Ragnhild Hellesø

• Hartford Kvæl, Linda Aimee; Hellesø, Ragnhild; Bergland, Astrid & Debesay, Jonas (2022). Balancing standardisation and individualisation in transitional care pathways: a meta-ethnography of the perspectives of older patients, informal caregivers and healthcare professionals. BMC Health Services Research. ISSN 1472-6963. 22(1), s. 1–17. doi: 10.1186/s12913-022-07823-8. Fulltekst i vitenarkiv Vis sammendrag

  Background Transitional care implies the transfer of patients within or across care settings in a seamless and safe way. For frail, older patients with complex health issues, high-quality transitions are especially important as these patients typically move more frequently within healthcare settings, requiring treatment from different providers. As transitions of care for frail people are considered risky, securing the quality and safety of these transitions is of great international interest. Nevertheless, despite efforts to improve quality in transitional care, research indicates that there is a lack of clear guidance to deal with practical challenges that may arise. The aim of this article is to synthesise older patients, informal caregivers and healthcare professionals’ experiences of challenges to achieving high-quality transitional care. Methods We used the seven-step method for meta-ethnography originally developed by Noblit and Hare. In four different but connected qualitative projects, the authors investigated the challenges to transitional care for older people in the Norwegian healthcare system from the perspectives of older patients, informal caregivers and healthcare professionals. In this paper, we highlight and discuss the cruciality of these challenging issues by synthesising the results from twelve articles. Results The analysis resulted in four themes: i) balancing person-centred versus efficient care, ii) balancing everyday patient life versus the treatment of illness, iii) balancing user choice versus “What Matters to You”, and iv) balancing relational versus practical care. These expressed challenges represent tensions at the system, organisation and individual levels based on partial competing assumptions on person-centred-care-inspired individualisation endeavours and standardisation requirements in transitional care. Conclusions There is an urgent need for a clearer understanding of the tension between standardisation and individualisation in transitional care pathways for older patients to ensure better healthcare quality for patients and more realistic working environments for healthcare professionals. Incorporating a certain professional flexibility within the wider boundary of standardisation may give healthcare professionals room for negotiation to meet patients’ individual needs, while at the same time ensuring patient flow, equity and evidence-based practice.

• Hellesø, Ragnhild & Hagen, Terje P. (2021). Samhandlingsreforma- kva fungerte, kva må gjerast vidare? I Botten, Grete Synøve (Red.), Mangfold og engasjement i ti år. Institutt for helse og samfunn ved Universitetet i Oslo 2010-2020.. Norwegian Medical Society. ISSN 978-82-92871-76-8. s. 92–98.
• Svensberg, K.; Kalleberg, Birgitte Grøstad; Rosvold, E.O.; Mathiesen, Liv; Wøien, H. & Hove, L.H. [Vis alle 11 forfattere av denne artikkelen] (2021). Interprofessional education on complex patients in nursing homes: a focus group study. BMC Medical Education. ISSN 1472-6920. 21(1). doi: 10.1186/s12909-021-02867-6. Fulltekst i vitenarkiv
• Østensen, Elisabeth; Hardiker, Nicholas R. & Hellesø, Ragnhild (2021). Facilitating the Implementation of Standardized Care Plans in Municipal Healthcare. Computers, Informatics, Nursing. ISSN 1538-2931. doi: 10.1097/CIN.0000000000000798. Fulltekst i vitenarkiv
• Gautun, Heidi; Hellesø, Ragnhild & Veenstra, Marijke (2021). The association between hospital nurses’ perspectives on their information practices and quality of care transitions in older patients: A nation-wide cross-sectional study. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 7(2), s. 85–96. doi: 10.18261/issn.2387-5984-2021-02-07. Fulltekst i vitenarkiv
• Kumlin, Marianne; Berg, Geir Vegard; Kvigne, Kari Johanne & Hellesø, Ragnhild (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. 14. doi: 10.2147/JMDH.S298713. Fulltekst i vitenarkiv 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 [Vis alle 7 forfattere av denne artikkelen] (2021). The Time is Now: Informatics Research Opportunities in Home Health Care. Applied Clinical Informatics. ISSN 1869-0327. 12, s. 100–106. doi: 10.1055/s-0040-1722222.
• 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
• 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: 10.1186/s12913-020-05647-y. Fulltekst i vitenarkiv
• 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: 10.1111/jocn.15355. 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
• Aamodt, Ina Thon; Lycholip, Edita; Celutkiené, Jelena; von Lueder, Thomas Gero; Atar, Dan & Falk, Ragnhild Sørum [Vis alle 10 forfattere av denne artikkelen] (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
• 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.

• Lycholip, Edita; Palevičiūtė, Eglė; Aamodt, Ina Marie Thon; Hellesø, Ragnhild; Lie, Irene & Strömberg, Anna [Vis alle 8 forfattere av denne artikkelen] (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 [Vis alle 8 forfattere av denne artikkelen] (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.
• 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
• 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
• 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: 10.1186/s12912-019-0362-y. Fulltekst i vitenarkiv
• 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 Hellesø, Ragnhild & Olsen, Rose Mari (Red.), Digitalisering i sykepleietjenesten – en arbeidshverdag i endring. Cappelen Damm Akademisk. ISSN 978-82-02-63264-9. s. 131–152. doi: %20https%3A/doi.org/10.23865/noasp.71.ch7.
• 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.

• 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 Hellesø, Ragnhild & Olsen, Rose Mari (Red.), Digitalisering i sykepleietjenesten – en arbeidshverdag i endring. Cappelen Damm Akademisk. ISSN 978-82-02-63264-9. s. 73–89. doi: 10.23865/noasp.71.ch4.
• Hellesø, Ragnhild; Lyngstad, Merete; Brattheim, Berit J & Melby, Line (2019). Samhandling mellom sykepleiere i spesialist- og kommunehelsetjenesten før, under og etter samhandlingsreformen . I Hellesø, Ragnhild & Olsen, Rose Mari (Red.), Digitalisering i sykepleietjenesten – en arbeidshverdag i endring. Cappelen Damm Akademisk. ISSN 978-82-02-63264-9. s. 153–178. doi: 10.23865/noasp.71.ch8. 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.
• Aamodt, Ina Thon; Lycholip, Edita; Celutkiené, Jelena; Strømberg, Anna; Atar, Dan & Falk, Ragnhild Sørum [Vis alle 10 forfattere av denne artikkelen] (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
• 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
• 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
• 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.

• 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
• 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
• 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
• 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.

• 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
• Finstad, Jeanette; Kolstadbråten, Knut Magne & Hellesø, Ragnhild (2017). Slik vurderer helsepersonell egen kompetanse etter traumekurs. Sykepleien Forskning. ISSN 1890-2936. 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.

Se alle arbeider i Cristin

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

Se alle arbeider i Cristin

• Janson, Astri Letnes; Opheim, Randi & Hellesø, Ragnhild (2021). Kliniske masterutdanninger for sykepleiere. Kompetanseheving for primærhelsetjenesten?
• Hellesø, Ragnhild; Svendsen, Edel Jannecke; Frederiksen, Kirsten & Norlyk, Annelise (2021). Similarities and differences in developing and educating Advanced Practice Nurses (APN) in two Nordic countries .
• Hellesø, Ragnhild (2021). Forskning på tverrfaglig samarbeid og kontinuitet mellom spesialist- og kommunehelsetjenesten.
• Henni, Silje Havrevold; Ansteinsson, Vibeke Elise; Hellesø, Ragnhild & Hovden, Ewa Alicja Szyszko (2021). CORAL –Connecting ORAL health-and home care service for patients receiving home care in Norway.
• Henni, Silje Havrevold; Hellesø, Ragnhild; Ansteinsson, Vibeke Elise & Hovden, Ewa Alicja Szyszko (2021). Challenges in Establishing Integrated Oral Care for Elderly Receiving Home-Based Health Care.
• Hellesø, Ragnhild (2021). CORAL - nye muligheter i samhandlingen rundt den hjemmeboende pasienten.
• Hellesø, Ragnhild (2021). Samhandling om den hjemmeboende pasient - utfordringer og muligheter.
• Hellesø, Ragnhild; Ansteinsson, Vibeke; Hovden, Ewa Alicja Szyszko; Skudutyte-Rysstad, Rasa & Henni, Silje Havrevold (2021). Hva er CORAL? Introduksjon til prosjektet.
• 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.
• Ansteinsson, Vibeke; Szyszko, Ewa Alicja & Hellesø, Ragnhild (2020). Forskningsrådet må prioritere oral helse. Dagens medisin. ISSN 1501-4290.
• 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 [Vis alle 9 forfattere av denne artikkelen] (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.
• Heggestad, Anne Kari Tolo; Sævareid, Trygve Johannes Lereim; Pedersen, Reidar; Førde, Reidun & Hellesø, Ragnhild (2020). Ofrer vi de gamle? Dagbladet. ISSN 0805-3766.
• Hellesø, Ragnhild (2019). Sammenheng i tjenestene.
• Hellesø, Ragnhild (2019). Samhandlingsutfordringer rundt den eldre hjemmeboende pasient.
• Hellesø, Ragnhild (2019). Fremmer samhandling i helsetjenesten et aldersvennlig samfunn?
• Rostad, Hanne Marie; Sogstad, Maren Kristine Raknes; Skinner, Marianne Sundlisæter & Hellesø, Ragnhild (2019). Friskliv, forebygging og aktivitet – hva tilbys i kommunene? .
• Hellesø, Ragnhild (2019). Det er lederes ansvar å sette inn tiltak som kan lette journalføringen. [Fagblad]. Sykepleien.
• Hellesø, Ragnhild (2019). Første- og andrespråklige sykepleieres journalføring .
• Hellesø, Ragnhild (2019). Samhandling til det bedre eller verre?
• Sogstad, Maren Kristine Raknes & Hellesø, Ragnhild (2019). Formelle og uformelle informasjonskanaler .
• Hellesø, Ragnhild (2019). Hva sier kunnskapsgrunnlaget om pleie- og omsorgsmeldinger.
• Hellesø, Ragnhild (2019). Kunnskapsgrunnlaget om pleie- og omsorgsmeldinger.
• Hellesø, Ragnhild (2019). Hvordan lykkes med å involvere brukere i helsetjenesten? .
• Hellesø, Ragnhild (2019). The emergence of new health care landscape - implications for practice, research and education.
• Sogstad, Maren Kristine Raknes & Hellesø, Ragnhild (2019). Sykepleierenes dokumentasjonssystem suppleres med uformelle infromasjonskanaler.
• Kirkevold, Marit; Mathisen, Lars; Hellesø, Ragnhild; Kvangarsnes, Marit; Bergland, Ådel & Kapstad, Heidi [Vis alle 7 forfattere av denne artikkelen] (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

• Hellesø, Ragnhild; Melby, Line & Obstfelder, Aud (2019). Helse- og omsorgstjenestens nye landskap - betydning for hjemmetjenestens arbeid?
• Kumlin, Marianne & Hellesø, Ragnhild (2019). Brukermedvirkning- hvordan er samspillet i pasientforløp?
• Rosvold, Elin Olaug; Svensberg, Karin; Kalleberg, Birgitte; Mathiesen, Liv; Hellesø, Ragnhild & Hove, Lene Hystad (2018). SamPraks Research Project at UiO.
• Kumlin, Marianne; Hellesø, Ragnhild; Kvigne, Kari Johanne & Berg, Geir Vegard (2018). Å henge i løse luften» Pasientens perspektiv på pasientforløp .
• Aamodt, Ina Marie Thon; Lycholip, Edita; von Lueder, Thomas Gero; Atar, Dan; Hellesø, Ragnhild & Jaarsma, Tiny [Vis alle 9 forfattere av denne artikkelen] (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 [Vis alle 9 forfattere av denne artikkelen] (2018). Telemonitoring of heart failure patients in clinical practice - a nordic baltic survey.
• Aamodt, Ina Marie Thon; Lycholip, Edita; Celutkiené, Jelena; Strømberg, Anna; Atar, Dan & Falck, Ragnhild Sørum [Vis alle 10 forfattere av denne artikkelen] (2018). Remote patient telemonitoring in heart failure care. Experiences and perception of nurses and physicians in the Nordic Baltic region.
• Wøien, Hilde; Svendsen, Edel Jannecke & Hellesø, Ragnhild (2018). Sykepleiere med spesialisering. Bedre helsetjeneste med forskrivningsrett? Dagens medisin. ISSN 1501-4290.
• Johannesen, Lasse Morten; Hellesø, Ragnhild & Ryen, Else (2018). Innhold og språkbruk i journaler forfattet av sykepleiere med norsk som andrespråk og norsk som førstespråk.
• Skinner, Marianne Sundlisæter; Hellesø, Ragnhild & Sogstad, Maren Kristine Raknes (2018). Uformell omsorg i prioriteringsdebatten: ulike typer oppgaver og omsorgsgivere .
• Gautun, Heidi; Hellesø, Ragnhild & Øien, Henning (2018). Presentasjon «Kluss i vekslinga? Hvordan opplever sykepleiere i sykehus at eldre pasienter blir ivaretatt i overgangen til kommunale pleie- og omsorgstjenester?».
• Hellesø, Ragnhild (2018). Towards understanding the complexity of home care nursing .
• Hellesø, Ragnhild (2018). Hvem må ut? Tidsskrift for omsorgsforskning. ISSN 2387-5976. 4(2). doi: 10.18261/ISSN.2387-5984-2018-02-02.
• Sogstad, Maren Kristine Raknes; Skinner, Marianne Sundlisæter & Hellesø, Ragnhild (2018). Patient records in long-term care: An invaluable source of information? .
• Johannesen, Lasse Morten & Hellesø, Ragnhild (2018). Sykepleieres språklige ferdigheter – betydning for pasientperspektiv i pasientjournalen.
• Hellesø, Ragnhild (2018). Prioriteringer i kommunehelsetjenesten - betydning for sykepleien? .
• Hellesø, Ragnhild (2018). Avansert geriatrisk sykepleie (AGS) – erfaringer og utfordringer i etableringsarbeidet. .
• 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. doi: 10.3233/978-1-61499-872-3-235. Fulltekst i vitenarkiv
• 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.

• Hellesø, Ragnhild (2018). Avansert geriatrisk sykepleie – erfaringer og utfordringer .
• Hellesø, Ragnhild (2018). Presentasjon av PriCare.
• Aamodt, Ina Marie Thon; Lycholip, Edita; von Lueder, Thomas Gero; Atar, Dan; Hellesø, Ragnhild & Jaarsma, Tiny [Vis alle 9 forfattere av denne artikkelen] (2017). Telemonitoring of heart failure patients in clinical practice - a Nordic Baltic survey.
• Kumlin, Marianne; Berg, Geir Vegard; Hellesø, Ragnhild & Kvigne, Kari Johanne (2017). Eldre med sammensatte helseproblemer- hva forstås med pasientforløp .
• Hellesø, Ragnhild (2017). Prioritizing care. Emerging dilemmas in the Norwegian care service landscape.
• Hellesø, Ragnhild (2017). Prioriteringer i kommunehelsetjenesten.
• Hellesø, Ragnhild (2017). Forskning og kunnskap i kommunesektoren.
• Hellesø, Ragnhild (2017). Hva sier forskningen om informasjon i utskrivningsprosessen? .
• Hellesø, Ragnhild (2017). Nye utfordringer krever nye roller i sykepleie. .
• Brattheim, Berit J; Melby, Line; Hellesø, Ragnhild & Toussaint, Pieter Jelle (2017). Does Information Quality Matter? (PAHI2017 presentation).
• 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.

• Hellesø, Ragnhild (2017). Hvem skal ut? [Avis]. 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?

• 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.
• Hellesø, Ragnhild (2017). Perspektiver på e-helse i utvikling og praksis.
• Hellesø, Ragnhild (2017). Samhandling - betydning for utdanning?
• Larsen, Lill Sverresdatter; Obstfelder, Aud; Olsvold, Nina & Hellesø, Ragnhild (2017). Med hvilken stemme skal vi snakke om dagens sykepleie? Tidsskriftet sykepleien. ISSN 0806-7511.
• 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. . Inland Norway University of applied sciences - INN University. ISSN 978-82-7184-422-6.

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