Samhandling for økt kompetanse: et fagutviklingsprosjekt knyttet til veiledete praksisstudier for sykepleierstudenter ved Høgskolen i Østfold i Sykehuset Østfold. Studieåret 2009-2010

Samhandling for økt kompetanse er et fagutviklingsprosjekt knyttet til medisinsk og kirurgisk praksis i 2. og 3.år. Hver seksjon hadde seks studenter som gikk sammen i par/tospann. En studentansvarlig sykepleier og en lærer var ansvarlig for studentgruppen og hadde refleksjon i gruppe sammen. I det daglige ble studentene også veiledet av kontaktpersoner. Et læringsskjema ble brukt som hjelpemiddel for vurdering. Prosjektet ble evaluert underveis og etter avsluttet prosjektperiode. Omtrent halvparten av studentene opplever at tospannmodellen påvirker læring positivt. Noen studenter fikk problem med samarbeidet i paret. 3.årsstudentene har best samspill, de reflekterer og diskuterer seg imellom. Avdelingene utviklet sine introduksjoner for studenter og ble tydeligere på forventninger. Refleksjon i grupper med både lærer og studentansvarlig bør videreføres. Tospannmodellen krevde tilpassinger underveis. Det fordrer også at skole og praksisplass planlegger sammen og at det utvikles strukturer. Personale må også være forberedt for å kunne bidra

Egenomsorg, behov og mestring: i samarbeid med Norsk Revmatikerforbund

Dette er en rapport om det første forsøket på å starte en form for selvhjelpsgrupper blant nordmenn med revmatisme i Spania. Norsk revmatikerforbund og Høgskolen i Østfold stod ansvarlig for prosjektet, som ble støttet av Helse og Rehabilitering. En del norske revmatikere har startet et nytt liv i Spania. Klimaet ser ut til å gjøre godt for dem, men flyttingen er ikke alltid problemfri. Vi hadde en idé om at omstillingen ville bli enklere dersom ”erfarne” spaniafarere blant revmatikerne kunne dele sine kunnskaper med de nyankomne, altså at en form for likemannsarbeid i Spania ville være et godt tiltak. I første fase av prosjektet startet vi rådgivningstelefon, drevet av en dame som var revmatiker og hadde bodd i Spania i mange år. Mange norske revmatikere kjente ikke til andre nordmenn med samme lidelse. I andre fase prøvde vi å skape et nettverk mellom revmatikere i to lokaldistrikt. Vi arrangerte møter lokalt, og etterlyste personer som kunne være interessert i å danne revmatikergrupper. Henvendelsene til Rådgivningstelefonen ble færre etter hvert, samtidig som to selvhjelpsgrupper startet opp. En av dem har fortsatt etter at prosjektet ble avsluttet i 2010, og ble den første enheten i Revmatikerforbundets likemannsarbeid i Spani

“I just feel more like a normal human being.”, The health and daily life experience by Norwegian rheumatics

The objective of this study is to illuminate the experience of Norwegian rheumatics illness during long-term residency in Spain. The method chosen is qualitative with a phenomenological approach. Twelve rheumatics comprise the sample group, eight women and four men, ages from 45 to 70. Data collection was performed by qualitative research interview. The data is analyzed using condensation, followed by a thematic approach, inspired by Giorgis phenomenological method. The essence of the Norwegian rheumatics experience is that they recovered control over everyday life. They experienced pain relief, reduced medication and increased personal activity. The study indicates that long-term stay in Spain can promote health for people suffering weather-sensitive rheumatism

«Du fungerer mer som et menneske.» Norske revmatikeres erfaringer med helse og dagligliv i Spania.

The objective of this study is to illuminate the experience of Norwegian rheumatics illness during long-term residency in Spain. The method chosen is qualitative with a phenomenological approach. Twelve rheumatics comprise the sample group, eight women and four men, ages from 45 to 70. Data collection was performed by qualitative research interview. The data is analyzed using condensation, followed by a thematic approach, inspired by Giorgis phenomenological method. The essence of the Norwegian rheumatics experience is that they recovered control over everyday life. They experienced pain relief, reduced medication and increased personal activity. The study indicates that long-term stay in Spain can promote health for people suffering weather-sensitive rheumatism

Nurse students’ experiences with clinical placement in outpatient unit - a qualitative study

Background: The recent reforms in the health care sector have changed the requirements for professional nursing competence in the clinical field. The reforms have also required nursing education to consider different areas for clinical placements for their students, and outpatient units in hospitals have been increasingly formalized as clinical learning environments. The complex technologies in some of these units represent a challenge for students who have limited existing knowledge or experience. More focus on outpatient care has also led to fewer opportunities for studying the continuity of a patient’s life situation. In order to meet these challenges, structured learning activities with special forms were developed by nursing educators and nurses at outpatient units. The aim of this study was to explore students' experiences of using structured learning activities as unit-specific learning outcomes and targeted reflection during clinical placements in an outpatient unit. Methods: Two focus group interviews were conducted with a total of seven nursing students who had experienced structured learning activities during clinical placements in an outpatient unit. Data were analyzed by means of content analyses. Results: This study shows that preparedness and guidance during placement were imperative for making the week in the outpatient unit meaningful. ‘Being prepared’, which was one of the categories, incorporated the subcategories ‘being able to understand what to do’, ‘being at the right place at the right time’ and ‘being alert for new experiences’. The category ‘being guided’ which incorporated the subcategories ‘from uncertainty to more confidence’, ‘from observer to seeking knowledge’ and ‘from focusing on technology to seeing the person’ showed that the forms guided the students through the placement in the outpatient unit. Discussion: Students take a more active approach to seeking knowledge when given structured learing activities during clinical placement in outpatient unit. Conclusions: This study shows that use of outpatient units for clinical placement in nursing studies has several challenges but also the potential for creating positive experiences for the students

Samarbeid om rehabilitering

Regjeringen legger opp til at det skal bli tydeligere arbeidsdeling og samarbeid mellom sykehus og kommuner om rehabilitering. Denne rapporten bygger på et prosjekt der ett sykehus, tre kommuner og høgskolen samarbeidet for å avklare hvilke utfordringer man hadde med hensyn til samarbeid om rehabiliteringspasienter. Undersøkelsen er gjennomført før det er helt avklart hvordan samarbeidet mellom sykehus og kommuner skal organiseres og gjennomføres. De aktuelle kommunene er likevel kommet langt og har opprettet egne lokale rehabiliteringsavdelinger. Undersøkelsen viser at det er utfordringer knyttet til brukermedvirkning og inkludering av pårørende. Det er tegn i våre data som tyder på at formell kommunikasjon og misforståelser som følge av at den ikke er tilstrekkelig god, bidrar til en viss grad av mistro mellom sykehusansatte og ansatte i kommunen. Det anbefales derfor at man tilrettelegger for bedre kommunikasjon. Kommunene har i noen grad etablert en praksis der representanter for kommunens tildelingskontor møter pasientene allerede mens de er på sykehuset. Erfaringene med denne løsningen er gode og ordningen anbefales videreført og utvidet

«Du fungerer mer som et menneske.» Norske revmatikeres erfaringer med helse og dagligliv i Spania.

The objective of this study is to illuminate the experience of Norwegian rheumatics illness during long-term residency in Spain. The method chosen is qualitative with a phenomenological approach. Twelve rheumatics comprise the sample group, eight women and four men, ages from 45 to 70. Data collection was performed by qualitative research interview. The data is analyzed using condensation, followed by a thematic approach, inspired by Giorgis phenomenological method. The essence of the Norwegian rheumatics experience is that they recovered control over everyday life. They experienced pain relief, reduced medication and increased personal activity. The study indicates that long-term stay in Spain can promote health for people suffering weather-sensitive rheumatism

Effects of Arabinoxylan and Resistant Starch on Intestinal Microbiota and Short-Chain Fatty Acids in Subjects with Metabolic Syndrome: A Randomised Crossover Study.

Recently, the intestinal microbiota has been emphasised as an important contributor to the development of metabolic syndrome. Dietary fibre may exert beneficial effects through modulation of the intestinal microbiota and metabolic end products. We investigated the effects of a diet enriched with two different dietary fibres, arabinoxylan and resistant starch type 2, on the gut microbiome and faecal short-chain fatty acids. Nineteen adults with metabolic syndrome completed this randomised crossover study with two 4-week interventions of a diet enriched with arabinoxylan and resistant starch and a low-fibre Western-style diet. Faecal samples were collected before and at the end of the interventions for fermentative end-product analysis and 16S ribosomal RNA bacterial gene amplification for identification of bacterial taxa. Faecal carbohydrate residues were used to verify compliance. The diet enriched with arabinoxylan and resistant starch resulted in significant reductions in the total species diversity of the faecal-associated intestinal microbiota but also increased the heterogeneity of bacterial communities both between and within subjects. The proportion of Bifidobacterium was increased by arabinoxylan and resistant starch consumption (P<0.001), whereas the proportions of certain bacterial genera associated with dysbiotic intestinal communities were reduced. Furthermore, the total short-chain fatty acids (P<0.01), acetate (P<0.01) and butyrate concentrations (P<0.01) were higher by the end of the diet enriched with arabinoxylan and resistant starch compared with those resulting from the Western-style diet. The concentrations of isobutyrate (P = 0.05) and isovalerate (P = 0.03) decreased in response to the arabinoxylan and resistant starch enriched diet, indicating reduced protein fermentation. In conclusion, arabinoxylan and resistant starch intake changes the microbiome and short-chain fatty acid compositions, with potential beneficial effects on colonic health and metabolic syndrome.Trial registrationClinicalTrials.gov NCT01618526