Gørill Haugan | NTNU - Academia.edu (original) (raw)
Papers by Gørill Haugan
Journal of Holistic Nursing, Jul 2, 2021
Background: Finding new approaches to increase health and well-being among nursing home (NH) resi... more Background: Finding new approaches to increase health and well-being among nursing home (NH) residents is highly warranted. From a holistic perspective, several Norwegian municipalities have implemented the certification scheme framed “Joy-of-Life Nursing Home” Aims: In a holistic perspective on NH care, this study investigated if NH residents despite potential symptom severity experience joy-of-life (JoL). Therefore, we examined the frequency of common symptoms and the association between common symptoms and JoL in cognitively intact NH residents. Methods: A cross-sectional design was employed. Using the QLQ-C15–PAL quality-of-life questionnaire, hospital anxiety and depression scale, and JoL scale, a total of 188 cognitively intact NH residents participated. Results: Symptom severity was high; 54% reported fatigue, 52% reported constipation, 45% reported pain, 43% reported dyspnea, 32% reported insomnia, 22% reported appetite loss, and 20% reported nausea, while 20% reported anxiety and 23% reported depressive symptoms. Nevertheless, 59% of the NH residents reported high JoL, which was significantly positively related to the quality of life and negatively associated with anxiety and depression.
Scandinavian Journal of Caring Sciences, Mar 13, 2019
Development and psychometric properties of the Joyof-Life Scale in cognitively intact nursing hom... more Development and psychometric properties of the Joyof-Life Scale in cognitively intact nursing home patients Aim: To develop and psychometrically test the Joy-of-Life Scale. The research question addressed evidence related to the dimensionality, reliability and construct validity, all of which considered interrelated measurement properties. Methods: Cross-sectional data were collected during 2017-2018, in 27 nursing homes representing four different Norwegian municipalities, located in Western and Mid-Norway. The total sample comprised 188 of 204 (92% response rate) long-term nursing home patients who met the inclusion criteria: (i) local authority's decision of long-term nursing home care; (ii) residential time 3 months or longer; (iii) informed consent competency recognised by responsible doctor and nurse; and (iv) capable of being interviewed. Results: Exploratory and confirmative factor analyses clearly suggested a unidimensional solution. Five of the original 18 items showed low reliability and validity; excluding these items revealed an acceptable model fit for the one-dimensional 13-item measurement model. Reliability and construct validity were acceptable, indicating good internal consistency. Conclusion: Significant factor loadings, several goodnessof-fit indices and significant correlations in the expected directions with the selected constructs (anxiety, depression, self-transcendence, meaning-in-life, sense of coherence, nurse-patient interaction and quality of life) supported the psychometric properties of the Joy-of-Life Scale. Impact: The 'Joy-of-Life-Nursing-Home' is a national strategy for promoting quality of life, meaning and quality of life among nursing home patients in Norway. Therefore, exploring the essence of the Joy-of-Life phenomenon and developing a measurement scale assessing joy-of-life in this population is important for the further development of care quality in nursing homes.
Journal of Nursing Measurement, 2013
Scandinavian Journal of Caring Sciences, Nov 1, 2012
Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in c... more Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients Aims and objectives: The aim of this study was to investigate the associations between age, gender, selftranscendence, nurse-patient interaction and multidimensional well-being as the outcome among cognitively intact nursing home patients. Background: Self-transcendence is considered to be a vital resource of well-being in vulnerable populations and at the end of life. Moreover, the quality of care and the nurse-patient interaction is found to influence selftranscendence and well-being in nursing home patients. Design and method: A cross-sectional design employing the Self-Transcendence Scale, the Nurse-Patient Interaction Scale, the FACT-G Quality of Life and the FACIT-Sp Spiritual Well-Being questionnaires was adopted. A sample of 202 cognitively intact nursing home patients from 44 nursing homes in central Norway was selected. A previous documented two-factor construct of self-transcendence was applied. The statistical analyses were carried out by means of independent sample t-test, correlation and regression analyses. Results: Multiple linear regression analyses revealed significant relationships between interpersonal self-transcendence and social, functional and spiritual well-being, whereas intrapersonal self-transcendence significantly related to emotional, social, functional and spiritual wellbeing. Nurse-patient interaction related to physical, emotional and functional well-being. Age and gender were not significant predictors for well-being, except for functional and spiritual well-being where women scored higher than men. Conclusion: Nurse-patient interaction and self-transcendence are vital resources for promoting well-being physically, emotionally, functionally, socially and spiritually among cognitively intact nursing home patients. Relevance to clinical practice: Nurse-patient interaction signifies vital and ultimate nursing qualities promoting selftranscendence and multidimensional well-being. These findings are important for clinical nursing intending to increase patients' well-being.
Scientific Reports, Jul 27, 2023
Scandinavian Journal of Caring Sciences, Aug 14, 2017
Resilience is a process reflecting positive adaptation in the face of adversity. The Resilience S... more Resilience is a process reflecting positive adaptation in the face of adversity. The Resilience Scale for Adolescence (READ) incorporates intrapersonal and interpersonal protective factors mapping onto the three salient domains of resilience, including individual, family and external environment. This study investigated the validity and reliability of the READ by means of factor analysis, multigroup analysis, inter-correlations and internal consistency measures. Participants were 6085 young people in Ireland aged 12-18 years. Participants completed the My World Survey-Second Level (MWS-SL), assessing risk and protective factors of mental health. Confirmatory factor analysis validated the original five-factor structure of the READ including Personal Competence, Social Competence, Structured Style, Family Cohesion, and Social Resources, χ 2 (340) = 6146.02, p < 0.001, RMSEA = 0.056 (90% CI = 0.054-0.057), CFI = 0.97; GFI = 0.93. Measurement invariance indicated that the five-factor structure was similar across gender, school cycle and distress levels. Construct validity was evident, by correlating the five factors of the READ with various social, psychological and behavioural variables. The findings suggest that the READ is a valid measure to assess resilience factors among adolescents in Ireland, demonstrating its applicability in a different cultural context and with a wider age range of adolescents.
Quality of Life Research, Apr 2, 2015
The aim of the present study was to investigate the association between different normative stres... more The aim of the present study was to investigate the association between different normative stressors, sense of coherence and life satisfaction separately for gender in Norwegian adolescents. The interaction effect of stress by sense of coherence in relation to life satisfaction was also investigated. Methods The data are based on a cross-sectional sample of 1239 adolescents (13-18 years) from public elementary and secondary schools in Central Norway. Hierarchical multiple regression analysis was used to evaluate the association between stressors, sense of coherence and life satisfaction, separately for gender. Results The results showed significant differences between genders, where boys reported higher scores than girls on sense of coherence and life satisfaction, whereas girls scored higher than boys on five of seven stressor domains. All stressors were significantly and inversely associated with life satisfaction in both genders; however, all associations were stronger for girls compared to boys. Sense of coherence showed a significant strong and positive association with life satisfaction, controlled for age and each individual stressor. A significant although weak interaction effect of stress related to romantic relationships by sense of coherence was found in association with life satisfaction for boys; the other interaction effects were nonsignificant in both genders. Conclusion The results give support for a significant unique role of stressor experience and sense of coherence in relation to life satisfaction in both genders during adolescence, where the associations were especially strong in girls.
Education Inquiry, 2014
The self-determination theory (SDT) distinguishes between intrinsic and extrinsic aspirations or ... more The self-determination theory (SDT) distinguishes between intrinsic and extrinsic aspirations or life goals, which tend to fall into two separate constructs. The pursuit of intrinsic goals, relative to extrinsic ones, is associated with numerous cognitive, affective and behavioural outcomes that are considered to be positive for individuals as well as for society such as, for example, students’ school persistence. Developed by SDT researchers, the Aspiration Index has been widely explored. However, it has not previously been evaluated in Scandinavia. By means of confirmatory factor analysis and correlation analysis, the purpose of the current study was to examine the dimensionality, reliability, and construct validity of the Aspiration Index among health and social care students (N=415). The analysis revealed that a hypothesised second-order, two-factor model fits well with the observed data. The Aspiration Index also showed good reliability and construct validity in the present population of young people.
Journal of Nursing Measurement, 2013
Social Indicators Research, Sep 21, 2013
European journal of public health, Oct 25, 2017
Background: Activating older adults in medical practice can benefit patients' health and quality ... more Background: Activating older adults in medical practice can benefit patients' health and quality of life, as well as the economy and burden of the healthcare system. Placing general practice in the public healthcare system gives the elderly population easy access to the promotion of active attitudes toward health, provided that the doctors have and use relevant activating tools. The aim of this study was to verify the possibility of activating senior patients through an educational intervention for doctors. Methods: Two waves of data collection from primary care patients and their doctors were separated by an intervention for doctors. The intervention took the form of an elearning programme or article and was developed so as to improve general practitioners' (GP) communication and activation skills, especially when working with older adults. The outcome variable was the change between the waves in patients' scores on the PRACTA Attitude Toward Treatment and Health (ATH) Scale and PRACTA Self-efficacy Scale. Data from patients aged 50 + (n = 2175; 55.6% women; age: M = 69.56, SD = 9.10) appointed at the primary care facilities were analysed. Results: The analysis revealed the effect of doctors' e-learning and, to a lesser extent, the effect of article reading on patients' attitudes toward treatment and health as well as on their self-efficacy. In facilities in which the intervention was implemented, patients' attitudes were more active on follow-up than at baseline when compared with facilities without the intervention. Conclusions: Educational intervention among doctors can result in patients' ATH becoming more active. The form of intervention might diversify the impact.
Scientific Reports
Health literacy (HL) has been identified as an important and modifiable determinant of health. To... more Health literacy (HL) has been identified as an important and modifiable determinant of health. To succeed in promoting HL, it is crucial to evaluate interventions addressing HL using validated instruments. However, HL measurement is an under-researched area among adolescents. The Health Literacy for School-Aged Children (HLSAC) scale is developed in Finland to measure the subjective HL levels of school-aged children. The HLSAC has been used and validated across Europe. No validated instrument for measuring HL among Norwegian adolescents has been identified. Therefore, the aim of this study was to assess the psychometric properties of the HLSAC among Norwegian adolescents in upper secondary schools. Cross-sectional data were collected in 2017 from 1 054 adolescents with a response rate of 93.5%. The participants were students aged 16–21 (mean = 17.3) years from four upper secondary schools in an urban area in Mid-Norway. Confirmatory factor analysis (CFA) was utilized to investigate ...
Inspira
Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ... more Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning og overlevelse blant langtids-intensivpasienter. Hvordan disse ressursene fremmes av intensivsykepleierne er mindre kjent. Hensikt: Studiens hensikt er å få kunnskap om hvordan intensivsykepleiere kan bidra til å fremme langtids-intensivpasienters indre styrke og vilje til overlevelse. Metode: Kvalitative data ble samlet inn ved tre fokusgruppeintervju med ti erfarne intensivsykepleiere ved tre ulike sykehus i Norge. Datamaterialet ble analysert ved hjelp av systematisk tekstkondensering. Resultat: Intensivsykepleiere som var oppmerksomme og anerkjennende i møte med intensivpasientene var bedre i stand til å fremme langtids-pasientenes indre styrke og vilje til overlevelse. Verdifull kunnskap om pasienten som person understøttet dette. I den akutte og kritiske fasen var intensivsykepleiernes oppmerksomhet i mindre grad rettet mot denne delen av sykepleien. Etter hvert som pasientene ble ...
BMC Nursing, 2022
Background Nursing homes are under strong pressure to provide good care to the patients. In Norwa... more Background Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ (JoLNH) strategy which is based on a health-promoting approach building on the older persons’ resources. Meanwhile job satisfaction is closely related to less intention to leave, less turnover and reduced sick leave. The knowledge about adjustable influences related with job satisfaction might help nursing home leaders to minimize turnover and preserve high quality of care. This study explores leadership in Norwegian nursing homes with and without implementation of JoLNH: How does leadership influence the work environment and how is leadership experienced in JoLNH compared to ordinary Nursing Homes? Method We used a qualitative approach and interviewed 19 health care personnel working in nursing homes in two Norwegian municipalities. The analysis was conducted following Kvale’s approach to qualitative analysis. Results The ma...
Frontiers in Psychology, 2022
BackgroundThe COVID-19 pandemic has led to the shutdown of society and created sudden and long-la... more BackgroundThe COVID-19 pandemic has led to the shutdown of society and created sudden and long-lasting changes in teaching practices, forcing many nursing students to study remotely at home. These students’ relatedness with their teachers and peers has been limited and mainly online. Several studies have indicated that students’ emotional states and mental health have been negatively affected by the pandemic, representing a serious challenge for many countries. Because they use only digital tools, online students have perceived a decline in teacher and peer support. Likewise, these students have reported feelings of sadness, loneliness, anxiety, and stress, affecting their learning and competence development.AimsTo investigate the associations between peer support, teacher support, emotional state, and perceived competence in nursing students during the pandemic.MethodsThis cross-sectional study collected quantitative survey data from 329 nursing students at a large university in No...
Journal of Nursing Education and Practice, 2021
Background and objective: In March 2020, the COVID-19 pandemic infected populations worldwide. To... more Background and objective: In March 2020, the COVID-19 pandemic infected populations worldwide. To limit the spread, many countries declared stay-at-home orders. Teachers were suddenly obliged to teach and facilitate learning online, whereas students had to manage online education alone from home. Within self-determination theory (SDT), the need for relatedness is considered crucial for personal growth, well-being, motivation and learning, whereas sense of coherence (SOC) is a salutogenic health concept explaining humans’ coping with stressful situations. The aim of this study was to investigate the importance of teacher relatedness as well as SOC, including the concepts of comprehensibility, manageability and meaningfulness, among nursing students during the COVID-19 pandemic.Methods: Survey data were collected from 329 nursing students at a large university in Norway. Twelve hypotheses of the associations between teacher relatedness, SOC and perceived learning were tested by means ...
Background: Nursing homes are under strong pressure to provide good care to the patients. In Norw... more Background: Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the health professionals; however, changing one’s working approaches, routines and working culture may be demanding. On this background we explored how the ‘Joy-of-Life-Nursing-Homes’ strategy is perceived by the employees, before and after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality which had implemented the ‘Joy-of-Life-Nursing-Homes’ strategy. The analysis was conducted following Kvale’s approach to qualitative analysis.Results: The main categories after the data condensing were (a) the characteristics...
Inspira, 2021
Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ... more Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ogoverlevelse blant langtids-intensivpasienter. Hvordan disse ressursene fremmes av intensivsykepleierneer mindre kjent. Hensikt: Studiens hensikt var å få kunnskap om hvilke opplevelser intensivsykepleierere harmed langtids-intensivpasienters indre styrke og vilje til overlevelse. Metode: Kvalitative data ble samlet inn ved tre fokusgruppediskusjoner med ti erfarne intensivsykepleiereved tre ulike sykehus i Norge. Datamaterialet ble analysert ved hjelp av systematisktekstkondensering. Resultat: I den akutte og kritiske fasen av intensivoppholdet, opplevde intensivsykepleiernepasientens overlevelse som nært knyttet til behandling og understøtte av medisinskteknisk utstyr.I den mer stabile fasen kunne de fortelle om opplevelser knyttet til pasientens vilje på et konkretog et mer abstrakt plan. Viljen til å komme hjem var en sterk kraft som intensivsykepleierneunderstøttet. De opplevde pår...
Journal of Holistic Nursing, Jul 2, 2021
Background: Finding new approaches to increase health and well-being among nursing home (NH) resi... more Background: Finding new approaches to increase health and well-being among nursing home (NH) residents is highly warranted. From a holistic perspective, several Norwegian municipalities have implemented the certification scheme framed “Joy-of-Life Nursing Home” Aims: In a holistic perspective on NH care, this study investigated if NH residents despite potential symptom severity experience joy-of-life (JoL). Therefore, we examined the frequency of common symptoms and the association between common symptoms and JoL in cognitively intact NH residents. Methods: A cross-sectional design was employed. Using the QLQ-C15–PAL quality-of-life questionnaire, hospital anxiety and depression scale, and JoL scale, a total of 188 cognitively intact NH residents participated. Results: Symptom severity was high; 54% reported fatigue, 52% reported constipation, 45% reported pain, 43% reported dyspnea, 32% reported insomnia, 22% reported appetite loss, and 20% reported nausea, while 20% reported anxiety and 23% reported depressive symptoms. Nevertheless, 59% of the NH residents reported high JoL, which was significantly positively related to the quality of life and negatively associated with anxiety and depression.
Scandinavian Journal of Caring Sciences, Mar 13, 2019
Development and psychometric properties of the Joyof-Life Scale in cognitively intact nursing hom... more Development and psychometric properties of the Joyof-Life Scale in cognitively intact nursing home patients Aim: To develop and psychometrically test the Joy-of-Life Scale. The research question addressed evidence related to the dimensionality, reliability and construct validity, all of which considered interrelated measurement properties. Methods: Cross-sectional data were collected during 2017-2018, in 27 nursing homes representing four different Norwegian municipalities, located in Western and Mid-Norway. The total sample comprised 188 of 204 (92% response rate) long-term nursing home patients who met the inclusion criteria: (i) local authority's decision of long-term nursing home care; (ii) residential time 3 months or longer; (iii) informed consent competency recognised by responsible doctor and nurse; and (iv) capable of being interviewed. Results: Exploratory and confirmative factor analyses clearly suggested a unidimensional solution. Five of the original 18 items showed low reliability and validity; excluding these items revealed an acceptable model fit for the one-dimensional 13-item measurement model. Reliability and construct validity were acceptable, indicating good internal consistency. Conclusion: Significant factor loadings, several goodnessof-fit indices and significant correlations in the expected directions with the selected constructs (anxiety, depression, self-transcendence, meaning-in-life, sense of coherence, nurse-patient interaction and quality of life) supported the psychometric properties of the Joy-of-Life Scale. Impact: The 'Joy-of-Life-Nursing-Home' is a national strategy for promoting quality of life, meaning and quality of life among nursing home patients in Norway. Therefore, exploring the essence of the Joy-of-Life phenomenon and developing a measurement scale assessing joy-of-life in this population is important for the further development of care quality in nursing homes.
Journal of Nursing Measurement, 2013
Scandinavian Journal of Caring Sciences, Nov 1, 2012
Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in c... more Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients Aims and objectives: The aim of this study was to investigate the associations between age, gender, selftranscendence, nurse-patient interaction and multidimensional well-being as the outcome among cognitively intact nursing home patients. Background: Self-transcendence is considered to be a vital resource of well-being in vulnerable populations and at the end of life. Moreover, the quality of care and the nurse-patient interaction is found to influence selftranscendence and well-being in nursing home patients. Design and method: A cross-sectional design employing the Self-Transcendence Scale, the Nurse-Patient Interaction Scale, the FACT-G Quality of Life and the FACIT-Sp Spiritual Well-Being questionnaires was adopted. A sample of 202 cognitively intact nursing home patients from 44 nursing homes in central Norway was selected. A previous documented two-factor construct of self-transcendence was applied. The statistical analyses were carried out by means of independent sample t-test, correlation and regression analyses. Results: Multiple linear regression analyses revealed significant relationships between interpersonal self-transcendence and social, functional and spiritual well-being, whereas intrapersonal self-transcendence significantly related to emotional, social, functional and spiritual wellbeing. Nurse-patient interaction related to physical, emotional and functional well-being. Age and gender were not significant predictors for well-being, except for functional and spiritual well-being where women scored higher than men. Conclusion: Nurse-patient interaction and self-transcendence are vital resources for promoting well-being physically, emotionally, functionally, socially and spiritually among cognitively intact nursing home patients. Relevance to clinical practice: Nurse-patient interaction signifies vital and ultimate nursing qualities promoting selftranscendence and multidimensional well-being. These findings are important for clinical nursing intending to increase patients' well-being.
Scientific Reports, Jul 27, 2023
Scandinavian Journal of Caring Sciences, Aug 14, 2017
Resilience is a process reflecting positive adaptation in the face of adversity. The Resilience S... more Resilience is a process reflecting positive adaptation in the face of adversity. The Resilience Scale for Adolescence (READ) incorporates intrapersonal and interpersonal protective factors mapping onto the three salient domains of resilience, including individual, family and external environment. This study investigated the validity and reliability of the READ by means of factor analysis, multigroup analysis, inter-correlations and internal consistency measures. Participants were 6085 young people in Ireland aged 12-18 years. Participants completed the My World Survey-Second Level (MWS-SL), assessing risk and protective factors of mental health. Confirmatory factor analysis validated the original five-factor structure of the READ including Personal Competence, Social Competence, Structured Style, Family Cohesion, and Social Resources, χ 2 (340) = 6146.02, p < 0.001, RMSEA = 0.056 (90% CI = 0.054-0.057), CFI = 0.97; GFI = 0.93. Measurement invariance indicated that the five-factor structure was similar across gender, school cycle and distress levels. Construct validity was evident, by correlating the five factors of the READ with various social, psychological and behavioural variables. The findings suggest that the READ is a valid measure to assess resilience factors among adolescents in Ireland, demonstrating its applicability in a different cultural context and with a wider age range of adolescents.
Quality of Life Research, Apr 2, 2015
The aim of the present study was to investigate the association between different normative stres... more The aim of the present study was to investigate the association between different normative stressors, sense of coherence and life satisfaction separately for gender in Norwegian adolescents. The interaction effect of stress by sense of coherence in relation to life satisfaction was also investigated. Methods The data are based on a cross-sectional sample of 1239 adolescents (13-18 years) from public elementary and secondary schools in Central Norway. Hierarchical multiple regression analysis was used to evaluate the association between stressors, sense of coherence and life satisfaction, separately for gender. Results The results showed significant differences between genders, where boys reported higher scores than girls on sense of coherence and life satisfaction, whereas girls scored higher than boys on five of seven stressor domains. All stressors were significantly and inversely associated with life satisfaction in both genders; however, all associations were stronger for girls compared to boys. Sense of coherence showed a significant strong and positive association with life satisfaction, controlled for age and each individual stressor. A significant although weak interaction effect of stress related to romantic relationships by sense of coherence was found in association with life satisfaction for boys; the other interaction effects were nonsignificant in both genders. Conclusion The results give support for a significant unique role of stressor experience and sense of coherence in relation to life satisfaction in both genders during adolescence, where the associations were especially strong in girls.
Education Inquiry, 2014
The self-determination theory (SDT) distinguishes between intrinsic and extrinsic aspirations or ... more The self-determination theory (SDT) distinguishes between intrinsic and extrinsic aspirations or life goals, which tend to fall into two separate constructs. The pursuit of intrinsic goals, relative to extrinsic ones, is associated with numerous cognitive, affective and behavioural outcomes that are considered to be positive for individuals as well as for society such as, for example, students’ school persistence. Developed by SDT researchers, the Aspiration Index has been widely explored. However, it has not previously been evaluated in Scandinavia. By means of confirmatory factor analysis and correlation analysis, the purpose of the current study was to examine the dimensionality, reliability, and construct validity of the Aspiration Index among health and social care students (N=415). The analysis revealed that a hypothesised second-order, two-factor model fits well with the observed data. The Aspiration Index also showed good reliability and construct validity in the present population of young people.
Journal of Nursing Measurement, 2013
Social Indicators Research, Sep 21, 2013
European journal of public health, Oct 25, 2017
Background: Activating older adults in medical practice can benefit patients' health and quality ... more Background: Activating older adults in medical practice can benefit patients' health and quality of life, as well as the economy and burden of the healthcare system. Placing general practice in the public healthcare system gives the elderly population easy access to the promotion of active attitudes toward health, provided that the doctors have and use relevant activating tools. The aim of this study was to verify the possibility of activating senior patients through an educational intervention for doctors. Methods: Two waves of data collection from primary care patients and their doctors were separated by an intervention for doctors. The intervention took the form of an elearning programme or article and was developed so as to improve general practitioners' (GP) communication and activation skills, especially when working with older adults. The outcome variable was the change between the waves in patients' scores on the PRACTA Attitude Toward Treatment and Health (ATH) Scale and PRACTA Self-efficacy Scale. Data from patients aged 50 + (n = 2175; 55.6% women; age: M = 69.56, SD = 9.10) appointed at the primary care facilities were analysed. Results: The analysis revealed the effect of doctors' e-learning and, to a lesser extent, the effect of article reading on patients' attitudes toward treatment and health as well as on their self-efficacy. In facilities in which the intervention was implemented, patients' attitudes were more active on follow-up than at baseline when compared with facilities without the intervention. Conclusions: Educational intervention among doctors can result in patients' ATH becoming more active. The form of intervention might diversify the impact.
Scientific Reports
Health literacy (HL) has been identified as an important and modifiable determinant of health. To... more Health literacy (HL) has been identified as an important and modifiable determinant of health. To succeed in promoting HL, it is crucial to evaluate interventions addressing HL using validated instruments. However, HL measurement is an under-researched area among adolescents. The Health Literacy for School-Aged Children (HLSAC) scale is developed in Finland to measure the subjective HL levels of school-aged children. The HLSAC has been used and validated across Europe. No validated instrument for measuring HL among Norwegian adolescents has been identified. Therefore, the aim of this study was to assess the psychometric properties of the HLSAC among Norwegian adolescents in upper secondary schools. Cross-sectional data were collected in 2017 from 1 054 adolescents with a response rate of 93.5%. The participants were students aged 16–21 (mean = 17.3) years from four upper secondary schools in an urban area in Mid-Norway. Confirmatory factor analysis (CFA) was utilized to investigate ...
Inspira
Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ... more Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning og overlevelse blant langtids-intensivpasienter. Hvordan disse ressursene fremmes av intensivsykepleierne er mindre kjent. Hensikt: Studiens hensikt er å få kunnskap om hvordan intensivsykepleiere kan bidra til å fremme langtids-intensivpasienters indre styrke og vilje til overlevelse. Metode: Kvalitative data ble samlet inn ved tre fokusgruppeintervju med ti erfarne intensivsykepleiere ved tre ulike sykehus i Norge. Datamaterialet ble analysert ved hjelp av systematisk tekstkondensering. Resultat: Intensivsykepleiere som var oppmerksomme og anerkjennende i møte med intensivpasientene var bedre i stand til å fremme langtids-pasientenes indre styrke og vilje til overlevelse. Verdifull kunnskap om pasienten som person understøttet dette. I den akutte og kritiske fasen var intensivsykepleiernes oppmerksomhet i mindre grad rettet mot denne delen av sykepleien. Etter hvert som pasientene ble ...
BMC Nursing, 2022
Background Nursing homes are under strong pressure to provide good care to the patients. In Norwa... more Background Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ (JoLNH) strategy which is based on a health-promoting approach building on the older persons’ resources. Meanwhile job satisfaction is closely related to less intention to leave, less turnover and reduced sick leave. The knowledge about adjustable influences related with job satisfaction might help nursing home leaders to minimize turnover and preserve high quality of care. This study explores leadership in Norwegian nursing homes with and without implementation of JoLNH: How does leadership influence the work environment and how is leadership experienced in JoLNH compared to ordinary Nursing Homes? Method We used a qualitative approach and interviewed 19 health care personnel working in nursing homes in two Norwegian municipalities. The analysis was conducted following Kvale’s approach to qualitative analysis. Results The ma...
Frontiers in Psychology, 2022
BackgroundThe COVID-19 pandemic has led to the shutdown of society and created sudden and long-la... more BackgroundThe COVID-19 pandemic has led to the shutdown of society and created sudden and long-lasting changes in teaching practices, forcing many nursing students to study remotely at home. These students’ relatedness with their teachers and peers has been limited and mainly online. Several studies have indicated that students’ emotional states and mental health have been negatively affected by the pandemic, representing a serious challenge for many countries. Because they use only digital tools, online students have perceived a decline in teacher and peer support. Likewise, these students have reported feelings of sadness, loneliness, anxiety, and stress, affecting their learning and competence development.AimsTo investigate the associations between peer support, teacher support, emotional state, and perceived competence in nursing students during the pandemic.MethodsThis cross-sectional study collected quantitative survey data from 329 nursing students at a large university in No...
Journal of Nursing Education and Practice, 2021
Background and objective: In March 2020, the COVID-19 pandemic infected populations worldwide. To... more Background and objective: In March 2020, the COVID-19 pandemic infected populations worldwide. To limit the spread, many countries declared stay-at-home orders. Teachers were suddenly obliged to teach and facilitate learning online, whereas students had to manage online education alone from home. Within self-determination theory (SDT), the need for relatedness is considered crucial for personal growth, well-being, motivation and learning, whereas sense of coherence (SOC) is a salutogenic health concept explaining humans’ coping with stressful situations. The aim of this study was to investigate the importance of teacher relatedness as well as SOC, including the concepts of comprehensibility, manageability and meaningfulness, among nursing students during the COVID-19 pandemic.Methods: Survey data were collected from 329 nursing students at a large university in Norway. Twelve hypotheses of the associations between teacher relatedness, SOC and perceived learning were tested by means ...
Background: Nursing homes are under strong pressure to provide good care to the patients. In Norw... more Background: Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the health professionals; however, changing one’s working approaches, routines and working culture may be demanding. On this background we explored how the ‘Joy-of-Life-Nursing-Homes’ strategy is perceived by the employees, before and after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality which had implemented the ‘Joy-of-Life-Nursing-Homes’ strategy. The analysis was conducted following Kvale’s approach to qualitative analysis.Results: The main categories after the data condensing were (a) the characteristics...
Inspira, 2021
Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ... more Bakgrunn: Indre styrke og viljekraft anses som essensielle salutogene ressurser for tilfriskning ogoverlevelse blant langtids-intensivpasienter. Hvordan disse ressursene fremmes av intensivsykepleierneer mindre kjent. Hensikt: Studiens hensikt var å få kunnskap om hvilke opplevelser intensivsykepleierere harmed langtids-intensivpasienters indre styrke og vilje til overlevelse. Metode: Kvalitative data ble samlet inn ved tre fokusgruppediskusjoner med ti erfarne intensivsykepleiereved tre ulike sykehus i Norge. Datamaterialet ble analysert ved hjelp av systematisktekstkondensering. Resultat: I den akutte og kritiske fasen av intensivoppholdet, opplevde intensivsykepleiernepasientens overlevelse som nært knyttet til behandling og understøtte av medisinskteknisk utstyr.I den mer stabile fasen kunne de fortelle om opplevelser knyttet til pasientens vilje på et konkretog et mer abstrakt plan. Viljen til å komme hjem var en sterk kraft som intensivsykepleierneunderstøttet. De opplevde pår...