HØKH - Health Services Research Unit - Akershus University Hospital

22/05/2025

Ny artikkel fra Linda Aimée Hartford Kvæl i HØKH med kollegaer: "Healthcare professionals' experiences of the Four Habits Model communication course: a qualitative and survey approach to evaluate impact in an intermediate care setting". https://bmjopen.bmj.com/content/15/3/e091143

21/05/2025

Gørill Birkeli og veilederne, bl.a. HØKHs Ellen Tveter Deilkås har publiserte en systematisk litteraturstudie om verktøy som kan benyttes til å lære av positive erfaringer av hvordan helsetjenesten fungerer i praksis. De fleste studiene handlet om validering av verktøyenes evne til å gi innsikt i praktiske erfaringer, og til å forbedre medarbeideres opplevelse av velvære. Få av studiene fokuserte på pasientresultater. Les artikkelen her:

PROSPERO: number CRD42022335758.

20/05/2025

Ingrid Oma Langeland og veilederne, bl.a. HØKHs Ellen Delikås har publiserte en studie om hvordan spørreskjemaet Safety Attitudes Questionnaire- Ambulatory Version (SAQ-A) fungerer på helsestasjoner og i skolehelsetjeneste. Faktoranalyse på data fra 361 respondenter viste at spørreskjemaet fungerte tilfredsstillende. Les artikkelen her: https://onlinelibrary.wiley.com/doi/10.1002/nop2.70228

19/05/2025

Gørill Birkeli og veilederne, bl.a. HØKHs Ellen Tveter Delikås, har gjort en kvalitativ studie av hvordan helsepersonell erfarer å bruk verktøyet «Råbra» for å lære av positive jobberfaringer. Studien viser at verktøyet kan bidra til å øke motivasjon og spre gode erfaringer, men kan også gi opphav til triste opplevelser av å ikke bli sett. Erfaringene som ble delt ble unntaksvis brukt til forbedringer, da de sjelden ble brukt til analyse og organisatoriske læring. Les mer her:

Background Prevailing efforts to ensure patient safety have primarily focused on learning from errors and adverse events (Safety-I). However, it is advocated that complex systems also learn from success (Safety-II) and focus on healthcare professionals’ well-being at work to increase resilience. L...

16/05/2025

HØKHs Rugkåsa og kollegaer testet, i en klynge-RCT, ReCoN-intervensjonen rettet mot kommunal) psykiske helsetjenester for å redusere tvangsinnleggelser. Hovedhypotesen om færre tvangsinnleggelser i intervensjonsgruppen sammenlignet med kontrollgruppen ble støttet. Sekundære hypoteser om mer langsiktig effekt og forskjeller i henvisninger ble ikke støttet. Resultatene utgjør «proof of concept» for at kommunalt psykisk helsearbeid kan bidra til politiske mål om redusert bruk av tvang. Videre testing i mer heterogene kontekster er nødvendig. Les artikkelen her:

Purpose Internationally, policies and legal changes seek to reduce the use of involuntary psychiatric admissions. Usually directed towards specialist services, these initiatives show little sustained progress. We tested whether an intervention at the level of primary mental health services has poten...

15/05/2025

ENGLISH:
HØKH is now on LinkedIn! 🎉 https://www.linkedin.com/company/hokh
Here we will share our latest research findings and other relevant topics for the healthcare services. Our goal is to contribute to the discussion on how we can achieve an even better healthcare service within available resources.

We look forward to your comments, ideas and suggestions!
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NORSK:
HØKH er nå på LinkedIn! 🎉https://www.linkedin.com/company/hokh
Her skal vi dele våre nyeste forskningsresultater og andre aktuelle tema av relevans for helsetjenesten. Målet vårt er å bidra til diskusjon rundt hvordan vi kan få en enda bedre helsetjeneste innenfor tilgjengelige ressurser.

15/05/2025

Magnhild Vikan og veilederne, bl.a. HØKHs Ellen Tveter Delikås, har gjort en kvalitativ studie av kirurgiske pasienters erfaring med pasientsikkerhetskultur på operasjonsavdelingen. Forutsigbare pasientforløp, skreddersydd behandling og dialog på likeverdige premisser økte opplevelsen av pasientsikkerhet. Les artikkelen her: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-12366-

Background Patient engagement and learning from patients’ experiences may increase patient safety and reduce the occurrence of adverse events. Most adverse events are related to surgery, and patient outcomes are positively associated with patient safety culture. This study aimed to explore former ...

07/05/2025

Linda Kvæl has critically examined aging-in-place policies across six Norwegian municipalities, revealing how shared responsibilities empower older adults. The study emphasizes the crucial role of social support and housing in bridging service gaps, along with the need for 'independence literacy' to ensure dignified aging at home. Read the article here:

06/05/2025

Herman Bjørnstad and colleagues has explored how older heart failure patients disclose contextual adherence-related factors during clinical interactions. Analyzing 105 audio-recorded visits, researchers identified 742 instances of patients referring to established adherence factors. Medication-related concerns were the most impactful barriers to adherence for this patient. Read the study here:

Identifying and describing how and when these factors manifest during clinical interactions in the hospital-to-home transition.

25/04/2025

Emilie Alfstad and colleagues, including HØKH’s Anne Werner , have explored primary healthcare professionals' learning experiences in a competence-building programme focused on enhancing observational competencies to improve patient safety. The group-learning activities fostered a supportive environment that enhanced observational competencies, team roles understanding, and interprofessional communication, ultimately benefiting patient safety. Read more here:

Background Primary healthcare in many Western countries faces increased patient care needs due to shorter hospital stays and an ageing population suffering from complex conditions. A shortage of qualified professionals jeopardises the quality of care in primary healthcare settings. Literature indica...

24/04/2025

Christine Frigaard and colleagues investigated how doctors respond when patients with heart failure disclose problems adhering to their medications during medical consultations. They found that although doctors often addressed patients' problem disclosures, half remained unresolved at the end of the consultation, usually because patients indicated that the doctor’s adherence support suggestions were against their preference. Read the study in BMJ Open;

In this explorative study, the doctors were more likely to address the patients' adherence problems associated with unintentional non-adherence risks than those associated with intentional non-adherence risks. Even when doctors attempted to address HF patients' medication adherence problems, half of...

22/04/2025

HØKH researcher Linda Kvæl has tested the Four Habits Communication Model in intermediate care to enhance patient transitions from hospital to home. Participants noted changes in communication practices, with techniques promoting patient involvement and framing the "what matters to you" question. The programme is currently being implemented across all intermediate care facilities in Oslo. Read more here:

Objective This study aimed to investigate healthcare professionals’ (HCPs’) experiences with the simulation-based Four Habits Model (4HM) course programme and evaluate how they perceived the 4HM’s immediate and persistent significance for practice within the intermediate care (IC) context. Des...