Maria Romøren

• Romøren, Maria; Hermansen, Karin Berg; Sævareid, Trygve Johannes Lereim; Brøderud, Linn Benita; Westbye, Siri Færden & Wahl, Astrid Klopstad [Vis alle 13 forfattere av denne artikkelen] (2024). Implementation of advance care planning in the routine care for acutely admitted patients in geriatric units: protocol for a cluster randomized controlled trial. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-024-10666-0.
• Ihle-Hansen, Hege; Pedersen, Reidar; Westbye, Siri Færden; Sævareid, Trygve Johannes Lereim; Brøderud, Linn Benita & Larsen, Marie Hamilton [Vis alle 9 forfattere av denne artikkelen] (2024). Patient preferences in geriatric wards, a survey of health care professionals’ practice, experience and attitudes. European Geriatric Medicine. ISSN 1878-7649. doi: 10.1007/s41999-023-00922-7.
• Harbin, Nicolay Jonassen; Haug, Jon Birger; Lindbæk, Morten; Akselsen, Per Espen & Romøren, Maria (2023). A Multifaceted Intervention and Its Effects on Antibiotic Usage in Norwegian Nursing Homes. Antibiotics. ISSN 2079-6382. 12(9), s. 1–16. doi: 10.3390/antibiotics12091372.
• Westbye, Siri Færden; Rostoft, Siri ; Romøren, Maria; Thoresen, Lisbeth; Wahl, Astrid Klopstad & Pedersen, Reidar (2023). Barriers and facilitators to implementing advance care planning in naïve contexts - where to look when plowing new terrain? BMC Geriatrics. ISSN 1471-2318. 23(1). doi: 10.1186/s12877-023-04060-4. Fulltekst i vitenarkiv
• Hestmark, Lars; Romøren, Maria; Hansson, Kristiane Myckland; Heiervang, Kristin Sverdvik & Pedersen, Reidar (2023). Clinicians’ perceptions of family involvement in the treatment of persons with psychotic disorders: a nested qualitative study. Frontiers in Psychiatry. ISSN 1664-0640. 14, s. 1–12. doi: 10.3389/fpsyt.2023.1175557. Fulltekst i vitenarkiv Vis sammendrag

  Background: Family involvement in mental health care ranges from basic practices to complex interventions such as Family psychoeducation, the latter being a well-documented treatment for psychotic disorders. The aim of this study was to explore clinicians’ perceptions of the benefits and disadvantages of family involvement, including possible mediating factors and processes. Methods: Nested in a randomised trial, which purpose was to implement Basic family involvement and support and Family psychoeducation in Norwegian community mental health centres during 2019–2020, this qualitative study is based on eight focus groups with implementation teams and five focus groups with ordinary clinicians. Using a purposive sampling strategy and semi-structured interview guides, focus groups were audio-recorded, transcribed verbatim, and analysed with reflexive thematic analysis. Results: Four main themes were identified as perceived benefits: (1) Family psychoeducation—a concrete framework, (2) Reducing conflict and stress, (3) A triadic understanding, and (4) Being on the same team. Themes 2–4 formed an interconnected triad of mutually reinforcing elements and were further linked to three important clinician-facilitated sub-themes: a space for relatives’ experiences, emotions and needs; a space for patients and relatives to discuss sensitive topics and an open line of communication between clinician and relative. Although far less frequent, three main themes were identified as perceived disadvantages or challenges: (1) Family psychoeducation—occasional poor model fit or difficulties following the framework, (2) Getting more involved than usual, and (3) Relatives as a potentially negative influence—important nonetheless Conclusions: The findings contribute to the understanding of the beneficial processes and outcomes of family involvement, as well as the critical role of the clinician in achieving these and possible challenges. They could also be used to inform future quantitative research on mediating factors and implementation efforts.

• Hansson, Kristiane Myckland; Romøren, Maria; Hestmark, Lars; Heiervang, Kristin Sverdvik; Weimand, Bente Margrethe & Norheim, Irene [Vis alle 7 forfattere av denne artikkelen] (2023). “The most important thing is that those closest to you, understand you”: a nested qualitative study of persons with psychotic disorders’ experiences with family involvement. Frontiers in Psychiatry. ISSN 1664-0640. 14. doi: 10.3389/fpsyt.2023.1138394. Fulltekst i vitenarkiv Vis sammendrag

  Introduction Family interventions constitute effective treatment for persons with psychotic disorders. However, the active ingredients and beneficial processes of these interventions are insufficiently examined, and qualitative explorations of patients` experiences are lacking. This study was nested in a cluster randomised trial that implemented national guidelines on family involvement in Norwegian community mental health centres, including family psychoeducation and basic family involvement and support. The aim of this sub-study was to explore how patients with psychotic disorders experience systematic family involvement, and its significance. Methods We conducted semi-structured, individual interviews with 13 persons with a psychotic disorder after systematic family involvement. The participants were recruited through purposive sampling. Qualitative content analysis guided the analysis. Results Participants reported overall positive experiences with systematic family involvement. It was significant that the relatives increasingly understood more about psychosis and their situation, while they themselves also gained more insight into the relatives` situation. The participants emphasised the need to enable both patients and relatives to safely share experiences in a containing space, led by professionals. Shared understanding and awareness of each other’s situation further improved communication, coping with the illness, reduced stress, and stimulated a more caring family environment. The therapist seemed crucial to facilitate these beneficial communication processes, and also to provide continuous support to the relatives. Reported challenges included that the participants felt vulnerable in the initial phase, a need for tailored approaches, and too late start-up. Conclusion Findings from this study suggest that persons with psychotic disorders may benefit greatly from participating in systematic family involvement. This study also gives new insight into possible mediators of positive outcomes both for the patients and the relatives. Systematic family involvement should be implemented a standard approach in the early phase of the disease, using a step-wise and tailored process.

• Hestmark, Lars; Romøren, Maria; Heiervang, Kristin Sverdvik; Hansson, Kristiane Myckland; Ruud, Torleif & Saltyte Benth, Jurate [Vis alle 9 forfattere av denne artikkelen] (2023). Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial. Administration and Policy in Mental Health and Mental Health Services Research. ISSN 0894-587X. 50, s. 520–533. doi: 10.1007/s10488-023-01255-0. Fulltekst i vitenarkiv Vis sammendrag

  Family involvement is part of the evidence-based treatment for persons with psychotic disorders, yet is under-implemented despite guideline recommendations. This study assessed whether an implementation support programme increased the adherence to guidelines on family involvement, compared to guideline/manual only. In a cluster randomised design, community mental health centre units in South-East Norway went through stratified allocation to the experimental (n = 7) or control (n = 7) arm. Experimental clusters received an implementation support programme including clinical training and supervision, appointing a family coordinator and an implementation team, a toolkit, and fidelity measurements at baseline, 12, 18, and 24 months with on-site feedback and supervision. Control clusters received no such support and had fidelity measurements at baseline and 24 months without feedback. During fidelity measurements, adherence to the guidelines was measured with the basic family involvement and support scale, the general organizational index, and the family psychoeducation fidelity scale, the latter being the primary outcome. The scales consist of 12–14 items rated from 1 to 5. Data was analysed with an independent samples t-test, linear mixed models, and a tobit regression model. At 24 months, the mean scores were 4.00 or higher on all scales in the experimental arm, and the increase in adherence to the guidelines was significantly greater than in the control arm with p-values < 0.001. Large-scale implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres may be accomplished, with substantial implementation support.

• Hansson, Kristiane Myckland; Romøren, Maria; Weimand, Bente Margrethe; Heiervang, Kristin Sverdvik; Hestmark, Lars & Landeweer, Elleke [Vis alle 7 forfattere av denne artikkelen] (2022). The duty of confidentiality during family involvement: ethical challenges and possible solutions in the treatment of persons with psychotic disorders. BMC Psychiatry. ISSN 1471-244X. 22(1), s. 1–13. doi: 10.1186/s12888-022-04461-6. Fulltekst i vitenarkiv Vis sammendrag

  Background: Family involvement during severe mental illness is still poorly implemented, contrary to evidence-based recommendations. Confidentiality issues are among the most prominent barriers, with mental health professionals facing complex ethical, legal, and practical challenges. However, research focusing on this barrier is very sparse. Nested within a cluster-randomised trial to implement guidelines on family involvement for persons with psychotic disorders in community mental health centres, the aim of this sub-study was to explore ethical challenges related to the duty of confidentiality as experienced by mental health professionals, and to explore key measures that might contribute to improving the handling of such challenges. Methods: In total 75 participants participated in 21 semi-structured focus groups, including implementation team members at the initial and late phase of the intervention period and clinicians who were not on the implementation teams, at late phase of implementation. We used purposive sampling and manifest content analysis to explore participants’ experiences and change processes. Results: Ethical challenges related to the duty of confidentiality included 1) Uncertainty in how to apply the legislation, 2) Patient autonomy versus a less strict interpretation of the duty of confidentiality, 3) Patient alliance and beneficence versus a less strict interpretation of the duty of confidentiality, 4) How to deal with uncertainty regarding what relatives know about the patients’ illness, and 5) Relatives’ interests versus the duty of confidentiality. Measures to facilitate better handling of the duty of confidentiality included 1) Training and practice in family involvement, and 2) Standardisation of family involvement practices. Conclusion: When health professionals gained competence in and positive experiences with family involvement, this led to vital changes in how they interpreted and practiced the duty of confidentiality in their ethical reasoning and in clinical practice. Especially, the need to provide sufficient information to the patients about family involvement became evident during the study. To improve the handling of confidentiality issues, professionals should receive training in family involvement and confidentiality statutes followed by practice. Furthermore, family involvement should be standardised, and confidentiality guidelines should be implemented in the mental health services.

• Hansson, Kristiane Myckland; Romøren, Maria; Pedersen, Reidar; Weimand, Bente Margrethe; Hestmark, Lars & Norheim, Irene [Vis alle 9 forfattere av denne artikkelen] (2022). Barriers and facilitators when implementing family involvement for persons with psychotic disorders in community mental health centres - a nested qualitative study. BMC Health Services Research. ISSN 1472-6963. 22(1). doi: 10.1186/s12913-022-08489-y. Fulltekst i vitenarkiv Vis sammendrag

  Background The uptake of family involvement in health care services for patients with psychotic disorders is poor, despite a clear evidence base, socio-economic and moral justifications, policy, and guideline recommendations. To respond to this knowledge-practice gap, we established the cluster randomised controlled trial: Implementation of guidelines on Family Involvement for persons with Psychotic disorders in community mental health centres (IFIP). Nested in the IFIP trial, this sub-study aims to explore what organisational and clinical barriers and facilitators local implementation teams and clinicians experience when implementing family involvement in mental health care for persons with psychotic disorders. Methods We performed 21 semi-structured focus groups, including 75 participants in total. Implementation team members were interviewed at the initial and middle phases of the intervention period, while clinicians who were not in the implementation team were interviewed in the late phase. A purposive sampling approach was used to recruit participants with various engagement in the implementation process. Data were analysed using manifest content analysis. Results Organisational barriers to involvement included: 1) Lack of shared knowledge, perceptions, and practice 2) Lack of routines 3) Lack of resources and logistics. Clinical barriers included: 4) Patient-related factors 5) Relative-related factors 6) Provider-related factors. Organisational facilitators for involvement included: 1) Whole-ward approach 2) Appointed and dedicated roles 3) Standardisation and routines. Clinical facilitators included: 4) External implementation support 5) Understanding, skills, and self-efficacy among mental health professionals 6) Awareness and attitudes among mental health professionals. Conclusions Implementing family involvement in health care services for persons with psychotic disorders is possible through a whole-ward and multi-level approach, ensured by organisational- and leadership commitment. Providing training in family psychoeducation to all staff, establishing routines to offer a basic level of family involvement to all patients, and ensuring that clinicians get experience with family involvement, reduce or dissolve core barriers. Having access to external implementation support appears decisive to initiate, promote and evaluate implementation. Our findings also point to future policy, practice and implementation developments to offer adequate treatment and support to all patients with severe mental illness and their families.

• Harbin, Nicolay Jonassen; Lindbæk, Morten & Romøren, Maria (2022). Barriers and facilitators of appropriate antibiotic use in primary care institutions after an antibiotic quality improvement program – a nested qualitative study. BMC Geriatrics. ISSN 1471-2318. 22(1). doi: 10.1186/s12877-022-03161-w. Fulltekst i vitenarkiv
• Heen, Espen Kolstad; Romøren, Maria; Yassin, Amal A & Madar, Ahmed Ali (2021). Household Water is the Main Source of Iodine Consumption Among Women in Hargeisa, Somaliland: A Cross-Sectional Study. Journal of Nutrition. ISSN 0022-3166. doi: 10.1093/jn/nxab377. Fulltekst i vitenarkiv Vis sammendrag

  Background: Iodine status surveys of women in Somaliland present widely conflicting results. Previous research indicates elevated concentrations of iodine (IQR 18-72 µg/L) in groundwater used for drinking and cooking, but the relationship with iodine intake is not characterized well. Objective: We aimed to investigate the contribution of household water iodine concentration (WIC), breastfeeding, total fluid intake, hydration levels, and urine volume on urinary iodine concentration and excretion (UIC, UIE) during 24 hours, and to define iodine status from iodine intake estimates and median UIC, normalized to a mean urine volume of 1.38L/day (hydration-adjusted). Methods: The study sample comprised 118 nonpregnant, healthy women aged 15-69. All resided in Hargeisa; 27 breastfeeding. Data collection consisted of a 24-hour (24-h) urine collection, a 24-h fluid intake diary, a beverage frequency questionnaire, and a structured recall interview. We measured UIC and WIC in all urine and in 49 household-water samples using the Sandell-Kolthoff reaction. Results: WIC ranged between 3 and 188 μg/L, with significant median differences across the water sources and city districts (P

• Heen, Espen Kolstad; Madar, Ahmed Ali; Yassin, Amal A & Romøren, Maria (2021). Estimates of fluid intake, urine output and hydration-levels in women from Somaliland: a cross-sectional study. Journal of Nutritional Science (JNS). ISSN 2048-6790. doi: 10.1017/jns.2021.54. Fulltekst i vitenarkiv Vis sammendrag

  The study objective was to measure fluid intake and associations with background characteristics and hydration biomarkers in healthy, free-living, non-pregnant women aged 15–69 years from Hargeisa city. We also wanted to estimate the proportion of euhydrated participants and corresponding biomarker cut-off values. Data from 136 women, collected through diaries and questionnaires, 24h urine samples and anthropometric measurements, were obtained with a cross-sectional, purposeful sampling from fifty-two school and health clusters, representing approximately 2250 women. The mean (95 % CI) 24 h total fluid intake (TFI) for all women was 2⋅04 (1⋅88, 2⋅20) litres. In multivariate regression with weight, age, parity and a chronic health problem, only weight remained a predictor (P 0.034, B 0.0156 (l/kg)). Pure water, Somali tea and juice from powder and syrup represented 49⋅3, 24⋅6 and 11⋅7 % of TFI throughout the year, respectively. Mean (95 % CI) 24 h urine volume (Uvol) was 1⋅28 (1⋅17, 1⋅39) litres. TFI correlated strongly with 24 h urine units (r 0.67) and Uvol (r 0.59). Approximately 40 % of the women showed inadequate hydration, using a threshold of urine specific gravity (Usg) of 1⋅013 and urine colour (Ucol) of 4. Five percent had Usg > 1⋅020 and concomitant Ucol > 6, indicating dehydration. TFI lower cut-offs for euhydrated, non-breast-feeding women were 1⋅77 litres and for breast-feeding, 2⋅13 litres. Euhydration cut-off for Uvol was 0⋅95 litre, equalling 9⋅2 urine units. With the knowledge of adverse health effects of habitual hypohydration, Somaliland women should be encouraged to a higher fluid intake.

• Hestmark, Lars; Heiervang, Kristin S.; Pedersen, Reidar; Hansson, Kristiane Myckland; Ruud, Torleif & Romøren, Maria (2021). Family involvement practices for persons with psychotic disorders in community mental health centres – a cross-sectional fidelity-based study. BMC Psychiatry. ISSN 1471-244X. 21, s. 1–11. doi: 10.1186/s12888-021-03300-4. Fulltekst i vitenarkiv
• Harbin, Nicolay Jonassen; Haug, Jon Birger; Romøren, Maria & Lindbæk, Morten (2020). Oral and parenteral antibiotic use in Norwegian nursing homes: are primary care institutions becoming our new local hospitals? JAC-Antimicrobial Resistance (JAC-AMR). ISSN 2632-1823. 2(4), s. 1–8. doi: 10.1093/jacamr/dlaa093. Fulltekst i vitenarkiv
• Hestmark, Lars; Romøren, Maria; Heiervang, Kristin S.; Weimand, Bente; Ruud, Torleif & Norvoll, Reidun [Vis alle 11 forfattere av denne artikkelen] (2020). Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial. BMC Health Services Research. ISSN 1472-6963. 20:934, s. 1–15. doi: 10.1186/s12913-020-05792-4. Fulltekst i vitenarkiv
• Klomstad, Kristin; Pedersen, Reidar; Førde, Reidun & Romøren, Maria (2018). Involvement in decisions about intravenous treatment for nursing home patients: Nursing homes versus hospital wards. BMC Medical Ethics. ISSN 1472-6939. 19(34), s. 1–9. doi: 10.1186/s12910-018-0258-5. Fulltekst i vitenarkiv
• Nyborg, Gunhild; Brekke, Mette; Straand, Jørund; Gjelstad, Svein & Romøren, Maria (2017). Potentially inappropriate medication use in nursing homes: an observational study using the NORGEP-NH criteria. BMC Geriatrics. ISSN 1471-2318. 17:220, s. 1–11. doi: 10.1186/s12877-017-0608-z.
• Romøren, Maria; Skaare, Dagfinn & Grude, Nils (2017). Klamydiatesting i praksis - rekvirenter og pasienter. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 137(19). doi: 10.4045/tidsskr.16.0709.
• Romøren, Maria; Gjelstad, Svein & Lindbæk, Morten (2017). A structured training program for health workers in intravenous treatment with fluids and antibiotics in nursing homes: A modified stepped-wedge cluster-randomised trial to reduce hospital admissions. PLOS ONE. ISSN 1932-6203. 12(9). doi: 10.1371/journal.pone.0182619. Fulltekst i vitenarkiv
• Romøren, Maria; Pedersen, Reidar & Førde, Reidun (2017). Én pasient, to verdener – samhandling mellom sykehjemsleger og sykehusleger. Tidsskrift for Den norske legeforening. ISSN 0029-2001. 137(3), s. 193–197. doi: 10.4045/tidsskr.16.0099.
• Romøren, Maria; Pedersen, Reidar & Førde, Reidun (2016). How do nursing home doctors involve patients and next of kin in end-of-life decisions? A qualitative study from Norway. BMC Medical Ethics. ISSN 1472-6939. 17(1). doi: 10.1186/s12910-016-0088-2.
• Fagan, Mark Stephan; Lindbæk, Morten; Grude, Nils; Reiso, Harald; Romøren, Maria & Skaare, Dagfinn [Vis alle 7 forfattere av denne artikkelen] (2015). Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study . BMC Geriatrics. ISSN 1471-2318. 15. doi: 10.1186/s12877-015-0097-x.
• Horntvedt, May-Elin T; Romøren, Maria & Solvoll, Betty-Ann (2014). Ethical problems related to intravenous fluids in nursing homes. Nursing Ethics. ISSN 0969-7330. 21(8), s. 890–901. doi: 10.1177/0969733014521093.
• Nordeng, Hedvig Marie Egeland; Lupattelli, Angela; Romøren, Maria & Koren, Gideon (2013). Neonatal outcomes after gestational exposure to nitrofurantoin. Obstetrics and Gynecology. ISSN 0029-7844. 121(2), s. 306–313. doi: 10.1097/AOG.0b013e31827c5f88.
• Romøren, Maria; Lindbæk, Morten & Nordeng, Hedvig Marie Egeland (2012). Pregnancy outcome after gestational exposure to erythromycin - a population-based register study from Norway. British Journal of Clinical Pharmacology. ISSN 0306-5251. 74(6), s. 1053–1062. doi: 10.1111/j.1365-2125.2012.04286.x.
• Mordal, Jon; Holm, Bjørn ; Gossop, Michael; Romøren, Maria; Mørland, Jørg & Bramness, Jørgen Gustav (2011). Psychoactive substance use among patients admitted to an acute psychiatric ward: Laboratory findings and associations with clinical characteristics. Nordic Journal of Psychiatry. ISSN 0803-9488. 65(3), s. 208–215. doi: 10.3109/08039488.2010.527014.
• Juvkam, kari Hilde; Moi, Harald & Romøren, Maria (2008). Gynekologiske infeksjoner. I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 102–105.
• Moi, Harald; Romøren, Maria & Juvkam, Kari Hilde (2008). Bakteriell vaginose X84 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 106–109.
• Juvkam, Kari Hilde; Moi, Harald & Romøren, Maria (2008). Vulvovaginal candida X72 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 110–113.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Trichomoniasis X73, A78 (del av kap 7.7). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 114–115.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Seksuelt overførbare infeksjoner (intro til kap 7.8). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 116–119.
• Romøren, Maria; Juvkam, Kari Hilde & Moi, Harald (2008). Gonoré X71, Y71 (del av kap 7.8). I Lindbæk, Morten (Red.), Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten (Helsedirektoratet bestillingsnummer IS-1593). Helsedirektoratet og Antibiotikasenteret for primærmedisin (ASP). ISSN 978-82-8081-112-7. s. 120–123.
• Romøren, Maria; Hussein, Fatma; Steen, Tore W.; Velauthapillai, Man; Sundby, Johanne & Hjortdahl, Per [Vis alle 7 forfattere av denne artikkelen] (2007). Costs and health consequences of chlamydia management strategies among pregnant women in sub-Saharan Africa. Sexually Transmitted Infections. ISSN 1368-4973. 83, s. 558–566. doi: 10.1136/sti.2007.026930.
• Romøren, Maria; Sundby, Johanne; Velauthapillai, Manonmany; Rahman, Mafizur; Klouman, Elise & Hjortdahl, Per (2007). Chlamydia and gonorrhoea in pregnant Batswana women: time to discard the syndromic approach? BMC Infectious Diseases. ISSN 1471-2334. 7. doi: 10.1186/1471-2334-7-27.
• Romøren, Maria; Velauthapillai, M; Rahman, M; Sundby, J; Klouman, Elise & Hjortdahl, P (2007). Trichomoniasis and bacterial vaginosis in pregnancy: inadequately managed with the syndromic approach. Bulletin of the World Health Organization. ISSN 0042-9686. 85(4), s. 297–304. doi: 10.2471/BLT.06.031922.
• Romøren, Maria; Hjortdahl, Per & Sundby, Johanne (2004). Chlamydia and gonorrhoea in pregnancy: effectiveness of diagnosis and treatment in Botswana. Sexually Transmitted Infections. ISSN 1368-4973. 80(5), s. 395–400.
• Romøren, Maria & Rahman, M (2004). Syphilis screening in the antenatal care: a cross-sectional study from Botswana. BMC International Health and Human Rights. ISSN 1472-698X. 80, s. 395–400.
• Boonstra, Eelco; Lindbæk, Morten; Klouman, Elise; Ngome, Enock; Romøren, Maria & Sundby, Johanne (2003). Syndromic management of sexually transmitted diseases in Botswana's primary health care: quality of care aspects. Tropical medicine & international health. ISSN 1360-2276. Jul(8(7)), s. 604–614.

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• Giske, Hanne Wilhelmsen; Norheim, Irene & Romøren, Maria (2024). Helsepersonell som lærer å utøve pårørendesamarbeid, erfarer nytten av det og bruker det. . NAPHA Nasjonalt kompetansesenter for psykisk helsearbeid.
• Norheim, Irene & Romøren, Maria (2024). Implementering av retningslinjer for familieinvolvering for personer med psykoselidelser. Resultater fra Bedre Pårørendesamarbeid (BPS)-studien. Vis sammendrag

  Implementering av retningslinjer for familieinvolvering for personer med psykoselidelser: Resultater fra Bedre Pårørendesamarbeid (BPS)-studien Introduksjon: Familieinvolvering er en del av den evidensbaserte behandlingen for personer med psykoselidelser, men er underimplementert til tross for at nasjonale og internasjonale retningslinjer anbefaler familieinvolvering som førstevalgs behandling. BPS-studien hadde som mål å 1) utforske hvilke organisatoriske og kliniske hemmere og fremmere lokale implementeringsteam og klinikere opplevde (ved implementering av familieinvolvering), 2) vurdere om et implementeringsstøtteprogram (ISP) økte implementeringsgraden av retningslinjer for familieinvolvering, og 3) undersøke effekten av IPS på pårørendetilbud ved distriktpsykiatriske sentre (DPS), og på pasienter og pårørendes opplevde psykososiale helse, livskvalitet og tilfredshet med tjenestene. Metoder: En klyngerandomisert kontrollert multisenter studie ble utført ved 15 DPS enheter i Helse Sør-Øst. Rekrutterte enheter ble randomisert til intervensjon (ISP) eller kontrollgruppe. Deretter rekrutterte enhetene psykosepasienter og deres nærmeste pårørende til å delta i studien. Data ble innhentet gjennom fokusgruppeintervjuer med klinikere, forbedringsteam og ledere, intervjuer med pasienter og pårørende, fidelitymålinger, og spørreskjemaer til pasienter, pårørende og klinikere. Resultater: Det å gi opplæring i psykoedukativt familiesamarbeid (PEF) til ansatte, etablere rutiner for å tilby grunnleggende familieinvolvering til alle pasienter, og sikre at klinikere får erfaring med familieinvolvering, er viktige fremmere. Implementeringsgraden av retningslinjer for familieinvolvering og mengden av ulike typer familie- og støttekonsultasjoner, inkludert PEF, var signifikant større i intervensjonsgruppen enn i kontrollgruppen. Familieinvolvering bidro til felles forståelse, anerkjennelse og gjensidig dialog mellom pårørende, pasienter og klinikere. Resultatene fra 231 pasient-/pårørendepar er under arbeid. Konklusjon: Implementering av familieinvolvering i DPS enheter for personer med psykoselidelser er mulig gjennom en helhetlig tilnærming på flere nivåer, sikret av tydelig ledelsesforankring og engasjement i organisasjonen. Denne studien viser at god implementeringsstøtte er svært viktig for at helsetjenesten skal kunne tilby evidensbasert behandling. Resultatene kan ha overføringsverdi til pasienter med andre alvorlige psykiske lidelser og deres pårørende.

• Romøren, Maria (2024). Forskning i Forhåndssamtaleprosjektet.
• Romøren, Maria (2023). Implementering av forhåndssamtaler for geriatriske pasienter: En klynge-randomisert studie i Helse Sør-Øst .
• Hestmark, Lars; Romøren, Maria; Heiervang, Kristin Sverdvik; Hansson, Kristiane Myckland; Ruud, Torleif & Saltyte Benth, Jurate [Vis alle 9 forfattere av denne artikkelen] (2023). Correction to: Implementation of Guidelines on Family Involvement for Persons with Psychotic Disorders (IFIP): A Cluster Randomised Controlled Trial (Administration and Policy in Mental Health and Mental Health Services Research, (2023), 50, 3, (520-533), 10.1007/s10488-023-01255-0). Administration and Policy in Mental Health and Mental Health Services Research. ISSN 0894-587X. doi: 10.1007/s10488-023-01291-w.
• Bakke, Mathilde Coraline Aarvold; Norheim, Irene & Romøren, Maria (2022). Forskning bidrar til utvikling og innovasjon i helsetjenestene. UiO web. Vis sammendrag

  Forskning og fagutvikling har hatt stor betydning for innføring av systematisk pårørendesamarbeid i helsetjenestene, og for utvikling av en samtaleguide for helsepersonell.

• Pedersen, Reidar & Romøren, Maria (2021). Presentasjon "Implementing Advance Care Planning - A Cluster Randomised Controlled Study". Hvordan involvere fastlegene i forhåndssamtaler?
• Romøren, Maria & Hansson, Kristiane Myckland (2021). Preliminary results from interviews with patients and relatives (their experiences with the intervention).
• Pedersen, Reidar; Hansson, Kristiane Myckland & Romøren, Maria (2020). Nettside: Covid-19: Alvorlig psykisk lidelse og pårørendesamarbeid .
• Hansson, Kristiane Myckland; Pedersen, Reidar; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Nettverkssamling for forbedringsteam intervensjonsarm BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hansson, Kristiane Myckland; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hestmark, Lars; Hansson, Kristiane Myckland & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Heiervang, Kristin S.; Hansson, Kristiane Myckland; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Heiervang, Kristin S. & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Hestmark, Lars; Romøren, Maria & Heiervang, Kristin S. (2020). Veiledningsdag BPS.
• Pedersen, Reidar; Hansson, Kristiane Myckland; Heiervang, Kristin S.; Hestmark, Lars & Romøren, Maria (2020). Veiledningsdag BPS.
• Romøren, Maria (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt - status og planer for Vestfold.
• Romøren, Maria & Pedersen, Reidar (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt - status og planer for Telemark.
• Romøren, Maria & Norheim, Irene (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt om pårørendesamarbeid - status høst 2019.
• Romøren, Maria & Norheim, Irene (2019). Bedre Pårørendesamarbeid (BPS): Et implementerings- og forskningsprosjekt om pårørendesamarbeid ved alvorlige psykiske lidelser.
• Romøren, Maria (2019). Etiske utfordringer ved intravenøs behandling av sykehjemspasienter.
• Pedersen, Reidar & Romøren, Maria (2018). Presentasjon prosjektet Bedre pårørendesamarbeid.
• Pedersen, Reidar & Romøren, Maria (2018). Presentasjon prosjektet "Bedre pårørendesamarbeid".
• Romøren, Maria (2018). En pasient – to verdener. Sykehjemsleger og sykehuslegers beskrivelser av samhandling om sykehjemspasienter.
• Romøren, Maria (2018). A structured training program for health workers in intravenous treatment with fluids and antibiotics in nursing homes: A modified stepped-wedge cluster-randomized trial to reduce hospital admissions.
• Dysthe, Bjørg Elise Tønnesen; Lødøen, Gjertrud; Romøren, Maria & Lindbæk, Morten (2018). Klamydiaepidemien som viste seg å være feilregistreringer. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.17.0965.
• Romøren, Maria (2018). En pasient – to verdener: Sykehjemsleger og sykehuslegers beskrivelser av samhandling om sykehjemspasienter.
• Hanger, Mari Rian & Romøren, Maria (2017). Reduserte innleggelser hos pasienter på sykehjem. [Fagblad]. Dagens Medisin.
• Dommerud, Tine & Romøren, Maria (2017). Ny behandling på sykehjem fører til kraftig reduksjon i innleggelser på sykehus. [Avis]. Aftenposten.
• Solvang, Fredrik & Romøren, Maria (2017). Dagsnytt 18: Debatt av artikkelen En pasient, to verdener (http://tidsskriftet.no/2017/02/originalartikkel/en-pasient-verdener-samhandling-mellom-sykehjemsleger-og-sykehusleger). [TV]. NRK.
• Romøren, Maria; Førde, Reidun & Pedersen, Reidar (2017). En pasient - to verdener. Dagens medisin. ISSN 1501-4290.
• Romøren, Maria; Juvkam, kari Hilde & Moi, Harald (2015). Mycoplasma genitalium i allmennpraksis – bare en pille hvis det er ille? Utposten. ISSN 0800-5680. 6. Vis sammendrag

  Retningslinjer skal være oversiktlige og tydelige, men ofte er virkeligheten betydelig mer komplisert – som for infeksjoner forårsaket av den seksuelt overførte bakterien Mycoplasma genitalium. Mange allmennleger har, med god grunn, spørsmål til hvordan man skal håndtere genital mycoplasmainfeksjon i praksis.

• Nordeng, Hedvig Marie Egeland; Romøren, Maria & Lindbæk, Morten (2010). Safety of macrolides during pregnancy – with special focus on erythromycin and congenital heart malformations.
• Dommerud, Tine & Romøren, Maria (2010). Bedre med intravenøst på sykehjemmet. [Fagblad]. Dagens Medisin.
• Romøren, Maria & Sundby, Johanne (2006). Where is the humility for the limitations of research? Clinical Infectious Diseases. ISSN 1058-4838. 42, s. 888–888.
• Romøren, Maria (2004). Detection of curable sexually transmitted infections in antenatal care in Botswana. Vis sammendrag

  DETECTION OF CURABLE STIS IN THE ANTENATAL CARE IN BOTSWANA Romøren M, Velauthapillai M, Hjortdahl P, Sundby J, Khulumani P, Rahman M. University of Oslo, Norway, National Health Laboratory and Ministry of Health, Gaborone, Botswana BACKGROUND: The burden of sexually transmitted infections (STIs) in Botswana is high. Many of the complications are pregnancy related, and diagnosis and treatment of STIs in pregnancy is important. As many infected women are asymptomatic, a substantial proportion of STIs in pregnancy remains undetected. Laboratory screening to identify the infections is one solution to this problem, and screening for syphilis in the antenatal care (ANC) program has been established in Botswana for many years. The aim of this study is to find the prevalence of selected curable STIs among pregnant women and to evaluate if screening of these STIs also should be integrated in the ANC program. METHODS: 703 ANC clients from all clinics in Gaborone were included in the study. The women were interviewed about demographic data, reproductive history and STI symptoms. A genital examination was performed with a special focus on abnormal vaginal discharge. High vaginal and cervical swabs were taken for laboratory analysis of the infections within the vaginal discharge syndrome. RESULTS 21 (3%) of the pregnant women had gonorrhoea, 53 (7%) chlamydia, 131 (19%) trichomoniasis, and 265 (38%) had bacterial vaginosis. All these are conditions important to treat in pregnancy, but less than half of the affected women had symptoms and signs that would lead to treatment by the syndromic management. CONCLUSION: We find a high prevalence of STIs among ANC clients in Gaborone, and the existing STI management in Botswana is not effective in this population. In the second phase of this study we will conduct a cost-effectiveness analysis of screening ANC clients for these infections. With the results from our cost analysis, we will be able to discuss whether laboratory screening of selected curable STIs should be considered as a supplement to the STD management of ANC clients in Botswana.

• Romøren, Maria (2001). Introducing laboratory analysis to the management of STDs in Botswana -is it feasible?
• Romøren, Maria (2001). Sexually transmitted disease management in Botswana-a need for improvement?
• Romøren, Maria (1999). Evaluation of the Syndromic Approach to diagnose sexually transmitted infections among pregnant women in Botswana.
• Romøren, Maria (1999). Sexually transmitted infections among females in Botswana.
• Romøren, Maria & Nyrerød, Hans Christian (1995). Enjoyment, responsibility and change. NORAD.

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