Elisabeth Østensen

• Østensen, Elisabeth; Hardiker, Nicholas R.; Bragstad, Line Kildal & Hellesø, Ragnhild (2020). Introducing standardised care plans as a new recording tool in municipal health care.. Journal of Clinical Nursing (JCN).  ISSN 0962-1067.  29(17-18), s 3286- 3297 . doi: https://doi.org/10.1111/jocn.15355 Fulltekst i vitenarkiv. Vis sammendrag

  Aims and Objectives: To explore how nurses use standardised care plans as a new recording tool in municipal health care, and to identify their thoughts and opinions. Background: In spite of being an important information source for nurses, care plans have repeatedly been found unsatisfactory. Structuring and coding information through standardised care plans is expected to raise the quality of recorded infor- mation, improve overviews, support evidence-based practice and facilitate data ag- gregation. Previous research on this topic has mostly focused on the hospital setting. There is a lack of knowledge on how standardised care plans are used as a recording tool in the municipal healthcare setting. Design: An exploratory design with a qualitative approach using three qualitative methods of data collection. The study complied with the Consolidated Criteria for Reporting Qualitative Research. Methods: Empirical data were collected in three Norwegian municipalities through participant observation and individual interviews with 17 registered nurses. In addi- tion, we collected nursing records from 20 electronic patient records. Results: Use of standardised care plans was influenced by the nurses' consideration of their benefits. Partial implementation created an opportunity for nonuse. There was no consensus regarding how much information to include, and the standardised care plans could become both short and generic, and long and comprehensive. The themes “balancing between the old and the new care planning system,” “considering the usefulness of standardised care plans as a source of information” and “balancing between overview and detail” reflect these findings. Conclusions: Nurses' use of standardised care plans was influenced by the plans' par- tial implementation, their views on usefulness and their personal views on the detail required in a care plan. Relevance to Clinical Practice: The structuring of nursing records is a fast-growing trend in health care. This study gives valuable information for those attempting to implement such structures in municipal health care.

• Østensen, Elisabeth; Bragstad, Line Kildal; Hardiker, Nicholas & Hellesø, Ragnhild (2019). Nurses' information practice in municipal health care—A web-like landscape. Journal of Clinical Nursing (JCN).  ISSN 0962-1067.  28(13-14), s 2706- 2716 . doi: 10.1111/jocn.14873
• Øderud, Tone; Østensen, Elisabeth; Gjevjon, Edith Roth & Moen, Anne (2017). Exploring the Use of Technology for Active Aging and Thriving. Studies in Health Technology and Informatics.  ISSN 0926-9630.  242, s 224- 232 . doi: 10.3233/978-1-61499-798-6-224 Fulltekst i vitenarkiv. Vis sammendrag

  The study explores how older adults with limited digital experience become users of tablet computers (iPad) with Internet access, and how the tablet computers become part of their daily life facilitating active aging and thriving. Volunteer adolescents were mobilised to teach and follow up the participants regularly.

• Østensen, Elisabeth; Gjevjon, Edith L Roth; Øderud, Tone & Moen, Anne (2017). Introducing Technology for Thriving in Residential Long-Term Care. Journal of Nursing Scholarship.  ISSN 1527-6546.  49(1), s 44- 53 . doi: 10.1111/jnu.12268 Vis sammendrag

  Purpose: To present an emerging innovative care model that supports participation and thriving by older adults in residential care, by introduction to new technology and mobilizing volunteer services. Design: Qualitative, exploratory study, introducing tablet computers to 15 older adults in two municipalities. Methods: The intervention encompassed weekly workshops over the course of 1 year with volunteer adolescents as personal tutors. Observations of workshops, interviews with nurses, and repeated semistructured interviews with older adult participants eliciting their perspective on use, experiences, perceived usefulness, and overall evaluation of the intervention. Findings: A model of four components is suggested to support participation and thriving by older adults in residential care: (a) simplified tools: iPad-technology relatively easy to use; (b) person-centered process: one-to-one tutoring following each individual's own pace; (c) young volunteers to teach technology, establishing an intergenerational arena; and (d) being mindful of driving forces that encourage use and learning. We found that all kinds of use and all levels of mastery generated a sense of pride that supported thriving and enjoyment. Conclusions: These findings support the use of new technology and use of volunteer services for sustaining thriving in older adults. The person-centered approach stimulates use of the tablet, and participants showed enjoyment, more social participation, and reported subjective experiences of thriving. Clinical relevance: Innovative models of care that prevent (or postpone) functional decline and support thriving in older adults are highly sought after in health care. A model that systematically involves volunteer services comes with potentials to alleviate nurses' workload, and then the intervention is seen as a manageable and low-cost initiative in residential care.

• Øderud, Tone; Landmark, Bjørg Thomassen; Eriksen, Sissel; Fossberg, Anne Berit; Aketun, Sigrid; Omland, May; Hem, Karl-Gerhard; Østensen, Elisabeth & Ausen, Dag (2015). Persons with Dementia and Their Caregivers Using GPS. Studies in Health Technology and Informatics.  ISSN 0926-9630.  217, s 212- 221 . doi: 10.3233/978-1-61499-566-1-212 Vis sammendrag

  The aim of the study is to generate knowledge on the use of Global Positioning Systems (GPS) to support autonomy and independence for persons with dementia. By studying a larger cohort of persons with dementia (n=208) and their caregivers, this study provides essential knowledge for planning and implementing GPS technology as a part of public health care services. Commercially available GPS technology was provided to the cohort of 208 persons with dementia from nineteen different Norwegian municipalities. The participants used GPS when performing outdoor activities as part of their daily life during a period of time between 2012 and 2014. Their family caregivers were instructed on how to use the GPS technology for locating the participants. The study documents that using GPS for locating persons with dementia provide increased safety for the person with dementia, their family caregivers and their professional caregivers. Furthermore the results confirm that by using GPS, persons with dementia may maintain their autonomy, enjoy their freedom and continue their outdoor activities despite the progression of the disease. Preconditions for successful implementation are that health professionals are trained to assess the participant's needs, that ethical dilemmas are considered, that caregivers have adequate knowledge about using the technology and that procedures and routines for administrating the GPS and locating persons with dementia are established. Early intervention and close collaboration between persons with dementia, family caregivers and professional caregivers are important for successful implementation of GPS in public health care.

• Østensen, Elisabeth; Svagård, Ingrid Storruste; Fossberg, Anne-Berit & Moen, Anne (2014). Evaluation of Ambient Assisted Living interventions – which tool to choose?. Studies in Health Technology and Informatics.  ISSN 0926-9630.  201, s 160- 166 . doi: 10.3233/978-1-61499-415-2-160 Vis sammendrag

  This paper discusses suggested evaluation frameworks' appropriateness for a study introducing Ambient Assisted Living (AAL) interventions. Specifically, we look at how well proposals cover these dimensions: impact on society, impact on professionals, and impact on patients. We discuss three widely used approaches for such assessments: RE-AIM, MAST, and UTAUT. Our assessment showed careful selection of elements from all three models seems needed to sufficiently cover the dimensions. RE-AIM provides a broad framework; MAST adds aspects of transferability and ethics, and UTAUT adds perception of technology and future use. All these approaches lack pivotal aspects concerning inclusion of patients' or citizens' point of view in a study's planning phase. To ensure rigor and include meaningful use from citizens' perspective, we added these aspects to our study.

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• Østensen, Elisabeth; Bragstad, Line Kildal; Hardiker, Nicholas R. & Hellesø, Ragnhild (2018). ICNP® in Nursing Documentation – When Expectations Meet Reality. Studies in Health Technology and Informatics.  ISSN 0926-9630.  250, s 235 . doi: 10.3233/978-1-61499-872-3-235 Fulltekst i vitenarkiv.
• Østensen, Elisabeth (2017). Fra fritekst til standardisering i kommunehelsetjenesten - sykepleiernes erfaringer.
• Østensen, Elisabeth & Hellesø, Ragnhild (2017). What has standardization got to do with it? Nursing documentation in Norwegian community health care.
• Rotegård, Ann Kristin; de Grijs, Jannie M.; Østensen, Elisabeth & Farsjø, Caroline (2016). Documentation and Reporting of Nutrition – Interoperability, Standards, Practice and Procedures.
• Østensen, Elisabeth (2016). Standardisering av sykepleiedokumentasjon i kommunehelsetjenesten.
• Østensen, Elisabeth & Hellesø, Ragnhild (2016). Standardiserte veiledende planer - hjelpemiddel eller sovepute?.
• Østensen, Elisabeth & Hellesø, Ragnhild (2016). Success criteria for implementing Standardized Care Plans in community health Care.
• Østensen, Elisabeth & Wahl, Astrid Klopstad (2016). Opplevelser og reaksjoner hos mennesker med hudsykdom, I: Anne Kari Tolo Heggestad & Unni Knutstad (red.),  Sentrale begreper og fenomener i klinisk sykepleie. Sykepleieboken 2.  Cappelen Damm Akademisk.  ISBN 9788202448615.  Kapittel 15.  s 287 - 304
• Svagård, Ingrid Storruste; Ausen, Dag; Røhne, Mette & Østensen, Elisabeth (2015). Riktigere medisinering og mer selvstendighet? Erfaringer med automatisk medisindispenser i Bærum kommune. SINTEF Rapport. A26618. Fulltekst i vitenarkiv. Vis sammendrag

  I rammen av prosjektet ”Trygghetspakken”, støttet av Regionalt Forskningsfond, har Bærum kommune pilotert 10 stk medisindispensere av typen ”Pilly” i tett samarbeid med leverandøren Dignio AS og SINTEF. I alt 16 forskjellige brukere prøvde ut Pilly i løpet av pilot-perioden, i perioder fra kun 1 måned til opptil flere måneder. Denne rapporten dokumenterer erfaringer fra piloten, basert på intervjuer med brukere og intervjuer og spørreundersøkelse blant ansatte. Piloten har etablert forståelse i kommunen for at automatiske medisindispensere som Pilly har stort potensiale for å gi riktigere medisinering i og med at de "tvinger fram" riktig medisineringstidspunkt. I tillegg ser man fra piloten at noen brukere opplever økt selvstendighet, mestring og frihet gjennom at de klarer gjennomføre medisineringen selv og ikke lenger trenger hjemmebesøk fra ansatte i tjenesten for dette formålet. Mest nytte erfares for brukere med fysiske funksjonsutfordringer og begrenset kognisjonssvikt, for eksempel brukere med redusert motorikk/finmotorikk eller svekket syn. Vellykket bruk av medisindispenser er betinget av at brukeren klarer å tilegne seg en grad av forståelse for hvordan denne fungerer. Som med annen velferdsteknologi, vil detaljert kartlegging av brukerbehov samt en innkjøringsfase hvor man tilpasser teknologien og tjenesten til bruker, være en forutsetning for å realisere gevinstpotensialet som er skissert. Oppdragsgiver: RFF Hovedstaden / RFF Oslofjordfondet

• Østensen, Elisabeth & Moen, Anne (2015). Nettbrett for eldre – deltakelse og sosial kontakt på tvers av generasjoner.
• Østensen, Elisabeth; Haugstveit, Ida Marie; Gjevjon, Edith L Roth; Øderud, Tone & Moen, Anne (2014). ACTIVE – prosjektet med tro på menneskets iboende muligheter.. Seniornett.  15(3), s 20- 22

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