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Hall-Lord, Marie LouiseORCID iD iconorcid.org/0000-0003-3385-3731
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Publications (10 of 153) Show all publications
Reiersdal Aaberg, O., Hall-Lord, M. L., Eikeland Husebø, S. I. & Ballangrud, R. (2019). A complex teamwork intervention in a surgical ward in Norway. BMC Research Notes, 12(1), 1-7, Article ID 582.
Open this publication in new window or tab >>A complex teamwork intervention in a surgical ward in Norway
2019 (English)In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 12, no 1, p. 1-7, article id 582Article in journal (Refereed) Published
Abstract [en]

Objectives: Interprofessional team training has a positive impact on team behavior and patient safety culture. The overall objective of the study was to explore the impact of an interprofessional teamwork intervention in a surgical ward on structure, process and outcome. In this paper, the implementation of the teamwork intervention is reported to expand the understanding of the future evaluation results of this study. Results: The evidence-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was implemented in three phases according to the program's implementation plan, which are built on Kotter's organizational change model. In the first phase, a project group with the leaders and researchers was established and information about the project was given to all health care personnel in the ward. The second phase comprised 6 h interprofessional team training for all frontline health care personnel followed by 12 months implementation of TeamSTEPPS tools and strategies. In the third phase, the implementation of the tools and strategies continued, and refresher training was conducted. Trial registration Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date May 30, 2017

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Implementation, Interprofessional, Intervention, Patient safety, Surgical ward, Team training, TeamSTEPPS, adult, article, drug safety, health care personnel, human, leadership, Norway, outcome assessment, teamwork
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-75714 (URN)10.1186/s13104-019-4619-z (DOI)2-s2.0-85072201793 (Scopus ID)
Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-21Bibliographically approved
Aaberg, O. R., Hall-Lord, M. L., Husebo, S. I. & Ballangrud, R. (2019). Collaboration and Satisfaction About Care Decisions in Team questionnaire: Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units. Nursing Open, 6(2), 642-650
Open this publication in new window or tab >>Collaboration and Satisfaction About Care Decisions in Team questionnaire: Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 642-650Article in journal (Refereed) Published
Abstract [en]

Aim To translate "The Collaboration and Satisfaction About Care Decisions in Team" questionnaire (CSACD-T) into Norwegian and test it for psychometric properties. The further aim was to describe and compare healthcare personnel's collaboration and satisfaction about team decision-making (TDM) across hospital units. Design A cross-sectional study. Methods The questionnaire was translated into Norwegian. A total of 247 healthcare personnel at two hospitals responded to the questionnaire. An explorative factor analysis was performed to test the factor structure of the questionnaire, while a Cronbach's alpha analysis was used to test for internal consistency. A one-way ANOVA analysis and a Kruskal-Wallis test were applied to test for differences between hospital units. Results The results demonstrate that the Norwegian version of the CSACD-T has promising psychometric properties regarding construct validity and internal consistency. The mean score of the CSACD-T was significantly higher in the maternity ward group than in the emergency room group.

Place, publisher, year, edition, pages
HOBOKEN, USA: John Wiley & Sons, 2019
Keywords
NURSE-PHYSICIAN COLLABORATION; PATIENT; TRANSLATION; ADAPTATION; SIMULATION; KNOWLEDGE; MEDICINE; MODEL
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-71733 (URN)10.1002/nop2.251 (DOI)000461835600044 ()30918715 (PubMedID)2-s2.0-85062997852 (Scopus ID)
Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-11-28Bibliographically approved
Ballangrud, R., Husebo, S. E. & Hall-Lord, M. L. (2019). Cross-cultural validation and psychometric testing of the Norwegian version of TeamSTEPPS teamwork attitude questionnaire.. Journal of Interprofessional Care
Open this publication in new window or tab >>Cross-cultural validation and psychometric testing of the Norwegian version of TeamSTEPPS teamwork attitude questionnaire.
2019 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567Article in journal (Refereed) Epub ahead of print
Abstract [en]

Healthcare professionals' attitudes play a significant role in influencing team behavior, and thereby affect the quality and safety of patient care. Culturally adapted and validated questionnaires may contribute valuable knowledge of professionals' attitudes toward teamwork. The aim of the study was to translate and cross-validate the TeamSTEPPS Teamwork Attitude Questionnaire (T-TAQ) into Norwegian, and to test the questionnaire for psychometric properties among Norwegian healthcare professionals. The T-TAQ, measuring five dimensions of attitude towards teamwork, was translated according to a model of back translation. Healthcare professionals (N = 247) from various hospital settings responded. A Pearson correlation coefficient, confirmatory factor analysis (CFA), test-retest reliability, Cronbach's alpha, and McDonald's omega were conducted. The inter-correlation test of the T-TAQ dimensions ranged from 0.16 to 0.54. The CFA showed a Root Mean Square Error of Approximation of (RMSEA) = 0.061. Test-retest showed Intraclass Correlation Coefficient scores from 0.73 to 0.86, with Cronbach's alpha and McDonald's omega demonstrating values from 0.53 to 0.76 (alpha) and 0.57 to 0.76 (omega) on the five dimensions. The Norwegian version of T-TAQ revealed potential concerning the psychometric property for measuring healthcare professionals' attitudes toward teamwork in hospital settings. Further testing with a sample that is more proportionally composed in terms of an interprofessional mix is therefore proposed.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Confirmatory factor analysis, healthcare professionals, patient safety, teamwork
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-74767 (URN)10.1080/13561820.2019.1638759 (DOI)000482357400001 ()30657020 (PubMedID)
Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2019-11-14Bibliographically approved
Moen, Ö. & Hall-Lord, M. L. (2018). Adolescents’ mental health, help seeking and service use and parents’ perception of family functioning. Nordic journal of nursing research, 39(1), 1-8
Open this publication in new window or tab >>Adolescents’ mental health, help seeking and service use and parents’ perception of family functioning
2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 1, p. 1-8Article in journal (Refereed) Published
Abstract [en]

The adolescent population is facing mental-health challenges such as depression and anxiety. The aim of this study was to describe and investigate the mental health of adolescents, their relation to their parents, who they contact for help and their healthcare service use. A further objective was to describe and investigate family functioning in parents. A cross-sectional design was employed using register data from a survey of adolescents (n = 46,961), and surveys were conducted of two groups of parents – one group of parents with children with attention deficit hyperactivity disorder (n = 264) and one group of parents with school children (n = 157). Descriptive and comparative statistics were used. Of the adolescents, 5.65% were quite distressed. This group of adolescents would be less likely to seek help from friends and parents than the other adolescents. They were also more likely to use all types of healthcare services, and parents reported that they avoided discussing fears and concerns. School nurses are low-threshold professionals who can contribute in early support and interventions, providing service to all school pupils with an open-door policy. The use of family conversations focusing on strengths and resources may help the families to talk about difficult matters and highlight the resources in the family.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
adolescents, mental health, parents, school nurse, service use
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-75808 (URN)DOI: 10.1177/2057158518764036 (DOI)
Available from: 2019-11-20 Created: 2019-11-20 Last updated: 2019-12-05Bibliographically approved
Hall-Lord, M. L., Petzäll, K. & Hedelin, B. (2018). Norwegian and Swedish nursing students’ concerns about dying. Nordic journal of nursing research, 38(1), 18-27
Open this publication in new window or tab >>Norwegian and Swedish nursing students’ concerns about dying
2018 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 1, p. 18-27Article in journal (Refereed) Published
Abstract [en]

Providing care for dying patients is demanding for nurses. The aim of this study was to investigate Norwegian and Swedishnursing students’ concerns about dying and sense of coherence in their first and third year. Further, to describe the students’experiences of caring for dying patients during their education. Nursing students in their first and third year in Norway (n¼64)and Sweden (n¼79) responded to the questionnaire Concerns about Dying and Sense of Coherence Scale. Interviews wereconducted with 11 students. In their third year, both groups reported reduced concerns with regard to their own death.Norwegian students with no experience in healthcare before education reported more concerns about dying patients. Caringfor a dying patient was experienced as a challenge to endure, perform and learn. There is a need to develop teaching methodsand to give individualized support to nursing students during their education.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
adolescents, mental health, parents, school nurse, service use
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-75810 (URN)10.1177/2057158517709408 (DOI)
Available from: 2019-11-20 Created: 2019-11-20 Last updated: 2019-11-28Bibliographically approved
Ballangrud, R., Husebo, S. E. & Hall-Lord, M. L. (2017). Cross-cultural validation and psychometric testing of the Norwegian version of the TeamSTEPPS (R) teamwork perceptions questionnaire. BMC Health Services Research, 17, 1-10, Article ID 799.
Open this publication in new window or tab >>Cross-cultural validation and psychometric testing of the Norwegian version of the TeamSTEPPS (R) teamwork perceptions questionnaire
2017 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, p. 1-10, article id 799Article in journal (Refereed) Published
Abstract [en]

Background: Teamwork is an integrated part of today's specialized and complex healthcare and essential to patient safety, and is considered as a core competency to improve twenty-first century healthcare. Teamwork measurements and evaluations show promising results to promote good team performance, and are recommended for identifying areas for improvement. The validated TeamSTEPPS (R) Teamwork Perception Questionnaire (T-TPQ) was found suitable for cross-cultural validation and testing in a Norwegian context. T-TPQ is a self-report survey that examines five dimensions of perception of teamwork within healthcare settings. The aim of the study was to translate and cross-validate the T-TPQ into Norwegian, and test the questionnaire for psychometric properties among healthcare personnel. Methods: The T-TPQ was translated and adapted to a Norwegian context according to a model of a back-translation process. A total of 247 healthcare personnel representing different professionals and hospital settings responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to establish internal consistency, and an Intraclass Correlation Coefficient was used to assess the test - retest reliability. Result: A confirmatory factor analysis showed an acceptable fitting model (chi(2) (df) 969.46 (546), p < 0.001, Root Mean Square Error of Approximation (RMSEA) = 0.056, Tucker-Lewis Index (TLI) = 0.88, Comparative fit index (CFI) = 0.89, which indicates that each set of the items that was supposed to accompany each teamwork dimension clearly represents that specific construct. The Cronbach's alpha demonstrated acceptable values on the five subscales (0.786-0.844), and test-retest showed a reliability parameter, with Intraclass Correlation Coefficient scores from 0.672 to 0.852. Conclusion: The Norwegian version of T-TPQ was considered to be acceptable regarding the validity and reliability for measuring Norwegian individual healthcare personnel's perception of group level teamwork within their unit. However, it needs to be further tested, preferably in a larger sample and in different clinical settings.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
healthcare, patient safety, teamwork, compentency, healthcare personell, Confirmatory factor analysis, Patient safety
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65931 (URN)10.1186/s12913-017-2733-y (DOI)000417082900002 ()29197381 (PubMedID)
Available from: 2018-01-25 Created: 2018-01-25 Last updated: 2018-04-17
Lovlien, M., Mundal, L. & Hall-Lord, M. L. (2017). Health-related quality of life, sense of coherence and leisure-time physical activity in women after an acute myocardial infarction. Journal of Clinical Nursing, 26(7-8), 975-982
Open this publication in new window or tab >>Health-related quality of life, sense of coherence and leisure-time physical activity in women after an acute myocardial infarction
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 7-8, p. 975-982Article in journal (Refereed) Published
Abstract [en]

Aims and objectivesTo examine the relationship between leisure-time physical activity, health-related quality of life and sense of coherence in women after an acute myocardial infarction, and further to investigate whether these aspects were associated with age. BackgroundPhysical activity and health-related quality of life are vital aspects for patients after an acute myocardial infarction. DesignCross-sectional. MethodAll eligible women diagnosed with acute myocardial infarction received a postal questionnaire two to three months after hospital discharge, and 142 women were included. To measure health-related quality of life and sense of coherence, The MacNew Heart disease questionnaire and the Sense of coherence-13 scale was used. ResultsRespondents reporting at least one type of physical activity had significantly higher health-related quality of life as compared to respondents reporting no kind of physical activity. Respondents reporting physical activity for at least 30minutes twice a week had significantly higher health-related quality of life scores than respondents being active less than twice a week. A weak association was found between physical activity level and sense of coherence. Reduction in physical activity after the acute myocardial infarction was associated with reduced health-related quality of life and sense of coherence. Sense of coherence was significantly associated with age, as respondents 75years and older had significantly higher scores than respondents younger than 75years. ConclusionsPhysical activity, even at a low level, is significantly associated with increased health-related quality of life and to some extent to sense of coherence. Relevance to clinical practiceTailoring women after an acute myocardial infarction about lifestyle changes must include knowledge about the benefits of leisure-time physical activity, and that even a small amount of activity is associated with a better health-related quality of life. The utmost important assignment is to motivate the women for regular physical activity in their leisure-time. Older women need special attention.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
Keywords
coronary heart disease, quality of life, sense of coherence, women
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-65408 (URN)10.1111/jocn.13411 (DOI)000399302800009 ()27239746 (PubMedID)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2019-08-02Bibliographically approved
Ballangrud, R., Husebo, S. E., Aase, K., Aaberg, O. R., Vifladt, A., Berg, G. V. & Hall-Lord, M. L. (2017). "Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach. BMC Nursing, 16, Article ID 34.
Open this publication in new window or tab >>"Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach
Show others...
2017 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, article id 34Article in journal (Refereed) Published
Abstract [en]

Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2). Methods: To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients' medical records will be collected (Part 2). Discussion: This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel's team competences with an opportunity to achieve changes in work processes and patient safety.

Place, publisher, year, edition, pages
BioMedCentral, 2017
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:kau:diva-65687 (URN)10.1186/s12912-017-0229-z (DOI)000405021000001 ()28670201 (PubMedID)
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-07-04Bibliographically approved
Moen, O. L., Hedelin, B. & Hall-Lord, M. L. (2016). Family Functioning, Psychological Distress, and Well-Being in Parents with a Child Having ADHD. SAGE Open, 6(1), Article ID 2158244015626767.
Open this publication in new window or tab >>Family Functioning, Psychological Distress, and Well-Being in Parents with a Child Having ADHD
2016 (English)In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 6, no 1, article id 2158244015626767Article in journal (Refereed) Published
Abstract [en]

Attention deficit hyperactivity disorder (ADHD) is one of the most common behavioral disorders in children. Children with ADHD have difficulties regarding the regulation of their emotions and activities and of the maintenance of attention and impulse control. Families with children with ADHD encounter many challenges, and the public health nurse is highlighted as helping and supporting these families. The aim of this study was to investigate families with a child having ADHD from the parents' perspective. A cross-sectional study was performed. In total, N = 264 parents of children with ADHD, 217 mothers and 47 fathers (48.2%), responded on a questionnaire regarding psychological distress, family sense of coherence, and family functioning. Parents with ADHD and parents with children not medicated for ADHD seemed most vulnerable. Parents' wellbeing and psychological distress seem to influence family functioning the most, with the behavior of the child with ADHD and support from the community health services had importance.

Keywords
ADHD, child, early interventions, family, family functioning, parents, public health nurse
National Category
Health Sciences
Research subject
Nursing Science; Public Health Science
Identifiers
urn:nbn:se:kau:diva-41178 (URN)10.1177/2158244015626767 (DOI)000369962900037 ()
Available from: 2016-03-30 Created: 2016-03-30 Last updated: 2017-11-30Bibliographically approved
Skundberg Kletthagen, H., Hall-Lord, M. L., Hedelin, B. & Wangensteen, S. (2016). Relatives of Inpatients Suffering from Severe Depression: Their Burden and Encounters with the Psychiatric Health Services. Issues in Mental Health Nursing, 37(5), 293-298
Open this publication in new window or tab >>Relatives of Inpatients Suffering from Severe Depression: Their Burden and Encounters with the Psychiatric Health Services
2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 5, p. 293-298Article in journal (Refereed) Published
Abstract [en]

The aim was to investigate relatives of inpatients with severe depression - their perceptions of encountering psychiatric specialist health services and their degree of burden. Sixty-eight relatives recruited via hospital wards and community specialist health centers responded to a questionnaire, with questions from the Quality from the Patients Perspective modified to relatives and the Burden Assessment Scale. Relatives recruited via community specialist health centers perceived less received information and support than those recruited via hospital wards. Higher burden was reported among relatives receiving less information and support than they needed from the psychiatric specialist health services. Healthcare professionals are recommended to give relatives the information and support according to their needs.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-44655 (URN)10.3109/01612840.2016.1145309 (DOI)000379072900003 ()27058574 (PubMedID)
Available from: 2016-08-11 Created: 2016-08-11 Last updated: 2019-06-10Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-3385-3731

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