A holistic perspective on continuing care for substance use and dependence: Results and implications from an in-depth study of a Norwegian continuing care establishment

This article explores, systematically and in depth, users’ perceptions of participating in a Norwegian non-profit establishment that provides a continuing care programme for substance use and dependence. Identified results are linked to a holistic system perspective, where human, technology, and organisation (HTO), as well as external environment, are viewed as intertwined. At the establishment level, i.e., where the continuing care programme is delivered, we find that a clear holistic and user-oriented profile – comprising combined interventions including physical and social activities – can create a safe and stable environment that exerts a positive mental and physical influence on the user and thereby promotes abstinence from substances. However, our results suggest that the internal environment needs to connect more strongly with the external environment, such as a substance-free network, close family, and working life. At the establishment level, we conclude that there is a need to develop an explicit strategy and practice for collaborating with the external environment, built on systemisation and application of individual users’ insights into the design of the current interventions. Further research should explore the presence and absence of interplays between elements of human, technology, and organisation and the external environment, and the associated consequences for intervention processes and users’ health outcomes. Our holistic system model, empirically informed by data from a Norwegian context, can represent a starting point for such endeavours. The holistic system model also constitutes an original and novel contribution to research on continuing care interventions.publishedVersio

Resultater fra utforskning av Dolley trallen ved UNN - NFR FORREGION prosjekt 333752

Innovasjonsprosjektet «Utvikling, testing og tilpasning av Dolley» omhandler utforskning av en tralle til oppbevaring av pasientenes personlige eiendeler og håndbagasje for enkel håndtering og forflytning på sykehus og/eller institusjoner. Prosjektet har en forskningsdel som utledes om i denne rapporten. Ideen funderes på at det ved dagens sykehus ikke finnes hjelpemidler som kan avhjelpe pasientene med de mest enkle oppgaver som å ha en plass å legge veske, klær, personlige eiendeler og lignende, og samtidig kunne frakte disse med seg rundt på avdelingen. Hovedmålsetning for prosjektet er å utvikle en protype av trallen til en endelig løsning for sykehusmiljøet som tar høyde for spekteret av tilpasningsbehov definert av samtlige involverte/berørte aktører med spenn fra pasienter/brukere via ansatte til ledelsen ved sykehuset.publishedVersio

A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital

The aim of this research paper is to identify advantages and barriers to implementation and usage of robotic-assisted surgery (RAS), specifically the Da Vinci robot, at a larger regional hospital in Norway and from a multiple stakeholder perspective. The identified advantages and barriers are connected to the socio-technical system framework SEIPS, thereby establishing a broader contextual system perspective on RAS implementation and usage. Our findings both align and extend upon existing human factors and ergonomics (HFE) knowledge on RAS in the operating room. In terms of specific future directions, we believe that a pressing concern for both management and current HFE research involving RAS implementation and usage relates to exploring and accounting for the close connections between the organization itself and the external stakeholders that exert a considerable influence on the internal work system and processes and the ability to achieve cost-efficiency and safety levels. We further conclude that the SEIPS framework can be a powerful tool in drawing or eliciting the larger contextual picture of RAS implementation and usage, and we encourage further HFE research to explore its application in different contexts to improve the current knowledge base.publishedVersio

A cross‐sector systematic review and synthesis of knowledge on telemedicine interventions in chronic wound management—Implications from a system perspective

Based on initially identified needs for further telemedicine (TM) and chronic wound management research, the objective of this article is twofold: to conduct a systematic review of existing knowledge on TM interventions in chronic wound management—including barriers and opportunities—across the specialist and primary care sectors, and to incorporate the review findings into a system framework that can be further developed and validated through empirical data. We conclude that there is a pressing need for broader and more comprehensive empirical explorations into quality improvement and integration of TM in chronic wound management, including using system frameworks that can capture cross‐sector system perspectives and associated implications. Of practical consideration, we suggest that the design and execution of TM improvement interventions and associated research projects should be conducted in close cooperation with managers and practitioners knowledgeable about barriers and opportunities that can influence the implementation of important interventions within chronic wound management

A Contribution to Empirical Revitalization of the Samfunnssikkerhet Concept

Current research of the Norwegian samfunnssikkerhet concept appears to be lacking, with few scientific publications advancing the understanding of the concept. This weakness is addressed through the paper’s empirical exploration of challenges in the work on samfunnssikkerhet (Paper aim #1), where the resulting insight informs an epistemological understanding of the concept of samfunnssikkerhet (Paper aim #2). The paper identifies four challenges in the work on samfunnssikkerhet, which suggest that samfunnssikkerhet is about mobilizing against both known and unknown threats through broad and border-crossing cooperation and about flexible methods and design approaches. It is concluded that the paper’s empirical exploration of the samfunnssikkerhet concept contributes to a clarification and overall empirical revitalization of the concept. A recommendation to safety and security researchers is to further develop the empirical understanding of the samfunnssikkerhet concept, including through validation of the challenges identified in this paper and continuous mapping of additional and future challenges. This can give the samfunnssikkerhet concept, including its relation to concepts such as resilience, risk and societal security, a clearer meaning and consequently a stronger unifying role in efforts to prevent and manage today’s dynamic threats both within and outside Norway

Forskningsresultater og implikasjoner for et helhetlig og brukerorientert kommunalt ettervernstilbud

I denne rapporten presenterer NORCE resultater fra forskningsdelen av prosjektet «Kommunalt ettervern på Jæren bygget på design- og effektstudier.» Prosjektet, bevilget av Regionalt forskningsfond Vestlandet, har løpt i perioden 01.09.2017 til 31.10.2020 med følgende samarbeidspartnere: Klepp kommune (prosjektansvarlig), Hå kommune, Time kommune og Gjesdal kommune, designbyrået Inventas AS, ettervernsvirksomheten EV (som ble studert, anonymisert) og Regionalt kompetansesenter for rusmiddelforskning i Helse Vest (KORFOR). Målsetninger for forskningsprosjektet har vært å kartlegge nasjonale og internasjonale effekter av ettervernstilbud knyttet til rusbruk- og avhengighet, innbefattet en spesifikk nasjonal ettervernsvirksomhet (EV), samt implikasjoner av effektene for utvikling av et helhetlig og brukerorientert kommunalt ettervernstilbud. Forskningsprosjektet har bestått av følgende komponenter/studier; (i) en nasjonal og internasjonal litteraturstudie, (ii) en nasjonal empirisk intervjustudie m/NVivo analyse, (ii) en kvantitativ studie av fysiske effektmål og (iv) en BrukerPlan analyse utført av KORFOR (som underleverandør til forskningsdelen av prosjektet).Regionalt forskningsfond Vestlande

A holistic perspective on continuing care for substance use and dependence: Results and implications from an in-depth study of a Norwegian continuing care establishment

This article explores, systematically and in depth, users’ perceptions of participating in a Norwegian non-profit establishment that provides a continuing care programme for substance use and dependence. Identified results are linked to a holistic system perspective, where human, technology, and organisation (HTO), as well as external environment, are viewed as intertwined. At the establishment level, i.e., where the continuing care programme is delivered, we find that a clear holistic and user-oriented profile – comprising combined interventions including physical and social activities – can create a safe and stable environment that exerts a positive mental and physical influence on the user and thereby promotes abstinence from substances. However, our results suggest that the internal environment needs to connect more strongly with the external environment, such as a substance-free network, close family, and working life. At the establishment level, we conclude that there is a need to develop an explicit strategy and practice for collaborating with the external environment, built on systemisation and application of individual users’ insights into the design of the current interventions. Further research should explore the presence and absence of interplays between elements of human, technology, and organisation and the external environment, and the associated consequences for intervention processes and users’ health outcomes. Our holistic system model, empirically informed by data from a Norwegian context, can represent a starting point for such endeavours. The holistic system model also constitutes an original and novel contribution to research on continuing care interventions

Nasjonale og internasjonale effekter av ettervern innen rusbruk og avhengighet

I denne rapporten presenterer NORCE resultater fra forskningsdelen av prosjektet «Kommunalt ettervern på Jæren bygget på design- og effektstudier.» Prosjektet, bevilget av Regionalt forskningsfond Vestlandet, har løpt i perioden 01.09.2017 til 31.10.2020 med følgende samarbeidspartnere: Klepp kommune (prosjektansvarlig), Hå kommune, Time kommune og Gjesdal kommune, designbyrået Inventas AS, ettervernsvirksomheten EV (som ble studert, anonymisert) og Regionalt kompetansesenter for rusmiddelforskning i Helse Vest (KORFOR). Målsetninger for forskningsprosjektet har vært å kartlegge nasjonale og internasjonale effekter av ettervernstilbud knyttet til rusbruk- og avhengighet, innbefattet en spesifikk nasjonal ettervernsvirksomhet (EV), samt implikasjoner av effektene for utvikling av et helhetlig og brukerorientert kommunalt ettervernstilbud. Forskningsprosjektet har bestått av følgende komponenter/studier; (i) en nasjonal og internasjonal litteraturstudie, (ii) en nasjonal empirisk intervjustudie m/NVivo analyse, (ii) en kvantitativ studie av fysiske effektmål og (iv) en BrukerPlan analyse utført av KORFOR (som underleverandør til forskningsdelen av prosjektet)

Exploring the complexity of hydrogen perception and acceptance among key stakeholders in Norway

This article explores the complexity of factors or mechanisms that can influence hydrogen stakeholder perception and acceptance in Norway. We systematically analyze 16 semi-structured in-depth interviews with industry stakeholders at local, municipal, regional, and national levels of interest and authority in Norway. Four empirical dimensions are identified that highlight the need for whole system approaches in hydrogen technology research: (1) several challenges, incentives, and synergy effects influence the hydrogen transition; (2) transport preferences are influenced by combined needs and limitations; (3) levels of knowledge and societal trust determinant to perceptions of risk and acceptance; and (4) national and international hydrogen stakeholders are crucial to building incentives and securing commitment among key actors. Our findings imply that project management, planners, engineers, and policymakers need to apply a whole system perspective and work across local, regional, and national levels before proceeding with large-scale development and implementation of the hydrogen supply chain.publishedVersio