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  • 1.
    Aaberg, Oddveig Reiersdal
    et al.
    Norwegian Univ Sci & Technol, Dept Hlth Sci, Fac Med & Hlth Sci, Teknologivegen 22, N-2815 Gjovik, Norway.;Univ Stavanger, Dept Qual & Hlth Technol, Fac Hlth Sci, Stavanger, Norway.;Univ Agder, Fac Hlth & Sport Sci, Dept Hlth & Nursing Sci, Norway..
    Ballangrud, Randi
    Norwegian Univ Sci & Technol, Dept Hlth Sci, Fac Med & Hlth Sci, Teknologivegen 22, N-2815 Gjovik, Norway..
    Husebo, Sissel Iren Eikeland
    Univ Stavanger, Dept Qual & Hlth Technol, Fac Hlth Sci, Stavanger, Norway.;Stavanger Univ Hosp, Gerd Ragna Bloch Thorsens Gate 8, N-4011 Stavanger, Norway..
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study2019In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Despite a growing awareness of the importance of interprofessional teamwork in relation to patient safety, many hospital units lack effective teamwork. The aim of this study was to explore if an interprofessional teamwork intervention in a surgical ward changed the healthcare personnel's perceptions of patient safety culture, perceptions of teamwork, and attitudes toward teamwork over 12 months. Healthcare personnel from surgical wards at two hospitals participated in a controlled quasi-experimental study. The intervention consisted of six hours of TeamSTEPPS team training and 12 months for the implementation of teamwork tools and strategies. The data collection was conducted among the healthcare personnel in the intervention group and the control group at baseline and at the end of the 12 month study period. The results within the intervention group showed that there were significantly improved scores in three of 12 patient safety culture dimensions and in three of five perceptions of teamwork dimensions after 12 months. When comparing between groups, significant differences were found in three patient safety culture measures in favor of the intervention group. The results of the study suggest that the teamwork intervention had a positive impact on patient safety culture and teamwork in the surgical ward.

  • 2.
    Ballangrud, Randi
    et al.
    Norwegian Univ Sci & Technol, Dept Hlth Sci Gjovik, Teknol 22, N-2815 Gjovik, Norway..
    Husebo, Sissel Eikeland
    Univ Stavanger, Dept Qual & Hlth Technol, Stavanger, Norway.;Stavanger Univ Hosp, Dept Surg, Stavanger, Norway..
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Norwegian Univ Sci & Technol, Dept Hlth Sci Gjovik, Teknol 22, N-2815 Gjovik, Norway.;Karlstad Univ, Dept Hlth Sci, Karlstad, Sweden..
    Cross-cultural validation and psychometric testing of the Norwegian version of TeamSTEPPS teamwork attitude questionnaire.2020In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 34, no 1, p. 116-123Article in journal (Refereed)
    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.

  • 3.
    Granrud, Marie
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Theander, K.
    County Council of Värmland, Sweden.
    Anderzen-Carlsson, Agneta
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Steffenak, Anne Kjersti
    Inland Norway University of Applied Science, Norway.
    Experiences of interprofessional collaboration in a special school programme for adolescents who struggle with school life: an explorative study2019In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 33, no 6, p. 706-713Article in journal (Refereed)
    Abstract [en]

    A growing proportion of adolescents struggle with school life and could benefit from special school programmes. School could be an arena for supporting such adolescents and, to meet these challenges, interprofessional collaboration (IPC) has been recommended for better health. The aim of the present study was to explore the experience of IPC in a special school programme offered to adolescents who struggle with school life–from the perspective of the professionals involved. Focus group interviews were carried out with four groups and fourteen participants, and the focus groups included two to five participants each. The focus group interviews were analysed using qualitative content analysis. The analyses from this study resulted in a main theme: IPC in the special school programme is unpredictable. Five categories emerged from the data, including: variations in initiative, significance of individual characteristics, informal and formal contact, lack of criteria and goals, and different obligations. The participants described IPC as differing from case to case, with a lack of criteria and goals for adolescents in the special school programme. They experienced the random nature of whoever took the initiative to collaborate, and that confidentiality and the different documentation requirements could affect IPC.

  • 4.
    Hjalmarson, Helene, V
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Åhgren, Bengt
    The Nordic School of Public Health.
    Strandmark K, Margaretha
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Developing interprofessional collaboration: a case of secondary prevention for patients with osteoporosis2013In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 27, no 2, p. 161-170Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the development of interprofessional collaboration aiming to improve secondary prevention of osteoporosis by studying this topic expansively from the perspectives of different stakeholders. The method used was a longitudinal single case study with both qualitative and quantitative data sources. The findings elucidate that the bottom-up structure used triggers a freedom to act for the professionals and a changed leadership. Such an approach seems to make managers aware of the need for a horizontal organizational focus that, in this case, was crucial for developing interprofessional collaboration. Furthermore, the study shows that continuous feedback was central to motivate professionals to collaborate. Constructive feedback was created by interprofessional and patient-centered interaction skills, facilitated by confirming leadership promoting ability to recognize the efficacy of joint collaboration. The interprofessional collaboration resulted in an improved chain of care with increased transparency and collective control with benefits for both patients and providers. Outcomes at the system level showed an appreciable increase in patients investigated for osteoporosis: 88% were followed up in primary care and nearly half had improved their health behavior. The implementation of a bottom-up structure where leaders and professionals are developing interdependency, measuring collective performance and using feedback loops generated, in this case, motivational forces for interprofessional collaboration. It is reasonable to assume that these findings could be transferable to similar healthcare settings. Read More: http://informahealthcare.com/doi/abs/10.3109/13561820.2012.724123?prevSearch=allfield%253A%2528Hjalmarson%2529&searchHistoryKey=

  • 5.
    Holmesland, Anne-Lise
    et al.
    Soerlandet Hosp Trust, Dept Child & Adolescent Mental Hlth, Kristiansand S, Norway.;Univ Oslo, Inst Clin Med, Oslo, Norway..
    Seikkula, Jaakko
    Univ Jyvaskyla, Dept Psychol, Jyvaskyla, Finland..
    Hopfenbeck, Mark
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Geography, Media and Communication. Gjovik Univ Coll, Dept Hlth Technol & Soc, Gjovik, Norway..
    Inter-agency work in Open Dialogue: the significance of listening and authenticity2014In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 28, no 5, p. 433-439Article in journal (Refereed)
    Abstract [en]

    The article explores what professionals regard as important skills and attitudes for generating inter-agency network meetings involving intra-and interprofessonal work. More specifically, we will examine what they understand as promoting or impeding dialogue and how this is related to their professional backgrounds. The professionals participated in a project using an open dialogue approach in order to increase the use of inter-agency network meetings with young people suffering from mental health problems. In this explorative case study, empirical data was collected through interviews conducted with two focus groups, the first comprising healthcare professionals and the second professionals from the social and educational sectors. Content analysis was used, where the main category that emerged was dialogue. To illustrate the findings achieved in the focus groups, observations of inter-agency network meetings are included. The findings describe the significance and challenges of listening and authenticity in the professionals' reflections. The healthcare workers expressed worries concerning their capacities for open and transparent dialogues, while the other professionals' emphasized the usefulness of particular techniques. Inter-agency network meetings may be improved if more awareness is placed on the significance of meeting atmosphere, dwelling on specific topics, dealing with silence and understanding how authentic self-disclosure in reflections can promote the personal growth of the participants.

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