Nordisk tidsskrift for helseforskning

Anerkjennelse av det norske språket i vitenskapelige artikler

2020-02-22T10:33:22+01:00

Studenterfaringer med veiledning og læring knyttet til deltagelse i et kvalitetsforbedringsprosjekt på sykehus med kunnskapsbasert praksis som arbeidsform, -en beskrivende og utforskende studie

2020-01-29T10:33:14+01:00

Student experiences with supervision and learning through participation in a quality improvement evidence-baced practice project in a hospital, -a descriptive and explorative study

A significant part of health care students’ education is provided through clinical placement supervised by practitioners with required education and experience. This study has been conducted to increase knowledge of students’ experiences with supervision and learning related to participation in a quality improvement project in a hospital using evidence-based practice tools. A descriptive and exploratory design with focus group interviews. Data was analysed using qualitative content analysis. Three main themes emerged: changed student role, understanding the importance of keeping professional knowledge updated and need for the facilitation of the clinical placement period. The study showed that supervision helped students become equals of their supervisors and part of the community of practice. The project contributed to students`' coping skills. Integrating evidence-based practice into practice taught students a method of professional knowledge updating and quality improvement.

Beholde og rekruttere sykepleiere til sykehjem, en kvalitativ studie av avdelingssykepleieres erfaringer

2020-03-30T10:39:07+02:00

Retaining and recruiting nurses in nursing homes, - a qualitative study of nurse managers' experiences

The purpose of the study was to explore nurse managers in Norwegian nursing homes experiences with retaining and recruiting of nurses. The study has a qualitative exploratory design. Ten nurse managers in nursing homes were interviewed. Two main themes emerged from the analysis: “Retaining nurses - a difficult line to balance” and “Recruiting – a field of excellence with ideals and reality”. Retaining and recruiting nurses challenged nurse managers in finding a balance between facilitating professional development, supporting the nurses in independent prioritization of tasks as well as economic and organizational work that were occasionally perceived as an obstacle. Nurse managers play an important role in the nursing homes and influence nurses’ retaining rate through active leadership. Good leadership may lead to a good reputation, which in turn is vital in retaining and recruiting nurses.

Fagkunnskap på godt og vondt - helsepersonell som pårørende til egne alvorlig syke barn på sykehus, en kvalitativ studie

2020-01-29T10:32:21+01:00

Expertise - an advantage or a hindrance? Healthcare professionals as relatives of their own critically ill children in hospital, -a qualitative study

The hospitalization of children is a stressful event for parents, and it may be even worse for parents who are healthcare professionals. Scant attention has been given to this issue in the literature and by researchers. This study aim to describe how a small group of health professionals experience the hospitalization of their child, in critically ill cases. The data are based on a qualitative design, using depth interviews with three nurses and a doctor. The interviews were analyzed using a thematic content approach. The findings show how the informants experience role conflicts, and social and psychological difficulties as relatives. This article highlights the importance of how health care professionals interact and support health professionals as relatives for their own children hospitalized.

Forekomst, variasjon og kjønnsforskjeller av depressive symptomer blant barn og unge som deltar i ulike fritidsaktiviteter, en tverrsnittstudie

2020-01-29T10:31:53+01:00

Prevalence, variation and gender differences of depressive symptoms among children and adolescents participating in various leisure activities, a cross-sectional study

Depressive symptoms among children and adolescents pose a significant health challenge, yet little is known about gender differences, incidence and variation of depressive symptoms. A population-based sample of children and adolescents aged 11-14, (N = 1748) was mapped for the occurrence of depressive symptoms across various leisure activities. The results show that those who participate in sports, either exclusively or in combination with cultural activities, report lower levels of depressive symptoms compared to those who only participate in cultural activities. The study confirms a considerable incidence of depressive symptoms among children and adolescents and provide new knowledge of variation in the incidence of depressive symptoms. The findings suggest that special attention should be paid to children and adolescents neither participate in sports, nor a range of leisure activities.

Kan omvendt undervisning gi bedre læringsutbytte i legemiddelregning, sammenlignet med tradisjonell undervisning? En kvasieksperimentell kontrollert studie

2020-01-29T10:30:53+01:00

Flipped classroom improves student learning in dosage calculation, - a quasi-experimental control group design

The flipped classroom method has received increased attention in health sciences education, however, few studies have investigated performance data showing its effectiveness. The aim of this study was to compare learning outcome in a flipped classroom with a standard lecture. The hypothesis was that applying a flipped classroom model in a dosage calculation class would improve learning outcome when compared to standard learning. One group was assigned to a flipped classroom (n=43), and the other group to a traditional lecture-based classroom (n=45). Data were collected through answer sheets and test results. Course content, assessments, and instructional time for both models were equivalent. The social educator students in the flipped group performed better in the test, compared to the traditional group, where the flipped group had 22% reduction in failing the exam.The flipped classroom approach is promising as an acceptable approach for teaching in dosage calculation curricular in higher education.

Hand- och benstyrka vid intensivvårdsavdelning (IVA)-mottagning, -en retrospektiiv studie

2020-02-01T10:31:39+01:00

Strength in hand and legs at intensive care unit (ICU) follow up-reception: a retrospective study
Early mobilization is well established in intensive care and includes sitting, standing and walking and thereby lower extremity activation. Equivalent strategy for upper extremity activation is lacking, therefore, there might be a higher degree of remaining disability in the hand/arm. This retrospective study aimed to describe the strength in hand and legs, and the relationship therebetween, at an intensive care unit (ICU) follow up-reception. Hand dynamometer and Timed-Stands Test (TST) were measured and correlated to illness severity by Simplified Acute Physiology Score III (SAPS3). Data from 47 participants was compared to matched control values. The hand strength was lower (p=0,028) with low effect (r=-0,2), of clinical relevance as it may affect the ability in activities of daily living (ADL). There were no significant differences for strength in the legs, correlation between strength and illness severity and for comparison of strength divided by illness severity. Larger studies are recommended.

"Jeg gråter noen tårer hver dag". En fenomenologisk studie av hjemmeboende kreftpasienters beskrivelse av deres livvsituasjon i palliativ fase

2020-02-01T10:31:11+01:00

"I cry a few tears every day". A phenomenological study of at-home cancer patients' description av their life situations under palliativ care

The aim of this study was to investigate how at-home cancer patients perceived their life situations during the palliative care phase. The study employed a qualitative exploratory research design involving in-depth personal interviews with six women and two men between the ages of 35 and 63. All the interviewees lived at home, experiencing different life situations and suffering from different types of cancer. The interviews were recorded and transcribed verbatim. Data analysis was carried out using the descriptive phenomenological method presented by Giorgi. The findings are grouped under four themes; living with uncertainty and future unpredictability, perceptions of being seen and heard in encounters with health professionals and others, stress associated with the perception of disappointing close relatives, and challenges linked to meeting everyday demands. The patients’ stories relate their views on life, suffering and pain relief.

Nordiske sundhedsfremmende perspektiver på ældre menneskers deltagelse og tryghed

2020-01-29T10:31:26+01:00

Nordic Health Promotion Perspectives on Older Adults Participation and Sense og Security

Demographic changes and the growing elderly population in Scandinavia provide an incentive to study Health Ageing in the Nordic Countries. The chosen Nordic perspective takes into account commonalities and differences in socio-economic status, welfare systems, gender, history and culture. It also involves focusing on the health of individuals and populations. The Nordic perspective and the authors’ understanding of health and health promotion provide a backdrop for the essay. The authors are part of the Nordic Health Promotion Network (NHPRN), which is grounded in an ethics of health and well-being. This understanding highlights key values such as participation, justice and equality (freedom from discrimination), autonomy (independence). The authors focus mainly on the importance of participation and on the older person’s sense of security in this paper. We seek answers to what prevents and in which way Healthy Ageing can be promoted in the Northern countries. Concepts such as discrimination, retirement, dementia, nursing home residents’ access to nature and the elements, and the importance of relationships are illuminated.

Velferdsteknologi – fremtidens helsevesen med eller uten omsorg?

2020-02-20T10:33:12+01:00

Welfare technology - healthcare in the future with or without care?

In the future, it will be a challenge to maintain today’s quality of care. Welfare technology may be a solution to reduce the expected care crisis. The public healthcare system is influenced by New Public Management ideals as” what can we afford? rather than “what are the patients` need”. Questions concerning patients’ rights and healthcare providers’ moral obligation seem to be less important. In the discussion Martinsen criticizes that caring has become a secondary term where patients` have less power. To increase the patient’s user involvement, Habermas suggests communicative discourse as a solution to the discrepancy between the public healthcare systems focus on earnings, and the patients’ need for care.