Kombinerte stillinger kan fremme samarbeid mellom sykepleierutdanning og praksisfelt

Samarbeid mellom utdanningsinstitusjon og praksisfelt er av betydning for studentens læring i praksisstudier. Denne studien er en del av et større prosjekt hvor et overordnet mål er å styrke samarbeidet mellom utdanningsinstitusjon og praksisfelt blant annet ved bruk av kombinerte stillinger. Hensikt med delstudien er å utforske erfaringene lærere og sykepleiere høstet i kombinert stilling. Data er innhentet våren 2021 ved fokusgruppeintervju og analysert ved hjelp av konvensjonell innholdsanalyse jf. Hsieh & Shannon (2005). Resultatene viser at kombinerte stillinger ga et positivt fellesskap om veiledning, basert på utvidet forståelse for hverandres roller, og fremmet samarbeidet mellom utdanningsinstitusjon og praksisfelt. Usikkerhet i begynnelsen av praksisperioden på hva rollene skulle fylles med gikk seg til underveis. Studien ble gjennomført under covid 19-pandemien, noe som påvirket samarbeidet og samarbeidsformene. Sentralt for et vellykket resultat er forankring av stillingene på alle nivå i begge organisasjoner.publishedVersio

Sykepleierstudenters erfaringer med Respons – et nytt lærings- og vurderingsverktøy i praksisstudier

Vurdering av kompetanse i praksisstudier er en kjent utfordring i sykepleierutdanninger både i Norge og internasjonalt. Denne studien utforsker sykepleierstudenters erfaringer med det nye lærings- og vurderingsverktøyet Respons. Studien har en kvalitativ tilnærming med et beskrivende og utforskende design. Det var 27 sykepleierstudenter fra tre læresteder som deltok i utprøving av det nye verktøyet, 21 av disse møtte til påfølgende intervju i fokusgrupper. Dataanalysen er gjennomført i tråd med prinsipper for kvalitativ innholdsanalyse og ledet til to kategorier: Styrket eierskap og framdrift i læringsprosessen og Økt tillit til vurderingens kvalitet. Mange av informantene beskrev en mer aktiv holdning til egen læring og tettere samhandling med sine praksisveiledere. Flere var opptatt av at Respons i større grad enn tidligere vurderingsverktøy bidro til løpende vurdering. Informantene la også vekt på at Respons sikrer en felles standard for vurdering. Studien understøtter behovet for å utforske hvordan læringsutbyttestyrt pedagogikk utspiller seg i praksishverdagen. Abstract Assessment of competence in clinical studies is a well-known challenge in nursing education both in Norway and internationally. The aim of this study was to investigate nursing students' experiences with the new learning and assessment tool Response. The study has a qualitative approach with a descriptive and exploratory design. The new tool was tested by 27 nursing students. The following interviews in focus groups included 21 students. A process of content analysis identified two categories: Strengthened ownership and progress in the learning process and increased confidence in the quality of assessment. The findings revealed experiences of a more active attitude to the students’ own learning process and a closer interaction with their supervisors. Furthermore, the students reported that the new assessment tool contributed to ongoing assessment and ensured a common standard for assessment. Finally, the study supports the need to explore how learning outcome-driven policy unfolds in everyday practice

The personnel's experiences with the implementation of an activity program for men in municipal health services

The aim of this study was to explore the personnel's experiences with the implementation of an activity program for male residents in municipal care services. The design was inspired by a grounded theory approach. The data were collected by means of two focus group interviews with 11 participants in total. The findings showed that the personnel experienced that continuity was a prerequisite to being and remaining motivated when taking part in the activity program. Therefore, a lack of continuity was an obstacle. The categories ‘to be prepared’, ‘to be responsible for a sense of fellowship’, and ‘to gain new perspectives’ illuminate the personnel's experiences. Different conditions had an impact on how the personnel experienced the implementation of the activity program and whether they stayed motivated for being a part of the program in the future. More attention should be given to ward routines that, with only minor changes, may strengthen the activity leader role.acceptedVersio

Health care quality from the patients' perspective: a comparative study between an old and a new, high-tech hospital

publishedVersio

Non-Smoking Tobacco Affects Endothelial Function in Healthy Men in One of the Largest Health Studies Ever Performed; The Nord-Trøndelag Health Study in Norway; HUNT3.

Oral tobacco (snuff) is taking a large market share in Scandinavia, especially with young users. However, long-term health effects are unknown. Small studies show association between snuff and reduced endothelial function, representing an early stage of vascular injury that often precedes manifest cardiovascular disease by several years. We therefore determined the associations between snuff and endothelial function in a large sample of healthy Norwegian men.In the Fitness substudy of the Nord-Trøndelag Health Study (HUNT3), endothelial function was measured by flow-mediated dilation (FMD). Aerobic fitness was measured by peak oxygen uptake (VO2peak). A cross-sectional design including 1 592 self-reported healthy men compared these observations with records of present tobacco use, standard cardiovascular risk factors, and socioeconomic status, using general linear models.FMD was lower in snuff users (FMD: 4.12%, 3.63, 4.61) compared to non-users (FMD: 4.52%, 4.27, 4.78) after adjustment for age (difference: -0.57%, -1.12, -0.01). After further adjustment for potential confounders, FMD still tended to be lower in snuff users than in non-users (difference: -0.53%, -1.09, 0.02). This difference was even more pronounced in the inactive snuff users (-0.83%, -1.59, -0.06) and in the low fit snuff users (-0.74%, CI -0.55, 0.079).Oral tobacco is associated with a tendency towards reduced endothelial function, indicating vascular changes that precede cardiovascular disease. The strongest associations were found in men with low physical activity or reduced aerobic fitness

Non-Smoking tobacco affects endothelial function in healthy men in one of the largest health studies ever performed; the nord-trøndelag health study in Norway; HUNT3

Background Oral tobacco (snuff) is taking a large market share in Scandinavia, especially with young users. However, long-term health effects are unknown. Small studies show association between snuff and reduced endothelial function, representing an early stage of vascular injury that often precedes manifest cardiovascular disease by several years. We therefore determined the associations between snuff and endothelial function in a large sample of healthy Norwegian men. Methods and Design In the Fitness substudy of the Nord-Trøndelag Health Study (HUNT3), endothelial function was measured by flow-mediated dilation (FMD). Aerobic fitness was measured by peak oxygen uptake (VO2peak). A cross-sectional design including 1 592 self-reported healthy men compared these observations with records of present tobacco use, standard cardiovascular risk factors, and socioeconomic status, using general linear models. Results FMD was lower in snuff users (FMD: 4.12%, 3.63, 4.61) compared to non-users (FMD: 4.52%, 4.27, 4.78) after adjustment for age (difference: -0.57%, -1.12, -0.01). After further adjustment for potential confounders, FMD still tended to be lower in snuff users than in non-users (difference: -0.53%, -1.09, 0.02). This difference was even more pronounced in the inactive snuff users (-0.83%, -1.59, -0.06) and in the low fit snuff users (-0.74%, CI -0.55, 0.079). Conclusions Oral tobacco is associated with a tendency towards reduced endothelial function, indicating vascular changes that precede cardiovascular disease. The strongest associations were found in men with low physical activity or reduced aerobic fitness

Inflammation is strongly associated With cardiorespiratory fitness, sex, BMI, and the metabolic syndrome in a self-reported healthy population: HUNT3 Fitness Study

Objective: To investigate whether C-reactive protein (CRP, a general marker of inflammation), neopterin (activated macrophages), lactoferrin (activated neutrophils), and endothelial function (flow-mediated vasodilation [FMD]) are associated with cardiorespiratory fitness (peak oxygen uptake [VO ]), sex, body mass index (BMI), and the metabolic syndrome (MetSyn) in a healthy adult population. Patients and Methods: This was a cross-sectional association study based on the population-based HUNT3 Fitness Study performed from May 15, 2007, through June 23, 2008. Seven hundred forty self-reported healthy respondents (327 women) identified as having the MetSyn were age- and sex-matched with 692 controls (307 women) from the same cohort. Associations between the inflammatory biomarkers and VO , FMD, and the MetSyn were analyzed by multivariate linear regression. Results: The CRP level was negatively associated with VO (

Cardiovascular risk factors have larger impact on endothelial function in self-reported healthy women than men in the HUNT3 Fitness study.

BACKGROUND: Several studies suggest that cardiovascular risk factors comprising the metabolic syndrome have larger effects on the development of cardiovascular disease in women than in men. A recent study in self-reported healthy subjects demonstrated a marked gender difference in endothelial dysfunction that may be an important precursor of manifest cardiovascular disease. The aim of the present study was to determine whether the association between endothelial function and cardiovascular risk factors is different in self-reported healthy women compared to self-reported healthy men. METHODS AND RESULTS: Associations between endothelial function (flow mediated dilation, FMD, of the brachial artery measured by ultrasound), anthropometric variables, peak oxygen uptake (VO2peak), blood pressure, serum lipids, blood glucose and a questionnaire on general health and lifestyle including smoking status were studied by logistic and linear regression in 2 528 women and 2 211 men aged 20-89 years, free from self-reported cardiovascular disease. In women with hyperglycemia, endothelial dysfunction (FMD ≤0%) occurred twice as frequently as in male counterparts. The presence of the metabolic syndrome, high blood pressure and low VO2peak increased the prevalence of endothelial dysfunction more in women than in men. CONCLUSION: Endothelial dysfunction is more strongly associated with cardiovascular risk factors in self-reported healthy women than in self-reported healthy men. This finding could explain why the metabolic syndrome, and especially hyperglycemia, is associated with higher cardiovascular risk and a worse prognosis in women

Flow mediated dilation in men according to self-reported use of tobacco and peak oxygen uptake.

<p>Flow mediated dilation in men according to self-reported use of tobacco and peak oxygen uptake.</p