Siste publikasjoner

• Eek, Camilla Farstad; Hogstad, Ingrid Johnsen & Weltzien, Sandra Marie (2024). Vernepleieren i det tverrprofesjonelle samarbeidet i skolen : en historisk-sosiologisk profesjonsteoretisk analyse av begrunnelser for å ansette vernepleiere i skolen. I Halvorsen, Lars Julius; Båtevik, Finn Ove; Folkestad, Bjarte; Løvoll, Helga Synnevåg & Stokken, Roar (Red.), Samarbeid : fjordantologien 2024. Universitetsforlaget. ISSN 9788215071749. s. 66–86. doi: 10.18261/9788215071800-24-04. Vis sammendrag

  Vernepleieren er sammen med andre miljøterapeuter en ny yrkesgruppe i skolen. Til forskjell fra læreren og helsesykepleieren er ikke miljøterapeuter lovpålagt i skolen, så hvorfor ansette dem? Med et historisk-sosiologisk profesjonsteoretisk perspektiv undersøker vi i dette kapittelet begrunnelser for å ansette vernepleiere i skolen, slik de kommer fram gjennom beretninger fortalt i kvalitative intervjuer med fire skoleledere i grunnskolen som har ansatt vernepleier. Skolelederne forteller om nye kompetansebehov som har oppstått som følge av mer komplekse utfordringer i og med elevgrupper, som ikke kan dekkes av læreren og helsesykepleieren. Videre forteller de om betydningen av tiltakskjeden for spesialundervisning som styrende for beslutningen om å ansette vernepleier knyttet til elever som omtales som «enkeltelev». I kapittelet diskuterer vi hvordan skoleledernes beretninger kan forstås som en del av den kontinuerlige forhandlingen om hvilke arbeidsoppgaver som faller innenfor vernepleierens jurisdiksjon, og hvilke grunnleggende behov i befolkningen de skal utdannes til å kunne møte.

• Langøy, Emmy Elizabeth; Aasgård, Ingrid Krohn & Ødegård, Atle (2024). Roller og forventninger i utakt? : om samarbeid mellom den kommunale helse- og omsorgstjenesten og spesialisert habilitering. I Halvorsen, Lars Julius; Båtevik, Finn Ove; Folkestad, Bjarte; Løvoll, Helga Synnevåg & Stokken, Roar (Red.), Samarbeid : fjordantologien 2024. Universitetsforlaget. ISSN 9788215071749. s. 186–205. doi: 10.18261/9788215071800-24-10. Vis sammendrag

  Personer med utviklingshemming kan ha behov for helsetjenester i hjemmet og praktisk bistand. Tjenestene ytes ofte av den kommunale omsorgstjenesten, men ved behov for spesialisert kompetanse henvises det til spesialisthelsetjenesten. Det er gjort kvalitative intervju med seks ledere i kommunal omsorgstjeneste og seks fagkonsulenter fra spesialisthelsetjenesten om deres erfaring med samarbeid om miljøbaserte tiltak i henviste pasientsaker. Datamaterialet ble analysert ved tematisk analyse, og informantenes erfaring viser at det kan være utfordringer i samarbeidet. Kommunal omsorgstjeneste er presset på tid, ressurser og kompetanse. De har mange ufaglærte og få høgskoleutdannede, og personalgruppen har lite fag- og møtetid. Lederne er i økende grad lokalisert andre steder med ansvar for flere enheter, og det faglige ansvaret de høgskoleutdannede forventes å ta, er ikke tilstrekkelig avklart og formalisert. Utfordringene er relatert både til ledelse og rammer for arbeidet og til uklarheter omkring roller og relasjoner.

• Hauan, Marianne; Kvigne, Kari Johanne & Alteren, Johanne (2024). Nurse manager’s responsibilities in creating supportive working conditions post implementation of everyday coping : a hermeneutic research study of district nurses’ experiences. Nursing Research and Practice. ISSN 2090-1429. doi: 10.1155/2024/1089785. Vis sammendrag

  Aim. To gain knowledge about how district nurses experience changes in working conditions and discuss nursing manager’s responsibility in facilitating working conditions for district nurses following the implementation of everyday coping. Background. To overcome the challenges related to the sustainability of the healthcare sector, everyday coping was implemented in district nursing. The implementation was set by the government and implemented by the municipality. The nursing manager has an overall responsibility to facilitate working conditions so that everyday coping can be applied into district nursing practice. Method. This descriptive and interpretative study involved 19 interviews and 19 observations on 10 nurses. Kvale and Brinkmann’s three levels of understanding were employed in the analysis. Results. Three categories were established based on the results of the data analyses: (i) time and space are not considered, (ii) crossfire of conflicting expectations, and (iii) nursing manager’s commitment to everyday coping. Conclusion. The working conditions of district nurses are not adapted for them to work according to the everyday coping mindset. The nursing manager has a key role in supporting nurses and addressing challenges the nurses meet in their daily work, where everyday coping is implemented. The study highlights the importance for healthcare managers, at various levels in the healthcare sector, to be conscious of the district nursing practice, its complexity, and quality of health services when implementing change. This knowledge is important when planning future healthcare and nursing practice.

• Sundal, Hildegunn & Alteren, Johanne (2024). Lack of hands-on competence in future paediatric nursing: Examining student nurses’ paediatric competence after graduation – A hermeneutic study. Nordic journal of nursing research. ISSN 2057-1585. 44. doi: 10.1177/20571585241252880. Vis sammendrag

  Paediatric nursing training has been reduced in scope, which has become a concern in nursing education. Little is known regarding students’ experiences and what they learn about children as patients during courses. For the students in this study, paediatric nursing training consists of a 1-day observation practice. The aim of the present study was to examine this observation practice in paediatric nursing and discuss the consequences of the reduction of practical training for the level of knowledge of student nurses after graduation. A descriptive and interpretative design with a hermeneutical approach was employed to examine students’ experience in hospitals. Individual interviews were conducted with 11 students, and the data analysis followed Brinkmann and Kvale's three levels of interpretation. The study was reported in accordance with the COREQ checklist. Three themes emerged: ‘preparing the child for a procedure or treatment’; ‘the importance of the care provided by parents’; and ‘the lack of hands-on paediatric nursing training for students’. This study has implications for nursing in terms of paediatric competence. The findings suggest that students receive insufficient practical training in paediatric nursing. A discussion is required regarding paediatric nursing in nursing education, as well as how to meet national and international requirements.

• Skjærpe, Jorunn Nærland; Iakovleva, Tatiana Aleksandrovna & Storm, Marianne (2024). Responsible coordination of municipal health and care services for individuals with serious mental illness: a participatory qualitative study with service users and professionals. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-024-10999-w.
• Hov, Håkon; Eithun, Geir; Wang, Eivind & Helgerud, Jan (2024). Aerobic high-intensity interval training and maximal strength training in patients with unspecific musculoskeletal disorders improve V̇O<inf>2peak</inf> and maximal strength more than moderate training. European Journal of Sport Science (EJSS). ISSN 1746-1391. doi: 10.1002/ejsc.12126. Vis sammendrag

  Improving peak oxygen uptake (V̇O2peak) and maximal strength are key objectives of rehabilitation for patients with unspecific musculoskeletal disorders (MSDs). Although high-intensity training yield superior outcomes for these factors, patients with MSDs may not tolerate high-intensity due to pain and fear. Therefore, we examined the effect and feasibility of incorporating aerobic high-intensity intervals (HIITs) and maximal strength training (MST) in a standard clinical rehabilitation program for patients with unspecific MSDs. 73 patients (45 ± 10 years) with MSDs partaking in a standard, public, and 4-week rehabilitation program were randomized to high-intensity training (HG: 4 × 4 minutes intervals at ∼90% of maximal heart rate; HRmax, and 4 × 4 repetitions leg press at ∼90% of 1 repetition maximum; 1RM, with maximal intended velocity) or keep todays treatment of low-to moderate-intensity training (MG: various cycling, walking, and/or running activities at ∼70%–80% of HRmax and 3 × 8 − 10 repetitions leg press at ∼75% of 1RM without maximal intended velocity). HG improved V̇O2peak (12 ± 7%) and leg press 1RM (43 ± 34%) more than moderate-intensity group (V̇O2peak; 5 ± 6%, 1RM; 19 ± 18%, both p < 0.001). We observed that no adverse events and no between-group differences in dropout rate or self-reported quality of life (both p > 0.05). There were positive correlations between improved V̇O2peak and improved physical (p = 0.024) and emotional (0.016) role functioning. We conclude that both high-intensity interval training and MST are feasible and improve V̇O2peak and maximal strength more than standard low-to moderate-intensity treatment of patients with unspecific MSDs. Our findings suggest that high-intensity training should be implemented as a part of standard clinical care of this patient population.

• Modena, Roberto & Schena, Federico (2024). External training load and performance recovery after small-sided games in soccer: Insights for return-to-play management. AIMS Public Health. ISSN 2327-8994. 11(1), s. 315–329. doi: 10.3934/publichealth.2024016.
• Jenssen, Marita; Furberg, Anne-Sofie; Jorde, Rolf; Wilsgaard, Tom & Danielsen, Kjersti (2024). The association between serum 25-hydroxyvitamin D levels and psoriasis in a large population-based cohort: a cross-sectional analysis of The Tromsø Study 2015–16. British Journal of Dermatology. ISSN 0007-0963. 190(5), s. 680–688. doi: 10.1093/bjd/ljad472.
• Roaldset, John Olav; Lockertsen, Øyvind; Gustavsen, Carina C.; Landheim, Torbjørn & Bjørkly, Stål Kapstø (2024). Comparison of V-RISK-Y and V-RISK-10 for risk of violence : a one-year study from a psychiatric emergency department for adolescents. Asian Journal of Psychiatry. ISSN 1876-2018. 96(June). doi: 10.1016/j.ajp.2024.104044. Vis sammendrag

  There has been a lack of short and simple screening instruments to assess the risk of violence in youth. Many acute youth departments have used the V-RISK-10, a risk screener for adults. V-RISK-Y is a risk screener based on the V-RISK-10 and adapted to youths. Our aim was to compare the predictive validity between V-RISK-Y and VRISK-10 in an emergency psychiatric adolescent ward. Target population were all 92 patients admitted within one year, and study population consisted of 49 (53 %) patients who had completed data. V-RISK-10 and V-RISK-Y were scored at admission and compared with recorded episodes of violence during the hospitalization. V-RISK-Y showed higher AUC values for recorded violence and some of the individual items also showed better results. Most differences were not significant, but results may still be of clinical interest.

• Willumsen Laake, Anniken Lucia; Roaldset, John Olav; Husum, Tonje Lossius; Bjørkly, Stål Kapstø; Gustavsen, Carina C. & Lockertsen, Øyvind (2024). Interrater reliability of the violence risk assessment checklist for youth: a case vignette study. BMC Psychiatry. ISSN 1471-244X. 24(1). doi: 10.1186/s12888-024-05746-8.
• Kvalsvik, Fifi Tjan; Larsen, Bente Hamre; Eilertsen, Grethe; Falkenberg, Helle Kristine; Dalen, Ingvild & Johansen Haaland, Stine [Vis alle 7 forfattere av denne artikkelen] (2024). Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study. JMIR Research Protocols. ISSN 1929-0748. 13(1). doi: 10.2196/55192.
• Dahl, Silje Louise; Leer-Salvesen, Kjartan; Øvrelid, Malene & Vatnar, Solveig Karin Bø (2024). Child Welfare Workers' Perceptions of Intimate Partner Violence and Mandatory Reporting in Norway. Child & Family Social Work. ISSN 1356-7500. s. 1–10. doi: 10.1111/cfs.13162. Vis sammendrag

  Intimate partner violence (IPV) is a major criminal, social and public health problem. As one effort to prevent IPV and intimate partner homicide, several countries have adopted legislation requiring professionals to disclose IPV to the authorities (commonly referred to as mandatory reporting). The child welfare service (CWS) is centrally positioned for detecting, reporting and preventing IPV, but there is limited empirical knowledge concerning how the service handles IPV cases or of social workers' awareness of mandatory reporting of IPV. Using qualitative interviews, we explore how CWS workers in Norway describe their discretionary space and mandatory obligations towards adults subjected to IPV. Our findings indicate an inexpedient interplay between understandings of professional mandate and individual responsibility and local routines and organisation and insufficient knowledge about IPV and mandatory reporting. We suggest that a reframing of CWS workers' understanding of their discretionary space is needed to ensure that their individual responsibility towards adults subjected to IPV is understood as part of their mandate. This reframing presupposes structural efforts, such as formal training. We propose further investigations concerning how local organisation and routines either facilitate or interfere with systematic and thorough handling of IPV in families with which the municipal CWS meets.

• Ibsen, Tanja Louise; Strand, Bjørn Heine; Bergh, Sverre; Livingston, Gill; Lurås, Hilde & Mamelund, Svenn-Erik [Vis alle 11 forfattere av denne artikkelen] (2024). A longitudinal cohort study on the use of health and care services by older adults living at home with/without dementia before and during the COVID-19 pandemic: the HUNT study. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-024-10846-y.
• Weltzien, Sandra Marie; Marsh, Lauren; Kanngiesser, Patricia & Hood, Bruce (2024). Young dictators : speaking about oneself decreases generosity in children from two cultural contexts. PLOS ONE. ISSN 1932-6203. 19(3). doi: 10.1371/journal.pone.0300200. Vis sammendrag

  Sharing of resources is a common feature of human societies. Yet, there is substantial societal variation in children’s generosity, and this variation emerges during middle childhood. Societal differences in self-construal orientation may be one factor influencing the ontogeny of generosity. Here, we examine anonymous Dictator Game sharing in 7-and-8-year-olds from two distinct societies: India and the UK (N = 180). We used self-construal manipulations to investigate whether priming self- or other-focused conversations would differentially influence children’s generosity. There were no differences in generosity between populations. While a significant reduction in generosity was found following self-priming in both societies, other-priming was ineffectual. The findings are discussed in relation to experimental features and the role of anonymity and reputational concerns.

• Willumsen, Anna Elisabeth; Sirnes, Tore & Ødegård, Atle (2024). Hvordan kan ledere fremme innovasjon i helsetjenestene? : utforming av lederroller og handlingsrom. I Kirchhoff, Ralf; Vik, Erlend & Ødegård, Atle (Red.), Helseledelse : om utfordringer og lederroller i endring . Fagbokforlaget. ISSN 978-82-450-3708-1. s. 229–248.
• Vasset, Frøydis Perny; Ulvund, Ingeborg & Sundal, Hildegunn (2024). Methods to learn clinical pediatric nursing for nurse students. I David, Liliana (Red.), Nursing studies : a path to success. IntechOpen. ISSN 978-0-85466-244-9. doi: 10.5772/intechopen.1004207. Vis sammendrag

  It is useful to learn about somatically ill children when implementing project-based learning. The students interview children’s nurses/parents with sick children and this enables/strengthens the students’ learning. Students learned pediatric nursing after completing the pediatric project, which is part of the nursing program. Some students learned in an international clinical placement in a pediatric ward. Combined learning from inside and outside educational institutions is useful. How can nursing students learn pediatric nursing in nursing education in the future, with large cohorts of nurses and few internships? This chapter is composed of several studies, both quantitative studies with questionnaires from 159 nursing students and qualitative studies with individual interviews of 18 nursing students after international clinical placement in a pediatric ward and eight nurses who had an international clinical placement in a pediatric ward as nurse students. And some studies about simulation in nursing studies and studies about clinical practice in other countries.

• Rokstad, Anne Marie Mork (2024). Person-centered dementia care in Norway : strategies, research and implementation. The International Journal of Person Centered Medicine. ISSN 2043-7730. 12(2), s. 1–6. doi: 10.5750/ijpcm.v12i2.1115. Vis sammendrag

  Person-centered dementia care, as described by Tom Kitwood in his book entitled Dementia Reconsidered: The Person Comes First from 1997 [1], became known in Norway in the early 2000s. The theory and value base of person-centered care became highly recognized by central stakeholders in dementia care and research. The willingness to explore how person-centered care could be feasible in a Norwegian setting started a process tailored to national strategy, research, and methods for implementation in care practice.

• Molvik, Inger; Kjelvik, Grete; Selbæk, Geir & Rokstad, Anne Marie Mork (2024). Exploring the lived experience : impact of dementia diagnosis on individuals with cognitive impairment - a qualitative study. BMC Geriatrics. ISSN 1471-2318. 24(1). doi: 10.1186/s12877-024-04665-3. Vis sammendrag

  Objective: Although knowledge about the experience of being diagnosed with dementia is limited, with the expected rise in dementia’s prevalence in the coming decades, such knowledge is pivotal for the people diagnosed, their families, and healthcare planners. Thus, the aim of our study was to explore the experience of living with cognitive impairment and dementia and the impact of being diagnosed with dementia. Method: A qualitative design was applied. Participants were recruited based on age-adjusted values below ​​threshold values on the Montreal Cognitive Assessment Scale (i.e. 70–79 years, < 22; 80–89 years, < 21; 90 + years, < 20), and the sample ultimately included 15 participants: six with and nine without a documented dementia diagnosis. Qualitative content analysis was performed on the transcribed interviews in four steps to identify codes, categories, and the overall theme. Results: Three major categories emerged from the interviews: (1) experiences with changes, (2) experiences with being diagnosed with dementia, and (3) existential experience. All participants with and most participants without a dementia diagnosis experienced changes in cognition. Conclusion: Our findings imply that being diagnosed with dementia is a relief because it explains observed cognitive and functional decreases and reduces confusion, shame and stigma. However, it also raises concerns about an unknown future. Most participants not diagnosed with dementia reported having little or no difficulty with everyday living and leading a fulfilling life. Those findings emphasise the significance of timely versus early diagnosis.

• Storm, Marianne; Morken, Ingvild Margreta; Austin, Rosalynn; Nordfonn, Oda Karin; Wathne, Hege Bjøkne & Urstad, Kristin Hjorthaug [Vis alle 18 forfattere av denne artikkelen] (2024). Evaluation of the nurse-assisted eHealth intervention ‘eHealth@Hospital-2-Home’ on self-care by patients with heart failure and colorectal cancer post-hospital discharge : protocol for a randomised controlled trial. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-023-10508-5. Vis sammendrag

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

• Lorentzen, Isabelle Lindseth & Sundal, Hildegunn (2024). Anestesisykepleieres erfaringer med samarbeid og arbeidsdeling ved sjekkliste for trygg kirurgi. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 19(1), s. 1–16. doi: 10.23865/inspira.v19.5436. Vis sammendrag

  Bakgrunn: Anestesisykepleiere jobber i operasjonsteam med å ivareta operasjonspasienten ved kirurgiske inngrep. For å ivareta pasientsikkerheten ved kirurgiske inngrep benyttes sjekkliste for trygg kirurgi. Verktøyet er tenkt benyttet ved alle kirurgiske inngrep, men studier viser at den ikke alltid benyttes som anbefalt. Hensikt: Studiens hensikt var å få kunnskap om anestesisykepleieres erfaringer med samarbeid og arbeidsdeling i operasjonsteamet ved bruk av sjekkliste for trygg kirurgi. Metode: Det ble benyttet individuelle dybdeintervju av seks anestesisykepleiere. Analyse av datamaterialet ble utført ved hjelp av systematisk tekstkondensering. Resultat: Tre tema og syv undertema ble identifisert: 1) Ansvarsdeling i operasjonsteamet: ivareta sjekklistens tre deler og uklare rutiner for utførelse. 2) Kommunikasjonens betydning: tørre å ta plass, situasjoner som utfordret, og å se hverandre. 3) Å skape uoppmerksomhet: samtidighetskonflikt og mangelfull utførelse, og barrierer for å gjennomføre. Konklusjon: Anestesisykepleierne erfarte samarbeid og arbeidsdeling med sjekklisten for trygg kirurgi som et felles ansvar. Ansvarsdeling og kommunikasjonens betydning ved gjennomføringen av sjekklisten var sentralt for å ivareta pasientens sikkerhet. Anestesisykepleierne erfarte at uoppmerksomhet skapes av situasjoner rundt pasienten, og at sjekklisten settes helt eller delvis til side. Graden av øyeblikkelig hjelp til pasienten bidrar til uklare rutiner for utførelse av sjekklisten.

• Reime, Monika Alvestad; Grimholt, Tine Kristin; Kjølaas, Siri Hagen; Bringedal, Nina & Hogstad, Ingrid Johnsen (2024). Support in bereavement processes in cases of suicide or substance-related death in childhood: a systematic review. Mortality. ISSN 1357-6275. doi: 10.1080/13576275.2023.2298814. Fulltekst i vitenarkiv Vis sammendrag

  Exposure to parental suicide or substance-related death can be a risk factor for unwanted developmental trajectories. The stigma and taboo that often follow a death subject to being morally sanctioned in society (‘special deaths’) pose an extra challenge for the surviving child and family. The support of informal and formal networks is an important factor in adaptive coping; however, when the death is not socially recognised, the child’s access to support can be limited. This article presents the results of a systematic literature review seeking to explore children’s access to support when parentally bereaved as the result of suicide or a substance-related death. All six studies included address access to support after a suicide-related death. All studies focus on how children can be supported by loss-oriented activities, particularly how to facilitate open communication between the child and their surroundings. Based on this review, the authors recommend developing research on: 1) support for child survivors in the aftermath of substance-related death, 2), children’s everyday grieving practices, including their access to support for restoration-oriented activities, 3) the effects of social support on mental health outcomes, and 4) to developing research designs that allow for disturbing the phenomena of stigma production.

• Hol, Hege & Rokstad, Anne Marie Mork (2024). Sykepleieres kompetanse og rolle i møte med forespørsler om assistert død : en kvalitativ studie. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 9(3), s. 1–15. Vis sammendrag

  Bakgrunn: Assistert død er ikke tillatt i Norge, men sykepleiere får forespørsler fra terminale pasienter og opplever det som vanskelig. Forskning viser at sykepleiere har begrenset faglig kunnskap om assistert død. Hensikten med studien er å utforske sykepleieres kompetanse og rolle i møte med pasienters forespørsel om assistert død. Metode: Studien har et kvalitativt design med en fenomenologisk hermeneutisk tilnærming. Individuelle intervjuer av kliniske sykepleiere ble analysert med tematisk analyse. Funn: Sykepleierne hadde begrenset teoretisk og klinisk kunnskap om temaet assistert død fra grunnutdanningen, men hadde kjennskap til temaet fra media. Sykepleiere med videreutdanning i palliativ smertelindring hadde fått opplæring om temaet. Sykepleierne opplevde sin egen rolle som uklar i håndteringen av forespørsler om assistert død, og samtalene om døden ble ofte overlatt til andre profesjoner. Konklusjon: Mangelfull kunnskap om assistert død blant sykepleiere krever trygge og faglige rammer, veiledning og støtte for faglig utvikling fra de mer erfarne sykepleierne og det tverrfaglige teamet. Kunnskapsutvikling om assistert død trenger å bli belyst både i klinikken, i utdanningen og i forskningssammenheng.

• Brevik, Thea Beate & Sæther, Knut-Willy (2024). Approaching religious fatalism in cancer screening education. Journal of Evaluation In Clinical Practice. ISSN 1356-1294. doi: 10.1111/jep.13957. Vis sammendrag

  Rationale: Religious fatalism has for decades been pointed out as a barrier to cancer screening attendance and several studies suggest interventions to decrease fatalism, given its negative impact on the uptake of cancer screening. Aims and Objectives: Our objective in this interdisciplinary exploration on religious fatalism in the context of cancer screening is to contribute to the increasing academic discussion on religious fatalism and cancer screening as well as the broader context of the intersection of religion and bioethics. Method: Through an analysis of religious fatalism in light of the notion of rationality and images of God, we find resources and suggest trajectories for a more seriously and constructively approach to religious fatalism in cancer education. Results and Conclusion: Our main thesis is that interventions do not necessarily have to decrease religious fatalism to increase screening.

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

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

• Zoppirolli, Chiara; Modena, Roberto; Bortolan, Lorenzo; Schena, Federico & Pellegrini, Barbara (2023). Non-specific and ski-specific performance development in peri-pubertal cross-country skiers. European Journal of Applied Physiology. ISSN 1439-6319. 124, s. 1461–1474. doi: 10.1007/s00421-023-05372-4.
• Jacobsen, Kaya Kvarme; Børte, Sigrid; Laborie, Lene Bjerke; Kristiansen, Hege; Schäfer, Annette & Martinsen, Amy [Vis alle 30 forfattere av denne artikkelen] (2023). COL11A1 is associated with developmental dysplasia of the hip and secondary osteoarthritis in the HUNT study. Osteoarthritis and Cartilage Open. ISSN 2665-9131. 6(1), s. 1–7. doi: 10.1016/j.ocarto.2023.100424. Fulltekst i vitenarkiv Vis sammendrag

  Objective: Developmental dysplasia of the hip (DDH) is a congenital condition affecting 2-3% of all infants. DDH increases the risk of osteoarthritis, is the cause of 30% of all total hip arthroplasties (THAs) in adults <40 years of age and can result in loss of life quality. Our aim was to explore the genetic background of DDH in order to improve diagnosis, management and longterm outcome. Design: We used the large, ongoing, longitudinal Trøndelag Health Study (HUNT) database. Case definition was based on ICD-9/-10 diagnoses of DDH, or osteoarthritis secondary to DDH. Analyses were performed using SAIGE software, with covariates including sex, batch, birth year and principal components. We included only single nucleotide polymorphisms (SNPs) with minor allele frequency (MAF) 0.01, R2 0.8 and Hardy-Weinberg equilibrium (HWE) P-value 0.0001. Significance level was set at p < 5x10-8. Meta-analysis using data from DDH and primary osteoarthritis genome-wide association studies (GWASs) was done using METAL software. The study was approved by the regional ethical committee. Results: Analysis included 69,500 individuals, of which 408 cases, and 8,531,386 SNPs. Two SNPs near COL11A1 were significantly associated with DDH; rs713162 ( = -0.43, SE = 0.07, p = 8.4x10-9) and rs6577334 ( = -0.43, SE = 0.08, p = 8.9x10-9). COL11A1 has previously been associated with acetabular dysplasia and osteoarthritis. Meta-analysis supported previous GWAS findings of both DDH and primary osteoarthritis. Conclusions: This large, genome-wide case-control study indicates an association between COL11A1 and DDH and is an important contribution to investigating the etiology of DDH, with further research needed.

• Bachmann, Liv; Ødegård, Atle & Mundal, Ingunn Pernille (2023). A comprehensive examination of research instruments utilized for assessing the attitudes of healthcare professionals towards the use of restraints in mental healthcare: A systematic review. Journal of Advanced Nursing. ISSN 0309-2402. s. 1–18. doi: 10.1111/jan.16015. Vis sammendrag

  Aim: This systematic review aimed to identify, describe and evaluate questionnaires measuring health professionals’ attitudes towards restraints in mental healthcare. Design: A systematic review was undertaken in accordance with the COSMIN protocol for systematic review and the relevant sections of the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Data Sources: OVID Medline, OVID nursing, Psychinfo, Embase and Cinahl were systematically searched from databases inception, with an initial search in December 2021 and updated in April 2022. Review Methods: The inclusion criteria compromised articles reporting on self-reported instruments of attitudes or perceptions, development or validation of instruments and the evaluation of one or more measurement properties. Articles using multiple instruments in one study or not published in English were excluded. Two researchers independently extracted the data and appraised the methodological quality using the COSMIN guidelines and standards (consensus-based standards for the selection of health measurement instrument). A narrative synthesis without meta-analysis was performed. The systematic review was registered in PROSPERO Protocol ID CRD42022308818. Results: A total of 23 studies reporting ten instruments were included. The findings revealed a broad variation in the content of the questionnaires, the use of terms/constructs and the context in which the various instruments measure attitudes towards coercive measures. Many studies lacked sufficient details on report of psychometric properties. Finally, the results were not summarized and the evidence not GRADED. Conclusions: There is a need for updated and adapted instruments with origins in theory and clear joint definitions such that attitudes towards coercive measures can be reliably assessed regarding the validity and reliability of instruments, which will be of importance to facilitate the use of instruments in research and clinical settings. Impact: Reviews addressing surveys, self-reported attitudes towards restraints in mental healthcare and examination of psychometric properties seem limited. We highlight distinct complexity, psychometric limitations and broad variation in the context and content measuring attitudes towards coercive measures, and their various use of terms/constructs in the existing questionnaires. These findings contribute to further research regarding the development of questionnaires and the need of representing the concept well – carefully denoted by the indicators, likewise the importance of applying questionnaires with properly reported measurement properties in terms of validity and reliability to ensure the use in research and clinical settings.

• Vasset, Frøydis Perny; Dahl, Berit Misund; Thunem, Gunhild & Frilund, Marianne Louise (2023). Exploring scientific writing as part of a learning model for interprofessional higher health education – A qualitative study. Social Sciences & Humanities Open. 9. doi: 10.1016/j.ssaho.2023.100759. Fulltekst i vitenarkiv Vis sammendrag

  This study investigated how students in interprofessional higher education experienced learning with a model including essay writing and perceived the effect on their learning outcomes. The study occurred at an institute with two interprofessional programs at a university in Norway. Students gained new knowledge or new understandings when their theoretical knowledge and clinical experiences intersected in essay form. Common themes were 1) learning benefits and learning models, 2) benefits of interprofessional collaboration, and 3) Organisations, developments, and changes in writing processes When participating in the study programme based on the developed learning model the students felt both their theoretical and practical knowledge and understanding were deepened. Essays gave students opportunities to formulate their own personal ideas, new understandings, new patterns of practice and deeper knowledge, particularly when writing in groups. Experience-based knowledge has been legitimated by the students who discovered the good interaction between theory and practice. We concluded that the model requires good virtual platforms for the groups to function optimally and that essay writing can give students in higher education the opportunity to formulate their ideas in a more personal way. The interprofessional collaboration, in essay writing, was perceived as both rewarding, challenging, but also a reflective learning process for the students.

Se alle arbeider i Cristin

• Kirchhoff, Ralf; Vik, Erlend & Ødegård, Atle (2024). Helseledelse : om utfordringer og lederroller i endring . Fagbokforlaget. ISBN 978-82-450-3708-1. 253 s.

Se alle arbeider i Cristin

• Unhjem, Jeanette Varpen & Hole, Synnøve (2024). Forsker på rolleblanding. [TV]. NRK1 Møre og Romsdal.
• Kvalsvik, Fifi Tjan & Storm, Marianne (2024). Exploring Paths from Solitude to Inclusion: A Glimpse into Depression, Loneliness, and Frailty in Home-Living Older Adults.
• Storm, Marianne (2024). Exploring Paths from Solitude to Inclusion: A Glimpse into Depression, Loneliness, and Frailty in Home-Living Older Adults.
• Roald, Britt Rakvåg; Mordal, Elin; Forren, Cathrine Emilie Valger & Vingen, Anita (2024). Felles satsing for rekruttering : slik vil dei rekruttere til sjukepleien - og få fleire hit. [Avis]. Romsdals budstikke.
• Brevik, Thea Beate; Gunaratnam, Kamzy; Angeltvedt, Rolf Martin; Mushtaq, Usman; Kløkstad, Siri & Vestreng, Tom (2024). Ap: Vil utrydde livmorhalskreft blant alle kvinner innen fem år. [Avis]. Dagsavisen.
• Østby, May & Aasen-Stensvold, Maria Therese (2024). Trygg legemiddelhåndtering er viktig å kunne for oss vernepleiere. [Internett]. vernepleier.no.
• Helgerud, Jan; Brobakken, Mathias Forsberg & Fossen, Dennis (2024). Slik bestemmer du hvor på kroppen du forbrenner fett. [Internett]. ABC Nyheter.
• Stensland, Sveinung; Mehl, Emilie Enger; Vatnar, Solveig Karin Bø; Unneland, Andreas Sjalg; Skarvøy, Lars Joakim & Joner, Selma (2024). Ingen krav om legeattest for å få våpen : ber Mehl se på reglene. [Internett]. tv2.no.
• Dahl, Hilde; Vatnar, Solveig Karin Bø; Killingbergtrø, Sara Tangen & Råen, Truls August (2024). Menn som begår selvmord etter drap: – De hadde lengre utdannelse. [Avis]. Adresseavisen Pluss.
• Wang, Eivind & Grannes, Odd-Sølve (2024). Kan ikke overlate det til vilkårlige trender. [Avis]. Stavaner Aftenblad.
• Brevik, Thea Beate (2024). HPV og forebygging av livmorhalskreft.
• Brevik, Thea Beate; Mirzaie, Hawjin; Bjørkholt, Ole Henrik Krat; Gunaratnam, Kamzy; Kippernes, Mari Aandahl & Sagen, Remi (2024). Mange minoritetskvinner sjekker seg ikke : forsker frykter alvorlige konsekvenser. [Internett]. nrk.no/mr.
• Brevik, Thea Beate; Sevaldsen, Trine Bruseth & Vingen, Anita (2024). Kåret til Årets sjukepleier: – Tydelig, modig, stolt. [Avis]. Romsdals Budstikke Pluss.
• Hogstad, Ingrid Johnsen; Hogstad, Astrid Tveter; Hustad, Rune & Røsvik, Elisabeth Haddal (2024). Premiere for Poppeloppene i Molde. [Radio]. NRK P1 Møre og Romsdal.
• Valved, Snorre; Aandal, Thor Nerland; Hoem, Einar; Hogstad, Ingrid Johnsen & Henriksen, Vera (2024). 26 barn er klare: – Kom og se. Det blir morsomt! [Avis]. Romsdals Budstikke Pluss .
• Hogstad, Ingrid Johnsen (2024). Den nye familien .
• Unhjem, Jeanette Varpen (2024). Dette kjennetegner leger som krenker pasienter seksuelt. dagensmedisin.no.
• Brevik, Thea Beate; Welde, Ole Bjørner Loe & Hovde, Bjørg-Irene (2024). Årets romsdaling hedret med kunst. [Avis]. Romsdals Budstikke .
• Mirzaie, Hawjin; Brevik, Thea Beate; Bjørkholt, Ole Henrik Krat & Kippernes, Mari Aandahl (2024). Mange innvandrerkvinner kvier seg for HPV-test. [TV]. NRK1 Nyhetsmorgen 06:30.
• Wang, Eivind; Hjelle, Ole Petter & Grannes, Odd-Sølve (2024). Ønsker «gullstandard» på treningsråd. [Avis]. Fædrelandsvennen.
• Wang, Eivind; Hjelle, Ole Petter & Grannes, Odd-Sølve (2024). Professor ønsker «gullstandard» på treningsråd . [Avis]. Aftenposten.
• Wang, Eivind; Hjelle, Ole Petter & Grannes, Odd-Sølve (2024). Professoren ønsker «gullstandard» på treningsråd: – Kan ikke overlate det til vilkårlige trender. [Avis]. Sunnmørsposten Pluss.
• Wang, Eivind; Hjelle, Ole Petter & Grannes, Odd-Sølve (2024). Ønsker "gullstandard" på treningsråd: – Kan ikke overlate det til vilkårlige trender. [Avis]. Stavanger aftenblad.
• Vatnar, Solveig Karin Bø (2024). The relations between homicide, intimate partner homicide, attempted homicide, and grievous bodily harm.
• Kirchhoff, Ralf; Vik, Erlend & Ødegård, Atle (2024). Helseledelse : om utfordringer og lederroller i endring. I Kirchhoff, Ralf; Vik, Erlend & Ødegård, Atle (Red.), Helseledelse : om utfordringer og lederroller i endring . Fagbokforlaget. ISSN 978-82-450-3708-1. s. 13–22.
• Måløy, Elfrid (2024). Kritiske utfordringer i legemiddelhåndteringen for personer med utviklingshemming . [Internett]. https://www.ntnu.no/rkbu/rhab/kunnskapsdeling.
• Leer-Salvesen, Kjartan; Vatnar, Solveig Karin Bø & Kifle, Mylena (2024). Svært få melder ifra. [Avis]. Klassekampen. Vis sammendrag

  Det er høy terskel i hjelpeapparatene for å varsle om mistenkt partnervold, ifølge forsker

• Wang, Eivind & Bouhlou, Nadina (2024). Medisinprofessoren om trening: – En jobb som skal gjøres, selv om du ikke liker det. [Avis]. DN Magasinet.
• Berg, Ole Kristian (2024). Det er en virkelighetsfjern svartmaling av sykepleiere med doktorgrad. Sykepleien.no.
• Brevik, Thea Beate & Dolonen, Kari Anne (2024). Sykepleier og kreftforsker ble årets romsdaling. [Fagblad]. sykepleien.no.
• Wang, Eivind & Sylte, Iselin (2024). Mener du har plikt til å trene: – Vær en ressurs og ikke en byrde. [Avis]. Romsdals Budstikke Pluss.
• Collins, Catrine; Wang, Eivind; Torbjørnsen, Stian; Færø, Torkil; Jacobsen, Henrik Børsting & Owing, Nina [Vis alle 9 forfattere av denne artikkelen] (2024). NRK1 Debatten: Nytt år, flat mage og hvit måned. [TV]. Nrk.no.
• Brevik, Thea Beate & Meisingset, Sigrun Lossius (2024). Thea ble Årets romsdaling: – Gir en enorm motivasjon til å fortsette. [Avis]. Åndalsnes Avis Pluss.
• Orøy, Aud Jorun & Dolonen, Kari Anne (2024). Her kan nyutdannede sykepleiere gå rett på masterløp: – Første gang vi gjør dette i Norge. [Fagblad]. sykepleien.no. Vis sammendrag

  Fra høsten kan nyutdannede sykepleiere fra Høgskolen i Molde hoppe rett på masterutdanning i avansert klinisk allmennsykepleie (AKS).

• Reitan, Laila Solli & Alteren, Johanne (2024). Er NEWS et effektivt observasjonsverktøy eller en tvangstrøye? Sykepleien.no.
• Rokstad, Anne Marie Mork (2023). Person-Centered Dementia Care in Norway: Strategies, Research and Implementation. The International Journal of Person Centered Medicine. ISSN 2043-7730. doi: 10.5750/ijpcm.v12i2.1115.
• Hopen, Camilla; Gerd Hilde, Lunde; Westergård, Britt-Evy; Østby, May & V. Hubertus, Anne-Marit (2023). RESEARCH METHOD in Research course for persons with intellectual disabilities in Norway .
• Kjelvik, Grete; Rokstad, Anne Marie Mork & Selbæk, Geir (2023). Dette motiverer oss til en livsstil som gir god helse i eldre år.
• Kjelvik, Grete; Selbæk, Geir & Rokstad, Anne Marie Mork (2023). The knowledge and motivation to adopt health behaviour to reduce dementia risk among elderly citizens in Norway- A qualitative study.
• Unhjem, Jeanette Varpen (2023). Rekruttering av sykepleiere blir bare vanskeligere, men det er ikke håpløst. Sykepleien.no.
• Unhjem, Jeanette Varpen (2023). Når familie og venner blir pasienter, settes sykepleieren i et etisk dilemma. https://sykepleien.no/fag. 111. doi: 10.4220/Sykepleiens.2023.91648.
• Unhjem, Jeanette Varpen (2023). Tiltrekning mellom sykepleiere og pasienter er vanlig. https://sykepleien.no/fag. 111. doi: 10.4220/Sykepleiens.2023.93476.
• Unhjem, Jeanette Varpen (2023). Privat, personlig, profesjonell.
• Unhjem, Jeanette Varpen (2023). Privat, personlig, profesjonell.
• Unhjem, Jeanette Varpen (2023). Hva gjør jobben med deg?
• Johannessen, Torunn Beate; Storm, Marianne & Holm, Anne Lise (2023). "Trygg og sikker bruk av velferdsteknologi i hjemmebasert helse- og omsorgstjeneste." Poster presentasjon av artikkel på konferansen .
• Myren, Gunn Eva Solum; Larsen, Caroline; Østby, May & Gladsø, Tine (2023). Studenter, korona og fritid .
• Pedrinolla, Anna; Isanejad, Masoud; Antognelli, Cinzia; Bartolini, Desirée; Borras, Consuelo & Cavedon, Valentina [Vis alle 25 forfattere av denne artikkelen] (2023). Randomised controlled trial combining vitamin E-functionalised chocolate with physical exercise to reduce the risk of protein-energy malnutrition in predementia aged people: study protocol for Choko-Age. BMJ Open. ISSN 2044-6055. 13(12). doi: 10.1136/bmjopen-2023-072291.
• Brevik, Thea Beate & Meisingset, Sigrun Lossius (2023). Thea Beate Brevik er en veldig verdig vinner. [Avis]. Romsdals Budstikke.
• Dyb-Sandvik, Idun; Bordal, Martine; Orøy, Aud Jorun & Hagen, Rigmor Sjaastad (2023). Idun (36) og Martine (28) var først ferdig: – Stas! [Avis]. Sunnmørsposten Pluss.
• Dyb-Sandvik, Idun; Bordal, Martine; Orøy, Aud Jorun & Hagen, Rigmor Sjaastad (2023). Idun (36) og Martine (28) var først ferdig: – Stas! [Avis]. Romsdals Budstikke Pluss .
• Botslangen, Anne Madeleine (2023). Juleverksted Krona. Vis sammendrag

  Sammen med vernepleierstudenter

• Botslangen, Anne Madeleine (2023). DNT tilrettelagt Hollingsholm gård. Vis sammendrag

  Sammen med studenter og lærere som er deltakere i Norec-prosjekt

• Botslangen, Anne Madeleine (2023). Paraidrettskveld Molde Folkehøgskole. Vis sammendrag

  Sammen med studenter og lærere som er deltakere i Norec-prosjekt

• Botslangen, Anne Madeleine (2023). DNT tilrettelagt Eriklia besøksgård. Vis sammendrag

  Sammen med deltakere i Norec-prosjekt

• Botslangen, Anne Madeleine (2023). Friluftskveld Holmarka Besøksgård. Vis sammendrag

  Sammen med deltakere i Norec-prosjektet

• Sæbjørnsen, Siv Elin Nord & Hean, Sarah Catherine Patricia Duff (2023). Equitable Collaborations in Global North-Global South Partnerships: the Tanzanian NOREC project as case study.
• Kauki, Alida Sebastian & Sæbjørnsen, Siv Elin Nord (2023). Vision disturbances, health and social challenges among pupils with hearing loss in Tanzania – teachers’ perspectives.
• Botslangen, Anne Madeleine (2023). Samtaler med personer med funksjonsvariasjon om fritid på NFU sin årskonferanse. Vis sammendrag

  Dette var et 5 timer langt opplegg for personer med utviklingshemming, først med forelesning om fritid (Ingrid Aasgård), så gruppearbeid, og deretter presentasjon i for hele konferansen.

• Sæbjørnsen, Siv Elin Nord & Hean, Sarah Catherine Patricia Duff (2023). Interprofessional collaboration and research networking in Global North-Global South Partnerships : the Tanzanian NOREC project as case study.
• Rogne, Trond Espen; Melbye, Marita Christina Susanne & Sollid, Tonje (2023). Styrking av praksisstudier i sykepleie. [Internett]. ksu.no.
• Hoemsnes, Helene (2023). Tilrettelegging for studentaktiv læring, målet er studenter med arbeidsrelevante ferdigheter, men er de motiverte for egeninnsatsen?
• Hoemsnes, Helene (2023). Woke og akademia på kollisjonskurs? Plenumssesjon. Satt i panel på fire personer som ble moderert av Tine Øverseth Blomfeldt.
• Heiene, Marit; Botslangen, Anne Madeleine & Sølverød, Liv (2023). Her får "Hans Olav" og de andre dyra spesialtrening. [Avis]. Romsdals Budstikke.
• Botslangen, Anne Madeleine (2023). Tilrettelagt friluftsliv - videopresentasjon. [TV]. FOs landskonferanse.
• Botslangen, Anne Madeleine (2023). Besøksgård med dyr og natur for livskvalitet.
• Glemmestad, Hanne & Botslangen, Anne Madeleine (2023). Sosialarbeiderpodden. Grønt sosialt arbeid . [Radio]. Sosialarbeiderpodden.
• Holmboe, Morten & Vatnar, Solveig Karin Bø (2023). Familievold: for snevert bilde av avvergeplikt. Aftenposten (morgenutg. : trykt utg.). ISSN 0804-3116.
• Sæbjørnsen, Siv Elin Nord (2024). Children with special needs in Norway and Tanzania [Project Blog]. Høgskolen i Molde - Vitenskapelig høgskole i logistikk. Vis sammendrag

  Project Blog for Children with special needs in Norway and Tanzania - Improved life quality through implementation of UN Rights. This blog will give up to date information about the project. Authors are both students and staff members from both Molde University College and PTC.

• Stokken, Roar & Ødegård, Atle (2024). Tverrprofesjonelt samarbeid – i praksis og utdanning. Blogg med relevant fagstoff [Blogg]. FOGTPS.
• Hol, Hege (2023). Sykepleieres opplevelser av og erfaringer med å motta forespørsler om assistert død. Høgskolen i Molde - Vitenskapelig høgskole i logistikk og Høgskulen i Volda. ISSN 978-82-7962-354-0. Vis sammendrag

  Bakgrunn: Assistert død har økt i omfang de siste 20 årene og praktiseres lovlig i flere land. Sykepleieprofesjonen har generelt holdt en lav profil i diskusjonen om assistert død. Sykepleiere som har omsorg for alvorlig syke og døende pasienter, kan oppleve etiske utfordringer ved å motta forespørsler om eutanasi og assistert selvmord. I Norge vet vi lite om i hvilken grad sykepleiere mottar disse forespørslene, og hvordan de forholder seg til dem. Hensikt: Å utforske sykepleieres opplevelser av og erfaringer med å motta forespørsler om assistert død. Metoder: Studien kombinerer kvantitativ og kvalitativ metode. Delstudie 1 har et deskriptivt design, og data ble samlet ved hjelp av en nettbasert spørreundersøkelse blant sykepleiere ved fire universitetssykehus og hjemmebaserte tjenester i én kommune (n = 205). Data ble analysert ved hjelp av bivariat analyse og multivariat ordinal regresjonsanalyse. Delstudie 2 og 3 har et utforskende design med bruk av individuelle intervju (n = 15). Delstudiene bygger på datamateriale fra de samme intervjuene basert på en fenomenologisk-hermeneutisk tilnærming, med tverrgående tematisk analyse inspirert av metoden til Lindseth og Norberg (2004). Funn: Oppslutningen om legalisering av assistert død viser seg å være høyere i den norske befolkningen enn blant de deltakende sykepleierne. Studien viser at sykepleiernes holdninger er påvirket av alder, utdanning og avdeling. Det er ikke uvanlig at sykepleiere mottar forespørsler om assistert død i klinisk praksis. Sykepleierne var usikre på hvordan de skulle håndtere forespørslene, på grunn av faglig usikkerhet om temaet assistert død. Å jobbe i et fagmiljø hvor temaet var tabu, gjorde sykepleierne moralsk usikre, og for noen kunne dette bli opplevd som moralsk stress. Sykehuspresten hadde en viktig rolle i avdelingen med å gi støtte til sykepleierne. Nyutdannede sykepleiere hadde mangelfull kunnskap om assistert død. De yngre sykepleierne hadde behov for trygge og faglige rammer, men også veiledning og støtte for faglig utvikling fra de mer erfarne sykepleierne. Det er behov for kunnskapsutvikling om assistert død både i klinikken, i utdanningen og i forskningssammenheng i sykepleie. Konklusjon: For at sykepleiere skal kunne være forberedt på å håndtere forespørsler om assistert død og samtale om døden, vil det være nødvendig med faglig kunnskap i utdanningen. I praksis er det nødvendig å belyse temaet assistert død og sette av tid til refleksjon, diskusjon og veiledning i trygge rammer for sykepleiere. Erfarne sykepleiere har en sentral rolle i å videreformidle sin kompetanse til de mindre erfarne. Sykepleieledere har et ansvar for å legge til rette for kunnskapsutvikling om temaet i avdelingen. Sykepleieres erfaringskunnskap er viktig å formidle til andre profesjoner som kan ha nytte av den kliniske kompetansen som sykepleiere har med forespørsler om assistert død fra alvorlig syke og døende.

Se alle arbeider i Cristin