adults living at home - co-designing a master-level education course. Fulltekst i vitenarkiv
• Hammervold, Unn Elisabeth; Gytri, Silje; Storm, Marianne; Lid, Torgeir Gilje & Sagvaag, Hildegunn (2024). What is Known about Persons with Co-Occurring Problems’ Experiences with 1 Supported Housing, Recovery, and Health Promotion? A Scoping Review. Fulltekst i vitenarkiv
• Storm, Marianne (2024). Tverrfaglig kartlegging av eldre sin helse. Simulering og trening i Heime prosjektet. Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde; Storm, Marianne; Syre, Heidi & Dalen, Ingvild (2024). Nurses’ attitudes and self-efficacy when caring for isolated patients during a pandemic - a longitudinal study. Fulltekst i vitenarkiv
• Storm, Marianne; Morken, Ingvild Margreta; Austin, Rosalynn; Nordfonn, Oda Karin; Wathne, Hege Bjøkne & Urstad, Kristin Hjorthaug [Vis alle 18 forfattere av denne artikkelen] (2024). Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge : protocol for a randomised controlled trial. doi: 10.1186/s12913-023-10508-5. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care. Methods: A randomised controlled trial with an embedded evaluation of intervention engagement and cost-effectiveness will be conducted to investigate the effect of eHealth intervention after hospital discharge on the self-efficacy of self-care. Eligible patients with HF or CRC will be recruited before discharge from two Norwegian university hospitals. The intervention group will use a nurse-assisted intervention—eHealth@Hospital-2-Home—for six weeks. The intervention includes remote monitoring of vital signs; patients’ self-reports of symptoms, health and well-being; secure messaging between patients and hospital-based nurse navigators; and access to specific HF and CRC health-related information. The control group will receive routine care. Data collection will take place before the intervention (baseline), at the end of the intervention (Post-1), and at six months (Post-2). The primary outcome will be self-efficacy in self-care. The secondary outcomes will include measures of burden of treatment, health-related quality of life and 30- and 90-day readmissions. Sub-study analyses are planned in the HF patient population with primary outcomes of self-care behaviour and secondary outcomes of medication adherence, and readmission at 30 days, 90 days and 6 months. Patients’ and nurse navigators’ engagement and experiences with the eHealth intervention and cost-effectiveness will be investigated. Data will be analysed according to intention-to-treat principles. Qualitative data will be analysed using thematic analysis. Discussion: This protocol will examine the effects of the eHealth@ Hospital-2-Home intervention on self-care in two prevalent patient groups, HF and CRC. It will allow the exploration of a generic framework for an eHealth intervention after hospital discharge, which could be adapted to other patient groups, upscaled, and implemented into clinical practice.

• Johannessen, Torunn Beate & Storm, Marianne (2024). Presentasjon av masteremnet "Sykepleie til eldre". Fulltekst i vitenarkiv
• Kvalsvik, Fifi Tjan & Storm, Marianne (2024). Exploring Paths from Solitude to Inclusion: A Glimpse into Depression, Loneliness, and Frailty in Home-Living Older Adults. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden & Storm, Marianne (2023). Simulering: En læringsmetode for helsefremming i kommunale helse- og omsorgstjenester. Fulltekst i vitenarkiv
• Storm, Marianne & Holm, Anne Lise (2023). Trygg og sikker bruk av velferdsteknologi i hjemmebasert helse- og omsorgstjeneste. Fulltekst i vitenarkiv
• Storm, Marianne (2023). Trics of the trade - tips for phd supervisors. Fulltekst i vitenarkiv
• Johannessen, Torunn Beate; Storm, Marianne & Holm, Anne Lise (2023). Trygg og sikker bruk av velferdsteknologi i hjemmebasert helse- og omsorgstjeneste. Fulltekst i vitenarkiv
• Wathne, Hege Bjøkne; Morken, Ingvild Margreta; Storm, Marianne & Husebø, Anne Marie Lunde (2023). A qualitative mixed methods design to assess the feasibility of a complex eHealth intervention. Fulltekst i vitenarkiv
• Storm, Marianne; Larsen, Bente Hamre & Kvalsvik, Fifi Tjan (2023). Heime: Helsefremmende kartlegging av hjemmeboende eldres helse. Fulltekst i vitenarkiv
• Kvalsvik, Fifi Tjan; Larsen, Bente Hamre & Storm, Marianne (2023). Exploring Recruitment Feasibility: Healthcare Professionals' Views on Engaging Older Adults in an Observational Study. Fulltekst i vitenarkiv
• Storm, Marianne; Kvalsvik, Fifi Tjan & Larsen, Bente Hamre (2023). Heime –Simulering, trening og tverrfaglig kartlegging av hjemmeboende eldres helse – hva må til for implementering? Fulltekst i vitenarkiv
• Storm, Marianne; Syre, Heidi; Husebø, Anne Marie Lunde & Dalen, Ingvild (2023). Mixing data. Fulltekst i vitenarkiv
• Storm, Marianne; Skjærpe, Jorunn Nærland; Fjellså, Hilde Marie Hunsbedt & Fortuna, Karen L. (2023). Ansvarlig samskaping av et digitalt verktøy: PeerTECH. Fulltekst i vitenarkiv
• Storm, Marianne (2023). Health Determinants in Older Adults Living at Home. ClinicalTrials.gov. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Storm, Marianne; Dyrstad, Dagrunn Nåden; Falkenberg, Helle Kristine & Dieckmann, Peter (2023). Tverrprofesjonell simuleringstrening for systematisk og helsefremmende kartlegging av eldre hjemmeboende . Fulltekst i vitenarkiv
• Hansen, Anette; Tønnessen, Siri; Storm, Marianne & Eilertsen, Grethe (2022). De eldre trenger flere gode dager hjemme, ikke bare økte antall dager hjemme. Fulltekst i vitenarkiv
• Tønnessen, Siri; Storm, Marianne; Hugøy, Therese & Eilertsen, Grethe (2022). Helsefremmende perspektiver i arbeid med eldre hjemmeboende - hva er det og hvordan kan det videreutvikles? Fulltekst i vitenarkiv
• Storm, Marianne (2022). HEIME – WP3 - Hva skal kartlegges i arbeidspakke tre? Fulltekst i vitenarkiv
• Storm, Marianne & Fortuna, Karen L. (2022). The Origin Story of Digital Peer Support: A Look at the Past, Present, and Future . Fulltekst i vitenarkiv
• Storm, Marianne (2022). Helsekompetanse - sentralt for helsefremming? Fulltekst i vitenarkiv
• Hansen, Anette; Tønnessen, Siri; Storm, Marianne & Eilertsen, Grethe (2022). De eldre trenger flere gode dager hjemme, ikke bare økte antall dager hjemme. Fulltekst i vitenarkiv
• Storm, Marianne (2022). Tverrfaglig kartlegging av hjemmeboende eldres helse– et helsefremmende tiltak som kan bidra at den eldre får flere gode dager hjemme? Fulltekst i vitenarkiv
• Storm, Marianne (2022). Helsefremmende kartlegging av hjemmeboende eldre. Fulltekst i vitenarkiv
• Storm, Marianne; Morken, Ingvild Margreta; Urstad, Kristin Hjorthaug; Wathne, Hege Bjøkne & Husebø, Anne Marie Lunde (2022). eHealth@Hospital-2-Home: digital, sykepleieassistert hjemmeoppfølging etter utskrivelse fra sykehus - en mulighetsstudie. Fulltekst i vitenarkiv
• Fjellså, Hilde Marie Hunsbedt & Storm, Marianne (2022). Eldre multimorbides opplevelse av deltagelse og samhandling i primærhelsetjenestens: en kvalitativ studie. Fulltekst i vitenarkiv
• Larsen, Bente Hamre & Storm, Marianne (2022). A scoping review: Exploring training approaches for healthcare professionals in assessment of health determinants in older adults living at home (preliminary results). Fulltekst i vitenarkiv
• Eilertsen, Grethe; Storm, Marianne & Tønnessen, Siri (2022). Flere gode dager hjemme – HEIME. Fulltekst i vitenarkiv
• Hustoft, Merethe; Bjørgaas, Hanne Marit & Storm, Marianne (2022). Opplevd kontinuitet i tjenestetilbudet til barn og unge med psykisk utviklingshemming i helse vest. Fulltekst i vitenarkiv
• Storm, Marianne & Husebø, Anne Marie Lunde (2022). eHealth@Hospital-2-Home- A Norwegian study on digital follow-up of patients with heart failure and patients surgically treated for colorectal cancer transitioning from hospital to home. Fulltekst i vitenarkiv
• Braut, Harald; Storm, Marianne & Mikkelsen, Aslaug (2022). Distributed Leadership in Integrated Care: A qualitative interview study with elderly multimorbid patients and their GPs. Fulltekst i vitenarkiv
• Hauvik, Stine; Eines, Trude Fløystad; Storm, Marianne & Grønvik, Cecilie K Utheim (2021). Digitale helsetjenester gir fare for utenforskap. Fulltekst i vitenarkiv
• Johannessen, Torunn Beate; Holm, Anne Lise & Storm, Marianne (2021). Presentasjon av artikkelen "Trygg og sikker bruk av velferdsteknologi i hjemmebasert helse- og omsorgstjeneste" på seminaret. Fulltekst i vitenarkiv
• Hauvik, Stine; Eines, Trude Fløystad; Storm, Marianne & Grønvik, Cecilie K Utheim (2021). Digitale helsetjenester gir fare for utenforskap. s. 22–23. Fulltekst i vitenarkiv
• Skjærpe, Jorunn Nærland & Storm, Marianne (2021). Social innovation in the coordination of health services for people with a serious mental illness. Fulltekst i vitenarkiv
• Østhus, Nille; Storm, Marianne & Kristoffersen, Margareth (2021). Hvordan skal vi få hjemme sykepleiere til å bli i jobben? Fulltekst i vitenarkiv
• Storm, Marianne (2021). Heime prosjektet – Simulering og Trening for kartlegging av skøpelighet, sanser og kognitiv funskjon. Fulltekst i vitenarkiv
• Storm, Marianne (2021). Helsekompetanse. Fulltekst i vitenarkiv
• Wathne, Hege Bjøkne; Husebø, Anne Marie Lunde; Morken, Ingvild Margreta & Storm, Marianne (2021). Telephone interview as a data collection method. Developing an eHealth service to support the transitioning from hospital to home. Fulltekst i vitenarkiv
• Østhus, Nille; Storm, Marianne & Kristoffersen, Margareth (2021). Sykepleiere som opplever å lykkes, blir i jobben. Fulltekst i vitenarkiv
• Storm, Marianne; Fjellså, Hilde Marie Hunsbedt; Skjærpe, Jorunn Nærland; Myers, Amanda & Fortuna, Karen L. (2021). User-testing and co-designing a mobile application for self-management of serious mental illness and service integration. Fulltekst i vitenarkiv
• Nordfonn, Oda Karin; Karlsen, Bjørg; Husebø, Anne Marie Lunde; Morken, Ingvild Margreta; Storm, Marianne & Wathne, Hege Bjøkne [Vis alle 8 forfattere av denne artikkelen] (2021). Hjem fra sykehus-med digital selvhjelp. Fulltekst i vitenarkiv
• Nordfonn, Oda Karin; Gjeilo, Kari Hanne; Storm, Marianne; Karlsen, Bjørg; Urstad, Kristin Hjorthaug & Morken, Ingvild Margreta [Vis alle 8 forfattere av denne artikkelen] (2021). Experiences from using co-creation as a methodological approach for development of an eHealth-service post-hospital discharge. Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde; Morken, Ingvild Margreta; Storm, Marianne & Karlsen, Bjørg (2020). Digital helsehjelp kan lette behandlingsbyrden hos kronisk syke. Fulltekst i vitenarkiv
• Kristoffersen, Margareth & Storm, Marianne (2020). Sykepleie under press i utdanning og forskning. Fulltekst i vitenarkiv
• Storm, Marianne (2020). User-testing and co-designing a mobile application for self-management of serious mental illness and service integration". Fulltekst i vitenarkiv
• Fjellså, Hilde Marie Hunsbedt; Husebø, Anne Marie Lunde & Storm, Marianne (2020). E-health technologies in care coordinaton for older patients living home: A scoping review. Fulltekst i vitenarkiv
• Storm, Marianne (2020). Brukermedvirkning i forskning & eHealth@Hospital-2-Home. Fulltekst i vitenarkiv
• Storm, Marianne (2020). Digital innovasjon for psykisk helse. Fulltekst i vitenarkiv
• Storm, Marianne (2020). Forskning om dokumentasjonspraksis og informasjonsutveksling i helsetjenesten. Fulltekst i vitenarkiv
• Storm, Marianne; Husebø, Anne Marie Lunde; Ødegård, Atle & Willumsen, Elisabeth (2020). Social innovation processes in health and welfare contexts: a scoping review. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Reducing Delays, Providing Telehealth Incentives, and Improving Surgical Care Among Norway’s Key Health Priorities. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Norway and Denmark Sign Agreement on Joint Negotiations for Pharmaceutical Prices. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Providers in Norway Mandated to Offer Reconciliation Meeting with Patients and Family After Major Adverse Events. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Norway to Provide Other Countries with Health Technology Assessment and Systematic Review Expertise. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Norwegian Intensive Obsessive-Compulsive Disorder Treatment Receives International Attention. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Norway Announces New National Overdose Strategy. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne; Fortuna, Karen L. & Bartels, Stephen J. (2019). Peer support in coordination of services for individuals with lived experience of a serious mental illness. Fulltekst i vitenarkiv
• Skjærpe, Jorunn Nærland; Kristoffersen, Margareth & Storm, Marianne (2019). Shared decision-making in care coordination for individuals with serious mental illness. Fulltekst i vitenarkiv
• Storm, Marianne & Bartels, Stephen J. (2019). Coordinating services for individuals with serious mental illness and medical co-morbidity. Fulltekst i vitenarkiv
• Storm, Marianne & Husebø, Anne Marie Lunde (2019). Digital innovasjon i helse. Fulltekst i vitenarkiv
• Johannessen, Torunn Beate; Storm, Marianne & Holm, Anne Lise (2019). Organizational safety facilitators when usingtelecare in municipal health- and careservice: perceptions of telecare project managers and homecare professionals in Norway. Fulltekst i vitenarkiv
• Skjærpe, Jorunn Nærland; Kristoffersen, Margareth & Storm, Marianne (2019). Opportunities for shared decision-making in care coordination in mental health. Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde & Storm, Marianne (2019). Digitalization of healthcare services - a social innovation? Fulltekst i vitenarkiv
• Zisman-Ilani, Yaara; Thomas, Elisabeth; Storm, Marianne; Husebø, Anne Marie Lunde & Elwyn, Glyn (2019). Review finds common pitfalls in post-hospital care for people with SMI. [Internet]. Temple University. Fulltekst i vitenarkiv
• Viksveen, Petter; Bjønness, Stig Erlend; Cardenas, Nicole Elizabeth; Game, Julia Rose; Berg, Siv Hilde & Salamonsen, Anita [Vis alle 8 forfattere av denne artikkelen] (2019). User involvement in adolescents’ mental healthcare: A systematic review. Fulltekst i vitenarkiv
• Bjønness, Stig Erlend; Viksveen, Petter; Johannessen, Jan Olav & Storm, Marianne (2019). User participation and shared decision-making in adolescent mental healthcare: A qualitative study of health personnel and managements’ perspective. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Koordinering av helsetjenester for personer med alvorlig psykisk lidelse – utfordringer og tiltak. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Erfaringer fra Harkness fellowship in Healthcare policy and research. Fulltekst i vitenarkiv
• Storm, Marianne (2019). School Health Nurse Reaches Norwegian Youth Through Social Media. The Commonwealth Fund Washington, DC. Fulltekst i vitenarkiv
• Storm, Marianne (2019). Samhandling og innovasjon i psykisk helse – tema til masteroppgaver. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Samhandling og overføringer i kommunehelsetjenesten. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Stakeholder analysis: an introduction. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Coordination and Continuity of Mental Healthcare. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Framtidens helsetjenester til personer med alvorlig psykisk lidelse. Fulltekst i vitenarkiv
• Ree, Eline; Wiig, Siri; Manser, Tanja & Storm, Marianne (2018). The properties and content of patient centeredness scales for health professionals – A systematic review. Fulltekst i vitenarkiv
• Larsen, Bente Hamre & Storm, Marianne (2018). Forskeren forklarer: Hvor ble det av pasientenes behov i henvisningene? Fulltekst i vitenarkiv
• Storm, Marianne (2018). Mange med alvorlige psykiske lidelser får ikke hjelp for livsstilssykdommer. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Telecare Services for Norwegians with Chronic Conditions. The Commonwealth Fund Washington, DC. 5. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Safer Use of Chronic Disease Medications Through Medicine Start Program. The Commonwealth Fund Washington, DC. 4(4). Fulltekst i vitenarkiv
• Storm, Marianne (2018). New Five-Year National Cancer Strategy Launched in Norway. The Commonwealth Fund Washington, DC. 4(4). Fulltekst i vitenarkiv
• Storm, Marianne (2018). Digital health and care coordination - opportunities and challenges. Fulltekst i vitenarkiv
• Bjønness, Stig Erlend & Storm, Marianne (2018). Adolescents´ experiences with outpatient mental health care: A qualitative study of treatment dropout. Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde; Storm, Marianne; Våga, Bodil Bø; Rosenberg, Adriana & Akerjordet, Kristin (2018). Mixed Method reviews in exploring Learning environments in nursing education. Fulltekst i vitenarkiv
• Johannessen, Torunn Beate; Holm, Anne Lise & Storm, Marianne (2018). "Helsepersonells opplevelser vedrørende trygghet og sikkerhet for hjemmeboende eldre ved bruk av velferdsteknologi". Presentasjon på konferansen. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Care coordination in the Norwegian healthcare system. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Fremtidens helsetjenester for personer med alvorlig psykisk lidelse. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Norwegian Government’s Quality Reform for the Elderly. The Commonwealth Fund Washington, DC. 5. Fulltekst i vitenarkiv
• Viksveen, Petter; Bjønness, Stig Erlend; Berg, Siv Hilde; Salamonsen, Anita; Cardenas, Nicole Elizabeth & Game, Julia Rose [Vis alle 8 forfattere av denne artikkelen] (2018). User involvement in adolescents’ mental healthcare: A systematic review. Fulltekst i vitenarkiv Vis sammendrag

  Oral presentation by Petter Viksveen & Stig E. Bjønness

• Ramanuj, Parashar; Franx, Gerdien; Fourcade, Nathalie & Storm, Marianne (2018). Transforming Mental Health Services. Fulltekst i vitenarkiv
• Storm, Marianne (2018). Care coordination for people with serious mental illness and chronic medical conditions. Fulltekst i vitenarkiv
• Fortuna, Karen L.; Storm, Marianne; Naslund, John A; Aschbrenner, Kelly A. & Bartels, Stephen J. (2018). How Peers Promote Health Behavioral Change in Older People with Serious Mental Illness in a Technology-based Self-Management Intervention. Fulltekst i vitenarkiv
• Bjønness, Stig Erlend & Storm, Marianne (2017). Adolescents´ experiences with outpatient mental health care: A qualitative study in treatment dropout. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden & Storm, Marianne (2017). Pasientmedvirkning ved overføring av eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2017). The Norwegian Health Care System. Fulltekst i vitenarkiv
• Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Aase, Karina & Storm, Marianne [Vis alle 7 forfattere av denne artikkelen] (2017). SAFE-LEAD Ledelse av kvalitet og sikkerhet i kommunehelsetjenesten. Fulltekst i vitenarkiv
• Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Storm, Marianne & Schibevaag, Lene [Vis alle 7 forfattere av denne artikkelen] (2017). SAFE-LEAD Quality and Safety in Primary Care. Fulltekst i vitenarkiv
• Storm, Marianne (2017). Coordinating care for older adults with sever mental illness. Fulltekst i vitenarkiv
• Kajander, Martine & Storm, Marianne (2017). Vård genom videosamtal. ÄLDRE i CENTRUM, Tidskrift för forskning om äldre & åldrande. Fulltekst i vitenarkiv
• Viksveen, Petter; Bjønness, Stig Erlend; Berg, Siv Hilde; Aase, Karina & Storm, Marianne (2017). User involvement in adolescents' mental Health care. Fulltekst i vitenarkiv
• Storm, Marianne (2017). Brukermedvirkning og utfordringer med implementering i døgnbehandling i psykisk helsevern. Fulltekst i vitenarkiv
• Storm, Marianne (2017). Medvirkning ved alvorlig psykisk lidelse; Hvordan medvirke i egen bedringsprosess? Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde; Storm, Marianne; Våga, Bodil Bø; Rosenberg, Adriana & Akerjordet, Kristin (2017). Student learning environments in nursing homes. Fulltekst i vitenarkiv
• Storm, Marianne & Zisman-Ilani, Yaara (2017). Care coordination in mental health: a scoping review of possible challenges and solutions. Fulltekst i vitenarkiv
• Storm, Marianne (2017). Pasientperspektiv i helsetjenesten. Fulltekst i vitenarkiv
• Viksveen, Petter; Bjønness, Stig Erlend; Berg, Siv Hilde; Cardenas, Nicole Elizabeth; Game, Julia Rose & Aase, Karina [Vis alle 7 forfattere av denne artikkelen] (2017). User involvement in adolescents’ mental healthcare: protocol for a systematic review. BMJ Open. 7(12). doi: 10.1136/bmjopen-2017-018800. Fulltekst i vitenarkiv Vis sammendrag

  Introduction User involvement has become a growing importance in healthcare. The United Nations state that adolescents have a right to be heard, and user involvement in healthcare is a legal right in many countries. Some research provides an insight into the field of user involvement in somatic and mental healthcare for adults, but little is known about user involvement in adolescents’ mental healthcare, and no overview of the existing research evidence exists. Methods and analysis The aim of this systematic review is to provide an overview of existing research reporting on experiences with and the effectiveness and safety issues associated with user involvement for adolescents’ mental healthcare at the individual and organisational level. A systematic literature search and assessment of published research in the field of user involvement in adolescents’ mental healthcare will be carried out. Established guidelines will be used for data extraction (Cochrane Collaboration guidelines, Strengthening the Reporting of Observational studies in Epidemiology and Critical Appraisal Skills Programme (CASP)), critical appraisal (Cochrane Collaboration guidelines and Pragmatic-Explanatory Continuum Indicator Summary) and reporting of results (Preferred Reporting Items for Systematic reviews and Meta-Analyses, Consolidated Standards of Reporting Trials and CASP). Confidence in the research evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. Adolescents are included as coresearchers for the planning and carrying out of this systematic review. This systematic review will provide an overview of the existing research literature and thereby fill a knowledge gap. It may provide various stakeholders, including decision-makers, professionals, individuals and their families, with an overview of existing knowledge in an underexplored field of research.

• Storm, Marianne (2016). Brukermedvirkning i forskning. Fulltekst i vitenarkiv
• Cappelen, Kathrine; Aase, Karina; Storm, Marianne; Hetland, Jørn & Harris, Anette (2016). Improving patient safety culture in Norwegian nursing homes: Validating the NHSOPSC instrument. Fulltekst i vitenarkiv
• Heskestad, Randi Nisja; Storm, Marianne & Aase, Karina (2016). The Meeting Point, An inter-organisational learning arena to address transitional care of the elderly. Fulltekst i vitenarkiv
• Storm, Marianne & Aase, Karina (2016). The impact of a quasi-experimental intervention programme with health professionals on quality and safety in transitional care. Fulltekst i vitenarkiv
• Storm, Marianne (2016). Kvalitet i overføringer av eldre, hovedutfordringer og forslag til forbedringstiltak. Fulltekst i vitenarkiv
• Haugen, Arvid Steinar; Storm, Marianne & Aase, Karina (2015). Måling av pasientsikkerhetskultur og trygge helsetjenester. Fulltekst i vitenarkiv
• Storm, Marianne (2015). Møteplassen - En arena for kvalitet og sikkerhet i overføringer av eldre. Fulltekst i vitenarkiv
• Storm, Marianne; Dyrstad, Dagrunn Nåden & Aase, Karina (2014). "Møteplassen" - en tverrprofesjonell arena for kvalitet og sikkerhet i overføringer av eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2014). Framtidens pasientrolle - behandleransvar og pasientmedvirkning. Fulltekst i vitenarkiv
• Storm, Marianne (2014). Brukermedvirkning og recovery i psykiatrien: Hvor er vi og hvilke utfordringer ser vi. Fulltekst i vitenarkiv
• Storm, Marianne (2014). Pasientperspektivet i helsetjenesten, kvalitets- og sikkerhetsarbeidet. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden & Storm, Marianne (2014). Development of healthcare professionals’ competencies in supporting elderly patients’ participation in transitional care. Fulltekst i vitenarkiv
• Storm, Marianne & Husebø, Anne Marie Lunde (2014). Virtual visits in home health care for elderly people - A systematic integrative review of service content and technology users' experiences. Fulltekst i vitenarkiv
• Kajander, Martine & Storm, Marianne (2014). Videophone communication in home healthcare- experiences of elderly service users. Fulltekst i vitenarkiv
• Guise, Veslemøy; Wiig, Siri; Husebø, Anne Marie Lunde; Storm, Marianne; Søyland, Elsa & Testad, Ingelin [Vis alle 8 forfattere av denne artikkelen] (2014). Kartlegging av opplæringsbehov: Resultater fra datainnsamling i WP4. Fulltekst i vitenarkiv
• Nedreskår, Heidi Helen & Storm, Marianne (2014). Coordination of health care services when elderly patients are discharged from hospital. Fulltekst i vitenarkiv
• Wiig, Siri; husebø, Anne Marie lunde; Guise, Veslemøy; Storm, Marianne; Søyland, Elsa & Moltu, Kirsti [Vis alle 7 forfattere av denne artikkelen] (2014). Using videophone technology in homecare services for the elderly - healthcare professionals' views on implications for quality and safety. Fulltekst i vitenarkiv
• Guise, Veslemøy; Wiig, Siri; Husebø, Anne Marie Lunde; Storm, Marianne; Søyland, Elsa & Testad, Ingelin [Vis alle 7 forfattere av denne artikkelen] (2014). Videokommunikasjon i hjemmebaserte tjenester - Bruksområder, brukere og mål for opplæring. Fulltekst i vitenarkiv
• Husebø, Anne Marie Lunde & Storm, Marianne (2014). Virtual visits in home health care for elderly people – A systematic, integrative literature review. Fulltekst i vitenarkiv
• Wiig, Siri; Guise, Veslemøy; Storm, Marianne; Husebø, Sissel Eikeland; schibevåg, lene & Hansen, Britt Sætre [Vis alle 10 forfattere av denne artikkelen] (2014). Status on Nordic research on patient safety and quailty in healthcare and suggestions for future research. Fulltekst i vitenarkiv
• Storm, Marianne (2014). "Møteplassen» - En tverrprofesjonell arena for kvalitet og sikkerhet i overføringer av eldre". Fulltekst i vitenarkiv
• Storm, Marianne (2014). Kvalitet og sikkerhet i helsesystemer. Helsetjenesteforskning i Stavanger-regionen. Fulltekst i vitenarkiv
• Storm, Marianne (2014). Pasientperspektivet & brukermedvirkning i helsetjenesten. Fulltekst i vitenarkiv
• Storm, Marianne (2014). Om konflikt og konflikthåndtering: Hvordan møte uenighet og interessemotsetninger i studentveiledning? Fulltekst i vitenarkiv
• Storm, Marianne (2014). Pasientrelaterte “outcomes” og andre “outcomes” Måleproblematikk knyttet til pasientsikkerhet. Fulltekst i vitenarkiv
• Storm, Marianne (2013). Kvalitet og sikkerhet i overføringer av eldre -resultat fra en observasjonsstudie. Fulltekst i vitenarkiv
• Storm, Marianne (2013). Pasientperspektivet i helsetjenesten og overføring av eldre pasienter. Fulltekst i vitenarkiv
• Dyrstad, Dagrunn Nåden; Laugaland, Kristin A & Storm, Marianne (2013). Elderly patients' participation in transitional care. Fulltekst i vitenarkiv
• Storm, Marianne; Wiig, Siri & Aase, Karina (2013). Pasienter og brukere er en uutnyttet ressurs. Tidsskriftet sykepleien. ISSN 0806-7511. 101(1), s. 75–75. Fulltekst i vitenarkiv
• Storm, Marianne; Laugaland, Kristin A; Dyrstad, Dagrunn Nåden & Aase, Karina (2013). Setting the scene for supporting quality in transitional care of the elderly: An analysis of the current situation in two Norwegian hospital regions. Fulltekst i vitenarkiv
• Aase, Karina; Wiig, Siri; Husebø, Sissel Eikeland; Storm, Marianne & Hansen, Britt Sætre (2013). Vanskelige helsestandardarder. Fulltekst i vitenarkiv
• Storm, Marianne & Aase, Karina (2013). Kvalitet og sikkerhet i overføringer av eldre. Fulltekst i vitenarkiv
• Storm, Marianne (2012). Brukerperspektiv og brukermedvirkning i helsetjenesten. Fulltekst i vitenarkiv
• Storm, Marianne (2012). Brukerperspektivet og brukerinvolvert forskning. Fulltekst i vitenarkiv
• Storm, Marianne (2012). Empowerment. Fulltekst i vitenarkiv
• Storm, Marianne; Dyrstad, Dagrunn Nåden & Aase, Karina (2012). A review of patient-oriented care models as applied in transitional care of the elderly. Fulltekst i vitenarkiv Vis sammendrag

  In the health care quality literature patient experiences is recognized as a key area to attend to. Patient experiences can refer both to the quality of the patient’s experience as well as the clinical result, and can be measured in terms of prompt access, good relationships with service providers and efficient administration of health care services. Patient-centeredness, shared-decision making and patient participation are three models of care that incorporate user involvement and the patients’ experiences with care. Even though these care models are proven important to health care quality, limited knowledge exists as to their adaption to care for the elderly, and more specifically to the transitional care that most elderly patients are in need of. By transitional care we mean the assurance of coordination and continuity of health care as patients transfer between different levels of care within or between locations. The purpose of the paper is to give an overview of patient-oriented care models as applied in transitional care of the elderly, and to discuss their implementation in the health care system. The methodology used in the paper is a combination of document analysis of Norwegian policy documents and a review of the literature searching the electronic databases PubMed, Medline, Cinahl, Academic Search Elite and the Cochran Database of Systematic Reviews. The following search terms were used: “patient-centeredness”, “shared-decision making”, “patient involvement”, “patient participation”, “patient experience”, all concepts in combination with “elderly” AND/OR “health care quality” AND/OR “transitional care”, “handovers”, “patient transfer” AND/OR “discharge planning” AND/OR “admission”. Results show that policy documents to a large extent emphasize patients’ experiences and user involvement, cohesive services and continuity of care to ensure quality in the transitional care of the elderly. Family involvement is one of the most significant factors in successful discharge planning for elderly patients, and education of elderly shows promising results especially in relation to quality improvement of transitional care. This paper has documented that the role of elderly patients in transitional care and in activities to improve health care quality is highlighted as important in Norwegian policy documents, but has not been well explored in the research literature. The paper identifies key areas to address to ensure patient-oriented care when elderly patients transfer between different levels of the health care system. We furthermore suggest that these areas should be taken into consideration when implementing tools to support patient-oriented care and improve the quality of transitional care of the elderly.

• Storm, Marianne & Edwards, Adrian (2012). Models of user involvement in mental health. Fulltekst i vitenarkiv Vis sammendrag

  Patient-centered care, shared decision-making, patient participation and the recovery model incorporate user involvement and patients’ perspectives on their treatment and care. Here we aim to examine these care models in the mental health context and discuss the challenges associated with their implementation. Several policy documents advocate that mental health services should encompass patients’ or users’ needs, participation and involvement. They also emphasize recovery and integration of people with mental disorders in the community. However, these collaborative care models have been subject to limited empirical research about effectiveness. There are also challenges to implementation in inpatient care. What evidence there is indicates tensions between patients’ and providers’ perspectives on treatment and care. There are issues related to the person’s capacity for user involvement and lack of competence and awareness among providers. Further work on training, evaluation and implementation is needed to ensure that inpatient mental health services are adapting user oriented care models.

• Storm, Marianne (2012). Bruker/Pasientperspektivet i helsetjenesten og kvalitets og sikkerhetsarbeidet spesielt. Fulltekst i vitenarkiv
• Storm, Marianne (2010). Brukermedvirkning i distriktspsykiatriske senter. Fulltekst i vitenarkiv
• Storm, Marianne (2009). Brukermedvirkning i NAV Når velferdsforvaltningen og brukerorganisasjonene skal jobbe sammen Tone Alm Andreassen Gyldendal Akademisk 2009 Anmelder: Marianne Storm, dr. gradsstipendiat ved Universitetet i Stavanger institutt for helsefag. Sosial Trygd. ISSN 0038-1608. 98(4), s. 2–2. Fulltekst i vitenarkiv Vis sammendrag

  Brukermedvirkning i NAV er en klargjørende og praktisk bok om brukermedvirkning, rettet mot brukerrepresentanter og medarbeidere i arbeids- og velferdsforvaltningen. Boken i sin helhet er lettlest, med oversiktelige og nytte kapitteloppsummeringer. Diskusjonsspørsmålene kan bidra til videre refleksjon hos den enkelte leser, i tillegg til å være utgangspunkt for diskusjoner mellom medarbeidere og brukermedvirkere i det praktiske arbeidet med brukermedvirkning. Kapitlene i bokens del tre vil også ha relevans for medarbeider og ledere i andre organisasjoner og offentlige tjenester enn NAV, som ønsker å gjennomføre brukermedvirkning på system nivå. Boken har en grundig og gjennomarbeidet tilnærming til brukermedvirkning, og den kan være et viktig bidrag til arbeidet med å gjennomføre brukermedvirkning på systemnivå i NAV. Forventingene til brukermedvirkere og brukerorganisasjonene er ikke entydige og det finnes ikke en enkelt oppskrift for hvordan brukermedvirkning bør gjøres. Nøkkelen er imidlertid å ta brukermedvirkning på alvor, samarbeide med brukere og brukerorganisasjoner, la tjenestøvere og brukermedvirkere erverve seg nødvendig kunnskap og opplæring, og å avklare forventinger og innholdet i brukermedvirkningen i den aktuelle kontekst.

• Storm, Marianne (2009). Brukermedvirkning i psykisk helsearbeid. Fulltekst i vitenarkiv
• Storm, Marianne (2009). Brukermedvirkning ved Jæren DPS. Fulltekst i vitenarkiv
• Storm, Marianne (2009). Brukermedvirkning i psykisk helsearbeid. Fulltekst i vitenarkiv
• Storm, Marianne (2009). Service user involvement in inpatient mental health services. Fulltekst i vitenarkiv
• Storm, Marianne (2008). Patient involvement in a community mental health centre. Fulltekst i vitenarkiv Vis sammendrag

  Background This study was conducted as part of the research project ¿Service user involvement in mental health care¿. The main goals are to conceptualize service user involvement in institutional mental health care, and to implement and study effects of an organisational learning intervention with focus on user involvement within two Community based mental health centres in Norway. Aim The aim of the respective study was to investigate how mentally ill patients perceive to be involved in their care and treatment while admitted to a community based mental health centre. Methods 20 patients between 18-70 years were interviewed during august 2007. A semi structured interview guide was used in all the interviews. The data material were analysed by means of quantitative and qualitative content analysis. The number of yes and no responses were counted. Qualitative content analysis was applied on the patients¿ statements about their experiences with involvement in treatment and care within the institution. Results The results show that the majority of patients are involved in the planning and implementation of their treatment. Patients discuss their medication with mental health professionals. Most patients are not involved in filling out the treatment plan and they have few opportunities to influence decisions regarding the appointment of therapist. Important aspects for patient involvement are positive relations between patient and health professionals, the need for patient initiative to participate in treatment and the importance of flexibility in ward routines. The results from these interviews provided valuable input to the progress and activities in the ongoing learning intervention within the institutions

• Storm, Marianne (2008). User involvement in in-patient mental health care: mental health providers assessment. Fulltekst i vitenarkiv Vis sammendrag

  Background and study aim Service user involvement in mental health care services is on the agenda in European and Norwegian mental health politics. Mental health professionals influence implementation of user involvement in in-patient mental health care.The study investigates mental health professionals assessment of the level of user involvement at individual and organizational levels in in-patient mental health care facilities. Methods A questionnaire was developed with scales to measure service user involvement in in-patient mental health care. The questionnaire was administered to mental health professionals (mental health nurses, auxiliary nurses, psychologists and psychiatrists/doctors) (n=223, response rate=186) in five community based mental health centers within two psychiatric hospitals in Norway (Stavanger University Hospital and Ullevaal University Hospital). The participants rated the importance of service user involvement and the degree to which service user involvement was implemented within their institution. In addition a 46 items instrument developed to measure service user involvement was used. The instrument operationalizes service user involvement from mental health professionals perspective and has been tested and validated in an earlier pilot study. Results The mean value of the importance of service user involvement was 8.9 on a 10 point Likert scale. However, when the participants considered the implementation of service user involvement within their institutions the mean value was 6.6 on a 10 point Likert scale. Factor analyses were performed giving support to a five factor solution and five subscales to service user involvement: democratic patient involvement (mean 5.23), assisted patient involvement (4.76), carer involvement (mean 4.39), management support (mean 5.37) and organizational level service user involvement (mean 2.00). The mean values are measured on a 7 point Likert scale from 1=never to 7=always. Conclusion Study results reveal that mental health professionals consider service user involvement very important to mental health services. A discrepancy is demonstrated between this importance and the actual implementation of service user involvement, most strongly supported by results on the two subscales organizational level service user involvement and carer involvement. The very low value for organizational level service user involvement indicates that service user representatives very rarely are involved in development of in-patient mental health services. Carer involvement depends on the patient's approval. Carers are sometimes involved in the decision-making about the patient's treatment and discharge, but they are rarely educated about the patient's mental health problems. The paper analyzes the five subscales and draws conclusions about the role of user involvement in in-patient mental health care.

• Storm, Marianne (2008). Service user involvement in inpatient mental health care - leadership implications. Fulltekst i vitenarkiv Vis sammendrag

  Service user involvement in mental health institutions is on the health political agenda in Norway and Europe with implications to leadership and organizational practices. This paper turns focus to transformational leadership behaviors, as litterateur on leadership in organizations highlights this perspective in periods of organizational change. However, organisational culture with norms, values and structures act like important frames for organisational behaviours. They influence organisational members' behaviours, and are important to consider when implementing service user involvement. Following from these theoretical perspectives this paper will further discuss some implications of transformational leadership behaviours and organisational culture on implementation of service user involvement in mental health care institutions.

• Hansen, Marte Johanne Tangeraas; Husebø, Anne Marie Lunde & Storm, Marianne (2025). Hospital nurses’ attitudes and self-efficacy when caring for patients with multidrug-resistant bacteria before and during the COVID-19 pandemic: A longitudinal, convergent mixed methods study. Universitetet i Stavanger. ISSN 9788284394138. Fulltekst i vitenarkiv Vis sammendrag

  Introduction: Antibiotic resistance is a rapidly escalating global challenge, posing significant threats to health and development. The misuse and overuse of antibiotics are primary contributors to the rise of multidrug-resistant bacteria (MDRB). Meanwhile, infection prevention and control (IPC) is the most prominent tool available to protect against them. In Norwegian hospitals, healthcare-associated infections have a prevalence of 2.7%, often linked to MDRB. Due to their work close to patients, nurses play a crucial role in IPC and antibiotic stewardship in healthcare settings. Nurses need appropriate knowledge and skills when caring for patients with multidrug-resistant bacteria. Previous studies on nurses' knowledge, attitudes, and practices regarding IPC and antibiotic stewardship and caring for patients with MDRB vary in methodology, validity, and results. Still, studies indicate that nurses often lack sufficient knowledge, fail to adhere to IPC guidelines, and feel insecure when caring for patients with MDRB. Furthermore, despite nurses’ role in antibiotic stewardship being widely discussed, research show that their engagement remains suboptimal. Given the critical role of nurses in IPC and antibiotic stewardship, understanding their attitudes and self-efficacy is essential, especially during healthcare crises like the COVID-19 pandemic. There is a notable gap in research on how such crises impact nurses’ attitudes and self-efficacy when caring for patients with MDRB. Additionally, there is a scarcity of mixed-method research addressing complex questions in IPC and antibiotic stewardship among nurses. Therefore, longitudinal and mixed-method studies are needed to explore nurses' attitudes and self-efficacy towards caring for patients with MDRB in the context of a pandemic. Aim: The overall aim of this thesis was to develop a comprehensive understanding of hospital nurses’ attitudes and self-efficacy towards caring for patients with MDRB before and during the COVID-19 pandemic. To achieve the overall aim of this thesis, three papers were written with the following aims: • Paper I: To gain a more comprehensive understanding of nurses’ IPC and antibiotic stewardship attitudes and self-efficacy when caring for patients With MDRB in a hospital setting • Paper II: To explore trends in nurses’ attitudes and self-efficacy when caring for patients with MDRB • Paper III: To explore hospital nurses’ experiences of change in attitudes and self-efficacy when caring for patients with MDRB before and during the COVID-19 pandemic. Methods: This thesis employed a longitudinal, convergent mixed methods design. Quantitative data were collected using repeated cross-sectional surveys, comprising two questionnaires in addition to a demographic survey. The questionnaires were the Norwegian Version of the Multidrug-Resistant Bacteria Attitude Questionnaire and the Norwegian version of the General Perceived Self-Efficacy Scale. Data was collected at five time points. February and March 2020 (T1, n=131), May 2020 (T2, n=72), October 2020 (T3, n=109), February and March 2021 (T4, n=108) and February and March 2023 (T5, n=92, see Figure 6). For qualitative data collection, four focus group interviews were conducted at three intervals: T1 (n=22), T4 (n=23) and T5 (n=24). The serial focus group interviews were guided by an interview guide informed IPC-guidelines, the tripartite model of attitudes and the self-efficacy theory. Standard procedures for analysing quantitative and qualitative data were followed, before utilizing a mixed methods analysis where the data was merged by comparing the results to confirm, contradict or expand on one another. Results: Through the process of merging data five themes arose. Steady, but insufficient knowledge levels through the pandemic, Consistent but lacking behavioural intentions persistently hindered by obstacles unchanged by time, Inconsistencies in nurses’ moderate emotional response through time, Strong beliefs in own abilities throughout the pandemic and Positive changes in antibiotic stewardship through time. The nurses that participated in this study showed steady but insufficient knowledge levels and behavioural intentions throughout the study period. Through the qualitative data an expanded understanding of nurses’ behavioural intentions were gained. Lack of personnel resources, constraining physical work environment and extensive guidelines were described as reasons for the deficiency. The nurses’ emotional responses towards caring for patients with MDRD were found to be stable in the quantitative data, but according to the nurses participating in the interviews it varied throughout the study period. They described that their emotional stability was challenged by the changes implemented because of the pandemic. The quantitative data showed a significant negative change in the “professional approach” subscale of the emotional response measure between T1 and T5, and between T2 and T5, suggesting a reduced professional feeling towards caring for patients with MDRB at the end versus before and during the pandemic. This negative change was not confirmed in the interviews. Nurses’ self-efficacy towards caring for patients with MDRB remained strong throughout the study period. In the interviews nurses described many challenges in caring for patients with MDRB and adhering to IPC guidelines but provided just as many solutions. The quantitative results suggested a significant positive change in self-efficacy from T2 to T4, which in part was confirmed in the interviews. A positive trend in nurses self-reported engagement in antibiotic stewardship was found in the qualitative data, and not confirmed by the quantitative. Conclusion: Through this PhD thesis it has been demonstrated that nurses’ overall attitudes towards caring for patients with MDRB were stable and moderate throughout during the COVID-19 pandemic. Nurses also demonstrated strong self-efficacy towards caring for patients with MDRB before and throughout the study period. These results suggest nurses to be a robust and resilient resource when faced with Healthcare crisis such as a pandemic. Nurses’ knowledge and behavioural intentions regarding IPC and antibiotic stewardship were found to be consistent yet insufficient. Obstacles hindering hospital nurses in caring for patients with MDRB included buildings ill-designed to accommodate IPC compliance, extensive, and illogical guidelines difficult to access, instability in sources of information and stressful workdays leading to downprioritising of IPC measures. These results contribute to valuable insights that can guide improvements in clinical practice, nursing education, policy making and future research.

• Wathne, Hege Bjøkne; Husebø, Anne Marie Lunde; Morken, Ingvild Margreta & Storm, Marianne (2025). From hospital to home: modelling and evaluation of the feasibility of a nurse-assisted eHealth service to support self-management in patients with non-communicable diseases. Universitetet i Stavanger. ISSN 9788284393346. Fulltekst i vitenarkiv Vis sammendrag

  Background: Global healthcare systems are facing challenges in managing non-communicable diseases (NCDs). Heart failure (HF) and colorectal cancer (CRC) are two common long-term illnesses and examples of NCDs. Despite differences in their diagnosis, treatment, prognosis, and trajectory, they have similar needs for supportive care and self-management skills. They may therefore serve as proxies for the larger NCD community. Living with a long-term illness, such as HF and CRC necessitates self-management and support from healthcare professional (HCPs). The period following hospital discharge is considered particularly vulnerable for patients because they must transition from safe in-hospital care to self-management at home. Furthermore, patients with HF and CRC have demanding and often difficult illness trajectories as well as long-term and debilitating treatment-related side-effects that last long after hospital discharge. As a result, many patients struggle to maintain or establish appropriate self-management behaviors in their daily lives. eHealth interventions can help improve treatment durability by offering support during the transition from hospital to home. However, the use of eHealth in clinical practice remains limited, and evidence on the best ways to model and inform digital services to meet patients’ complex supportive care needs and enable effective, high-quality remote nursing is unclear. Consequently, research is needed to determine how eHealth services can be best developed and implemented to provide individualized self-management support that considers the diverse needs and preferences of people suffering from long-term illnesses. Objectives: The overall aims of this study were two-folded. Sub-study I aimed to model a nurse-assisted eHealth service for self-management support to patients with HF and CRC in the transition from hospital discharge to home. Sub-study II aimed to test and evaluate the feasibility of the eHealth service. The more specific aims were as follows: ✓ To explore the supportive care needs of patients with HF and CRC in transition from hospital to home, and to identify various stakeholders’ views on important content and functions of a future eHealth service (sub-study I). ✓ To evaluate the acceptability and usability of a nurse-assisted RPM intervention for the posthospital follow-up of patients with long-term illness (i.e. HF and CRC) using the core constructs of normalization process theory (sub-study IIa) ✓ To explore patients and nurses’ experiences of digital selfmanagement support during participation in a nurse-assisted RPM intervention (sub-study IIb). Methods: This study adopted a sequential qualitative multi-method approach. In sub-study I semi-structured interviews were conducted with patients with HF (n=10), patients surgically treated for CRC (n=9), nurses (n=6), and general practitioners (n=13). Sub-study II applied a combination of semi-structured interviews and observations (sub-study IIa) and a combination of semi-structured interviews and documents of message exchanges (sub-study IIb). In sub-study II, participants comprised patients with HF (n=17), patients treated for CRC (n=10), and nurse navigators (n=8). Semi-structured interviews formed the core component in both sub-studies, with observations and message exchange documents serving as supplemental components in sub-studies IIa and IIb, respectively. Results: Patients with HF and CRC had unmet informational and emotional needs after hospital discharge and their capability for self-management differed considerably, both within and between groups. When designing new eHealth services, priority should be on ease of use, such as easy access and intuitive user interface, in addition to reliable disease- and symptom specific information, symptom checklists monitoring devices and methods for communicating with Healthcare professionals (sub-study I). The nurse-assisted RPM intervention relied heavily on the social interaction between patients and nurse navigators, and the feasibility of the intervention was determined by the relationship between the receiver and deliverer. RPM contributed to ensuring that patients received support and guidance beyond hospitalization and into the posthospital phase. In addition, RPM improved nurse navigators’ understanding of living with a long-term illness, which may have improved their ability to prepare patients for life at home after hospital discharge (sub-study IIa). The mutual digital engagement of patients and nurse navigators in the RPM intervention resulted in a better understanding of patient’s symptoms and health behaviour. This enabled nurse navigators to support patients in their self-management and patients to participate more effectively in self-management activities (sub-study IIb). Conclusions: This PhD study demonstrates that digitalization of healthcare creates both opportunities and challenges. RPM interventions may improve patient’s knowledge and understanding of their illness while also facilitating self-management support. However, it is essential that the features and content of the digital self-management intervention is tailored to meet the specific supportive care needs of each patient group at target. Furthermore, RPM interventions may cause mixed emotions for some participants. The ambivalence brought on by the RPM intervention may however be mitigated, if not exceeded, by the social interaction and collaborative relationship between patients and nurse. Thus, the significance of incorporating a human component, such as nurses, into RPM interventions should not be underestimated.

• Skjærpe, Jorunn Nærland; Storm, Marianne; Joa, Inge; Hegelstad, Wenche ten Velden & Iakovleva, Tatiana Aleksandrovna (2025). Coordinating care for people with serious mental illness: A qualitative study with service users and professionals. Universitetet i Stavanger. ISSN 9788284393322. Fulltekst i vitenarkiv Vis sammendrag

  Background Individuals with serious mental illness (SMI) encounter substantial physical health problems and have an increased risk of illness burden, poor clinical outcomes, higher mortality rates, and shorter life expectancy than the general population. These difficulties are linked to persistent symptoms of mental illness, inadequate treatment for chronic medical conditions, and a lack of coordinated care. Mental, physical, and social determinants of health influence the prevalence and severity of SMI and the life expectancy of sufferers. Recognizing and addressing these determinants and ensuring coordinated care across settings can help meet the complex health needs of individuals with SMI. Overall aim and research questions The overall aim of this thesis was to qualitatively explore and describe how healthcare services are coordinated for individuals with SMI to prevent the deterioration of their health conditions and ensure their health and well-being. It also aimed to describe how insights from professionals and service users could be included in an innovation process to improve care coordination. Three empirical studies presented as Papers I to III addressed the following research questions: (1) What care coordination measures are taken by professionals in municipal health and care services to meet the healthcare needs of individuals with SMI and address the deterioration of their health conditions? (2) What determinants of health do individuals with SMI perceive as important to their health, well-being, and ability to live a meaningful life? and (3) How can professionals and service users be included in an innovation process to improve the coordination of municipal health and care services for individuals with SMI? Methods The thesis employed qualitative methods throughout. Paper I reports an exploratory, descriptive study that presents the perspectives of 27 professionals from one urban and one rural municipality on care coordination and measures to ensure the health of individuals living with SMI. Interview data were analyzed using systematic text condensation. Paper II reports an exploratory interview study that explored determinants of health using data from 13 individuals with lived experience of SMI. Interview data were analyzed using qualitative content analysis. Paper III reports a participatory study that involved three café dialogues with 30 professionals and seven service users with SMI from one rural municipality. Qualitative written notes were thematically analyzed to describe an inclusive, responsible innovation process to improve the coordination of municipal health and care services for individuals with SMI. Results Paper I identified three categories and seven subcategories. In the first category, participants highlighted the importance of a stable and meaningful home life, which covered proper housing, access to services, and assistance in receiving healthcare. The second category reflected measures initiated by professionals to prevent the deterioration of service users’ health conditions, including symptom monitoring, emergency psychiatric care plans, and emergency room contact. The third category represented inpatient care when facing acute and severe symptoms, covering returning home after inpatient care and the need for shared responsibility for care. Paper II revealed two themes and eight categories that focused on the experiences of individuals with SMI regarding care coordination and the mental, physical, and social determinants they perceived as influencing their health and well-being. The first theme pertained to mental and physical health management, with categories focused on personalized healthcare, measures to mitigate deterioration, psychotropic medication use, and lifestyle. The second theme highlighted the social determinants of health, with categories covering the importance of family and friends, engaging in meaningful activities, and the influence of employment on mental health. In Paper III, two themes and five sub-themes emerged. The first theme reflected responsible coordination at the individual level, which focused on personalized healthcare, balancing healthcare provision with allowing service users responsibility for their lives and access to meaningful activities. The second theme addressed responsible coordination at the provider level, covering coordination routines, communication, and mutual familiarity among professionals. These themes and sub-themes provided insights into participants’ inclusion in responsible coordination, their anticipations of efficient care coordination, reflexivity on care coordination challenges, and responsiveness to improvement measures. The fusion of responsible innovation and care coordination in the café dialogues led to the coining of the term “responsible coordination.” Conclusion This thesis provides qualitative knowledge from the perspectives of multidisciplinary professionals and service users on coordinating healthcare services for individuals with SMI. It identifies measures to prevent the deterioration of health conditions and ensure the health of these individuals. Additionally, it highlights key determinants important to health and well-being and describes how professionals and service users can be included in an innovation process to improve care coordination. These findings can inform efforts to improve care coordination, promoting the health and well-being of individuals with SMI. This knowledge is relevant to service users, researchers, practitioners, and policymakers. In the future, care coordination and integration should adopt a holistic approach that focuses on the mental, physical, and social determinants of health at individual, provider, and system levels.

• Mikkelsen, Aslaug; Storm, Marianne & Braut, Harald (2024). Distributed leadership as a tool for integrated health services. Universitetet i Stavanger. ISSN 9788284392431. Fulltekst i vitenarkiv Vis sammendrag

  Introduction: Because of increasing life expectancy and more elderly people living with multimorbidity, municipal healthcare organizations are searching for new ways of combining human and non-human resources to provide integrated care. Distributed leadership theories conceptualize leadershipas a relational process where leadership can be enacted by anyone with the expertise or skills necessary to achieve the group's goals. With the promise of bringing together experts in solving complex problems, theories of distributed leadership are based on the premise that people outside of traditional leadership positions possess influence. Previous research findings indicate that distributed leadership can contribute to a culture of quality in health care by improving decision-making, performance, and organizational learning. However, research also suggest that the potential of distributed leadership is limited, as professional identities and regulations increase the likelihood of traditional or concentrated leadership. The contribution of the thesis work consists of three articles using data collected from semi-structured interviews with general practitioners (GPs) and patients to explore a different perspective of distributed leadership in integrated care in a municipal setting. Methodology: The research project “Leadership and technology for an integrated health service” was a multiple case study conducted in a semi-urban municipality in Western Norway (2019-2020). The case study consisted of twenty groups of three people who are in regular contact: the patient, the patient’s GP, and a home care nurse. Qualitative analysis of semi- structured interviews carried out with patients and GPs are used to answer the following research questions: Article 1: What type of leadership actions do GPs adopt in the collaboration with other healthcare professionals and the patient in order to provide integrated care? Do these leadership actions contribute to distributed leadership? Can the collaboration between GPs, patients and other professionals be characterized as distributed leadership? Article 2: How is the collaboration between patients and GPs experienced by patients? Does the collaboration between patients and GPs contribute to distributed leadership and enhance the patients’ experience of integrated care? Article 3: What are the ethical challenges for GPs taking part in distributed leadership processes in integrated care? How do they manage them? Findings: Article 1 explores the leadership actions of GPs participating in integrated care. Are their collective work patterns considered distributed leadership? Do they contribute to integrated care? The results show that GPs contributed to distributed leadership when working in partnership with other health care personnel and patients to provide integrated care. GPs contribute to integrated care by facilitating cooperation with hospitals and other healthcare providers, creating continuity, and working to achieve a holistic focus in service provision. In addition, GPs secure internal coherence in collective work practices by monitoring and following up on work processes to ensure implementation and quality in healthcare provision. GPs achieve this primarily by participating in collective work processes that appear rule-based and preplanned, or what is known as institutionalized practices in distributed leadership. Less frequently, GPs are more involved in spontaneous collaborations characterized by physical meetings and relationship building. Findings show that spontaneous collaboration likely redirects the attention of healthcare workers from the macro-context of organizational structures and medical culture to the micro-context and work process of creating a patient experience of integrated care. Article 2 explores the experience of patients receiving integrated care. Findings show that these patients find it difficult to influence the collective process of care provision. The findings show that patients’ lack of access to the collective work process is problematic if healthcare organizations aim to obtain the patient’s perspective on the experience of integrated care. The second article also shows that the location of leadership is shifting and dependent on the patient’s condition and situation; patients’ leadership beliefs frequently attribute leadership and responsibility to physical meetings with healthcare providers and the healthcare provider initiating medical treatments or healthcare service. Furthermore, the study identifies that a strong separation of responsibility and division of work leads healthcare workers to restrict their commitment to a limited set of services. Article 3 explores the experience of GPs and the ethical work they do when moving from the traditional face-to-face encounter with patients to collective work processes in the provision of integrated care. The findings demonstrate that GPs participate in knowledge transfer to support and build patient autonomy and that GPs aspire for their patients to be autonomous and self-managing as far and as long as possible. However, GPs vary in their approach to this task and in their attitudes to patient participation and involvement in healthcare provision. In general, GPs consider that they have an obligation for non-maleficence and to avoid harming their patients. Furthermore, findings show that GPs who are practicing the principle of distributive justice and take professional pride in solving problems single-handedly may limit their own or other healthcare providers’ contribution to collective work processes and distributed leadership in integrated care. The findings also show that GPs experience ethical pluralism when involved in the collective provision of healthcare services. When GPs consult a patient face-to-face, they are more likely to practice pragmatic clinical ethics. In contrast, in collective work practices, healthcare workers are more likely to adopt a universal clinical ethic. Discussion: This research thesis explores and identifies how the distributed leadership configurations in integrated care are influenced by the actions of healthcare workers, their work practices, tools, macro-contextual factors, the ethical work of GPs and patients' leadership beliefs. Findings from Article 1 demonstrate that most distributed leadership practices are guided and steered by referencing frames of organizational macrostructures and medical culture. Article 3 provides further exploration and discussion of the medical culture and ethical work performed by GPs participating in the provision of integrated care. Similarly, Article 2 demonstrates that patients hold leadership beliefs that contribute to the factors affecting the distributed leadership configurations that emerge from the analysis of the data collected. It is most evident when GPs cultivate closer relationships and collaboration with patients and home care nurses that the collaborative provision of integrated care becomes more attentive to the micro-context of the relevant patient case and able to identify better solutions to hard-to-solve problems. The discussion section of the thesis focuses on the potential contribution of distributed leadership in relation to continuity, coordination, and comprehensive service offerings in integrated care. Regarding the referencing frames of organizational macrostructures and medical culture identified in the study, the thesis discusses whether the primary bottlenecks for distributed leadership in integrated care are underdeveloped or underused digital tools and meeting spaces, or the organizational structures, culture and psychological mindsets influencing the collaborative work between healthcare professionals and patients. While further development of digital tools may strengthen patient participation, the achievement of spontaneous collaboration may require real-time digital communication, patient coordinators, or meeting spaces to strengthen patient access and influence in integrated care. However, the standardized collective work patterns, or institutionalized practices, identified from the study imply that the collective work patterns are governed by referencing frames of organizational macrostructures and medical culture which shape the content and limit the flexibility of the distributed practice observed in the municipality. The informal and formal rules that contribute to the division of labor and a harmonious working climate observed in the municipality hinder the flow of knowledge, skills, power, and responsibility across organizational borders. Similarly, the research findings show that the patients' leadership beliefs and adherence to social norms limit their attempts to influence collective work processes in integrated care. Equating the leadership beliefs of patients and the different ethical frameworks of healthcare workers to psychological mindsets, the discussion section concludes that the digital tools and physical meeting spaces used, their ability to capture and represent the context, and the psychological mindset employed in distributed leadership in integrated care are interrelated. Achieving synergistic effects of distributed leadership in integrated care will require researchers to identify methods that can merge the tools, resources and psychological mindsets used with the context and the situation without group composition or professional belongings undermining the distributed leadership practices that emerge.

• Holm, Anne Lise; Storm, Marianne & Johannessen, Torunn Beate (2022). Patient safety and feeling of safety when telecare is used among home-dwelling older adults : A qualitative study. Universitetet i Stavanger. ISSN 9788284390543. Fulltekst i vitenarkiv Vis sammendrag

  NORSK SAMMENDRAG: Bruk av velferdsteknologi (VT) anses som et viktig tiltak i møtet med framtidige utfordringer innen helsetjenesten, og er et stort satsingsområde både i Norge og internasjonalt. Ved hjelp av velferdsteknologi skal eldre personer med kronisk sykdom og nedsatt funksjonsevne bli bedre i stand til å kunne mestre sin sykdom og hverdag, og kunne bo hjemme så lenge som mulig. Hjemmeboende eldre er en viktig mål - og brukergruppe. En viktig intensjon for implementering og bruk av velferdsteknologiske løsninger er å øke pasientsikkerheten og følelsen av trygghet. Det er imidlertid mangel på forskning vedrørende pasientsikkerhet og følelse av trygghet når velferdsteknologi benyttes blant hjemmeboende eldre i en kommunal kontekst. Mål Det overordnede målet med denne avhandlingen var å bidra til mer innsikt og kunnskap vedrørende pasientsikkerhet og følelse av trygghet når velferdsteknologi benyttes blant hjemmeboende eldre, ved å utforske opplevelsene og erfaringene til helsepersonell, ledere og eldre VTbrukere. Metode Denne kvalitative studien har et eksplorativt, induktivt design. Totalt 29 deltagere fra til sammen ti norske kommuner deltok i studien. Alle deltagerne hadde praktisk og/eller administrativ erfaring med til sammen 12 ulike velferdsteknologiske løsninger. Data ble samlet inn ved bruk av fokusgrupper og individuelle intervju. Alle data ble analysert ved hjelp av kvalitativ innholdsanalyse. De innsamlede dataene dannet grunnlag for tre forskningsartikler (Artikkel I, II & III).

• Johannessen, Torunn Beate; Holm, Anne Lise & Storm, Marianne (2021). Patient safety and feeling of safety when telecare is used among home-dwelling older adults: A qualitative study. Universitetet i Stavanger. ISSN 9788284390543. Fulltekst i vitenarkiv
• Bjønness, Stig Erlend & Storm, Marianne (2015). Ungdoms erfaringer med poliklinisk behandling i psykisk helsevern: En kvalitativ studie med fokus på oppmøte og behandlingsfrafall. Universitetet i Stavanger. Fulltekst i vitenarkiv Vis sammendrag

  Forekomsten av psykiske lidelser er høy blant ungdom, samtidig vegrer ungdom seg ofte for å ta imot hjelp. Mange møter ikke opp eller dropper ut fra behandling. Formålet med denne studien var å bidra med kunnskap om hva som fasiliterer oppmøte og kan forebygge behandlingsfrafall for ungdom i poliklinisk behandling i psykisk helsevern. Studien undersøkte ungdoms erfaringer med hva som var nyttig i et behandlingstilbud, hva som skapte motivasjon til å fortsette, og om e-helse kunne benyttes som et hjelpemiddel i denne sammenheng. Det ble benyttet en kvalitativ metode med eksplorerende design, og gjennomført semistrukturerte intervju med 14 ungdommer over 16 år som hadde erfaring fra poliklinisk behandling. Det ble benyttet en temasentrert analysemetode med meningsfortetting. Funnene viste at utrygghet, tidligere negative erfaringer og stigmatisering gjorde oppstarten vanskelig. Ungdommene trengte tid for å bli kjent og knytte en tillitsfull relasjon med behandler. For ungdommene var det viktig å bli tatt på alvor og kunne påvirke behandlingsavgjørelser. De ønsket tett oppfølgning og støtte både fra behandler og foreldre, men ønsket ikke at foreldre skulle involveres i behandlingen uten at de hadde kontrollen selv. Ungdommene savnet informasjon fra poliklinikken og en direkte, fortrolig kommunikasjonskanal med behandler mellom terapitimene. Ufrivillig behandlerbytte, eller at ungdommene ikke fikk mulighet til å påvirke valg av behandler, gikk ut over oppmøtet. Funnene i studien ble knyttet til ungdommens behov for tillit og selvstendighet. Pasientdeltakelse i behandlingsbeslutninger reduserte behandlings-frafallet. Basert på resultatene i denne studien anbefales systematisk bruk av samvalg og økt bruk av e-helse som hjelpemiddel poliklinisk behandling.

• Storm, Marianne (2012). Health and Health Promotion. Universitetet i Stavanger. Fulltekst i vitenarkiv Vis sammendrag

  Today, the understanding of good health is much more comprehensive than the onedimensional understanding sick – not sick. This development has followed from changes in the burden of diseases and perception of disease over the last century. There has been a movement from diseases related to poverty to chronic disease and disease related to lifestyle (e.g. coronary heart disease, cancer and diabetes) to psycho social diseases or illnesses (e.g. musculoskeletal problems and mental illnesses). Modern public health requires actions that are health promoting and disease preventing at individual, group and community levels and involvement and participation of individuals and communities. Public health issues cannot be solved by simple means. The subject requires political attention and decision-making, regulation, and also information and education of the general public in order to sustain people’s health. Lifestyle and health behavior can contribute to a longer, healthier life. Despite this it is not always easy for people to change their behavior. Information is necessary but not sufficient. Behavior and lifestyle changes are influenced by several factors for example attitudes, social norms, self-efficacy and earlier experiences in the social and environmental context where the behavioral choices are made. The nurse can act as an important advocate for change by taking the individual’s perspective, act as a motivator and actively engaging in the person’s behavioral change process.

• Storm, Marianne (2012). Empowerment and Service User Involvement in health services. Universitetet i Stavanger. Fulltekst i vitenarkiv Vis sammendrag

  In the first part of this e-compendium, the origin of and concept of empowerment has been outlined and the consequences of empowerment for nurses and patients has been emphasized. Empowerment aims to reform existing power structures in society, promote citizen participation and secure equality in democratic rights. In health services empowerment can be viewed as a reaction to power structures and paternalism. Empowerment represents a shift from viewing patients as passive recipients of care to viewing patients as active participants in their own treatment and care. This approach requires that nurses act as collaborators with their patients, providing them with information, expertise and support to enable them to make the best possible selfmanagement decision. These decisions must be based on the patients’ own experiences, health priorities and goals. In the second part of the e-compendium the concept and meaning of service user involvement in health services have been elaborated. Factors that influence the implementation of user involvement in healthcare organizations has also been addressed. User involvement has become a core value and a legal right in health services in Norway. Service users and patients have a right to influence the planning and implementation of their individual treatment and care, and to influence the health service system at an organizational and political level. There are challenges to user involvement and empowerment. Patients’ and healthcare professionals’ perspectives on involvement in treatment and care are not necessarily the same. Patients may not want to or they are not able to take an active role in their treatment and care, or they may make decisions that are not health promoting. There are unclear expectations to being a service user representative, and there might be resistance to change existing organizational practices.

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