Johanne Alteren

• Alteren, Johanne (2022). Work Interruption as a Source of Knowledge When Nurses Administer Medicines in Nursing Homes: Hermeneutic Approach to Narratives. I Olsen, Rose Mari & Sletvold, Hege (Red.), Medication safety in municipal health and care services. Cappelen Damm Akademisk. ISSN 9788202738792. s. 279–294. doi: https%3A/doi.org/10.23865/noasp.172.ch13.
• Zarea, Kourosh; Mohammadi, Eesa; Alteren, Johanne & Sayadi, Neda (2022). An Evaluation of Psychometric Properties of Needs Assessment Instruments in Patients with Coronary Artery Disease Undergoing Cardiac Rehabilitation Programs: A Systematic Review. Nurse Media Journal of Nursing. ISSN 2087-7811. 12(2), s. 269–287. doi: 10.14710/nmjn.v12i2.43808. Vis sammendrag

  Background: Coronary Artery Disease (CAD) is the foremost reason of illnesses and death in the world. Assessment of the needs is a priority in these patients. However, there is a paucity of tools for the evaluation of needs, with the controversy surrounding their validity. Purpose: This review aimed to evaluate the psychometric properties of tools used to assess needs of patients with CAD undergoing cardiac rehabilitation (CR) plans. Methods: An online literature search combined with manual search was carried out on 11 databases to identify relevant articles. The terms used in the search were: cardiac rehabilitation AND coronary artery disease, cardiac rehabilitation AND acute coronary syndrome, and questionnaires OR need assessment OR tool OR scale. Articles from 1989 to 2021 were selected using some inclusion criteria and no validation studies were excluded. The quality of the questionnaires was evaluated by researchers using consensus-based standards for the selection of health status measurement instruments (COSMIN) list. Data analysis had been done by calculating overall methodological quality scores per study on a measurement property using COSMIN checklist. A methodological quality score per box was obtained by taking the lowest rating of any item in a box (‘worse score counts’). Results: Of 653 articles, 15 papers were involved in the study. Six studies reported cross-cultural validity, nine studies for criterion validity, and none reported measurement error, hypothesis testing, and responsiveness. There is no vigorous and valid single scale for the measurement of needs in CAD patients. Overall, the CADE-Q questionnaire was good and a patient self-assessment tool for cardiac rehabilitation was poor based on psychometric properties. Conclusions: The findings of this study disclosed that even though it has been more than 32 years, from 1989 to 2021, of the development in need assessment instruments, each instrument has as a minimum of one “poor” psychometric property according to the COSMIN checklist. So, it is recommended for the next studies to design and develop instruments with better psychometric validities for clinical environment.

• Hogset, Heidi; Alteren, Johanne; Jæger, Bjørn & Straume, Solveig (2022). Det vanskelige bærekraftsbegrepet. I Hogset, Heidi; Alteren, Johanne; Jæger, Bjørn & Straume, Solveig (Red.), Bærekraft : Fjordantologien 2022. Universitetsforlaget. ISSN 978-82-15-06293-8. s. 13–25. doi: 10.18261/9788215062938-2022-01.
• Elvevoll, Linda Dragvik; Isaksen, Kamilla Torsdatter; Hauan, Marianne & Alteren, Johanne (2022). Nurses' experiences with the use of checklists in the specialist health service: a qualitative study. Klinisk Sygepleje. ISSN 0902-2767. 36(2), s. 109–122. doi: 10.18261/ks.36.2.4. Vis sammendrag

  The purpose of checklists in the health care service is to ensure quality and improve patient safety. The purpose of this study was to illuminate and discuss how nurses in the specialist health service use checklists in everyday work. Qualitative, in-depth interviews were conducted of eight nurses working in three departments. Content analysis guided the analysis of data. Two main categories were identified: ‘Checklists, a tool for organizing everyday work’and ‘Random implementation and use of checklists in the departments’.The nurses made professional assessments and adjustments in the patient situation on how and what to use of the points in the checklists, as well as when it was appropriate to use the checklists. They spent a lot of time on documentation related to checklists, which was at the expense of patient contact. Working conditions and at what level in the organization the checklists were prepared, had an impact on how the professionals used the checklists. Keywords: checklists, nurses, patient safety, qualitative study, special health service

• Johansen, Grethe & Alteren, Johanne (2021). Oppmerksomt nærvær : studentenes forståelse av relasjonskompetanse etter endt videreutdanning i psykisk helsearbeid, en hermeneutisk studie. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 17(2). doi: 10.7557/14.5724. Vis sammendrag

  Relasjonskompetanse innen psykisk helsearbeid har betydning for menneskers håp og livsmuligheter ved kriser og psykisk uhelse. Hensikten med studien er å utdype studentenes beskrivelse og forståelse av relasjonskompetanse etter endt videreutdanning innen psykisk helsearbeid. Studien har et beskrivende og utforskende design med en hermeneutisk tilnærming. Fem sykepleiere og to sosionomer ble intervjuet. Kvales tre nivåer av forståelse ble benyttet i analysen. Resultatet ble hovedtemaene: Å være menneske i møte med den andre og Å forstå hva som kreves i den konkrete situasjonen. Studentene beskrev og forsto relasjonskompetanse som oppmerksomt nærvær - en bevegelse mellom indre og ytre prosesser. Oppmerksomt nærvær ble uttrykt som bevegelse mellom det personlige og faglige og gjennom bevissthet om grenser i praksis. Oppmerksomt nærvær fremstår som en kompetanse og bør videreutvikles i videreutdanningen og praksisfeltet, knyttet til erfaringskunnskap. Nøkkelord: relasjonskompetanse, psykisk helsearbeid, videreutdanning i psykisk helsearbeid, oppmerksomt nærvær, studenterfaring

• Alteren, Johanne; Hermstad, Marit; Nerdal, Lisbeth & Jordan, Sue (2021). Working in a minefield; Nurses’ strategies for handling medicine administration interruptions in hospitals, -a qualtiative interview study. BMC Health Services Research. ISSN 1472-6963. 21. doi: 10.1186/s12913-021-07122-8. Vis sammendrag

  Background: Administering medicines is one of the most high-risk tasks in health care. However, nurses are frequently interrupted during medicine administration, which jeopardises patient safety. Few studies have examined nurses’ experiences and the strategies they adopt to cope with interruptions during medicine rounds. This paper identifies nurses’ strategies for handling and reducing interruptions and ensuring safety during medicine rounds, within the confines of the hospitals’ organisational systems. Methods: This descriptive and exploratory research study was undertaken with experienced nurses in Norwegian hospitals in 2015 using semi-structured interviews. Interviews were designed to elicit experiences and strategies used for handling interruptions to medicine rounds. Data were analysed using qualitative content analysis based on inductive reasoning to identify meaningful subjects and reach an interpretive level of understanding regarding nurses’ experiences. Results: All 19 senior nurses who were approached were interviewed. From 644 condensed meaning units, we identified eight interpretative units and three themes: ‘working in environments of interruptions’, ‘personal coping strategies’, and ‘management-related strategies’. Nurses’ working environments were characterised by interruptions and distractions, which often threatened patient safety. To handle this unpredictability and maintain ward organisation, nurses developed their own personal strategies to overcome inherent problems with their working conditions, the absence of effective management, and colleagues’ reluctance to assume responsibility for minimising interruptions. Conclusions: Administration of medicines in hospitals can be described as ‘working in a minefield’. Our findings indicate that the hospital management, in cooperation with nurses and other healthcare professionals, should take responsibility for improving the routine process of medicine administration by minimising avoidable interruptions. Patient safety can be improved when the hospital management takes steps to protect nurses’ work environments and assumes responsibility for resolving these challenges.

• Magnussen, Inger-Lise; Alteren, Johanne & Bondas, Terese (2021). “Human flourishing with dignity” : a meta-ethnography of the meaning of gardens for elderly in nursing homes and residential care settings. Global Qualitative Nursing Research. ISSN 2333-3936. 8, s. 1–17. doi: 10.1177/23333936211035743. Fulltekst i vitenarkiv Vis sammendrag

  This study aims to identify and synthesize qualitative research regarding residents’ experiences of gardens while living in nursing homes and residential care facilities. To provide an optimal nursing environment inspired by nature, we need to derive knowledge from the residents’ perspective. An interpretive meta-synthesis approach, a meta-ethnography, was chosen for this study. Altogether, six articles representing three continents and comprising 124 participants were included. The six articles that fulfilled the inclusion criteria were analyzed and synthesized according to Noblit & Hare’s seven phases of meta-ethnography and the recent eMERGe guidelines. Four themes were identified: (1) The garden—a place to feel a connection with life, (2) the garden—a place to sense and find comfort, (3) the garden—a place to feel healthy and alive, and (4) the garden—a place to relate past and present. An overarching metaphor, “human flourishing with dignity,” offers a deeper understanding of the meaning of the garden for older people in nursing homes and residential care. This meta-ethnography provides a reflective, systematic, data-driven synthesis based on literature spanning ten years. Rather than simply relying on retelling, the narration of experiences according to the primary researcher’s descriptions and interpretations results in new knowledge. The significance of gardens for older people’s health and well-being needs to be given greater attention and space in nursing practice, education, and health policies. Keywords: residents, nursing home, residential care, garden, meta-ethnography, nursing care and dignity

• Devik, Siri Andreassen; Alteren, Johanne & Olsen, Rose Mari (2021). Kunnskap og vilje, men uten myndighet? : sykepleieres erfaringer med samhandling om legemiddelgjennomgang hos hjemmeboende eldre. I Hedlund, Marianne; Ingstad, Kari & Moe, Aud (Red.), God helse : kunnskap for framtidens kommunehelsetjeneste. Universitetsforlaget. ISSN 978-82-15-04297-8. s. 45–68. doi: 10.18261/9788215042985-2021-03. Fulltekst i vitenarkiv
• Hov, Jorunn; Alteren, Johanne & Kvigne, Kari Johanne (2021). Rehabilitation of the frail older adults in primary healthcare in rural areas: a scoping review protocol. BMJ Open. ISSN 2044-6055. 11(6), s. 1–5. doi: 10.1136/bmjopen-2021-048820. Fulltekst i vitenarkiv Vis sammendrag

  Introduction Frail older adults are particularly vulnerable to functional decline and adverse outcomes because they lack the necessary resistance and ability to cope. Rehabilitation services for the frail older adults are thus vital and require clarification. The aim of this review is to identify and map the scope and breadth of literature regarding rehabilitation of the frail older adults to develop a holistic rehabilitation service in primary healthcare in rural areas. The concept of rehabilitation, how rehabilitation services are organised, how patients and next of kin are involved in planning and evaluating services during rehabilitation, as well as reported results will be identified and mapped. Methods and analysis This scoping review will be conducted based on the methodology developed by Arksey and O’Malley. The search strategy will aim to locate both published and unpublished studies in relevant databases. Key information sources include CINAHL, MEDLINE, Embase, ProQuest and Google Scholar. Data will be extracted from papers that all three reviewers have chosen to include in the review. All three reviewers will participate in screening, assessment and selection of studies against the inclusion criteria for the review and work in teams of two. The full text of selected citations will be assessed in detail against the inclusion criteria by the same teams. Data will be extracted from papers included in the scoping review by two of the reviewers. Modifications will be detailed in the full review report. Any disagreements that arise between two reviewers will be resolved through discussion or with the third reviewer’s mediation. A narrative summary of the findings will be presented accompanied by tables that reflect the objective of the review. Ethics and dissemination Data will be obtained only from already publicly available materials. Special ethical approval is, therefore, not required.

• Sayadi, Neda; Alteren, Johanne; Mohammadi, Eesa & Zarea, Kourosh (2021). Development and psychometric properties evaluation of a care needs questionnaire in phase 1 cardiac rehabilitation for patients with coronary artery disease: CNCR-Q. Journal of Caring Science (JCS). 10(1), s. 29–36. doi: 10.34172/jcs.2021.006. Vis sammendrag

  Introduction: Cardiovascular diseases (CVDs) are one of the most common chronic illnesses and the leading cause of mortality worldwide. This study aimed to design and assess the psychometric properties of questionnaire to examine the care needs of patients with coronary artery disease (CAD) in phase 1 of cardiac rehabilitation (CR). Methods: This sequential exploratory study used a mixed method with two phases. In the first phase, qualitative study was performed by analyzing the concept of Schwartz-Barcott-Kim hybrid model; and in the second phase, quantitative data were obtained and analyzed for the psychometric parameters of the designed tool. Results: The questionnaire for care needs was based on the indicators of measurement, which was identified in the qualitative phase of the study, as a tool with 40 items. After conducting face validity qualitatively, all tool items were considered important and were retained for the next steps. After completing the steps for determining the content validity ratio (CVR) and content validity index (CVI) of 40 items, they were preserved for decision making at a later stage. The results of exploratory factor analysis revealed four factors; the factor analysis of three items was eliminated and the final version of the questionnaire CNCR-Q (Care Needs Cardiac Rehabilitation-Questionnaire) with 37 items remained. Conclusion: The findings indicated that the questionnaire with properties, such as simple scoring, reliability and validity, is an appropriate tool for assessing care needs in Iranian patients with CAD. Moreover, the CNCR-Q is an effective instrument for assessing patient needs before discharge. Keywords: questionnaire design, cardiac rehabilitation, coronary artery disease, CNCR-Q, care needs

• Hauan, Marianne; Kvigne, Kari Johanne & Alteren, Johanne (2021). The health and care services of the future from an everyday coping perspective : a conceptual analysis of everyday coping in political documents. Klinisk Sygepleje. ISSN 0902-2767. 35(4), s. 289–303. doi: 10.18261/ISSN.1903-2285-2021-04-03. Fulltekst i vitenarkiv Vis sammendrag

  Background: Demographic trends are creating challenges for a sustainable health care sector. In order to accommodate these challenges, new concepts are being introduced in political documents. The goal is to create changes towards a more sustainable health care sector. One of these concepts is «everyday coping». Purpose: To increase understanding of the implications «everyday coping» may have for nursing in community care. Methods: Four political documents are analyzed using Koselleck’s method of concept analysis. The concept analysis consists of two steps: diachronic and synchronous analysis. Results: The health care service has changed from compensating care towards healthpromoting,preventive priorities, and attitudes. The concept «everyday coping» promotes active care, where the patient themselves are largely responsible for their daily lives. Conclusion: The definition and use of the concept «everyday coping» in political documents has implications for the patient’s health care, practice of nursing and the organization of the health sector.

• Alteren, Johanne (2019). Narratives in student nurses' knowledge development: A hermeneutical research study. Nurse Education Today. ISSN 0260-6917. 76, s. 51–55. doi: 10.1016/j.nedt.2019.01.015. Fulltekst i vitenarkiv Vis sammendrag

  Background: Knowledge development, and how student nurses learn to be nurses, is essential in nurse education and has implications for quality of care. There is a lack of research concerning how student nurses' knowledge development is expressed through narratives and how they deal with challenges in patient situations in professional learning. Objectives: To clarify the usefulness of narratives in student nurses' knowledge development and the narratives implications for learning in clinical training. Design and methods: The study has a qualitative design with field methodology. Data consisted of observations, interviews, and fieldnotes. The data was analysed, and narratives were developed using Gadamer's hermeneutical circle. Participants and settings: Seven first- and second-year student nurses from a bachelor programme were closely followed in different patient situations during their eight weeks of clinical studies in nursing homes. Results: In a sample narrative, a student nurse explained how she reflected on her actions and decisions made when she shielded a patient who was in a difficult situation. Conclusion: Narratives are useful for the development of student nurses' knowledge in clinical training. Student nurses' decisions and actions in the patient situation are made evident through narratives. Nursing educators and student nurses awareness of the relevance of this knowledge for understanding student nurses learning processes is of importance in professional education. Nursing educators should be more open minded to narratives as a starting point for reflection. Increased use of narratives in professional education will contribute to development of knowledge so that student nurses can manage to face patient situations as long as the situation themselves demands. Areas for further studies are other professional educations, for examples, doctor, physiotherapist, and occupational therapist.

• Magnussen, Inger-Lise; Alteren, Johanne & Bondas, Terese (2019). Appreciative inquiry in a Norwegian nursing home: a unifying and maturing process to forward new knowledge and new practice. International Journal of Qualitative Studies on Health and Well-being. ISSN 1748-2623. 14(1). doi: 10.1080/17482631.2018.1559437. Fulltekst i vitenarkiv
• Mohammadi, Eesa; Zarea, Kourosh; Alteren, Johanne & Sayadi, Neda (2018). Care needs in the phase I of cardiac rehabilitation: A hybrid concept analysis. Nursing and Midwifery Studies. ISSN 2322-1488. 8(1), s. 48–54. doi: 10.4103/nms.nms_76_17. Fulltekst i vitenarkiv
• Alteren, Johanne; Hermstad, Marit; White, Jo & Jordan, Susan (2018). Conflicting priorities: Observation of medicine administration. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 27(19-20), s. 3613–3621. doi: 10.1111/jocn.14518. Fulltekst i vitenarkiv
• Alteren, Johanne (2018). Emotions as one basis for the nursing profession. Development of practical knowledge. I Danielsen, Inger Jorun & Alteren, Johanne (Red.), Erfaring som kunnskapskilde i profesjonspraksis. Novus Forlag. ISSN 978-82-7099-905-7. s. 71–82.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2017). Sansehagens betydning for dannelsen av 'nærhetsrommet' - aksjonsforskning i sykehjem. Klinisk Sygepleje. ISSN 0902-2767. 31(2), s. 96–113. doi: 10.18261/issn.1903-2285-2017-02-03. Fulltekst i vitenarkiv
• Hassel, Anne Marit; Hilstad, Laila & Alteren, Johanne (2016). Å være i relasjon med seg selv og andre. Pasientens erfaringer med temabasert samtalegruppe i allmennpsykiatrisk døgnavdeling. Tidsskrift for psykisk helsearbeid. ISSN 1503-6707. 13(3), s. 188–199. doi: 10.18261/issn.1504-3010-2016-03-02.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2016). Bringing in Health Geography in Nursing Home Care – An Action Research. Klinisk Sygepleje. ISSN 0902-2767. 30(3), s. 168–182. doi: 10.18261/issn.1903-2285-2016-03-03. Vis sammendrag

  The sensory garden is understood as a cultivated area used in caring for persons who suffer from dementia. There is previous knowledge about the significance of the sensory garden in nursing homes, but we know little about how it can be developed as part of the nursing care of older persons. Action research using appreciative interviews was conducted with thirteen participants. The aim of the study was to collect and illuminate nurses’, assistant nurses’ and managers’ experiences and wishes about nature and sensory gardens, in order to increase understanding of nature's possibilities and meaning in nursing home care. Findings show that caregivers’ awareness of their personal relationship with nature can be a source of knowledge for nursing care, and inspired by health geography, further perspectives for the development of sensory gardens may be uncovered. The study forms the basis for nursing care intervention in the community.

• Alteren, Johanne & Nerdal, Lisbeth (2015). Relationship between High School Mathematics Grade and Number of Attempts Required to Pass the Medication Calculation Test in Nurse Education: An Explorative Study. Healthcare. ISSN 2227-9032. 3(2), s. 351–363. doi: 10.3390/healthcare3020351. Fulltekst i vitenarkiv

Se alle arbeider i Cristin

• Hogset, Heidi; Alteren, Johanne; Jæger, Bjørn & Straume, Solveig (2022). Bærekraft : Fjordantologien 2022. Universitetsforlaget. ISBN 978-82-15-06293-8. 321 s.
• Danielsen, Inger Jorun & Alteren, Johanne (2018). Erfaring som kunnskapskilde i profesjonspraksis. Novus Forlag. ISBN 978-82-7099-905-7. 307 s.

Se alle arbeider i Cristin

• Alteren, Johanne (2021). "Å stå i pasientsituasjonen". Læringsprosessen i et fronesisk perspektiv.
• Alteren, Johanne (2020). Anerkjennelse av det norske språket i vitenskapelige artikler . Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 16(1). doi: 10.7557/14.5351.
• Alteren, Johanne (2019). Livsmot som fenomen i et helsefaglig perspektiv. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 15(2). doi: 10.7557/14.5270.
• Hilli, Yvonne & Alteren, Johanne (2019). New Nordic-Baltic network in health care education. [Internett]. NORD.
• Magnussen, Inger-Lise; Bondas, Terese Elisabet & Alteren, Johanne (2019). Sensory Garden and Dementia Care - "The room of closeness" - a sensory garden-patient-nurse relationship.
• Alteren, Johanne (2019). Erfaring som kilde til kunnskapsutvikling i helseforskning. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 15(1). doi: 10.7557/14.4868.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2018). The significance of a sensory garden in the formation of the room of closeness-An action research in a nursing home in Norway.
• Alteren, Johanne (2018). Øvingsavdelingen som læringsarena for kunnskapstilegnelse i sykepleierutdanning. Refleksjon over en studentfortelling. En hermeneutisk tilnærming. .
• Alteren, Johanne (2018). God organisering av helsetjenesten - samarbeid om et felles mål. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 14(2). doi: 10.7557/14.4627.
• Olsen, Ruth Helene; Danielsen, Inger Jorun & Alteren, Johanne (2018). Hvordan lærer vi av erfaring? [Internett]. Forskning.no.
• Olsen, Ruth Helene; Danielsen, Inger Jorun & Alteren, Johanne (2018). Ny bok om yrkeserfaring som kunnskapskilde. Yrkeserfaring er en viktig kilde til kunnskap, mener forskere ved Nord universitet. Det er det blitt bok av. . [Internett]. Nord universitet Bodø.
• Alteren, Johanne (2018). Brukerkunnskap om relasjonens betydning for god helse. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. doi: 10.7557/14.4467.
• Danielsen, Inger Jorun & Alteren, Johanne (2018). Introduksjon. I Danielsen, Inger Jorun & Alteren, Johanne (Red.), Erfaring som kunnskapskilde i profesjonspraksis. Novus Forlag. ISSN 978-82-7099-905-7.
• Hauan, Marianne; Kvigne, Kari Johanne & Alteren, Johanne (2018). FRA Å GI PLEIE TIL Å SKAPE HVERDAGSMESTRING –En begrepsanalyse av «morgendagens omsorg» og «brukermedvirkning» i offentlige dokumenter.
• Alteren, Johanne (2017). Å være medforsker. .
• Alteren, Johanne (2017). Integrate theory and practice. Nurse students’ experiences in the learning process. How can “the voice” of the student be seen? .
• Alteren, Johanne (2017). Når helsehjelpen oppleves stigmatiserende. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 13(2). doi: 10.7557/14.4299.
• Alteren, Johanne (2017). Møte pasienten der pasienten er. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 13(1). doi: 10.7557/14.4126.
• Alteren, Johanne; Didriksen, Åsmund Roald; Hov, Jorunn; Lysfjord, Linda Alexandra & Nerdal, Lisbeth (2017). Sterke bidrag fra Nord universitet i Estland. [Internett]. Nord universitet.
• Alteren, Johanne (2017). Nursing students educate as helpers. Emotions and development of pracitcal knowledge.
• Sayadi, Neda & Alteren, Johanne (2017). Norsk-iransk forskning på omsorg i rehabilitering. [Internett]. Nord universitet.
• Sayadi, Neda & Alteren, Johanne (2017). Reiste 4.500 km for å forske i Rana. [Avis]. Rana Blad.
• Sayadi, Neda & Alteren, Johanne (2017). Nord universitet satser på internasjonalisering. [Avis]. Rana.No.
• Alteren, Johanne (2017). "Walking in a minefield". Nurses' experiences during medication administration in hospitals.
• Alteren, Johanne (2017). Integrate theory and practice. Nurse students' experiences in the learning process. How can "the voice" of the student be seen?
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2017). Ny bruk av sansehager kan gi bedre demensomsorg. [Internett]. Nord universitet.
• Alteren, Johanne (2017). Å lære legemiddelhåndtering.
• Alteren, Johanne (2016). Et tidsskrift med mangfold. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 12(2). doi: 10.7557/14.4060.
• Alteren, Johanne; Fredriksen, Ronja; Hermstad, Marit & Nerdal, Lisbeth (2016). "Walking in a minefield". Nurses' experiences during medication administration in hospitals.
• Alteren, Johanne (2016). To integrate theory and practice: Nurse students' experiences in the learning process.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2016). Symposium: Action Research - a complex collaborative ocean for possibilities. Appreciative interaction between researcher and staff in a nursing home action research - thinking outside the box.
• Johansen, Grethe & Alteren, Johanne (2016). Fra Mo i Rana til Cambridge. [Internett]. Nord på kryss og tvers uke 37.
• Alteren, Johanne; Fredriksen, Ronja; Hermstad, Marit & Herseth, Susanne (2015). A work interruption is not necessarily a work interruption. Nurses' experiences during medication administration in hospitals. Vis sammendrag

  Introduction Medication administration in surgical wards is predominately a nursing responsibility. Nurses are frequently interrupted during safety-critical stages of medication administration. They are rarely able to complete a nursing care activity without being interrupted. Interruptions in the nursing work environment can have significant and detrimental effects on patient safety. The purpose of the study is to explore nurses’ experiences on work interruptions (WI) during medication administration in surgical wards in the hospital. Method In this study, a smaller qualitative data collection phase is embedded within a larger quantitative study, also described as a nested design. The quantitative study is direct structured observations of nurses during medication administration. The qualitative study is semi-structured one-by-one interviews with nurses on work interruptions (WI) during medication administration. Twenty-four (24) nurses from two hospitals in North-Norway participated in the study. The interviews are analyzed using qualitative content analysis by Graneheim and Lundman. This presentation will focus on the findings from the qualitative data. Results A work interruption is when the nurses have to exit the medication administration round to do something completely different. Whether nurses experience the interruption as an intrusion depends on where they get interrupted and what task they are doing. The interruption is not necessarily experienced as an interruption, but is also about being familiar with the patient. When nurses handle medication, they emphasize to secure the care and medication to be given. They clarify the dosage and professional issues regarding the patient and or medication. Interference steals their time available for medication administration. Time pressure is experienced as a challenge during medication administration in the hospitals. Discussion In the presentation, we will elaborate the findings and discuss the implications the findings may have for nurses’ practice.

• Alteren, Johanne (2015). Et spirende miljø innen helsefaglig forskning i Helgelandssykehuset. The Third Nordic Forum for Nurse Educators, 12-14 oktober UiN Campus Helgeland. [Internett]. Intranett og websider Helgelandssykehuset.
• Hauan, Marianne & Alteren, Johanne (2015). Ti års forskning i sykepleie føres videre. Hverdagsmestring som forskningsprosjekt ved Campus Helgeland. [Internett]. Universitetet i Nordlands websider.
• Alteren, Johanne; Hassel, Anne Marit & Hilstad, Laila (2015). Internasjonalt forskningsmiljø til Campus Helgeland. Spirende forskning. Campus Helgeland fylt av internasjonal forskning. [Avis]. Rana Blad.
• Hassel, Anne Marit; Hilstad, Laila & Alteren, Johanne (2015). Development of patient's relationship-skills. Theme-based group in a general psychiatric ward. Vis sammendrag

  Introduction The basis for the research project is a theme-based group in a general psychiatric ward. The group was established as a pilot-project in 2011. Previously research shows that there is a lack of research concerning theme-based group. However, there exists research on group therapy, which have certain similarities with the group in this study. The purpose of the study is therefore to increase knowledge about the importance the theme-based group may have, from a patient’s perspective. The purpose is also further development of using theme-based group as a treatment. Methods The research has a descriptive and exploratory design. A qualitative method emphasize the patient’s experiences. Seven former patients participated. A semi-structured interview guide was used. The overall perspective of the analysis is qualitative content analysis by Graneheim and Lundman. Results and discussion Through the analysis, the main theme “Having a relationship to oneself and others”, emerged. The main theme summarizes the essence of the participants’ experiences. The results were categorized into four themes: “the exchange of experiences”, “to be seen by others”, “to cope with “oneself””, and “the importance of group-structure”. The participants experienced the group as a safe arena, where they after a while dared to be themselves, worked with self-knowledge and learned how to cope with everyday challenges. They became acquainted with others in different ways than otherwise. When they discovered others had similar experiences, the loneliness of having a mental illness decreased. In the presentation, we want to elaborate the findings and discuss central issues of the patient’s experiences.

• Alteren, Johanne (2015). Welcome to, Keynote speaker, and Closing "The Third Nordic Forum for Nurse Educators".
• Alteren, Johanne; Fredriksen, Ronja; Hermstad, Marit; Herseth, Susanne & Nerdal, Lisbeth (2015). A collaboration between clinical practice and academia. Handling medication in hospitals, - exploration of nursing practice.
• Alteren, Johanne (2015). Keynote speaker: Research in Nursing at University of Nordland - clinical nursing, learning and leadership.
• Johansen, Grethe & Alteren, Johanne (2015). Framtidskonferanse. Mange har meldt seg på UiNs første internasjonale konferanse på Campus Helgeland der spørsmålet om teknologien kan erstatte menneskelige møter, tas opp. Profesjongshøgskolen ved Universitetet i Nordland arrangerer sin første internasjonale konferanse på Campus Helgeland 12. - 14. oktober. [Avis]. Rana Blad.
• Christiansen, Øyvind; Nerdal, Lisbeth; Johansen, Grethe; Jacobsen, Kjell; Alteren, Johanne & Frøysa, Kirsten Jessen (2015). Nordic og Baltikum til Mo. Campus Helgeland tiltrekker seg foredragsholdere og deltakere fra flere land. [Avis]. Rana Blad.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2015). Action Research - Development together with employees in nursing home.
• Helme, Rita & Alteren, Johanne (2014). Aksepterer vold på jobben. Mange sykepleiere aksepterer vold fra eldre personer med demenssykdom som en del av jobben. Tidsskriftet sykepleien. ISSN 0806-7511. s. 40–42.
• Helme, Rita & Alteren, Johanne (2014). Violence by elderly residents in nursing homes.
• Alteren, Johanne (2014). Nurses' work interruptions during medication administration.
• Fredriksen, Ronja; Herseth, Susanne; Hermstad, Marit & Alteren, Johanne (2014). Forstyrrelser under legemiddelhåndtering II.
• Alteren, Johanne & Hermstad, Marit (2014). Forstyrrelser under legemiddelhåndtering i sykehus.
• Hassel, Anne Marit; Hilstad, Laila & Alteren, Johanne (2014). Pasienters erfaringer med samtalegruppe på en psykiatrisk døgnavdeling.
• Alteren, Johanne; Fredriksen, Ronja & Herseth, Susanne (2014). Forstyrrelser under legemiddelhåndtering.
• Alteren, Johanne; Christiansen, Øyvind; Aag, T.; Hegerholm, Hallstein; Jacobsen, Kjell & Leenheer, Anneke Sijtske (2014). Forskningsdagene. Studiesamarbeid for å pirre nysgjerrighet. Campus mot nye høyder. [Avis]. Rana Blad.
• Alteren, Johanne (2014). Samarbeid med Swansea. UiN vil forske på medikamenthåndtering. [Internett]. Websidene Universitetet i Nordland.
• Alteren, Johanne (2014). Nurses' work interruptions during medication administration: An intercultural study in Iran, Finland and Norway.
• Alteren, Johanne & Johansen, Grethe (2014). Mer enn bare teknikk. Universitetet i Nordland Helgeland arrangerer onsdag et seminar om å være i relasjon med en annen. [Avis]. Rana Blad.
• Alteren, Johanne (2014). Hvordan nyttiggjøre doktorgraden i bachelorutdanningen?
• Alteren, Johanne (2014). Forskergruppen: Pasientsikkerhet: Forstyrrelser under legemiddelhåndtering. [Internett]. Websidene til Helgelandssykehuset.
• Høgset, Ingun; Brønlund, Bjørn Tore; Alteren, Johanne; Krogli, Ann Karin; Jensen, Morten & Kristoffersen, Monika Amanda [Vis alle 8 forfattere av denne artikkelen] (2013). Vant pris for beste bacheloroppgave. De beste bacheloroppgavene som er levert siste studieår, ble i går hedret med pris på Campus Helgeland. [Avis]. Rana Blad.
• Høgset, Ingun; Brønlund, Bjørn Tore; Alteren, Johanne; Krogli, Ann Karin; Jensen, Morten & Kristoffersen, Monika Amanda [Vis alle 7 forfattere av denne artikkelen] (2013). Pris til beste bacheloroppgaver. Ny pris skal stimulere til mer utdanning på Helgeland. [Internett]. Websidene Universitetet i Nordland.
• Alteren, Johanne & Nerdal, Lisbeth (2013). Is there a correlation between the grade in mathematics from high school and achieved results on the test in medication calculation in nursing education? Vis sammendrag

  About 40 % of the students at bachelor in nursing fail the medication calculation test at the first attempt. The perception is that there is a correlation between the grade in mathematics from high school and achieved results on the test in medication calculation in nursing education. The teaching experiences indicate that this focus is too narrow. The purpose of the study is therefore to try out the relationship between the grade in mathematics from high school and achieved results on the test in medication calculation. The study has a quantitative design and is based on a survey among 90 student nurses at the bachelor's programme in nursing. Kjikvadrat and Fisher's exact test were used to analyze the quantitative material. The tables show that students who passed the medication calculation test after first attempt is spread over the grades 2, 3, 4 and 5, where 5 is the best grade. After the third attempt, all the students with grade 5 have passed. There is no basis for saying that there is a statistical correlation between the grade in mathematics from high school and the achieved results on the test in medication calculation in nursing education.

• Alteren, Johanne & Hartviksen, Ivar Leonhard (2013). Vi skal få det til. Høgskolen i Bodø på Helgeland gjennom 40 år.
• Alteren, Johanne; Christiansen, Øyvind; Ronja, Fredriksen; Herseth, Susanne & Nerdal, Lisbeth (2013). Helse. UIN og Helgelandssykehuset med forskningsprosjekt. Forsker på forstyrrelser. Hvilke forstyrrelser møter sykepleiere under medisinrunden? Et nytt forskningsprosjekt tar for seg problemet. [Avis]. Rana Blad.
• Alteren, Johanne (2013). Utdanning. Overraskende statistikk fra 2010 til 2012. Utdanningsnivået synker. [Avis]. Rana Blad.
• Alteren, Johanne & Hartviksen, Ivar Leonhard (2013). Utdanning. Boklansering om virkesomheta på Helgeland. 40 år med utdanning. Da sykepleierutdanningen startet i 1972 måtte elevene forholde seg til 49-timers uker mot fri kost, losji og uniformer. [Avis]. Rana Blad.
• Alteren, Johanne & Hartviksen, Ivar Leonhard (2013). De fikk det til! Men høyere utdanning på Helgeland kom ikke av seg selv. [Internett]. Websidene til Universitetet i Nordland.
• Hartviksen, Ivar Leonhard & Alteren, Johanne (2013). Utdanningsnivået på Helgeland.
• Risan, Merete Stokkeland & Alteren, Johanne (2022). Å lære helsefagarbeidet uten å være lærling - enomt og usikkert. En kvalitativ studie av elevers erfaring fra alternativ Vg3 i skole. Høgskolen i Molde - Vitenskapelig høgskole i logistikk.
• Amundsen, Turid & Alteren, Johanne (2019). "Det usikre mellomrommet". Sykepleiernes utfordringer i vurdering av den akutte geriatriske pasienten i akuttmottak. En hermeneutisk studie. Nord universitet.
• Magnussen, Inger-Lise; Bondas, Terese & Alteren, Johanne (2019). Nærhetsrommet - en sansehage-pasient-pleier-relasjon: Aksjonsforskning i sykehjem. Nord universitet. ISSN 978-82-93196-27-3.
• Sayadi, Neda; Mohammadi, Eesa; Zarea, Kourosh & Alteren, Johanne (2018). Development and Psychometric Validation of Care Needs questionnaire in phase 1 Cardiac Rehabilitation in patients With Coronary Artery Disease. Ahvaz Jundishapur University of Medical Sciences.
• Elvevoll, Linda Dragvik; Hay, Kamilla Isaksen; Alteren, Johanne & Hauan, Marianne (2018). Pasientsikkerhet og bruk av sjekklister - sykepleierens erfaringer i spesialisthelsetjenesten. Nord universitet, fakultet for sykepleie og helsefag.
• Ingilæ, Therese Johansen; Alteren, Johanne & Magnussen, Inger-Lise (2018). Den åpenbare men likevel usynlige. Hvordan opplever sykepleier sitt møte med den pleietrengende CFS/ME-syke pasienten? Nord universitet, fakultet for sykepleie og helsefag.
• Punsvik, Johanne Temine & Alteren, Johanne (2016). Kontroll versus tillit og relasjon. Sykepleieres erfaringer med å inspisere munnhulen til pasienter i rusbehandling etter utlevering av vanedannende medikamenter. Master i klinisk sykepleie. Nord universitet, Profesjonshøgskolen.
• Leppänen, Maria & Alteren, Johanne (2016). Opplevelse av trygghet hos kreftsykepleiere som administrerer cytostatika intravenøst til voksne pasienter med kreft. Master i sjukepleie. Universitetet i Tromsø, Norges arktiske universitet, Helsefag.
• Bjørgum, Marthe; Wangsfjord, Ellen & Alteren, Johanne (2016). Selvbestemmelsesrett innenfor rammer av tvang - balansekunst i møte med tvangsinnlagte pasienter. Master i klinisk sykepleie. Nord universitet, Profesjonshøgskolen.
• Lundestad, Rita & Alteren, Johanne (2015). Refleksjon - en metode i studentenes utvikling av praktisk kunnskap. Master i praktisk kunnskap. Universitetet i Nordland, Profesjonshøgskolen, Senter for praktisk kunnskap.
• Deinboll, Anne & Alteren, Johanne (2015). Å synliggjøre sykepleiefaget. Sykepleiedokumentasjon i elektronisk pasientjournal. Master i praktisk kunnskap. Universitetet i Nordland, Profesjonshøgskolen, Senter for praktisk kunnsakp.
• Helme, Rita & Alteren, Johanne (2014). Vold fra eldre pasienter i sykehjem. Master i klinisk sykepleie. Universitetet i Nordland, Profesjonshøgskolen.
• Svellingen, Alette H. & Alteren, Johanne (2013). Oppfølgingssamtalen med intensivpasientene. Master i klinisk sykepleie. Universitetet i Nordland, Profesjonshøgskolen.

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