Siste publikasjoner

• Hol, Cathrine Sofie Brandvik; Harvold, Evita Celin; Eines, Trude Fløystad & Grønvik, Cecilie Katrine Utheim (2026). Sykepleieres erfaringer med barns motstand mot medisinske prosedyrer. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 22(2), s. 1–16. doi: 10.7557/14.8274. Fulltekst i vitenarkiv Vis sammendrag

  Sykepleiere møter ofte utfordringer når barn motsetter seg medisinske prosedyrer under sykehusopphold, og i enkelte tilfeller kan fysisk fastholding være nødvendig for å sikre forsvarlig helsehjelp. Studiens hensikt var å utforske sykepleieres erfaringer med barn, innlagt i barneavdeling, som motsetter seg medisinske prosedyrer. Det ble gjennomført individuelle intervjuer med seks sykepleiere fra to ulike barneavdelinger. Analysen, inspirert av Malteruds systematiske tekst-kondensering, resulterte i tre resultatkategorier: sykepleieres erfaringer når fastholding er siste utvei, forebygging av fastholdning gjennom informasjon og medvirkning og sykepleieres erfaringer som barnets advokat. Studien viser at bruk av fastholding når barn motsetter seg medisinske prosedyrer, utfordrer sykepleiere både faglig og etisk. I tillegg viser studien behov for nasjonale retningslinjer, opplæring og arenaer for tverrprofesjonell refleksjon, for bedre ivaretakelse av barns integritet og rett til medvirkning under medisinske prosedyrer.  

• Grønvik, Cecilie Katrine Utheim; Mundal, Ingunn Pernille; Laake, Petter & Cabrera, Mariela Loreto Lara (2026). Structural validity and internal consistency of the Client Satisfaction Questionnaire-8 among parents of children with ADHD: a cross-sectional study. BMJ Open. 16(10). doi: 10.1136/bmjopen-2026-123542. Fulltekst i vitenarkiv Vis sammendrag

  Objectives: This study aimed to examine the structural validity and internal consistency of the eight-item Client Satisfaction Questionnaire (CSQ-8) among parents of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD), attending and evaluating a psychoeducational programme. Based on previous research, we hypothesised that the CSQ-8 would demonstrate a unidimensional factor structure and high internal consistency in this population. Design: A cross-sectional study was conducted, using analytical methods appropriate for ordinal data. Structural validity was evaluated using exploratory and confirmatory factor analyses based on polychoric correlations and internal consistency was assessed using ordinal alpha and McDonald’s omega. Setting: Participants were recruited from four outpatient clinics within Norwegian Child and Adolescent Mental Health Services. Participants Of the 239 parents who participated in the psychoeducational programme, 178 responded and 157 parents completed all items of the CSQ-8 questionnaire. Data were collected between May 2019 and February 2020. Results: Item responses indicated generally high levels of parent satisfaction (mean total score 26.2 out of possible 32, SD 3.51), with distributions skewed towards the upper response categories. Polychoric correlations showed moderate to strong inter-item associations. Parallel analysis, supported by scree plot inspection, and factor loadings ranging from 0.73 to 0.90 supported a unidimensional factor structure. Confirmatory factor analysis indicated good model fit for the one-factor model. Internal consistency was excellent, with both ordinal α and McDonald’s ω equal to 0.94. Conclusions: The findings provide preliminary evidence supporting the structural validity and internal consistency of the CSQ-8 among Norwegian parents of children newly diagnosed with ADHD who participated in a psychoeducational programme. Further research is needed to evaluate other measurement properties before broader conclusions can be drawn about the validity and reliability of the instrument.

• Moltubak, Anette Dalmo; Skålholt, Asgeir & Hogstad, Ingrid Johnsen (2026). Developing Professional Status: Child Welfare Workers, Social Workers and Social Educators in Norwegian Schools. Professions and Professionalism. 16(2). doi: 10.7577/pp.6499. Fulltekst i vitenarkiv Vis sammendrag

  The purpose of this paper is providing an overview of how the position of health and social work professions in Norwegian schools has developed from 1997-2023. The analyses are based on administrative data on education and labour market outcomes made available from Statistics Norway. While the number and proportion of health and social workers in schools have increased, recognition of their competence – as expressed through occupation, salary and employment percentage – varies. Changes in occupational roles are interpreted as professional development through Abbott’s concept of jurisdiction. The title milieu therapist has increased the most, which we interpret as a school social work role developing for social workers, child welfare workers and social educators. Meanwile, employment as assistants has remained consistent, which highlights school social work as a fragile jurisdiction. Their employment may also be connected to individual rights to special education, possibly explaining a stronger position for social educators.  

• 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
• Bachmann, Liv; Grønvik, Cecilie Katrine Utheim; Ødegård, Atle & Mundal, Ingunn Pernille (2026). Development and psychometric testing of the Mechanical Restraint Questionnaire (MR-Q): a pilot study. BMC Psychiatry. doi: 10.1186/s12888-026-08691-w. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Background The use of mechanical restraints (MR) in acute mental health care can cause unexpected effects on patients, such as physical injury and mental trauma, thus MR requires continuous clinical assessment and decision-making before, during, and after mechanical restraint episodes. Despite the importance of these processes, few validated instruments are available to assess health care professionals’ perceptions of restraint-related assessments during the implementation of mechanical restraints. Therefore, this pilot study aimed to develop the Mechanical Restraint Questionnaire (MR-Q) and examine its psychometric properties. Methods A cross-sectional study was conducted. The MR-Q, a self-report questionnaire designed to assess nurses’and ward staff members’perceptions of assessments related to the use of mechanical restraint, consisted of 61 items. Item development was informed by individual interviews, a clinical guideline, and a literature review. Of the 61 items, 26 addressed the practice environment and 35 addressed the caring process. Data were collected from 69 nurses and word staff working in acute mental health wards in Norway. Parallel analysis (PA), visual inspection of the scree plot and exploratory factor analysis (EFA) were performed to examine the questionnaire’s underlying factor structure. The psychometric properties of the MR-Q were further assessed through face validity, content validity, construct validity, and reliability testing of the identified subscales. Results The PA suggested a possible six-factor solution, whereas the EFA extracted two dimensions with three factors in each dimension, respectively six factors. Three factors covered the practice environment, and three factors covered the caring process. The factors accounted for 69.3% of the total variance in the practice environment and 52.0% of the total variance in the caring process. Conclusion The findings indicate evidence of an acceptable factor structure and acceptable to high internal consistency of the MR-Q as a measure of the perceptions of MR assessment. Some improvements and further investigation of the reliability and validity in a larger and heterogenous sample are needed.

• Dale, Karl Yngvar & Ødegård, Atle (2026). Anchoring practice in flux: Experiences among professionals in Norwegian specialized ambulatory mental health care teams. Current Psychology. ISSN 1046-1310. 45(18). doi: 10.1007/s12144-026-10096-7. Fulltekst i vitenarkiv Vis sammendrag

  This study investigates how mental health professionals working in Norwegian specialized ambulatory teams navigate complex ethical, relational, and organizational demands within fragmented care environments. Using an exploratory qualitative design, we conducted semi-structured focus group interviews with practitioners across 11 teams, including Assertive Community Treatment (ACT), acute, follow-up, and rehabilitation services. Reflexive thematic analysis yielded four interrelated themes: Anchoring Amid Chaos, Bearing Ethical Strain, Reinventing in Motion, and Sustaining Care Through Strong Relationships. These themes illustrate how professionals navigate fragmented systems by exercising moral judgment, building relational connections, improvising in real time, and coordinating informally across organizational divides. Theoretically framed by Zigon’s concept of moral breakdown, Rogers’ person-centered theory, Schön’s reflective practitioner model, Luhmann’s systems theory, and the PINCOM model of interprofessional collaboration, the study positions these practitioners as reflective mediators who uphold continuity and therapeutic integrity amid institutional fragmentation. While grounded in a specific regional context, the findings provide experience-near insights into the micro-practices that sustain recovery-oriented care within decentralized and unpredictable systems. The study highlights the need to support the anchoring role of frontline professionals by fostering ethical reflection, strengthening relational infrastructure, and enabling responsive collaboration across fragmented systems. These findings underscore the importance of recognizing the adaptive anchoring work among practitioners and offer concrete directions for training, evaluation, and policy in community-based mental health care.

• Lund, Marianne; Norbye, Anja Margrete Davis; Furberg, Anne-Sofie; Johansson, Jonas; Wilsgaard, Tom & Winther, Anne [Vis alle 8 forfattere av denne artikkelen] (2026). Associations between BMI trajectories and young adult bone: a 10-yr follow-up from the Norwegian Fit Futures cohort. JBMR Plus. 10(10). doi: 10.1093/jbmrpl/ziag143. Fulltekst i vitenarkiv Vis sammendrag

  BMI is a well-established determinant of bone health; however, most evidence is derived from cross-sectional or short- term studies, providing limited insight into how long-term BMI development influences skeletal maturation. We aimed to investigate the associations between long-term BMI trajectories and skeletal development from adolescence into young adulthood. Data were derived from 1114 participants in the population-based Fit Futures study with repeated measurements (2010-2011 [FF1], 2012-2013[FF2], and 2021-2022[FF3]). Group-based trajectory modeling identified 3 BMI trajectories: low-stable, moderate-increasing, and high-stable. Sex-stratified linear mixed-effects models estimated adjusted mean DXA- derived areal BMD (aBMD) and BMC at the total body (TB), TH, and FN. Participants in the moderate-increasing and high- stable trajectories consistently exhibited higher aBMD and BMC than those in the low-stable trajectory across all skeletal sites throughout follow-up. For TB aBMD, compared with the low-stable trajectory, the moderate-increasing trajectory was associated with β =.06 g/cm2 (95% CI: 0.05-0.08) in females and β =.08 g/cm2 (95% CI: 0.06-0.10)in males, whereas the corresponding estimates for the high-stable trajectory were β =.10 g/cm2 (95% CI: 0.07-0.17) and β =.10 g/cm2 (95% CI: 0.06- 0.15), respectively (all p<.001). Despite continued increases in BMI, the moderate-increasing trajectory was not associated with proportionally greater skeletal accrual than the high-stable trajectory, and statistically significant trajectory-by-time interactions were limited to TB outcomes. BMI trajectories established during adolescence were associated with persistent differences in attained skeletal levels rather than differential skeletal accrual into young adulthood. These findings underscore the importance of adolescence as a critical period for the attainment of peak bone mass.

• Gneist, Juliane; Julnes, Signe Gunn & Mundal, Ingunn Pernille (2026). Avansert klinisk allmennsykepleier i sykehjem : en kvalitativ studie om erfaringer med palliativ omsorg til pasienter med multisykdom. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 22(1), s. 1–18. doi: 10.7557/14.7949. Fulltekst i vitenarkiv Vis sammendrag

  Bakgrunn: Antallet pasienter med multisykdom i palliativ fase har økt i kommunehelsetjenesten. Palliative forløp kan være i måneder og år, og krever kontinuerlig oppfølging, systematisk kartlegging og spesialisert kompetanse. Studien undersøker erfaringer hos avanserte kliniske allmennsykepleiere (AKS) i palliativ omsorg i sykehjem. Metode: Kvalitativ design med semistrukturerte intervjuer av åtte AKS. Malterud’s firetrinns analysemodell for tekstkondensering ble benyttet. Resultat: AKS styrker palliativ omsorg for multisyke pasienter gjennom systematisk kartlegging, personsentrert kommunikasjon og klinisk legemiddelhåndtering, øker kvalitet og trygghet, reduserer sykehusinnleggelser, men påvirkes av organisatoriske barrierer og uklare roller. Konklusjon: AKS-kompetanse styrker helhetlig palliativ omsorg for multisyke pasienter gjennom kartlegging, kommunikasjon og legemiddelhåndtering. Effektiv bruk krever rolleavklaring og organisatorisk støtte, mens manglende systemtilrettelegging begrenser potensialet. Implementering bør fremme tverrfaglig samarbeid og systematisk praksis.

• Hadler-Olsen, Elin Synnøve; Mulic, Aida Gacic; Furberg, Anne-Sofie & Petrenya, Natalia (2026). Enamel Caries in Young Adults and Progression From Adolescence: Fit Futures, a Longitudinal Cohort Study. International Dental Journal. ISSN 0020-6539. 76(5). doi: 10.1016/j.identj.2026.109739. Fulltekst i vitenarkiv
• Kristiansen, Susanne; Eriksen, Siren; Treviño, Cathrine Selnes; Välimäki, Tarja; Atladóttir, Helga & Gudmundsdottir, Gudlaug [Vis alle 10 forfattere av denne artikkelen] (2026). Patients’ experiences of living with the risk of Alzheimer’s disease – a multicentre qualitative study. Geriatric Nursing. ISSN 0197-4572. 73. doi: 10.1016/j.gerinurse.2026.104209. Fulltekst i vitenarkiv Vis sammendrag

  Aims and objectives To explore the experiences of receiving and living with a diagnosis of prodromal Alzheimer’s disease. Background Alzheimer’s disease is a progressive dementia disorder, with pathology potentially developing years before clinical symptoms. Evidence concerning patients’ perspectives on living with a prodromal Alzheimer’s disease diagnosis remains scarce. Design and methods A qualitative, descriptive design was employed. Semi-structured interviews were conducted with 16 participants diagnosed with prodromal Alzheimer’s disease in memory clinics in Denmark, Norway and Iceland. The data were analysed using thematic analysis. Findings Four main themes emerged: 1) what led to the assessment, 2) receiving the diagnosis of prodromal Alzheimer’s disease, 3) everyday life after the diagnosis and 4) planning for the future. The participants experienced diverse trajectories to diagnosis, with some being alerted by others to symptoms and some recognising the symptoms themselves. The diagnostic process was often perceived as intimidating, and person-centred care was valued. After the diagnosis, the participants focused on managing daily life, experienced changes in relationships and harboured mixed emotions about the future. Conclusion Receiving a prodromal Alzheimer’s disease diagnosis impacts patients’ perceptions of their abilities, relationships and future. There is a need for interventions targeting both patients and their families to maintain a close bond between them and support hope. Clear communication about the distinction between prodromal Alzheimer’s disease and Alzheimer’s dementia is crucial.

• Winther, Siri Bjørgen; Izadi, Mani; Husby, Vigdis Kvitland Schnell; Husby, Otto Schnell; Brobakken, Mathias Forsberg & Øhrn, Frank-David [Vis alle 9 forfattere av denne artikkelen] (2026). Preoperative physiotherapy and one-year patient-reported outcomes after primary total knee arthroplasty: a registry-based cohort study of 1,688 patients. Journal of Rehabilitation Medicine. ISSN 1650-1977. 58. doi: 10.2340/jrm.v58.44853. Fulltekst i vitenarkiv Vis sammendrag

  Objective: Preoperative physiotherapy in patients receiving primary total knee arthroplasty (TKA) aims to relieve pain, delay surgery, and improve postoperative recovery. This study investigates the change in PROMs and pain after primary TKA between patients who received preoperative physiotherapy (P) and those who did not (NP). Design: Registry-based cohort study with data from an institutional registry. Patients: 1,688 patients followed a standardized fast-track clinical pathway between August 2017 and January 2024 and were grouped in P or NP. Methods: Primary outcome was KOOS-PS at 2 months and 1 year postoperatively. Secondary outcomes included pain, the Forgotten Joint Score, and EQ-5d-5L. Two anchor questions related to self-perceived knee function and willingness to have the surgery again at 12 months’ follow-up were also evaluated. Results: The model estimate demonstrated no significant between-group difference in KOOS-PS at 2 months (1.12 points; p = 0.079) or 1-year follow-up (1.25 points; p = 0.097). Visual inspection of descriptive plots showed that NP patients had higher KOOS-PS, less pain, and better joint score and quality of life at all time points. At 12 months’ follow-up, both groups had similar responses to the anchor questions. Conclusion: After adjustment for baseline differences, no between-group differences in postoperative self-reported physical function were observed; consistently lower scores in the physiotherapy group may reflect systematic preoperative differences between groups.

• 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.

• Lindqvist, Susanne; Vasset, Frøydis Perny; Almås, Synnøve Hofseth; Wilsher, Stephanie Howard; Willumsen, Anna Elisabeth & Iversen, Hans Petter [Vis alle 7 forfattere av denne artikkelen] (2026). A framework to guide the integration of interprofessional education in the classroom and practice setting - underpinned by findings from a sequential mixed methods study. Journal of Interprofessional Care. ISSN 1356-1820. doi: 10.1080/13561820.2026.2698731. Fulltekst i vitenarkiv Vis sammendrag

  Health and social care systems face increasing demands for interprofessional education and collaborative practice (IPECP) to meet complex patient needs. In response, global leaders advocate for interprofessional education (IPE) to prepare professionals for effective IPECP. An initial study conducted by the authors revealed skepticism among university educators about IPE approaches and their ability to translate into workplace practice. This prompted a follow-up study aimed at developing an evidence‑based framework to support educators in overcoming barriers to integrating meaningful IPE into curricula that bridge the theory-practice gap. A sequential mixed‑methods design, theoretically underpinned by social-innovation-informed experiential learning, enabled cumulative validity across three research strands, each published separately. Drawing on insights from both the initial and follow-up study, incorporating data from more than 220 participants, this article presents the emergent 4P Framework, which identifies four core considerations for effective IPE integration: Priority, Professional value, Professional commitment, and Person-centredness. The development of the framework is described and situated within the existing evidence base. To support practical application, the 4P Framework is mapped to an established transitions model, providing educators and leaders with a structured and theoretically aligned tool to guide IPE implementation and highlighting empirically informed areas for future research.

• Pilskog, Veronica Kvalen; C., Besley, John & Brevik, Thea Beate (2026). Preferences for training on mandatory reporting of intimate partner violence among healthcare professionals: a Norwegian cross-sectional study. Frontiers in Public Health. 14. doi: 10.3389/fpubh.2026.1884227. Fulltekst i vitenarkiv Vis sammendrag

  Background: Training healthcare professionals to recognize and respond to intimate partner violence (IPV) is an important component of health system responses to violence. However, little research has explored how healthcare professionals prefer such training to be delivered.Objectives: This study explored healthcare professionals’ preferences for training modalities on mandatory reporting of IPV and the associations between participant characteristics and preferred training modalities. Materials and methods: A cross-sectional survey was conducted between May and September 2025 (N = 266) among healthcare professionals working in Norway. The questionnaire assessed demographic and professional characteristics, previous training on mandatory reporting of IPV, perceived competence, and preferences for training delivery formats. Descriptive statistics were used to summarize participant characteristics and teaching preferences. Logistic regression analyses explore associations between participant characteristics and preferred training modalities. Results: In-person meetings, courses, and workshops were the most frequently preferred training formats (62%), followed by e-learning (54%) and digital meetings and webinars (44%). Greater perceived time constraints were associated with a stronger preference for digital training formats. Less experienced professionals were more likely to prefer video-based and e-learning formats. Physicians and healthcare workers were less likely to prefer in-person training. Conclusion: Healthcare professionals’ preferences for training modalities on mandatory reporting of IPV vary across professional and contextual factors. Flexible and multimodal training strategies may increase participation and engagement in such training.

• Akselberg, Arlén; Schei, Oda Dyrnes & Hauvik, Stine (2026). Nurses’ experiences with assessing pain in patients with dementia in nursing homes: a qualitative study. BMC Nursing. 25. doi: 10.1186/s12912-026-05110-z. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Background Approximately 80% of long-term care residents in Norwegian nursing homes have dementia. Patients with dementia represent a vulnerable group that tends to underreport pain, mainly due to difficulty expressing pain. Nurses are responsible for assessing pain in patients with dementia when signs of discomfort are evident through behavioural changes. Knowledge of the diagnosis and the patient is essential for proper detection and assessment. We aimed to explore nurses’ experiences in assessing pain in patients with dementia in nursing homes. Methods Data were collected through eight individual interviews with nurses at two Norwegian nursing homes in May 2024. To analyse the data, a qualitative design using thematic analysis was conducted following Braun and Clarke’s six steps. Results Three main themes were identified through analysis: (1) pain assessment is similar to detective work; (2) pain assessment of patients with dementia requires collaboration; and (3) nurses’ desire to improve the quality of pain assessment for patients with dementia. Conclusion Pain assessment in people with dementia was described by nurses as a complex process requiring the interpretation of behavioural changes, knowledge of the individual patient, and the integration of information from multiple sources. The findings highlight the importance of clinical reasoning, collaboration, and continuity in supporting pain assessment when self-reports are limited.

• Liepelt, Silje; Sundal, Hildegunn & Kirchhoff, Ralf (2026). Exploring a root cause analysis team's experience with involving patients and next of kin after a sentinel event. Frontiers in Health Services. 6. doi: 10.3389/frhs.2026.1825372. Fulltekst i vitenarkiv Vis sammendrag

  Background There is a growing recognition among healthcare providers and policymakers of the importance of involving patients and their next of kin in root cause analysis (RCA) to improve patient safety and healthcare quality. However, such involvement is intricate and challenging. This study explored how the involvement of patients and next of kin influenced the RCA team's understanding of a fatal sentinel event in maternity care. Method The study was a qualitative exploratory single-case study combining document analysis with interviews with six RCA team members. The selected case came from a Norwegian hospital responding to a sentinel event involving the unexpected death of a child during childbirth. The study addressed the following research questions: What were the team's experiences of involving patients and next of kin in the RCA process? Data collection included twelve interviews with six RCA team members, which were analysed using reflexive thematic analysis. Results Four main themes were identified. These concerned: (1) uncertainty regarding whether bereaved parents should be involved in the RCA process; (2) challenges associated with conducting interviews with the parents; (3) incorporation of patient and next-of-kin perspectives into the RCA report; and (4) the RCA team's learning process following involvement of the parents. Conclusion The findings suggest that involving patients and next of kin in RCA processes may contribute perspectives that strengthen organisational learning and understanding of sentinel events. Future research should explore how RCA frameworks can be systematically adapted to accommodate the involvement of bereaved relatives across different healthcare contexts.

• Vestvik, Heine Tønnesen & Larsen, Bjørn Kjetil (2026). Young people’s experiences of coherent and flexible support in youth flexible ACT in Norway. The British Journal of Social Work. ISSN 0045-3102. doi: 10.1093/bjsw/bcag111. Fulltekst i vitenarkiv Vis sammendrag

  Young people facing mental health difficulties and co-occurring challenges often receive support across multiple services, where coordination and continuity can be difficult to realize. Youth Flexible Assertive Community Treatment (Youth Flexible ACT) is a multidisciplinary, team-based model designed to provide coordinated, outreach-oriented, and flexible follow-up over time. This qualitative study explored how young people in Norway described what made the Youth Flexible ACT follow-up feel coherent and workable. Nine young people aged sixteen to twenty-two years were recruited through three Youth Flexible ACT teams and interviewed using a semi-structured guide. Data were analysed using Systematic Text Condensation. Participants described support as most helpful when it felt connected, predictable, and relationally safe. Prepared meetings, transparent communication, shared planning, and clear next steps strengthened coherence. Flexibility supported manageability when paired with reliability, but became a vulnerability when availability was unclear or changes were abrupt. The findings show that, in social work and related youth services, coordination becomes meaningful through everyday micro-situations where support is made predictable, understandable, and relationally safe.

• Dale, Karl Yngvar; Sæbjørnsen, Siv Elin Nord & Ødegård, Atle (2026). From Stigma to Recognition in Dual Diagnosis Care: A Multilevel Conceptual Framework. Community mental health journal. ISSN 0010-3853. doi: 10.1007/s10597-026-01688-5. Fulltekst i vitenarkiv Vis sammendrag

  People experiencing co-occurring mental health problems and substance use disorders face some of the most fundamental challenges in contemporary mental health and addiction services. Despite longstanding policy commitments to integrated care, dual diagnosis care remains characterized by persistent fragmentation. Existing multilevel perspectives have advanced understanding of how stigma contributes to exclusion across healthcare systems, yet provide less guidance for explaining how continuity of care is established and sustained across interconnected institutional, organizational, and relational contexts. Drawing on a conceptual synthesis of empirical and theoretical literature, this article develops a multilevel framework integrating recognition theory, stigma theory, and ecological systems theory. The framework conceptualizes dual diagnosis care as shaped by interacting stigma- and recognition-related processes operating across macro (institutional), meso (organizational), and micro (relational) levels. Fragmentation and continuity are understood as emergent outcomes of the degree of alignment or misalignment between these processes across levels of care. Recognition is conceptualized not merely as a feature of interpersonal encounters, but as a coordinating principle through which institutional commitments, organizational arrangements, and relational practices may become aligned to support continuity, participation, legitimacy, collaboration, and trust. By extending existing multilevel perspectives beyond explanations of exclusion alone, the framework provides an analytical lens for understanding why fragmentation may persist despite policy commitments to integrated care and how continuity may emerge when recognition-supporting conditions are aligned across systems of care.

• Bakken, Hege; Østby, May; Aasgård, Ingrid Krohn; Bromstad, Thrine Marie Nøst & Langøy, Emmy Elizabeth (2026). Unntakstilstand over tid? Dispensasjoner fra utdanningskravet ved tvangstiltak overfor personer med utviklingshemming. I Alteren, Johanne; Hvattum, Lars Magnus; Oskars, Trond Roger; Straume, Solveig & Teryokhin, Sergei (Red.), Tid. Fjordantologien 2026. Scandinavian University Press (SCUP). ISSN 9788294167364. s. 97–116. doi: 10.18261/9788294167371-26-05. Fulltekst i vitenarkiv Vis sammendrag

  Denne studien undersøker Statsforvalterens behandling av søknader om dispensasjon fra utdanningskravet ved gjennomføring av tvangstiltak overfor personer med utviklingshemming. Dispensasjon kan innvilges i særlige tilfeller, men majoriteten innvilges. Studien bygger på intervjuer med sju saksbehandlere ved tre statsforvalterembeter. Studien gir innsikt i behov for tydeligere avgrensning av særlige tilfeller. Det stilles spørsmål ved om dagens praksis kan utfordre rettssikkerhet.

• Frisvoll, Inger Cecilie; Aarseth, Turid & Kirchhoff, Ralf (2026). Hvordan bestemmes tidspunkt for overføring av pasienter fra spesialist- til kommunehelsetjenesten? Observasjoner fra medisinske sengeposter. I Alteren, Johanne; Hvattum, Lars Magnus; Oskars, Trond Roger; Straume, Solveig & Teryokhin, Sergei (Red.), Tid. Fjordantologien 2026. Scandinavian University Press (SCUP). ISSN 9788294167364. s. 71–95. doi: 10.18261/9788294167371-26-04. Fulltekst i vitenarkiv Vis sammendrag

  Studien undersøker utskrivningsvurderinger i spesialisthelsetjenesten gjennom observasjoner på to medisinske sengeposter. Arbeidet er informert av institusjonelle logikker som teoretisk rammeverk, og løfter frem hvordan forståelsen av tid varierer logikkene imellom. Logikkene beskrives «nedenfra» ved å se hvordan leger og sykepleiere gjennom samtaler og handlinger vurderer hva som er riktig tidspunkt for å overlate pasienten til kommunal oppfølging.

• Alteren, Johanne; Hvattum, Lars Magnus; Oskars, Trond Roger; Straume, Solveig & Teryokhin, Sergei (2026). Tidens mangfold. I Alteren, Johanne; Hvattum, Lars Magnus; Oskars, Trond Roger; Straume, Solveig & Teryokhin, Sergei (Red.), Tid. Fjordantologien 2026. Scandinavian University Press (SCUP). ISSN 9788294167364. s. 13–19. doi: 10.18261/9788294167371-26-01. Fulltekst i vitenarkiv
• Eriksen, Siren; Rokstad, Anne Marie Mork; Telenius, Elisabeth Wiken & Krohne, Kariann (2026). Ensuring a good death: Priorities and concerns of healthcare personnel across healthcare settings. Palliative & Supportive Care. ISSN 1478-9515. 24. doi: 10.1017/s1478951526102843. Fulltekst i vitenarkiv Vis sammendrag

  Objectives The primary objective of healthcare personnel involved in end-of-life care is to ensure a good and dignified death. However, end-of-life care is delivered across various healthcare settings. This qualitative study aimed to identify the priorities and concerns related to end-of-life care shared by healthcare personnel working in hospitals, nursing homes, and municipal home care. Methods Twenty-two healthcare personnel from across Norway participated in virtual focus group interviews. Participants represented 3 distinct healthcare settings and had diverse professional backgrounds. Each interview was audio-recorded and transcribed verbatim. Qualitative content analysis was conducted and informed by theory on professional competence. Results The analysis demonstrated that ensuring a good death was a shared focus among participants. Across settings, they expressed aligned priorities and concerns regarding end-of-life care. They likened their role to that of a pilot boat skipper, guiding the end-of-life process with a clear focus on: 1) offering support and information, 2) providing symptom relief, and 3) ensuring a presence at the bedside. Each of these themes highlights a key priority in end-of-life care across healthcare settings, along with its associated concerns. Significance of results This study demonstrates that healthcare personnel across hospitals, nursing homes, and municipal home care share core priorities of what constitutes a good and dignified death. The findings challenge setting-specific assumptions in end-of-life care and support an emphasis on shared core competencies in education and practice. Overall, the study contributes to a more unified understanding of end-of-life care by highlighting foundational care values that transcend organizational boundaries and professional backgrounds, thereby supporting policies that promote continuity and coherence across care environments.

• Bollemeijer, Juliette; Page, Christian Magnus; Klein, Isabel; Danielsen, Kjersti; Furberg, Anne-Sofie & Jenssen, Marita [Vis alle 13 forfattere av denne artikkelen] (2026). Chronic Pain and Pain Tolerance in Psoriasis: A Cross-sectional Study of Three Population-based Cohorts in the Netherlands and Norway. Acta Dermato-Venereologica. ISSN 0001-5555. 106. doi: 10.2340/actadv.v106.adv-2026-0510. Fulltekst i vitenarkiv Vis sammendrag

  Pain is increasingly recognized as an important butunder-addressed symptom in psoriasis. Although oftenattributed to psoriatic arthritis (PsA) or skin-relatedpain, individuals with psoriasis or PsA also reportpain in other musculoskeletal structures, including axialand buttock pain (1, 2). Quantitative sensory testing(QST) uses standardized experimental stimuli to assesspain thresholds and tolerance, and small studies inpsoriasis or PsA have reported reduced pressure painthresholds (3, 4). However, large population-basedstudies assessing chronic pain and QST measures inpsoriasis, both with and without PsA, are lacking,despite the substantial impact of pain in psoriasis onhealth-related quality of life (5). Using data from threelarge population-based cohorts in the Netherlands andNorway, we therefore examined whether individualswith psoriasis differ from controls in chronic pain,number of pain sites, pain intensity and pain toleranceassessed by 2 QST measures: the cold pressor test(CPT) and cuff pressure algometry (PAlg). We alsoevaluated the influence of PsA, psoriasis activity andseverity on these associations.

• Kristiansen, Susanne Tilke Thon; Leer-Salvesen, Kjartan; Dahl, Silje Louise & Vatnar, Solveig Karin Bø (2026). Det er ikke alltid det føles bra, men det kan føles riktig: avvergeplikten ved partnervold i krisesenterarbeid. Tidsskrift for velferdsforskning. ISSN 0809-2052. 29(2), s. 1–15. doi: 10.18261/tfv.29.2.3. Fulltekst i vitenarkiv Vis sammendrag

  Gjennom intervjuer med ti ansatte ved krisesentre undersøkte vi deres erfaringer med avvergeplikten ved partnervold. Funnene viste at utfordringer kan oppstå når voldsutsatte ikke ønsker at volden meldes til politiet, samtidig som ansatte ved krisesentre opplevde avvergeplikten som en integrert del av sitt profesjonelle ansvar. Plikten kom i mindre grad enn forventet i konflikt med taushetsplikten og krisesentrenes prinsipper. Den ble vurdert som viktig for å bevisstgjøre voldsutsatte om alvoret, styrke risikovurdering og håndtering samt understreke samfunnets ansvar i forebygging av partnervold. Avvergeplikten fremsto som sentral for krisesenterarbeidet både på individ- og samfunnsnivå, men samtidig ble det identifisert utfordringer i samarbeidet med politiet.

• Alteren, Johanne (2026). Læring av omsorg gjennom følelser. I Herholdt-Lomholdt, Sine Maria; Lockertsen, Jan-Thore & Magnussen, Inger-Lise (Red.), Med omsorg som sykepleiens ankerfeste. I utdannelse, praksis og ledelse. Fagbokforlaget. ISSN 9788245057881. s. 105–120. doi: 10.55669/oa830406. Fulltekst i vitenarkiv Vis sammendrag

  Artikkelen handler om hvordan følelser inngår i studenters læring av omsorg i sykepleier–pasientrelasjonen. Med utgangspunkt i én illustrerende fortelling om en student som for første gang bistår en eldre pasient med morgenstell, viser analysen at følelser er en integrert del av omsorgen: de åpner for tilgang til pasienten, informerer klinisk skjønn og former utviklingen av profesjonell omsorgskompetanse. Studien er fenomenologisk-hermeneutisk forankret og bygger teoretisk på relasjonelle, praksisorienterte omsorgs- og etikktradisjoner som fremhever følelser som sentrale for klinisk dømmekraft og faglig utvikling.

• Larsen, Bjørn Kjetil; Vestvik, Heine Tønnesen & Hean, Sarah Catherine Patricia Duff (2026). Fragile hope in a fragmented system: participants’ experiences of the Norwegian Drug Court. Justice, Opportunities, and Rehabilitation. ISSN 2997-965X. 65(5), s. 339–358. doi: 10.1080/2997965x.2026.2678794. Fulltekst i vitenarkiv Vis sammendrag

  This article examines how participants in the Norwegian Drug Court (ND) describe their everyday experiences of support, control, and motivation. Drawing on qualitative interviews with 15 men enrolled in the program, the study explores how participants contrasted ND with other parts of the welfare and justice systems. While correctional staff were described as supportive, respectful, and sometimes protective advocates, welfare institutions such as the Norwegian Labor and Welfare Administration (NAV) and health services were often experienced as stigmatizing and exclusionary. Through the lens of complexity theory, the findings suggest that motivation and hope did not arise from formal structures but from micro-level relational encounters that created temporary stability in otherwise fragmented systems. Yet these supports were fragile, contingent on individual professionals, and easily disrupted. The analysis argues that ND embodies a paradox: it offers care and continuity where other systems fail, but it does so within a framework of conditionality and control. Even in a strong Norwegian welfare state, rehabilitation remains dependent on the discretionary efforts of frontline workers, pointing to systemic vulnerabilities in how justice and welfare institutions respond to people with complex needs.

• Thapa, Raj Kumar; Bliksvær, Trond; Eines, Trude Fløystad; Fabritius, Merete Kvamme; Grønvik, Cecilie Katrine Utheim & Holm, Solrun [Vis alle 9 forfattere av denne artikkelen] (2026). Responsible digital transformation in rural primary healthcare services: critical factors from a Norwegian case study. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 44(1). doi: 10.1080/02813432.2026.2673135. Fulltekst i vitenarkiv Vis sammendrag

  Objective To explore the critical factors that shape the potential for co-creating and implementing a virtual department for home-based healthcare in a rural municipality. Methods A qualitative case study was conducted in a rural municipality in Northern Norway. Data were collected through semi-structured interviews, focus groups, and co-creation workshops involving healthcare leaders, frontline staff, service users and relatives, and representative from the pensioners’ federation. Thematic analysis was applied to identify organisational, contextual, and cultural factors influencing digital transformation. Results While the co-creation of virtual department for home-based healthcare showed potential for piloting, readiness for full implementation was limited. Six critical factors were identified: structural readiness, digital competence, technology in practice, cultural change, autonomy and care, and motivation and dedication. These factors highlight the importance of organisational culture, workforce capacity, and stakeholder engagement in shaping readiness for responsible digital transformation. Conclusion Digital transformation holds potential for addressing healthcare challenges in rural municipalities, but success depends on more than technological efficacy. Effective coordination between bottom-up and top-down approaches is required to ensure responsible and sustainable transformation of primary healthcare services.

• Roaldset, John Olav; Laake, Anniken Lucia Willumsen; Gustavsen, Carina Chudiakow; Grenabo, Sara Teresia; Bjørkly, Stål Kapstø & Lockertsen, Øyvind (2026). Comparison of Two Short Screening Tools to Help Assess Violence Risk in Youth Aged 12–18 Acutely Admitted to Child Welfare: The V-RISK-Y and the V-RISK-YP. Child and Youth Care Forum. ISSN 1053-1890. doi: 10.1007/s10566-026-09952-1. Fulltekst i vitenarkiv Vis sammendrag

  Background Due to the lack of short violence risk assessment instruments for youth, the Violence Risk Assessment Checklist for Youth Aged 12–18 (V-RISK-Y) was developed and tested in four acute adolescent psychiatric departments and four acute child welfare institutions in a multicenter project in Norway. Results for V-RISK-Y were good for adolescent psychiatry but insufficient for child welfare. Objective The aims were to develop the Violence Risk Assessment Checklist – Youth Protection, Aged 12–18 (V-RISK-YP) for child welfare institutions, to explore the feasibility of V-RISK-YP, and to compare predictive properties of V-RISK-YP and V-RISK-Y in child welfare. Methods The target group was all youths acutely placed in four child welfare institutions during a one-year period. All placements were decided by the local municipality child welfare team. Final study population consisted of 162 youths. Data for child welfare from the V-RISK-Y multicenter project was re-analysed resulting in the V-RISK-YP. V-RISK-YP and V-RISK-Y scores at admission were compared with registered violent episodes during institutional stay. The design was a prospective observational study in a naturalistic setting. Results Main findings were significantly better predictive results for V-RISK-YP compared to V-RISK-Y, and that V-RISK-YP significantly added predictive validity to the control variables in the study. Conclusions The results indicate that V-RISK-YP can be a useful violence risk screening instrument and fill a shortage of this type of instruments in child welfare institutions, but more studies are needed in other settings or cultures with higher power to confirm validity and usability.

• Eriksen, Siren; Michelet, Mona; Amundsen, Klaus; Askestad, Hege; Bredholt, Thea & Edøy, Torunn [Vis alle 11 forfattere av denne artikkelen] (2026). Norske hukommelsesteams organisering, rammefaktorer og ivaretagelse av oppgaver i dag og i fremtiden: en kvalitativ, deskriptiv studie. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 12(1), s. 1–17. doi: 10.18261/tfo.12.1.3. Fulltekst i vitenarkiv Vis sammendrag

  Bakgrunn: Nærmere 90 % av norske kommuner har et hukommelsesteam eller en ressursperson for demens, men det er lite kunnskap om innholdet i tjenestene og hvordan teamene ivaretar sine oppgaver. Metode: Hensikten med studien var å undersøke og beskrive ansatte i hukommelsesteams erfaringer med organisering, rammefaktorer og ivaretagelse av oppgaver. Vi gjennomførte fire fokusgruppeintervjuer med 18 ansatte i hukommelsesteam fra ulike deler av landet. Intervjuene ble analysert i tråd med prinsipper for innholdsanalyse. Hovedresultater: Deltagerne beskrev ingen sammenheng mellom kommunestørrelse og hukommelsesteamets størrelse. De opplevde et stort sprik mellom behov og ressurser. Hukommelsesteamene trakk frem at samarbeidet med fastlegen er svært viktig, men samarbeidet er sårbart, og mange kommuner mangler arenaer og systematikk for samarbeid. Mangel på kommunale planer og prioriteringer gjør at det er opp til teamene selv å prioritere de knappe ressursene de har. Konklusjon: Resultatene fra studien indikerer et behov for at kommunene gir hukommelsesteamene en tydelig posisjon i organiseringen av tilbudet til personer med demens og deres familier. Det synes å være behov for økte ressurser, tydeligere retning for prioritering og kvalitet, samt tilrettelegging av arenaer for samarbeid internt i kommunene, spesielt med fastleger.

• Tøien, Tiril; Berg, Ole Kristian; Brobakken, Mathias Forsberg & Wang, Eivind (2026). Neural plasticity is a two-way street: Counteracting age-related neural deterioration with strength training. Archives of Gerontology and Geriatrics. ISSN 0167-4943. 149(October). doi: 10.1016/j.archger.2026.106292. Fulltekst i vitenarkiv Vis sammendrag

  Changes in the nervous system with age are largely responsible for decreased force generating capacity (FGC), i.e., maximal strength and rate of force development. Emphasizing studies applying near-maximal/maximal contractions and stimulation intensity and training intensity as strong evidence, and training intensity above 60% maximal strength, this review uncovered that efferent neural drive, comprising motor unit recruitment and firing frequency, consistently appeared to be a main contributing factor for the decline and subsequent improvement in FGC with age. However, identifying single steps along the efferent neural drive pathway is challenging. Structural changes in the brain and corticospinal excitability alterations may be partly responsible for the reduced FGC, although these are seldom investigated in relation to FGC. Further, methodological constraints associated with measurements of corticospinal excitability challenge firm conclusions. Conduction velocity in the corticospinal tract is slower with age and intracortical inhibition increases, the latter may be improved following strength training. Peripheral factors – loss of spinal α-motoneurons, reduced spinal α-motoneuron excitability, and reduced conduction velocity – also contribute, albeit without considerable improvements following strength training. Despite methodological constraints associated with corticospinal measurements, we conclude that the efferent neural drive enhancement observed following strength training is likely a result of central nervous system adaptations, as peripheral adaptations appear to be negligible. It therefore seems essential to apply training that specifically targets efferent neural drive enhancement with older age. Heavy loads are imperative for efferent neural drive improvements and should be recommended to maintain or improve efferent neural drive and maximal FGC in older adults.

Se alle arbeider i NVA

• Alteren, Johanne; Hvattum, Lars Magnus; Oskars, Trond Roger; Straume, Solveig & Teryokhin, Sergei (2026). Tid. Fjordantologien 2026. Scandinavian University Press (SCUP). ISBN 9788294167364. 446 s. doi: 10.18261/9788294167371-26. Fulltekst i vitenarkiv

Se alle arbeider i NVA

• Rokstad, Anne Marie Mork (2026). Understanding the family perspective when conducting caregiver interviews. Fulltekst i vitenarkiv
• Rokstad, Anne Marie Mork (2026). Hjerneløftet. Fulltekst i vitenarkiv
• Rokstad, Anne Marie Mork (2026). Subjektiv opplevelse av å ha demens, hvilke behov blir møtt og ikke? Anne Marie Mork Rokstad. Fulltekst i vitenarkiv
• Sollid, Tonje (2026). Fra beslutning til gjennomføring. Hva skiller vellykket implementering fra tiltak som stopper opp? Ledelse, forankring og samspill med praksisfeltet. Fulltekst i vitenarkiv Vis sammendrag

  Foredraget var en gjennomgang av pilotering og implementering av TOPP N/MOSO InPraxis ved bachelor i sykepleie ved Høgskolen i Molde. Hvilke konkrete tiltak og aktiviteter som har vært gjennomført for å bidra til at praksisfeltet har vært informert og involvert, fra ledelse til veiledere. Foredraget fokuserte spesielt på betydningen av tydelig informasjon, opplæring, oppfølging og evaluering.

• Ødegård, Atle (2026). Tverrprofesjonelt samarbeid i traumebevisst praksis – en introduksjon. Fulltekst i vitenarkiv
• Naas, Katrine Silseth; Farstad, Markus Johansen; Skår, John Helge Nesse; Johansen, Elias Løkkeberg; Wågbø, Jonas Hoem & Stavik, Bjørge [Vis alle 7 forfattere av denne artikkelen] (2026). Vil vekke guttenes interesse: - Halve lønna er å hjelpe andre. [Journal]. Romsdals Budstikke . Fulltekst i vitenarkiv
• Lorentzen, Isabelle Lindseth (2026). Avansert klinisk allmennsykepleie – profesjon i endring? Fulltekst i vitenarkiv
• Strømmen, Magnus (2026). Hvordan påvirker gastric bypass og sleeve gastrectomy alkoholopptaket? En studie av etanolkinetikk før og opp til 3 år etter operasjonene. Fulltekst i vitenarkiv
• Hean, Sarah Catherine Patricia Duff; Sæbjørnsen, Siv Elin Nord; Ndlovu, Sibonokuhle; Molapisi, Gaone & Sjåfjell, Linda (2026). Editorial - The Inclusion and Welfare of Children and Young People with Disabilities. Journal of Comparative Social Work. 21, s. 1–11. doi: https:/journals.uis.no/index.php/JCSW/issue/view/73. Fulltekst i vitenarkiv Vis sammendrag

  Special issue on The Inclusion and Welfare of Children and Young People with Disabilities

• Sættem, Ragnhild (2026). Helsepersonell har ansvar også når systemet setter grenser. doi: https:/sykepleien.no/meninger/2026/10/helsepersonell-har-ansvar-ogsa-nar-systemet-setter-grenser. Fulltekst i vitenarkiv
• Stephansen, Synnøve Kalvø & Alteren, Johanne (2026). Legemiddelbruk og deling av medisiner : gode råd til alle som tar tabletter. [Radio]. NRK. doi: https:/radio.nrk.no/serie/distriktsprogram-moere-og-romsdal-radio/DKMR01017126. Fulltekst i vitenarkiv
• Hogstad, Ingrid Johnsen & Hungnes, Tonje (2026). UTSIA: Ungdom utanfor skulefellesskapet – innsikt i ein alternativ opplæringsarena. Fulltekst i vitenarkiv Vis sammendrag

  Presentasjon for kommuneledelse i Haram kommune av foreløpige resultat fra forskningsprosjektet UTSIA.

• Hogstad, Ingrid Johnsen; Sylte, Gunnhild Håndlykken & Watn, Mari (2026). Hva skjer når vi dør? [Stand på forskningstorg]. Fulltekst i vitenarkiv
• Jensen, Vilde Sund; Larsen, Bjørn Kjetil; Ødegård, Atle & Trana, Kristin (2026). Interprofessional Collaboration in Youth Flexible ACT. Fulltekst i vitenarkiv
• Sættem, Ragnhild (2026). Varme­stua i Molde – et varmt felles­skap i Spolert­bakken. doi: https:/www.rbnett.no/meninger/n/4B6wBG/varmestua-i-molde-et-varmt-fellesskap-i-spolertbakken. Fulltekst i vitenarkiv
• Moltubak, Anette Dalmo (2026). The position of health- and social workers in Norwegian compulsory education. Fulltekst i vitenarkiv
• Hogstad, Ingrid Johnsen; Botslangen, Anne Madeleine & Hungnes, Tonje (2026). Alternative learning arrangements (ALA) and possibilities for participation for students with school absenteeism. Fulltekst i vitenarkiv
• 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.

• Strømmen, Magnus (2026). Munnhelse og fedmebehandling. Fulltekst i vitenarkiv
• Strømmen, Magnus (2026). Studiesykepleierrollen og det frie, informerte samtykke. Fulltekst i vitenarkiv
• Langøy, Emmy Elizabeth; Bakken, Hege; Østby, May; Aasgård, Ingrid Krohn & Bromstad, Thrine Marie Nøst (2026). Har unntaket blitt regelen? doi: https:/www.tk.no/har-unntaket-blitt-regelen/o/80-51-19204. Fulltekst i vitenarkiv Vis sammendrag

  Når samfunnet bruker tvang overfor mennesker med utviklingshemming, stiller loven strenge krav til både kompetanse og kontroll. Men i de fleste tilfellene får de kommunale tjenestene likevel dispensasjon fra utdanningskravet i helse- og omsorgstjenesteloven.

• Langøy, Emmy Elizabeth; Bakken, Hege; Østby, May; Aasgård, Ingrid Krohn & Bromstad, Thrine Marie Nøst (2026). Har unntaket blitt regelen? doi: https:/www.rbnett.no/meninger/o/6qaV3Q/har-unntaket-blitt-regelen. Fulltekst i vitenarkiv Vis sammendrag

  Når samfunnet bruker tvang overfor mennesker med utviklingshemming, stiller loven strenge krav til både kompetanse og kontroll. Men i de fleste tilfellene får de kommunale tjenestene likevel dispensasjon fra utdanningskravet i helse- og omsorgstjenesteloven. Hvor lenge kan en unntaksbestemmelse brukes før den i praksis blir hovedregelen?

• Kvernes, Barbro Karoline & Eines, Trude Fløystad (2026). Sykepleiere trenger kompetanse i helselogistikk. Sykepleien Forskning. ISSN 1890-2936. 110. doi: 10.4220/sykepleiens.2026.109544. Fulltekst i vitenarkiv Vis sammendrag

  Sykepleiere koordinerer pasientforløp og sørger for at viktig informasjon kommer frem. God koordinering gir tryggere og bedre oppfølging av pasientene.

• Iversen, Hans Petter (2026). Røkke rir igjen: Eldrebølge, velferd og institusjonalisering. doi: https:/panorama.himolde.no/2026/09/21/rokke-rir-igjen-eldrebolge-velferd-og-institusjonalisering/. Fulltekst i vitenarkiv
• Hogstad, Ingrid Johnsen (2026). Barnehagebarn og kriser og sorg. Fulltekst i vitenarkiv
• Letnes, Marit; Semundseth, Merete Reirå; Langtinn, Kristin; Sæbjørnsen, Siv Elin Nord & Botslangen, Anne Madeleine (2026). Fra prat til handling: Kursing i seksuelt grenseoverskridende atferd bør være obligatorisk. [Journal]. vernepleier.no. doi: https:/vernepleier.no/2026/09/fra-prat-til-handling-kursing-i-seksuelt-grenseoverskridende-atferd-bor-vaere-obligatorisk/. Fulltekst i vitenarkiv
• Hogstad, Ingrid Johnsen (2026). Dialogic Production, Performativity, or First-person perspective? Endeavors in Unpacking the Research Interview. Fulltekst i vitenarkiv
• Brekke, Liv Janne Raknes & Molnes, Sven Inge (2026). Casebasert rollespill i utviklingen av framtidens helsesykepleiere. Læring om læring. ISSN 2535-4108. doi: https:/www.ntnu.no/ojs/index.php/lol/article/view/6736. Fulltekst i vitenarkiv
• Brobakken, Mathias Forsberg; Sherman, Ronan Aron; Berg, Ole Kristian; Izadi, Mani; Tøien, Tiril Hoksnes & Unhjem, Runar Jakobsen [Vis alle 7 forfattere av denne artikkelen] (2026). Neuromuscular benefits persist into very old age in strength-trained octogenarian master athletes: A 10-year follow-up study. Book of abstracts 31st annual congress of the European College of Sport Science. Fulltekst i vitenarkiv
• Hagen, Rigmor Sjaastad; Herskedal, Kjell Marius & Mowinckel, Julie Krekvik (2026). Løpedilla på høgskolen – og én av disse vant. [Journal]. Romsdals Budstikke Pluss. Fulltekst i vitenarkiv
• Hagen, Rigmor Sjaastad; Herskedal, Kjell Marius & Mowinckel, Julie Krekvik (2026). Løpedilla på høgskolen – og én av disse vant. [Journal]. Adresseavisen Pluss. Fulltekst i vitenarkiv
• Hovde, Bjørg Irene & Rokstad, Anne Marie Mork (2026). Sender ut spørsmål om hjernen din. [Journal]. Romsdals Budstikke Pluss. Fulltekst i vitenarkiv
• Strømmen, Magnus (2026). Vil kartlegge usynlig sykepleiergruppe. [Internet]. Tidsskriftet Sykepleien. doi: https:/sykepleien.no/2026/08/vil-kartlegge-usynlig-sykepleiergruppe. Fulltekst i vitenarkiv Vis sammendrag

  Ingen vet hvor mange studiesykepleiere vi har her i landet. Heller ikke hvilken utdanning, erfaring eller hvilke oppgaver de har. Det vil Magnus Strømmen gjøre noe med.

• Strømmen, Magnus (2026). Patient Warning: Bariatric Surgery Can Get Them Drunk Faster. [Internet]. Medscape.com. Fulltekst i vitenarkiv Vis sammendrag

  ‘The same amount of alcohol may produce at least twice the effect,’ experts say. Patients need early education on the situation.

• Kvernes, Barbro Karoline & Edøy, Torunn (2026). Når aktiv læring blir mer enn aktivitet - utvikling av samstemt læringsdesign i sykepleierutdanningen. Læring om læring. ISSN 2535-4108. 14, s. 1–10. doi: https:/www.ntnu.no/ojs/index.php/lol/article/view/6716. Fulltekst i vitenarkiv Vis sammendrag

  Studentaktive undervisningsformer har fått en sentral plass i høyere utdanning, men studentaktivitet fører ikke nødvendigvis i seg selv til læring. For at aktiv læring skal ha pedagogisk verdi, må læringsaktivitetene inngå i et helhetlig læringsdesign med tydelig sammenheng mellom hva studentene skal lære, hvordan de arbeider med fagstoffet, og hvordan læringen følges opp og vurderes. Hensikten med denne fagartikkelen er å vise hvordan prinsippene for samstemt læringsdesign (constructive alignment) kan brukes til å utvikle et helhetlig læringsforløp om sosial ulikhet i helse i sykepleierutdanningen. Artikkelen beskriver et pedagogisk utviklingsarbeid basert på pedagogisk teori, tidligere forskning og systematiske didaktiske refleksjoner. Læringsdesignet tar utgangspunkt i emnets læringsutbytter og kombinerer prinsippene for samstemt læringsdesign med elementer fra flipped classroom. Det består av tre sammenhengende faser: forberedelse før undervisning, casebasert og dialogorientert læring i undervisningen samt refleksjon og medstudentrespons etter undervisningen. Formative vurderingsaktiviteter er integrert gjennom hele læringsforløpet. Artikkelen argumenterer for at den pedagogiske verdien av aktiv læring kan styrkes når læringsutbytter, læringsaktiviteter og formativ vurdering inngår i en tydelig sammenheng. Et slikt læringsdesign kan legge til rette for utvikling av både faglig kunnskap og generiske ferdigheter som samarbeid, kritisk refleksjon og problemløsning. Læringsdesignet er foreløpig ikke empirisk utprøvd, og det er derfor behov for systematisk utprøving og evaluering for å undersøke hvordan det fungerer i undervisningspraksis.

• Stephansen, Synnøve Kalvø & Lorentzen, Isabelle Lindseth (2026). Ville du latt en sykepleier stille diagnose på deg eller må det en lege til? [Radio]. radio.nrk.no/. doi: https:/radio.nrk.no/serie/distriktsprogram-moere-og-romsdal-radio/DKMR01014826?utm_source=nrkradio&utm_medium=delelenke-android&utm_content=prf%3ADKMR01014826#t=1h52m31s. Fulltekst i vitenarkiv Vis sammendrag

  Lorentzen snakker om sin PhD om avansert klinisk allmennsykepleie

• 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.

• Midtsæter, Sara & Kjøll, Renate Rønning (2026). Skal forske på framtidens kvinnefotball – MFK er case. [Journal]. Romsdals Budstikke Pluss. doi: https:/www.rbnett.no/nyheter/n/GxOGdq/skal-forske-paa-framtidens-kvinnefotball-mfk-er-case. Fulltekst i vitenarkiv Vis sammendrag

  Renate Rønning Kjøll (26) fra Molde skal undersøke hvordan MFK og AaFK bygger kvinnefotball, og hva som skal til for å lykkes.

• Strømmen, Magnus (2026). Alkoholopptaket dobles etter fedmekirurgi – forsker mener kartleggingen ikke er god nok. [Journal]. www.dagensmedisin.no. Fulltekst i vitenarkiv Vis sammendrag

  To nye norske studier viser at pasienter tar opp omtrent dobbelt så mye alkohol etter fedmeoperasjon. Magnus Strømmen mener spørreskjemaene dermed måler feil størrelse – og at de mest utsatte pasientene er dem klinikerne leter minst etter.

• Iversen, Hans Petter (2026). Bob Dylan (85) – hva er det med han? doi: https:/panorama.himolde.no/2026/06/19/bob-dylan-85-hva-er-det-med-han/. Fulltekst i vitenarkiv
• Strømmen, Magnus (2026). Kveldsnytt - NRK TV. [TV]. NRK. Fulltekst i vitenarkiv Vis sammendrag

  Kveldens siste nyheter

• Strømmen, Magnus (2026). Fedmeoperasjon gir økt risiko for alkoholproblemer. [Internet]. Gemini.no. Fulltekst i vitenarkiv Vis sammendrag

  Alkoholopptaket i kroppen stiger kraftig etter en fedmeoperasjon. Det gir en økt risiko for alkoholproblemer.

• Strømmen, Magnus (2026). Fedme­operasjonar aukar risiko for alkohol­problem, viser ny studium frå Noreg – NRK Trøndelag. [Internet]. NRK.no. Fulltekst i vitenarkiv Vis sammendrag

  Etter ein sånn operasjon blir ein fortare full, meir full og rusen varer lenger.

• Hogstad, Ingrid Johnsen; Jørgensen, Tone; Tunestveit, Merete; Tysnes, Ingunn Barmen & Reime, Monika Alvestad (2026). Children in Foster Care experiencing parental loss: Challenges in recruitment. doi: https:/forsa-nassw.via.dk/. Fulltekst i vitenarkiv
• 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
• Vatnar, Solveig Karin Bø; Vølstad, Astrid & Kristiansen, Susanne Tilke Thon (2026). Partnervoldsutsattes og -utøveres erfaringer, kunnskap og holdninger til avvergeplikten. doi: https:/www.hivolda.no/sluttkonferanse-forskningsprosjektet-avvergeplikt-mote-med-partnervold. Fulltekst i vitenarkiv
• Vatnar, Solveig Karin Bø; Dahl, Silje Louise; Linge, Anita Dyb & Nordby, Christine (2026). Profesjonsutøveres erfaringer, kunnskap og holdninger til avvergeplikten. doi: https:/www.hivolda.no/sluttkonferanse-forskningsprosjektet-avvergeplikt-mote-med-partnervold. Fulltekst i vitenarkiv
• Leer-Salvesen, Kjartan; Brevik, Thea Beate & Pilskog, Veronica Kvalen (2026). Fra kunnskap til handling: Studier om kunnskapsformidling om avvergeplikten til helsepersonell. doi: https:/www.hivolda.no/sluttkonferanse-forskningsprosjektet-avvergeplikt-mote-med-partnervold. Fulltekst i vitenarkiv
• Brevik, Thea Beate & Pilskog, Veronica Kvalen (2026). Fra kunnskap til handling: Studier om kunnskapsformidling om avvergeplikten til helsepersonell. Fulltekst i vitenarkiv
• Westad, Kristina; Five, Laila & Brevik, Thea Beate (2026). Når hjernen står i alarmberedskap | HiMoldes uavhengige avis. [Journal]. Panorama. Fulltekst i vitenarkiv Vis sammendrag

  Hvorfor er det så mange som i dag sliter med diffuse helseplager som ikke lar seg forklare av prøver og bilder? Og finnes det en vei ut av det som ofte blir omtalt som kroniske lidelser?

• Five, Laila & Brevik, Thea Beate (2026). Hjernens hemmelige språk - Bjørnsonfestivalen. Teateret vårt. Fulltekst i vitenarkiv Vis sammendrag

  Hvorfor rammes så mange i dag av utmattelse, smerter, uro og søvnproblemer – og hva kan vi gjøre for å snu utviklingen? I sin nye bok «Hjernens hemmelige språk» skriver Laila Five om hvordan hjernen og nervesystemet kan kjøre seg fast i en vedvarende alarmtilstand, og hun forklarer hva hun mener vi selv kan gjøre for å regulere nervesystemet, påvirke tankemøster og gjenvinne balansen. Laila Five er allmennlegespesialist og er under utdanning til psykiater. Hun har en særlig faglig interesse for feltet stressmedisin og behandling av uforklarlige medisinske tilstander. Samtaleleder er Thea Brevik fra Høgskolen i Molde .

• Hansen, Mette Tindvik; Østby, May & Grepperud, Linda (2026). Retningslinjer for tilretteleggere – når personer med utviklingshemming skal være informanter. doi: https:/virtual.oxfordabstracts.com/event/76069/submission/42. Fulltekst i vitenarkiv Vis sammendrag

  Personer med utviklingshemming har ifølge CRPD artikkel 19 og 21 rett til å få sine meninger hørt og få tilrettelegging for full deltakelse i samfunnet. Men personer med utviklingshemning og samtidig kommunikasjons utfordringer kan oppleve barrierer i å få løftet sin stemme. Ofte er de avhengige av tilrettelegging i form av kommunikasjon (ASK) hjelpemidler og tolker, her tilretteleggere, for å kunne utøve sin rett til å bidra med sine erfaringer og ønsker. I et pågående forskningsprosjekt hvor en ønsket å høre erfaringer fra informanter med utviklingshemning og samtidig kommunikasjons utfordringer, ble tilretteleggerne erfart som en mulig barriere for informantens synspunkter. Problemstilling ble følgende: Hvordan tilrettelegge slik at stemmen til informanter med utviklingshemning og kommunikasjons utfordringer blir hørt. I intervju av personer med utviklingshemming som hadde med tilretteleggere, ble det opplevd at tilretteleggerne i noen tilfeller kunne ta over for og svare for informantene. Som intervensjon ble det utviklet ‘retningslinjer for tilretteleggere’ som bistår informanter i forskningsprosjekt. Disse ble utviklet i samarbeid mellom forfatterne. En tilrettelegger skal fungere som tolk for informanten. Retningslinjene ble derfor utviklet i tråd med ‘Tolkenes profesjonsetiske retningslinjer’ (TPR). Mange personer med utviklingshemning og samtidig kommunikasjons utfordringer kan ha flere tilleggs utfordringer i forhold til persepsjon og konsentrasjon. Dette medfører at de som skal fungere som tilretteleggere må ha god kunnskap både om brukeren og kunne bistå med ulike former for ASK hjelpemidler. Retningslinjen tilstreber å ivareta denne komplekse kompetansen. I et formøte før dialogkonferansen hvor funn fra intervjuene skulle gjennomgås, ble tilretteleggerne presentert for retningslinjen og forventninger til funksjon og rolle. Erfaringer fra intervjuet, formøtet med tilretteleggerne og dialogkonferansen utgjør datagrunnlaget for presentasjonen.

• Larsen, Bjørn Kjetil; Sæbjørnsen, Siv Elin Nord & Ødegård, Atle (2026). Support within Sanction: Street-Level Practices in the Norwegian Drug Court Program (ND). doi: https:/www.cubb.aau.dk/6th-street-level-bureaucracy-conference-e156039. Fulltekst i vitenarkiv
• Molnes, Sven Inge & Brekke, Liv Janne Raknes (2026). Trygg i rollen, tydelig i budskapet: Utvikling av sykepleierens undervisningskompetanse | Læring om læring. Læring om læring. ISSN 2535-4108. 14. 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
• Waagbø, Arild Johan; Berget, Gerd; Mwesiumo, Deodat Edward; Fadnes, Marcus; Bøyum-Folkeseth, Odd Anders & Mirmotahari, Omid [Vis alle 7 forfattere av denne artikkelen] (2026). Det må gi større verdi å være på campus enn å sitte hjemme. [Internet]. Panorama. doi: https:/panorama.himolde.no/2026/05/19/det-ma-gi-storre-verdi-a-vaere-pa-campus-enn-a-sitte-hjemme/. Fulltekst i vitenarkiv
• Iversen, Hans Petter (2026). Dødens politikk – og gazafiseringen av verden. doi: https:/panorama.himolde.no/2026/05/28/dodens-politikk-og-gazafiseringen-av-verden/. Fulltekst i vitenarkiv
• Lorentzen, Isabelle Lindseth (2026). Avansert klinisk allmennsykepleie i kommunale helse- og omsorgstjenester. Fulltekst i vitenarkiv
• Vatnar, Solveig Karin Bø (2026). Avvergeplikt i møte med partnervold. Fulltekst i vitenarkiv
• Kjølås, Bibbi & Alteren, Johanne (2026). Aukra og Høgskolen i Molde i nytt forskningsprosjekt. [Radio]. NRK Radio. doi: https:/radio.nrk.no/serie/distriktsprogram-moere-og-romsdal-radio/sesong/202605/DKMR01008326. 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
• Rokstad, Anne Marie Mork; Tretteteig, Signe; Engedal, Knut & Strandenæs, Margit Gausdal (2026). MAKS® in Norway: Intercultural Adaptation of MAKS® to the Norwegian Care Context – Empirical Findings from a Qualitative, Focus Group-Based Cross-Sectional Study on Facilitating and Inhibiting Factors for Implementation in Day care designed for people with dementia. Fulltekst i vitenarkiv
• Hauvik, Stine; Hide, Runa Overå; Malones, Bente Dale; Nordskag, Trude; Verlo, Finn Robert & Eines, Trude Fløystad [Vis alle 7 forfattere av denne artikkelen] (2026). Rapport forprosjekt: Oppgaveglidning i legemiddelhåndtering i hjemmesykepleien [Konfidensiell]. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. Fulltekst i vitenarkiv
• Larsen, Bente Hamre; Storm, Marianne; Dyrstad, Dagrunn Nåden; Dieckmann, Gerhard Peter & Falkenberg, Helle Kristine (2026). Exploring Health Needs Assessment Training for Healthcare Professionals Supporting Older Adults Living at Home: From Training to Practice. Universitetet i Stavanger. ISSN 9788284395104. Fulltekst i vitenarkiv Vis sammendrag

  Background: The global population of older adults is increasing, and complex, multidimensional health challenges become more prevalent with age. This challenges the sustainability of healthcare services and highlights the need for health-promoting approaches that support older adults’ functioning and ability to live at home. Early identification of health needs is central to such efforts. Health needs assessment provides a systematic approach to identifying health, functional, and care-related needs and may support timely advice and measures in municipal home care services. However, assessment practices vary, important health domains may remain under-assessed, and healthcare professionals may lack sufficient competence to apply holistic and interprofessional assessment tools in practice. Although simulation training may strengthen assessment skills, clinical reasoning, and collaboration, knowledge remains limited about how such training is applied and transferred to everyday practice in municipal home care. Overall aim and research questions: The overall aim of this thesis was to explore how training can prepare healthcare professionals to assess the health needs of older adults living at home across physical, cognitive, mental, sensory, behavioral, and social domains, and to examine healthcare professionals’ experiences of conducting interprofessional health needs assessments in municipal home care services. The thesis also aimed to explore how such assessments may support the identification of appropriate health-promoting advice and measures. Three empirical studies, presented as Papers I–III, addressed the following research questions: (1) What pedagogical approaches are used when training healthcare professionals to assess the health needs of older adults living at home, what content and foci are included in such training, and what outcomes are reported by healthcare professionals and older adults? (2) How do healthcare professionals reflect on and experience interprofessional simulation training involving systematic assessment of an older adult’s holistic health needs and consideration of appropriate measures based on the assessment? and (3) How do healthcare professionals experience and reflect on conducting health needs assessments of older adults living at home? Methods: This thesis employed an explorative research design comprising one scoping review and two qualitative empirical studies. Paper I was a scoping review of 23 peer-reviewed studies on pedagogical approaches used to train healthcare professionals in assessing physical, mental, and social health needs among older adults living at home. Data were analyzed using semantic, inductive reflexive thematic analysis. Paper II was a qualitative study of interprofessional simulation training with structured debriefing, involving 11 healthcare professionals from a municipal health and welfare office. Five audio-recorded and transcribed debriefing sessions were analyzed using semantic, inductive reflexive thematic analysis. Paper III was a qualitative study based on triadic interviews with nine healthcare professionals who had participated in the simulation training and subsequently conducted health needs assessments in the homes of 40 older adults. Six audio-recorded and transcribed interviews were analyzed using longitudinal, inductive-deductive reflexive thematic analysis. Results: The findings indicate that assessment tools were feasible to use and supported more holistic and consistent assessment of older adults’ health needs in municipal home care. The tools helped healthcare professionals identify needs that might otherwise have remained unnoticed and provided an overview of older adults’ health, functioning, resources, and activities of daily living. Assessment scores supported dialogue with older adults, health-promoting advice, measures, and enabled monitoring changes over time. However, the value of the tools depended on healthcare professionals’ competence, communication skills, and ability to adapt assessments to older adults’ individual situations. Some areas, including hearing, vision, alcohol use, and mental health, were experienced as more difficult to translate into advice and follow-up. Interprofessional collaboration strengthened the assessment process by supporting shared responsibility, documentation, integration of professional perspectives, confidence, and prioritization of measures. Training with blended learning approach was perceived as important for developing assessment competence. Interprofessional simulation training in home-like laboratory settings provided a safe and authentic arena for practicing tool use, communication, collaboration, and consideration of appropriate measures before conducting assessments in municipal home care. Continued use in practice appeared to strengthen healthcare professionals’ familiarity with, confidence in, and perceived usefulness of the tools over time. Conclusion: This thesis contributes new knowledge about training for and conduct of health needs assessment in municipal home care services. The findings suggest that systematic assessment may support timely, individualized, and health-promoting measures for older adults living at home by making health needs, resources, and everyday circumstances more visible. However, this requires more than assessment tools alone. Their value depends on professional judgement, communication skills, interprofessional collaboration, and competence to translate findings into relevant advice and measures. Healthcare professionals may be prepared for health needs assessment through blended teaching approaches, interprofessional simulation training, and continued use in practice. Overall, health needs assessment in municipal home care should be understood as a relational, collaborative, and competence-dependent practice.

• Nordby, Christine (2026). Mandatory reporting of intimate partner violence : professionals’ attitudes and compliance. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. ISSN 9788279624080. Fulltekst i vitenarkiv

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