Ragnhild Hellesø

• Kumlin, Marianne; Kvigne, Kari Johanne; Hellesø, Ragnhild & Berg, Geir Vegard (2021). Unpacking Healthcare Professionals’ Work to Achieve Coherence in the Healthcare Journey of Elderly Patients: An Interview Study. Journal of Multidisciplinary Healthcare.  ISSN 1178-2390. . doi: 10.2147/JMDH.S298713 Vis sammendrag

  Aim: Today, seamless, person-centered healthcare is emphasized when dealing with elderly patients with comprehensive needs. Studies have uncovered a complex healthcare terrain. Despite a great deal of effort on the part of policy makers and healthcare providers, the work healthcare professionals undertake to develop seamless healthcare is still unclear. Therefore, the aim of this study was to uncover the work that healthcare professionals undertake to achieve coherent and comprehensive healthcare for elderly patients with multiple health problems during their journey through the complex healthcare terrain. Methods: This study has an explorative design with individual interviews. Twenty-five healthcare professionals from primary and specialist care agreed to participate. A thematic analysis method was employed. Results: The analyses revealed three central themes in the healthcare professionals’ work to build coherence in the patients’ care trajectory: Working to manage a patient’s illness trajectory during the course of the patient’s life, working to achieve a comprehensive overall picture, and considering multiple options in a “patchwork” terrain. Conclusion: Healthcare professionals have a common understanding that hospital stays are a short part of the elderly person’s journey in the healthcare system. In the comprehensive work to obtain the overall picture of the illness trajectory within the patient’s life story, healthcare professionals emphasized the importance of working in an interdisciplinary manner. Interprofessional consulting and collaboration should be strengthened to build coherence in the older patient’s complex care trajectory. Keywords: older, care trajectory, complex healthcare, health personnel, interdisciplinary

• Sockolow, Paulina S.; Bowels, Kathryn H.; Topaz, Maxim; Koru, Gunes; Hellesø, Ragnhild; O’Connor, Melissa & Bass, Ellen J. (2021). The Time is Now: Informatics Research Opportunities in Home Health Care. Applied Clinical Informatics.  ISSN 1869-0327.  12, s 100- 106 . doi: https://doi.org/ 10.1055/s-0040-1722222
• Aamodt, Ina Thon; Lycholip, Edita; Celutkiené, Jelena; von Lueder, Thomas Gero; Atar, Dan; Falk, Ragnhild Sørum; Hellesø, Ragnhild; Jaarsma, Tiny; Strømberg, Anna & Lie, Irene (2020). Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal study. Journal of Medical Internet Research.  ISSN 1438-8871.  22 . doi: 10.2196/15445 Fulltekst i vitenarkiv.
• Aamodt, Ina Thon; Strømberg, Anna; Hellesø, Ragnhild; Jaarsma, Tiny & Lie, Irene (2020). Tools to support self-care monitoring at home: Perspectives of patients with heart failure. International Journal of Environmental Research and Public Health (IJERPH).  ISSN 1661-7827.  17(23) . doi: 10.3390/ijerph17238916 Fulltekst i vitenarkiv.
• Kumlin, Marianne; Berg, Geir Vegard; Kvigne, Kari Johanne & Hellesø, Ragnhild (2020). Elderly patients with complex health problems in the care trajectory: A qualitative case study. BMC Health Services Research.  ISSN 1472-6963.  20 . doi: 10.1186/s12913-020-05437-6 Fulltekst i vitenarkiv. Vis sammendrag

  Background Elderly patients with multiple health problems often experience disease complications and functional failure, resulting in a need for health care across different health care systems during care trajectory. The patients’ perspective of the care trajectory has been insufficiently described, and thus there is a need for new insights and understanding. The study aims to explore how elderly patients with complex health problems engage in and interact with their care trajectory across different health care systems where several health care personnel are involved. Methods The study had an explorative design with a qualitative multi-case approach. Eleven patients (n = 11) aged 65–91 years participated. Patients were recruited from two hospitals in Norway. Observations and repeated interviews were conducted during patients’ hospital stays, discharge and after they returned to their homes. A thematic analysis method was undertaken. Results Patients engaged and positioned themselves in the care trajectory according to three identified themes: 1) the patients constantly considered opportunities and alternatives for handling the different challenges and situations they faced; 2) patients searched for appropriate alliance partners to support them and 3) patients sometimes circumvented the health care initiation of planned steps and took different directions in their care trajectory. Conclusions The patients’ considerations of their health care needs and adjustments to living arrangements are constant throughout care trajectories. These considerations are often long term, and the patient engagement in and management of their care trajectory is not associated with particular times or situations. Achieving consistency between the health care system and the patient’s pace in the decision-making process may lead to a more appropriate level of health care in line with the patient’s preferences and goals.

• Rostad, Hanne Marie; Skinner, Marianne Sundlisæter; Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2020). Towards specialised and differentiated long-term care services: a cross-sectional study. BMC Health Services Research.  ISSN 1472-6963.  20 . doi: https://doi.org/10.1186/s12913-020-05647-y Fulltekst i vitenarkiv.
• Sogstad, Maren Kristine Raknes; Hellesø, Ragnhild & Skinner, Marianne Sundlisæter (2020). The Development of a New Care Service Landscape in Norway. Health Services Insights (HSI Journal).  ISSN 1178-6329.  13 . doi: 10.1177/1178632920922221 Fulltekst i vitenarkiv. Vis sammendrag

  Demographic changes, as well as the transfer of medical and caring tasks from specialist to primary care in Norwegian municipali- ties, have led to changes in care service delivery. So far, we have limited knowledge of how this affects the design of the care services. Based on a semi-structured questionnaire survey, this article presents the development of a new care service landscape in Norway, where municipalities increasingly set up specialized care services for different patient groups and their care needs. This leads to a continuum of care service models from a generalist approach to highly specialized care services. Larger municipalities typically have a higher degree of specialization, indicating that volume is an important prerequisite for specialization. Similarly, a higher degree of specialization corresponds to higher formal competen- cies in the workforce. To understand the development of the services and the impact on care service delivery, further research is required.

• 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.

• Aamodt, Ina Thon; Lycholip, Edita; Celutkiené, Jelena; Strømberg, Anna; Atar, Dan; Falk, Ragnhild Sørum; von Lueder, Thomas Gero; Hellesø, Ragnhild; Jaarsma, Tiny & Lie, Irene (2019). Health care professionals' perceptions of home telemonitoring in heart failure care: Cross-sectional survey. Journal of Medical Internet Research.  ISSN 1438-8871.  21:e10362(2), s 1- 11 . doi: 10.2196/10362 Fulltekst i vitenarkiv.
• Germossa, Gugsa Nemera; Hellesø, Ragnhild & Sjetne, Ingeborg Strømseng (2019). Hospitalized patients’ pain experience before and after the introduction of a nurse-based pain management programme: a separate sample pre and post study. BMC Nursing.  ISSN 1472-6955.  18 . doi: https://doi.org/10.1186/s12912-019-0362-y Fulltekst i vitenarkiv.
• Hellesø, Ragnhild; Lyngstad, Merete; Brattheim, Berit J & Melby, Line (2019). Samhandling mellom sykepleiere i spesialist- og kommunehelsetjenesten før, under og etter samhandlingsreformen, I: Ragnhild Hellesø & Rose Mari Olsen (red.),  Digitalisering i sykepleietjenesten – en arbeidshverdag i endring.  Cappelen Damm Akademisk.  ISBN 978-82-02-63264-9.  Kapittel 8.  s 153 - 178 Fulltekst i vitenarkiv. Vis sammendrag

  I dette kapitlet viser vi hvordan sykepleiere i sykehus oppfatter at samhandlingen og informasjonsutvekslingen med kommunehelsetjenesten har endret seg over tid. Teoretisk bygger kapitlet på samhandlingsteorier. Intervjuer med 42 sykepleiere i tre tidsperioder er samlet inn og analysert. Analysen viser at det har skjedd en stor endring i hvordan informasjon blir utvekslet. Endringen kjennetegnes med tre forhold: fra å være helt papirbasert via å ha en hybrid form med både papir og elektronisk informasjonsutveksling til en hovedvekt på elektronisk informasjonsutveksling. Videre finner vi at samarbeidsklima mellom sykehus og kommunen har endret seg.

• Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2019). «Jeg vet ikke hvorfor det er så vanskelig å skrive om det» – sykepleieres refleksjoner om sin journalføring, I: Ragnhild Hellesø & Rose Mari Olsen (red.),  Digitalisering i sykepleietjenesten – en arbeidshverdag i endring.  Cappelen Damm Akademisk.  ISBN 978-82-02-63264-9.  Kapittel 4.  s 73 - 89 Vis sammendrag

  Sykepleieres journalføring har vært debattert og kritisert. I dette kapitlet søker vi å få en dypere forståelse for de underliggende prosesser og vurderinger som sykepleierne gjør, og hvordan de reflekterer over sin dokumentasjonspraksis. Hensikten er å få innsikt i og økt kunnskap om hva som påvirker de valg de tar når de skal skrive journal. Kapitlet bygger på to studier blant sykepleiere i spesialist- og kommunehelsetjenesten hvor de reflekterer rundt sin journalføringspraksis. Vi ser at sykepleierne inngår i en samfunnsdiskurs som vanskeliggjør å journalføre ikke-kroppslige helseutfordringer fordi de kan være forbundet med skam. Pasientenes rett til å vite hva som er dokumentert om dem, gjør at sykepleierne må balansere ulike hensyn og interesser.

• Johannesen, Lasse Morten & Hellesø, Ragnhild (2019). Første- og andrespråklige sykepleiere har ulik journalføring. Sykepleien Forskning.  ISSN 1890-2936. . doi: 10.4220/Sykepleienf.2019.76342 Fulltekst i vitenarkiv.
• Lycholip, Edita; Palevičiūtė, Eglė; Aamodt, Ina Marie Thon; Hellesø, Ragnhild; Lie, Irene; Strömberg, Anna; Jaarsma,, Tiny & Čelutkienė, Jelena (2019). Non-invasive home lung impedance monitoring in early post-acute heart failure discharge: Three case reports. World Journal of Clinical Cases (WJCC).  ISSN 2307-8960. . doi: 10.12998/wjcc.v7.i8.951
• Lycholip, Edita; Palevičiūtė, Eglė; Aamodt, Ina Thon; Hellesø, Ragnhild; Lie, Irene; Strömberg, Anna; Jaarsma, Tiny & Čelutkienė, Jelena (2019). Non-invasive home lung impedance monitoring in early post-acute heart failure discharge: Three case reports. World Journal of Clinical Cases (WJCC).  ISSN 2307-8960.  7(8), s 951- 960 . doi: 10.12998/wjcc.v7.i8.951
• Melby, Line; Hellesø, Ragnhild; Brattheim, Berit J & Toussaint, Pieter Jelle (2019). Irrelevant, dårlig strukturert og forsinket informasjon – en analyse av utfordringer knyttet til samhandling mellom sykehus og kommuner, I: Ragnhild Hellesø & Rose Mari Olsen (red.),  Digitalisering i sykepleietjenesten – en arbeidshverdag i endring.  Cappelen Damm Akademisk.  ISBN 978-82-02-63264-9.  Kapittel 7.  s 131 - 152
• Ore, Stephan; Rosvold, Elin Olaug & Hellesø, Ragnhild (2019). Lessons learned from introducing huddle boards to involve nursing staff in targeted observation and reporting of medication effect in a nursing home. Journal of Multidisciplinary Healthcare.  ISSN 1178-2390.  Volume 2019(12), s 43- 50 . doi: 10.2147/JMDH.S182872 Fulltekst i vitenarkiv. Vis sammendrag

  Background: Medication administration and management in nursing homes can occur during all phases of the medication process. The aim of this study was to investigate if an introduction of a systematic use of huddle board led to an increased amount of documentation in the patient record of observations of effects and side effects following a change in medication. Methods: A three-layer intervention approach combining huddle boards, educating the entire staff in medication observation and documentation, and frequent feedback to the staff about the outcome was applied. A standard was set for the expected reporting. Correlation between expected and actual reporting as an average was calculated and the staff received weekly updates on their observation–reporting results. Results: The huddle board became a hub in providing an overview of the expectations of observations. To visualize the impact of the intervention, use of a run chart gave comprehensive information about the extent to which the expected goal of documentation was reached. Four different organizational steps and one individual action in the last step were taken to improve the observation–reporting. The identifying of the nonreporting nurses and individual staff guidance to these nurses resulted in a significant improvement in observation–reporting. The expected goal of 100% average reporting was achieved 6 months after all wards were included in the improvement project. Conclusion: The combination of huddle boards, educating the entire staff in observation and documentation, and frequent feedback to the staff about the outcome proved to be a useful approach in medication safety work in nursing homes.

• Stokke, Randi; Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2019). Hvorfor er det så vanskelig å integrere velferdsteknologi i omsorgstjenesten? –trygghetsalarmen som case. Tidsskrift for omsorgsforskning.  ISSN 2387-5976.  5(3), s 7- 20 . doi: 10.18261/issn.2387-5984-2019-03-02 Fulltekst i vitenarkiv.
• 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
• Germossa, Gugsa Nemera; Sjetne, Ingeborg Strømseng & Hellesø, Ragnhild (2018). The Impact of an In-service Educational Program on Nurses' Knowledge and Attitudes Regarding Pain Management in an Ethiopian University Hospital. Frontiers In Public Health.  ISSN 2296-2565.  6 . doi: 10.3389/fpubh.2018.00229 Fulltekst i vitenarkiv.
• Hansen, Anette; Hauge, Solveig; Hellesø, Ragnhild & Bergland, Ådel (2018). Purchasers’ deliberations on psychosocial needs within the process of allocating healthcare services for older home-dwelling persons with dementia: a qualitative study. BMC Health Services Research.  ISSN 1472-6963.  18(1) . doi: 10.1186/s12913-018-3550-7 Fulltekst i vitenarkiv. Vis sammendrag

  BACKGROUND: Meeting psychosocial needs is a significant component of quality dementia care. To enable persons with dementia to live at home for as long as possible, a community healthcare service offering care where physical, social, psychological, cultural and spiritual needs are met, is recommended. A comprehensive allocation process is required to allocate individually tailored healthcare services. However, the allocation process for older home-dwelling persons with dementia, specifically for services to safeguard psychosocial needs, remains largely unexplored. Accordingly, this study aims to explore purchasers' deliberations on psychosocial needs during the process of allocating healthcare services to older home-dwelling persons with dementia. METHODS: The study had a descriptive design with a qualitative approach. The primary data source was focus group interviews with purchasers who assess and allocate healthcare services. The interview data were supplemented by a review of administrative decisions made by the purchasers. Data from the focus group interviews were analysed using a descriptive and interpretive approach. Content analysis of the administrative decisions was conducted. RESULTS: The purchasers described the allocation process as challenging. The following four themes reflect the complexity of the allocation process: (i) an unfamiliar and unclear concept; (ii) a hierarchy of needs; (iii) an adjusting allocation process; (iv) a challenging documentation of administrative decisions. CONCLUSIONS: The purchasers viewed a comprehensive allocation process as important. However, a web of different interplaying aspects prevented the purchasers from conducting a comprehensive need-led allocation process. Insufficient assessment or allocation threatens the adequate safeguarding of the psychosocial needs of persons with dementia. Having varied and sufficient services to allocate is of great importance, but is not sufficient. Psychosocial needs must be better incorporated as a significant element throughout the entire allocation process.

• Hellesø, Ragnhild & Fagermoen, May Solveig (2018). The contribution of Research-based master's theses to knowledge building in nursing. Journal of Nursing Education and Practice (JNEP).  ISSN 1925-4040.  8(11), s 35- 42 . doi: 10.5430/jnep.v8n11p35 Fulltekst i vitenarkiv.
• Hellesø, Ragnhild & Gautun, Heidi (2018). Digitalized Discharge Planning between Hospitals and Municipal Health Care. Studies in Health Technology and Informatics.  ISSN 0926-9630.  250, s 217- 220 . doi: 10.3233/978-1-61499-872-3-217 Fulltekst i vitenarkiv.
• Melby, Line; Obstfelder, Aud & Hellesø, Ragnhild (2018). “We Tie Up the Loose Ends”: Homecare Nursing in a Changing Health Care Landscape. Global Qualitative Nursing Research.  ISSN 2333-3936.  5 . doi: 10.1177/2333393618816780 Fulltekst i vitenarkiv. Vis sammendrag

  During the last decades, the work of homecare nurses has been affected by several changes, including an aging population, the decentralization of health care, nursing recruitment crises and the scarcity of public resources. Few scholars have analyzed how these changes have impacted homecare nursing. In this article, we describe and discuss aspects of homecare nurses’ work, with specific focus on nurses “organising work.” We outline three phenomena that are increasingly occurring: (a) homecare nurses are frequently involved in negotiating care level and, consequently, what kind of care the patient will receive; (b) homecare nurses’ clinical practice has become increasingly advanced; and (c) and homecare nurses play an important role in coordinating care among interdependent actors. The article draws on material from participant observation and interviews with homecare nurses in two Norwegian studies. Changes in work practice increase the demand for nurses to be competent and have excellent organizational and collaborative skills.

• Sockolow, Paulina; Hellesø, Ragnhild & Ekstedt, Mirjam (2018). Digitalization of patient information process from hospital to community (home) care nurses: International perspectives. Studies in Health Technology and Informatics.  ISSN 0926-9630.  250, s 227- 229 . doi: 10.3233/978-1-61499-872-3-227 Fulltekst i vitenarkiv.
• Stuhlfauth, Susanne; Melby, Line & Hellesø, Ragnhild (2018). Everyday Life After Colon Cancer: The Visible and Invisible Challenges. Cancer Nursing.  ISSN 0162-220X.  41(6), s E48- E57 . doi: 10.1097/NCC.0000000000000506 Fulltekst i vitenarkiv. Vis sammendrag

  Background: There is little research regarding how everyday life is affected by colon cancer treatment. Few studies exist that exclusively examine patients with Dukes C colon cancer. Most studies include other types of bowel cancer and different stages. Objectives: The aims of this study were to explore and describe how colon cancer survivors experience everyday life in general and sexuality in particular after treatment of Dukes C colon cancer. Methods: The study is exploratory and descriptive and uses semistructured interviews to collect data. Nine participants were interviewed regarding their everyday lives up until 2 years after concluded treatment. The analysis was done using Graneheim and Lundman’s method of content-analysis. Results: Bodily changes are a consequence of colon cancer. Exhaustion, colon problems, and visible bodily changes are some of the challenges that survivors are faced with. Socializing with friends was different, and work had to be facilitated. Social networks proved to be a good support, and spouses were considered to be the most important source of social support. Sexual challenges were experienced by men and women alike Conclusion: Participants experience changes in day-to-day life after cancer treatment. Social networks and the participants’ own coping strategies are key to shaping everyday life after treatment. Implication for Practice: It is crucial that healthcare professionals have a holistic view of patients. Both partners and physical activity were identified as an integral part of coping. Seniors are often less active, and some have lost their spouses, it is therefore especially important to examine this demographic. A survey before and after treatment can help optimize rehabilitation.

• Finstad, Jeanette; Kolstadbråten, Knut Magne & Hellesø, Ragnhild (2017). Slik vurderer helsepersonell egen kompetanse etter traumekurs. Sykepleien Forskning.  ISSN 1890-2936.  s 22 . doi: 10.4220/Sykepleienf.2017.64387 Fulltekst i vitenarkiv.
• Solli, Hilde; Bjørk, Ida Torunn; Hvalvik, Sigrun & Hellesø, Ragnhild (2017). Like an extended family: Relationships that emerge when older caregivers use written messages to communicate in an ICT-based healthcare service. Informatics for Health and Social Care.  ISSN 1753-8157.  43(2), s 207- 217 . doi: 10.1080/17538157.2017.1364245 Fulltekst i vitenarkiv. Vis sammendrag

  Objective: To explore the relationships that emerge amongst caregivers of persons with dementia and stroke when caregivers use written messages as their communication tool in a closed information and communication technology (ICT)-based support group. Methods: An explorative design with a qualitative approach was used that applied systematic text condensation (STC) to analyse 173 written messages extracted from a web forum. Results: Empathetic, empowering and familiar relationships emerged amongst peers of older caregivers when the caregivers used written messages as their communication tool. The empathetic relationship was characterised by sincerity and openness when the caregivers shared emotions related to caregiving. The empowering relationship reflected a fellowship based on solidarity influenced by a sense of optimism and a willingness to share knowledge to support one another in overcoming challenges. In the familiar relationship, the caregivers were thoughtful and good-humoured with one another and displayed an attitude of consideration towards one another, as in an extended family. Practice implication: The use of computer-mediated communication in health care service will change the context of establishing and maintaining interpersonal relationships. Therefore, greater knowledge regarding how the peers of caregivers interact with one another is vital so nurses may better support and educate ICT-based support groups.

• Toussaint, Pieter Jelle; Melby, Line; Hellesø, Ragnhild & Brattheim, Berit J (2017). Does Information Quality matter?. CEUR Workshop Proceedings.  ISSN 1613-0073.  2001 Fulltekst i vitenarkiv.
• Brattheim, Berit J; Hellesø, Ragnhild & Melby, Line (2016). Elektronisk meldingsutveksling ved utskrivning av pasienter fra sykehus til kommune. Sykepleien Forskning.  ISSN 1890-2936.  11(1), s 26- 33 . doi: 10.4220/Sykepleienf.2016.56830 Fulltekst i vitenarkiv. Vis sammendrag

  Bakgrunn: Utskriving fra sykehus til kommunal hjemmetjeneste er en sårbar situasjon for pasienter. Bruk av PLO-meldinger skal sikre at tilstrekkelig og relevant informasjon overføres ved pasientoverganger mellom sykehus og hjemmetjeneste. Sykepleiernes erfaringer med PLO-meldinger i utskrivningsprosessen er per i dag et lite utforsket område. Hensikt: Å utforske sykepleiernes erfaringer med bruk av PLO-meldinger ved utskrivning av pasienter fra sykehus til kommunal hjemmetjeneste. Metode: Kvalitativ studie med intervjuer av 41 helsearbeidere ved ett universitetssykehus og i tre kommuner. Resultat: Bruk av PLO-meldinger bidro til raskere avklaring og tilgang til informasjon ved utskrivningsplanlegging og selve utskrivelsen av pasienter. Sykepleierne benyttet likevel supplerende informasjonskilder for å sikre overføring av tilstrekkelig informasjon mellom sykehus og hjemmetjeneste. Årsaken til dette var uforutsigbarhet knyttet til pasientens utreisedato, inkonsistens mellom pasientens legemiddelliste i kommuner og i sykehus, manglende informasjon i meldinger og forskjeller i faglig tilnærming mellom nivåene. Konklusjon: PLO-meldinger er et nyttig kommunikasjonsverktøy. Det må likevel kompletteres med muntlig kommunikasjon og møter for å ivareta informasjonskontinuitet ved utskrivningsplanlegging og utskrivning av pasienter fra sykehus til hjemmetjeneste. Videre tiltak bør rettes mot hvordan informasjonsinnholdet i meldingenes fritekstfelter bør fremstå.

• Brattheim, Berit J; Hellesø, Ragnhild & Melby, Line (2016). Planning for post-hospital care - local challenges to general benefits of e-messages: hospital staff's perspectives. CEUR Workshop Proceedings.  ISSN 1613-0073.  1574, s 43- 52 Fulltekst i vitenarkiv. Vis sammendrag

  An e-message system is one of the promising communication tools for fostering better collaboration between hospitals and municipal-based homecare services. However, hospital care is often confronted with patients that need a myriad of services after discharge, of which municipal homecare is only one. We conducted a qualitative interview study to examine hospital health professionals’ experiences with an e-message system and the role of such a system. While e-messages are a helpful tool for communicating with homecare services, the findings highlight important policy, organizational and patient-related issues that the health professionals felt constrained their ability to fully exploit the benefits of the e-message system.

• Gjevjon, Edith L Roth; Romøren, Tor Inge; Bragstad, Line Kildal & Hellesø, Ragnhild (2016). Older Patients’ and Next of Kin’s Perspectives on Continuity in Long-Term Home Health Care. Home Health Care Management & Practice.  ISSN 1084-8223.  28(3), s 142- 149 . doi: 10.1177/1084822315626001

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• Hellesø, Ragnhild & Olsen, Rose Mari (red.) (2019). Digitalisering i sykepleietjenesten – en arbeidshverdag i endring. Cappelen Damm Akademisk.  ISBN 978-82-02-63264-9.  205 s. Vis sammendrag

  Helsetjenesten er inne i en brytningstid hvor betingelser endres og etablerte måter å arbeide på er satt under press. En endring som har betydning for sykepleietjenesten, er den økende digitaliseringen hvor nye informasjonssystemer lever parallelt med papirbaserte og analoge systemer. Vi har i denne boka samlet bidrag fra forskere fra et bredt spekter av fagområder og forskningstradisjoner. Formålet er å tematisere sentrale perspektiver på informasjons- og dokumentasjonsarbeidet i sykepleietjenesten i en tid med økt digitalisering. Det gjør vi ved å sette søkelys på pasientens endrede rolle, sykepleierens journalføring og noen sentrale verktøy som har betydning for kvalitet og samhandling i helsetjenesten.

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• Hellesø, Ragnhild; Ansteinsson, Vibeke; Hovden, Ewa Alicja Szyszko; Skudutyte-Rysstad, Rasa & Henni, Silje Havrevold (2021). Hva er CORAL? Introduksjon til prosjektet..
• Ansteinsson, Vibeke; Szyszko, Ewa Alicja & Hellesø, Ragnhild (2020). Forskningsrådet må prioritere oral helse.. Dagens medisin.  ISSN 1501-4290.
• Heggestad, Anne Kari Tolo; Sævareid, Trygve Johannes Lereim; Pedersen, Reidar; Førde, Reidun & Hellesø, Ragnhild (2020). Ofrer vi de gamle?. Dagbladet.no.
• Hellesø, Ragnhild; Hovden, Ewa Alicja Szyszko; Ansteinsson, Vibeke; Henni, Silje Havrevold & Skudutyte-Rysstad, Rasa (2020). Overview, ambitions and roles in CORAL - introduction to the project..
• Kirkevold, Marit; Heggen, Kristin & Hellesø, Ragnhild (2020). Nødvendig med en frontlinjekommisjon.. Dagens medisin.  ISSN 1501-4290.
• Lycholip, Edita; Aamodt, Ina Thon; Lie, Irene; Hellesø, Ragnhild; Simbelyte, Toma; Puronaité, Roma; Strømberg, Anna; Jaarsma, Tiny & Celutkiene, Jelena (2020). Young and computer-literate healthcare professionals have the greatest expectations for heart failure tele monitoring. European Heart Journal-Digital Health.  1, s 6- 7 . doi: 10/1093/ehjdh/ztaa001
• Obstfelder, Aud & Hellesø, Ragnhild (2020). Koronapandemien viser at vi trenger omsorg for å holde samfunnet i gang. Dagens medisin.  ISSN 1501-4290.
• Hellesø, Ragnhild (2019, 28. september). Det er lederes ansvar å sette inn tiltak som kan lette journalføringen.. [Fagblad].  Sykepleien.
• Hellesø, Ragnhild (2019). Fremmer samhandling i helsetjenesten et aldersvennlig samfunn?.
• Hellesø, Ragnhild (2019). Første- og andrespråklige sykepleieres journalføring.
• Hellesø, Ragnhild (2019). Hva sier kunnskapsgrunnlaget om pleie- og omsorgsmeldinger.
• Hellesø, Ragnhild (2019). Hvordan lykkes med å involvere brukere i helsetjenesten?.
• Hellesø, Ragnhild (2019). Kunnskapsgrunnlaget om pleie- og omsorgsmeldinger.
• Hellesø, Ragnhild (2019). Samhandling til det bedre eller verre?.
• Hellesø, Ragnhild (2019). Samhandlingsutfordringer rundt den eldre hjemmeboende pasient..
• Hellesø, Ragnhild (2019). Sammenheng i tjenestene.
• Hellesø, Ragnhild (2019). The emergence of new health care landscape - implications for practice, research and education.
• Hellesø, Ragnhild; Melby, Line & Obstfelder, Aud (2019). Helse- og omsorgstjenestens nye landskap - betydning for hjemmetjenestens arbeid?.
• Kirkevold, Marit; Mathisen, Lars; Hellesø, Ragnhild; Kvangarsnes, Marit; Bergland, Ådel; Kapstad, Heidi & Førsund, Linn Hege (2019). Spesialistsykepleiere skal møte udekkede behov. Dagens medisin.  ISSN 1501-4290. Vis sammendrag

  Allmennsykepleiere skal møte udekkede behov og styrke de kommunale helse- og omsorgtjenestene - ikke erstatte leger. Det er ikke grunn til å tro at introduksjon av allmennsykepleiere går ut over legers oppgaver, funksjon og næringsgrunnlag

• Kumlin, Marianne & Hellesø, Ragnhild (2019). Brukermedvirkning- hvordan er samspillet i pasientforløp?.
• Rostad, Hanne Marie; Sogstad, Maren Kristine Raknes; Skinner, Marianne Sundlisæter & Hellesø, Ragnhild (2019). Friskliv, forebygging og aktivitet – hva tilbys i kommunene?.
• Sogstad, Maren Kristine Raknes & Hellesø, Ragnhild (2019). Formelle og uformelle informasjonskanaler.
• Sogstad, Maren Kristine Raknes & Hellesø, Ragnhild (2019). Sykepleierenes dokumentasjonssystem suppleres med uformelle infromasjonskanaler.
• Aamodt, Ina Marie Thon; Lycholip, Edita; Celutkiené, Jelena; Strømberg, Anna; Atar, Dan; Falck, Ragnhild Sørum; von Lueder, Thomas Gero; Hellesø, Ragnhild; Jaarsma, Tiny & Lie, Irene (2018). Remote patient telemonitoring in heart failure care. Experiences and perception of nurses and physicians in the Nordic Baltic region.
• Aamodt, Ina Marie Thon; Lycholip, Edita; von Lueder, Thomas Gero; Atar, Dan; Hellesø, Ragnhild; Jaarsma, Tiny; Celutkiené, Jelena; Strömberg, Anna & Lie, Irene (2018). Telemonitoring of heart failure patients in clinical practice - a nordic baltic survey.
• Aamodt, Ina Marie Thon; Lycholip, Edita; von Lueder, Thomas Gero; Atar, Dan; Hellesø, Ragnhild; Jaarsma, Tiny; Celutkiené, Jelena; Strömberg, Anna & Lie, Irene (2018). Telemonitoring of heart failure patients in clinical practice a Nordic Baltic survey.
• Gautun, Heidi; Hellesø, Ragnhild & Øien, Henning (2018). Kluss i vekslinga? Hvordan opplever sykepleiere i sykehus at eldre pasienter blir ivaretatt i overgangen til kommunale pleie- og omsorgstjenester?.
• Hellesø, Ragnhild (2018). Avansert geriatrisk sykepleie – erfaringer og utfordringer.
• Hellesø, Ragnhild (2018). Avansert geriatrisk sykepleie (AGS) – erfaringer og utfordringer i etableringsarbeidet..
• Hellesø, Ragnhild (2018). Hvem må ut?. Tidsskrift for omsorgsforskning.  ISSN 2387-5976.  4(2) . doi: DOI: 10.18261/ISSN.2387-5984-2018-02-02
• Hellesø, Ragnhild (2018). Presentasjon av PriCare.
• Hellesø, Ragnhild (2018). Prioriteringer i kommunehelsetjenesten - betydning for sykepleien?.
• Hellesø, Ragnhild (2018). Towards understanding the complexity of home care nursing.
• Johannesen, Lasse Morten & Hellesø, Ragnhild (2018). Sykepleieres språklige ferdigheter – betydning for pasientperspektiv i pasientjournalen.
• Johannesen, Lasse Morten; Hellesø, Ragnhild & Ryen, Else (2018). Innhold og språkbruk i journaler forfattet av sykepleiere med norsk som andrespråk og norsk som førstespråk.
• Johansen, Steinar; Hellesø, Ragnhild & Gjevjon, Edith Roth (2018). SAFE identification of patients at risk for readmission to municipal acute care units. Vis sammendrag

  Background: In Norway, municipal acute care units (KAD) is especially targeted at frail older citizens and aims to reduce unnecessary hospitalisation. Like hospital admissions, readmission to KAD is a recurring phenomenon among older people. Early identification of risk factors for readmission will contribute to improved follow-up and more targeted treatment and care. Objective: To assess if and how the Sub Acute Functional decline in the Elderly instrument (SAFE) can identify patients at risk for readmission to KAD. Method: In phase 1, a scoping review was conducted to identify factors characterising frailty in older people and general risk factors for readmission. The findings from phase 1 was synthesized into scoring elements representing risk factors for readmission of frail older people through thematic analysis. In phase 2, a scoring instrument was developed to be able to assess SAFE’s compliance with the scoring elements. Results: Sixty-two scoring elements were identified within the following categories; 1) Patient characteristics (age, sex, medical diagnoses, clinical factors); 2) Pre-per and post hospital admission events; 3) Overall assessments. The degree of compliance with the overall risk factors for readmission was 28%. However, SAFE complied with the clinical factors and overall assessments by 75 and 78%, respectively.

• Kumlin, Marianne; Hellesø, Ragnhild; Kvigne, Kari Johanne & Berg, Geir Vegard (2018). Å henge i løse luften» Pasientens perspektiv på pasientforløp.
• Rosvold, Elin Olaug; Svensberg, Karin; Kalleberg, Birgitte; Mathiesen, Liv; Hellesø, Ragnhild & Hove, Lene Hystad (2018). SamPraks Research Project at UiO.
• Skinner, Marianne Sundlisæter; Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2018). Uformell omsorg i prioriteringsdebatten: ulike typer oppgaver og omsorgsgivere.
• Sogstad, Maren Kristine Raknes; Skinner, Marianne Sundlisæter & Hellesø, Ragnhild (2018). Patient records in long-term care: An invaluable source of information?.
• Stokke, Randi; Rønning, Rolf; Fuglsang, Lars; Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2018). From "plug" to "play". Making established technology innovations work in caring services..
• Wøien, Hilde; Svendsen, Edel Jannecke & Hellesø, Ragnhild (2018). Sykepleiere med spesialisering. Bedre helsetjeneste med forskrivningsrett?. Dagens medisin.  ISSN 1501-4290.
• 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.
• Aamodt, Ina Marie Thon; Lycholip, Edita; von Lueder, Thomas Gero; Atar, Dan; Hellesø, Ragnhild; Jaarsma, Tiny; Celutkiené, Jelena; Strømberg, Anna & Lie, Irene (2017). Telemonitoring of heart failure patients in clinical practice - a Nordic Baltic survey.
• Brattheim, Berit J; Melby, Line; Hellesø, Ragnhild & Toussaint, Pieter Jelle (2017). Does Information Quality Matter? (PAHI2017 presentation).
• Hellesø, Ragnhild (2017). Forskning og kunnskap i kommunesektoren..
• Hellesø, Ragnhild (2017). Hva sier forskningen om informasjon i utskrivningsprosessen?.
• Hellesø, Ragnhild (2017, 29. september). Hvem skal ut?.  Oppland arbeiderblad. Vis sammendrag

  Kommunen du bor i skal gi gode helse- og omsorgstjenester til innbyggerne. Kommunene har stor frihet til å utforme tjenester, noe som har ført til mange ulike tjenestemodeller. Å utvikle tjenester for befolkningen innen stramme budsjettrammer, gir store lokale prioriteringsutfordringer.Blir én av dem nedprioritert når kommunene får stadig flere oppgaver?

• Hellesø, Ragnhild (2017). Nye utfordringer krever nye roller i sykepleie..
• Hellesø, Ragnhild (2017). Perspektiver på e-helse i utvikling og praksis.
• Hellesø, Ragnhild (2017). Prioriteringer i kommunehelsetjenesten.
• Hellesø, Ragnhild (2017). Prioritizing care. Emerging dilemmas in the Norwegian care service landscape.
• Hellesø, Ragnhild (2017). Samhandling - betydning for utdanning?.
• Hellesø, Ragnhild (2017). Teknologiens møte med fag og organisasjon i helse- og omsorgstjenesten.. Vis sammendrag

  Digitalisering i samhandlingen mellom aktører i helse- og omsorgstjenesten har betydning for arbeidsflyt, det regulerer og endrer samarbeidet og bidrar til å standardisere informasjonsdeling. Digitaliseringen endrer styrkeforholdet mellom de involverte aktørene.

• Kumlin, Marianne; Berg, Geir Vegard; Hellesø, Ragnhild & Kvigne, Kari Johanne (2017). Eldre med sammensatte helseproblemer- hva forstås med pasientforløp.
• Larsen, Lill Sverresdatter; Obstfelder, Aud; Olsvold, Nina & Hellesø, Ragnhild (2017). Med hvilken stemme skal vi snakke om dagens sykepleie?. Tidsskriftet sykepleien.  ISSN 0806-7511.
• Sogstad, Maren Kristine Raknes & Hellesø, Ragnhild (2017). A new care service landscape, challenging integrated care?.
• Østensen, Elisabeth & Hellesø, Ragnhild (2017). What has standardization got to do with it? Nursing documentation in Norwegian community health care.
• Brattheim, Berit J; Melby, Line & Hellesø, Ragnhild (2016). PLO-meldinger som samhandlingsverktøy: utfordringer for dokumentasjon av sykepleie?. NSFs faggruppe for ehelse.  (1)
• Brattheim, Berit J; Melby, Line; Hellesø, Ragnhild & Toussaint, Pieter Jelle (2016). Sårbare systemer: Sykepleiernes strategier når PLO-meldinger kommer til kort.
• Brattheim, Berit J; Toussaint, Pieter Jelle; Melby, Line; Hellesø, Ragnhild & Osmundsen, Tonje (2016). Samhandling med IKT (SIKT), prosjekt 229623 Sluttrapport til Forskningsrådet.
• Hellesø, Ragnhild (2016). Avansert geriatrisk sykepleie (AGS) – erfaringer og utfordringer.
• Hellesø, Ragnhild (2016). Avansert geriatrisk sykepleie (AGS) – erfaringer og utfordringer i utdanningen.
• Hellesø, Ragnhild (2016). Avansert greiatrisk sykepleier - muligheter i utdanningen.
• Hellesø, Ragnhild (2016). Information challenges in patient transition. Studies in Health Technology and Informatics.  ISSN 0926-9630.  225, s 724- 726 . doi: 10.3233/978-1-61499-658-3-724
• Hellesø, Ragnhild (2016). Samhandling – endringar over tid?.
• Hellesø, Ragnhild (2016). Sykepleiernes nye rolle.

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