Sigrun Qvindesland | Stavanger University Hospital Trust. (original) (raw)
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Papers by Sigrun Qvindesland
Brain and Behavior
Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatmen... more Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatment (EVT) in acute ischemic stroke (AIS) patients selected on the basis of a clinical-core mismatch. • We retrospectively explored if a more simplified neuroimaging protocol (based on a clinical-ASPECTS mismatch) was associated with clinical benefit after late EVT.
Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatmen... more Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatment (EVT) in acute ischemic stroke (AIS) patients selected on the basis of a clinical-core mismatch. • We retrospectively explored if a more simplified neuroimaging protocol (based on a clinical-ASPECTS mismatch) was associated with clinical benefit after late EVT.
BMC Health Services Research
Introduction The first wave of the COVID-19 pandemic caused stress in healthcare organizations wo... more Introduction The first wave of the COVID-19 pandemic caused stress in healthcare organizations worldwide. Hospitals and healthcare institutions had to reorganize their services to meet the demands of the crisis. In this case study, we focus on the role of simulation as part of the pandemic preparations in a large hospital in Norway. The aim of this study is to explore hospital leaders' and simulation facilitators' expectations of, and experiences of utilizing simulation-based activities in the preparations for the COVID-19 pandemic. Methods This is a qualitative case study utilizing semi-structured in-depth interviews with hospital leaders and simulation facilitators in one large hospital in Norway. The data were sorted under three predefined research topics and further analyzed by inductive, thematic analysis according to Braun and Clarke within these pre-defined topics. Results Eleven members of the hospital leadership and simulation facilitators were included in the study...
Additional file 1. Collection of simulation scenario scripts.
Journal of Hospital Administration, 2015
Objective: Value choices are rooted in the philosophical deliberations of Aristotle, Levinas and ... more Objective: Value choices are rooted in the philosophical deliberations of Aristotle, Levinas and Gadamer. Balancing the needs of “the other” with societal and institutional needs to meet the objectives of “the cause” is core to the modern health systems priority setting debate. These value conflicts present themselves bed-side in the day-to-day decision-making processes. A clinical leadership (CL) framework should present solutions to this challenge.Methods: The definition of CL is redefined to include four key values involved in this value conflict. These are 1) trust, 2) quality, 3) responsiveness and 4) efficiency. A CL in Teams course curriculum and design was developed to link these values to tools and to context in the hospital.Results: A new definition of CL has provided a common formative framework useful in clinical settings for priority setting, evaluation and professional development. By the end of 2015 a total of 82 participants will have completed the course. It has bee...
Tidsskrift for Den norske legeforening, 2015
Creating the interprofessional health team of the future Traditionally, different health professi... more Creating the interprofessional health team of the future Traditionally, different health professions have been trained independently of one another. In Stavanger, we have developed a simulation-based training programme whereby medical, nursing and paramedical students receive training in interdisciplinary collaboration and communication.
Advances in Simulation
The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerb... more The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerbated the need for clinical teams to reflect and learn from workplace experiences. Surges in critically ill patients, the impact of the disease on the workforce and long term adjustments in work and life have upturned our normality. Whilst this situation has generated a new ‘connectedness’ within healthcare workers, it also continues to test our resilience.An international multi-professional collaboration has guided the identification of ongoing difficulties to effective communication and debriefing, as well as emerging opportunities to promote a culture of dialogue. This article outlines pandemic related barriers and new possibilities categorising them according to task management, teamwork, situational awareness and decision making. It describes their direct and indirect impact on clinical debriefing and signposts towards solutions to overcome challenges and, building on new bridges, ad...
Advances in Simulation, Apr 16, 2020
In this paper, we describe the potential of simulation to improve hospital responses to the COVID... more In this paper, we describe the potential of simulation to improve hospital responses to the COVID-19 crisis. We provide tools which can be used to analyse the current needs of the situation, explain how simulation can help to improve responses to the crisis, what the key issues are with integrating simulation into organisations, and what to focus on when conducting simulations. We provide an overview of helpful resources and a collection of scenarios and support for centre-based and in situ simulations.
Brain and Behavior
Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatmen... more Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatment (EVT) in acute ischemic stroke (AIS) patients selected on the basis of a clinical-core mismatch. • We retrospectively explored if a more simplified neuroimaging protocol (based on a clinical-ASPECTS mismatch) was associated with clinical benefit after late EVT.
Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatmen... more Background and aims • The DAWN trial demonstrated the effectiveness of late endovascular treatment (EVT) in acute ischemic stroke (AIS) patients selected on the basis of a clinical-core mismatch. • We retrospectively explored if a more simplified neuroimaging protocol (based on a clinical-ASPECTS mismatch) was associated with clinical benefit after late EVT.
BMC Health Services Research
Introduction The first wave of the COVID-19 pandemic caused stress in healthcare organizations wo... more Introduction The first wave of the COVID-19 pandemic caused stress in healthcare organizations worldwide. Hospitals and healthcare institutions had to reorganize their services to meet the demands of the crisis. In this case study, we focus on the role of simulation as part of the pandemic preparations in a large hospital in Norway. The aim of this study is to explore hospital leaders' and simulation facilitators' expectations of, and experiences of utilizing simulation-based activities in the preparations for the COVID-19 pandemic. Methods This is a qualitative case study utilizing semi-structured in-depth interviews with hospital leaders and simulation facilitators in one large hospital in Norway. The data were sorted under three predefined research topics and further analyzed by inductive, thematic analysis according to Braun and Clarke within these pre-defined topics. Results Eleven members of the hospital leadership and simulation facilitators were included in the study...
Additional file 1. Collection of simulation scenario scripts.
Journal of Hospital Administration, 2015
Objective: Value choices are rooted in the philosophical deliberations of Aristotle, Levinas and ... more Objective: Value choices are rooted in the philosophical deliberations of Aristotle, Levinas and Gadamer. Balancing the needs of “the other” with societal and institutional needs to meet the objectives of “the cause” is core to the modern health systems priority setting debate. These value conflicts present themselves bed-side in the day-to-day decision-making processes. A clinical leadership (CL) framework should present solutions to this challenge.Methods: The definition of CL is redefined to include four key values involved in this value conflict. These are 1) trust, 2) quality, 3) responsiveness and 4) efficiency. A CL in Teams course curriculum and design was developed to link these values to tools and to context in the hospital.Results: A new definition of CL has provided a common formative framework useful in clinical settings for priority setting, evaluation and professional development. By the end of 2015 a total of 82 participants will have completed the course. It has bee...
Tidsskrift for Den norske legeforening, 2015
Creating the interprofessional health team of the future Traditionally, different health professi... more Creating the interprofessional health team of the future Traditionally, different health professions have been trained independently of one another. In Stavanger, we have developed a simulation-based training programme whereby medical, nursing and paramedical students receive training in interdisciplinary collaboration and communication.
Advances in Simulation
The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerb... more The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerbated the need for clinical teams to reflect and learn from workplace experiences. Surges in critically ill patients, the impact of the disease on the workforce and long term adjustments in work and life have upturned our normality. Whilst this situation has generated a new ‘connectedness’ within healthcare workers, it also continues to test our resilience.An international multi-professional collaboration has guided the identification of ongoing difficulties to effective communication and debriefing, as well as emerging opportunities to promote a culture of dialogue. This article outlines pandemic related barriers and new possibilities categorising them according to task management, teamwork, situational awareness and decision making. It describes their direct and indirect impact on clinical debriefing and signposts towards solutions to overcome challenges and, building on new bridges, ad...
Advances in Simulation, Apr 16, 2020
In this paper, we describe the potential of simulation to improve hospital responses to the COVID... more In this paper, we describe the potential of simulation to improve hospital responses to the COVID-19 crisis. We provide tools which can be used to analyse the current needs of the situation, explain how simulation can help to improve responses to the crisis, what the key issues are with integrating simulation into organisations, and what to focus on when conducting simulations. We provide an overview of helpful resources and a collection of scenarios and support for centre-based and in situ simulations.