Bente Dale Malones

• Malones, Bente Dale; Melbye, Marita Christina Susanne; Eines, Trude Fløystad & Alteren, Johanne (2023). Alternative Clinical Practice During the COVID-19 Pandemic: A Qualitative Study of Nursing Students’ Potential Loss of Experience. Sage Open Nursing. 9, p. 1–9. doi: 10.1177/23779608231178066. Full text in Research Archive Show summary

  Introduction: During the COVID-19 pandemic, the lockdown of nursing institutions changed nursing students’ learning conditions in clinical practice. They were removed from their ordinary clinical practice and isolated in their homes for one week before resuming an alternative clinical practice. Owing to the changed learning conditions, nursing students had to readjust and find new and different solutions to manage their own learning. Objectives: This study aimed to investigate the impact of removing first-year nursing students from clinical practice during the COVID-19 pandemic on their perceived learning and development. Methods: A qualitative descriptive and interpretative design based on group and individual interviews was used. Eleven first-year nursing students from a university college in Norway participated in the study. They were interviewed from their homes, after completing their first 10-week clinical practice. Three group interviews and two individual interviews were recorded using the digital live video aid Zoom and analyzed using systematic text condensation. Results: The main theme “loss of experience,” summarized how the nursing students experienced their first clinical practice during the COVID-19 lockdown. The nursing students shifted from a predictable to an unpredictable clinical practice without supervision from the nurse supervisor or the nurse educator. The organization and planning of the practice were left to the students, who bore the responsibility of achieving the learning outcomes. Three categories were identified: unpredictable learning situations, compensating learning activities, and achieving learning outcomes. Conclusions: Nursing students faced difficulties in their first clinical practice during the COVID-19 lockdown, which made a challenging study situation. Too much autonomy and responsibility for their own learning reinforced a loss of experience. The uncertainty of the study situation potentially harmed their professional development, learning outcomes, and self-efficacy, especially concerning basic nursing skills.

• Malones, Bente Dale; Bergum, Inger Elisabeth; Inderhaug, Hans Gunder; Heggdal, Wenche Mongstad & Eines, Trude Fløystad (2022). Hva kreves for å stryke sykepleierstudenter i praksis som ikke har oppnådd nødvendig læringsutbytte? : en kvalitativ studie. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 18(2), p. 1–14. doi: 10.7557/14.5544. Full text in Research Archive Show summary

  Mange sykepleiestudenter består kliniske praksisstudier selv om de ikke har oppnådd forventet læringsutbytte. Hensikten med denne studien var å belyse hvilke grunner praksisveiledere beskriver for å stryke sykepleiestudenter i deres kliniske praksisstudier. Datamaterialet fra et åpent spørsmål i et spørreskjema, ble analysert ut fra Malteruds modell for tekstkondensering. Studien viser: 1) Studenters manglende interesse og initiativ er en viktig grunn til å ikke bestå kliniske praksisstudier, 2) Praksisveilederne vektlegger at studenter har evne til å søke og motta veiledning, 3) Alvorlige feil som grunnlag for å ikke bestå praksis, 4) Praksisveilederes beskrivelser av samarbeid med utdanningsinstitusjonene. Praksisveiledere har behov for å samarbeide tett med praksislærer i sin vurdering av sykepleiestudenter og i tillegg har de et behov for vurderingsverktøy som bygger på en felles forståelse mellom akademia og praksis. Det er behov for å trygge praksisveiledere med økt formell veilederkompetanse.

• Malones, Bente Dale; Kallmyr, Sindre Sylte; Hage, Vera & Eines, Trude Fløystad (2021). How hospitalized patients evaluate and report their pain together with nurses: A scoping review. The Nordic Journal of Nursing Research (NJNR). ISSN 2057-1585. 41(4), p. 197–206. doi: 10.1177/20571585211013480. Full text in Research Archive Show summary

  Pain assessment tools are often used by patients to report their pain and by health professionals to assess patients’ reported pain. Although valid and reliable assessment of pain is essential for high-quality clinical care, there are still many patients who experience inappropriate pain management. The aim of this scoping review is to examine an overview of how hospitalized patients evaluate and report their pain in collaboration with nurses. Systematic searches were conducted, and ten research articles were included using the PRISMA guidelines for scoping reviews. Content analysis revealed four main themes: 1) the relationship between the patient and nurse is an important factor of how hospitalized patients evaluate and report their post-surgery pain, 2) the patient’s feelings of inconsistency in how pain assessments are administered by nurses, 3) the challenge of hospitalized patients reporting post-surgery pain numerically, and 4) previous experiences and attitudes affect how hospitalized patients report their pain. Pain assessment tools are suitable for nurses to observe and assess pain in patients. Nevertheless, just using pain assessment tools is not sufficient for nurses to obtain a comprehensive clinical picture of each individual patient with pain. Keywords: pain, pain assessment tools, post-surgery, scoping review

• Hauge, Kari Johanne Westad; Bakken, Hege; Brask, Ole David; Gutteberg, Anne; Malones, Bente Dale & Ulvund, Ingeborg (2019). Are Norwegian mentors failing to fail nursing students? Nurse Education in Practice. ISSN 1471-5953. 36, p. 64–70. doi: 10.1016/j.nepr.2019.03.002. Full text in Research Archive Show summary

  It is highly important that nursing students are well educated and become safe and competent practitioners. This article presents the findings from a quantitative study investigating if Norwegian mentors fail to fail nursing students not achieving the learning outcomes in clinical studies in the bachelor's programme in nursing, in addition to the factors influencing their decisions. A survey was conducted among nurse mentors in hospital- and home-based nursing care in two Norwegian municipalities, and 561 nurses answered the questionnaire. The findings indicate that mentors sometimes fail to fail nursing students in clinical studies. Important factors influencing this decision were that the students did not put the patient's life at risk and that the mentors gave the student the benefit of the doubt. The mentors in our study thought that failing to fail students was not related to personal challenges and burdens. They also felt a lack of support from the educational institution. The findings suggest some future directions for nurse education programmes. The training of mentors, especially in managing failing students, and better support from liaison lecturers from the educational institution are important. It is also suggested that nurse education programmes together with mentors discuss the distinction between unsafe practices and learning outcomes for clinical studies. Keywords: failing to fail, student nurse, mentors, survey

• Hauge, Kari Johanne Westad; Brask, Ole David; Bachmann, Liv; Bakken, Hege; Bergum, Inger Elisabeth & Grønvik, Cecilie K Utheim [Show all 11 contributors for this article] (2019). Lar praksisveiledere sykepleierstudenter bestå praksisstudier uten oppnådd læringsutbytte? Klinisk Sygepleje. ISSN 0902-2767. 33(1), p. 23–39. doi: 10.18261/issn.1903-2285-2019-01-03. Full text in Research Archive Show summary

  Hensikten med pilotstudien var å vurdere reliabiliteten og validiteten til et nyutviklet spørreskjema om fenomenet bestått på feil grunnlag.

View all works in NVA

• Gutteberg, Anne & Malones, Bente Dale (2023). Existing knowledge about basic health. Full text in Research Archive
• Malones, Bente Dale & Eines, Trude Fløystad (2022). Bruk av skuespillere i simulering; en realistisk læringsaktivitet for sykepleierstudenter. Klinisk Sygepleje. ISSN 0902-2767. 36(1), p. 57–69. doi: 10.18261/ks.36.1.6. Full text in Research Archive
• Røskar, Ingrid Elisabeth Grøvdal; Haugen, May Britt; Eines, Trude Fløystad & Malones, Bente Dale (2021). Sykepleie til pasienter med fedme krever annet utstyr, flere ansatte og mer tid. Sykepleien. ISSN 0039-7628. 109. doi: 10.4220/Sykepleiens.2021.86428. Full text in Research Archive Show summary

  Sykepleiere møter mange utfordringer når de utøver sykepleie til pasienter med fedme. Sykepleien til denne pasientgruppen er fysisk krevende på grunn av tunge løft og risikofylte arbeidsstillinger, som gjør sykepleierne bekymret for sin egen helse. I tillegg opplever de at kommunikasjonen med pasientene er vanskelig fordi fedme er et tabubelagt tema, og fordi sykepleierne er redd for å såre eller støte pasientene.

• Eines, Trude Fløystad; Bakk, Camilla; Jacobsen, Ingunn & Malones, Bente Dale (2021). Sykepleieres erfaringer med omsorg for pasienter i terminal fase på sykehjem – en litteraturstudie. Klinisk Sygepleje. ISSN 0902-2767. 35(4), p. 323–333. doi: 10.18261/ISSN.1903-2285-2021-04-05. Full text in Research Archive Show summary

  Background: An increasing number of people are ending their lives in nursing homes. Reforms in the health services are leading to nursing for patients with more complex health issues and a greater number of deaths in nursing homes nowadays. A shift of objective from curative to palliative care may lead to increased challenges among the nurses working in nursing homes. Aim: The aim of this study was to illuminate the nurses’ experiences with end-of-life care in nursing homes. Method: A review of high-quality journals published during the period 2009 to 2019 was performed. Findings: Findings highlight five main themes in current research trends on the nurses’ experiences with end-of-life care in nursing homes: 1) Competence and experiences – premises for high quality terminal care in nursing homes; 2) Nurses are working under pressure in challenging situations in nursing homes; 3) The relatives of terminal patients in nursing homes need care offered by professional health workers. Conclusion: The study shows a need for increased focus on education, knowledge and inter-professional collaboration in end-of-life care in nursing homes. Keywords: caring, end of life, literature review, nursing, nursing home

• Hauge, Kari Johanne Westad; Brask, Ole David; Grønvik, Cecilie K Utheim; Julnes, Signe Gunn; Bachmann, Liv & Bakken, Hege [Show all 12 contributors for this article] (2017). Unngår praksisveiledere å stryke sykepleierstudenter i praksisstudier? Full text in Research Archive
• Brask, Ole David; Ulvund, Ingeborg; Hauge, Kari Johanne Westad; Grønvik, Cecilie K Utheim; Heggdal, Wenche Mongstad & Inderhaug, Hans [Show all 12 contributors for this article] (2017). Praksisveiledere i sykepleiepraksis: Slippes studenter igjennom,som burde ha strøket? Full text in Research Archive
• Malones, Bente Dale & Måløy, Elfrid (2017). Hvordan teste kunnskapen? : digital eksamen : pilotprosjekt. Full text in Research Archive
• Malones, Bente Dale & Gutteberg, Anne (2016). Unnlater vi å gi ikke bestått i praksisstudier? : en pilotstudie. Full text in Research Archive
• Malones, Bente Dale (2023). Kan ugunstige arbeidsforhold hindre en sykepleier fra å bli en trygg yrkesutøver? : vitenskapelig essay fra ph.d.-kurs: Profesjonell omsorg i spenningsfeltet mellom system og livsverden. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. ISSN 9788279623366. Full text in Research Archive
• Malones, Bente Dale (2019). Har den teoretisk svake sykepleiestudenten mulighet til å øke kunnskapstilfanget i praksis? : vitenskapelig essay fra ph.d.-kurs: Strukturelle vilkår for profesjonsutdanning. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. ISSN 9788279622574. Full text in Research Archive
• Malones, Bente Dale (2019). Hvilke muligheter har praksisveileder til å veilede den teoretisk svake sykepleiestudenten fram til bestått/ikke bestått, i et helsevesen som er styrt av effektivisering og resultatstyring? : vitenskapelig essay fra ph.d.-kurs: Vitenskapsteori og etikk. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. Full text in Research Archive

View all works in NVA