Åshild Slettebø

• University of Agder

En ny veilederutdanning for sykepleiere i kommunehelsetjenesten er startet opp i Agder. Skikkethetsvurdering av sykepleierstudenter står sentralt. Kommunehelsetjeneste Mastergradsutdanning Pedagogikk Sykepleien 2022;110(90306):e-90306

Introduction Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepte...

The aim of this scoping review was to systematically map and summarise the existing literature on learning activities in pre-and postoperative nursing care for undergraduate nursing students. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Extension for Scoping Reviews (PRISMA-ScR) and the Johanna Briggs Institute guidelines...

Aims and objectives To explore recently graduated perioperative nurses' experiences of interprofessional simulation‐based learning during postgraduate education and investigate whether and how this learning approach contributed to the development of their professional competence in meeting acute clinical situations. Background Perioperative nursin...

Background Insight into and understanding of content and comprehensiveness in nursing documentation is important to secure continuity and high-quality care planning in long-term dementia care. The accuracy of nursing documentation is vital in areas where residents have difficulties in communicating needs and preferences. This study described the co...

It is unclear to what extent nursing students are able to apply person-centred care in practice, despite a mixture of educational support approaches. The aim of this study was to explore nursing students’ experiences of learning about person-centred dementia care after they participated in an adopted education programme in a nursing home. The educa...

Aim To explore first‐year student nurses’ lived experience of learning in clinical placement in nursing homes. Background Nursing homes traditionally represent students’ first clinical placement sites during nurse education, and nursing home residents’ care needs can provide opportunities for student nurses to acquire both fundamental and speciali...

Aims and objectives To explore the clinical reasoning process of experienced registered nurses during care planning and documentation of nursing in the electronic health records of residents in long‐term dementia care. Background Clinical reasoning is an essential element in nursing practice. Registered nurses’ clinical reasoning process during th...

Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care. Aim: The main aim was to explore phenom...

Background Simulation exercises are increasingly being used as a teaching method in the field of undergraduate nursing education. Thus, the present study sought to identify, describe and discuss enablers of the successful implementation of simulation exercises in undergraduate nursing education. Methods This study had a qualitative descriptive des...

Aim This study describes the examination practices and clinical evaluation processes that Registered Nurses in Norway perform in the community healthcare sector. Design A qualitative exploratory design. Methods Twenty interviews were conducted with Registered Nurses employed in the community healthcare sector in Norway. The data were analysed usi...

Nursing education in the Nordic countries follows the European Union directive requirements, and clinical studies for nursing students in the Nordic countries have many similarities. Now a new generation of students with different needs and characteristics is entering the nursing profession. The faculty, teachers and nurses will face challenges in...

The aim of this integrative review was to identify and synthesize current evidence of factors that influence the professional identity development of nursing students in nursing educational programs. Cinahl (EBSCO), Medline, ERIC, Embase, and PsycINFO were searched. Three different appraisal tools and the PRISMA checklist were used. The data from b...

The overall aim of this study was to examine the effects of a high-fidelity simulation on the knowledge and self-confidence of a total of 177 undergraduate nursing students in recognizing and responding to hypovolemia. A randomized experimental pre-and post-test research design with a process evaluation was employed. A significantly larger proporti...

Self-efficacy is an essential concept regarding academic performance and persistence in higher education. Research indicates that interprofessional simulation-based learning influences participants’ self-efficacy and points to a need for more research on self-efficacy and its development. This study describes perioperative nursing students’ experie...

Purpose Around 15%–30% of adolescents and young adults (AYAs) experience persistent or chronic pain. The purpose of this study was to synthesise evidence from qualitative primary studies on how AYAs in a non-clinical population experience living with persistent pain. Method A qualitative metasynthesis guided by Sandelowski and Barroso’s guidelines...

Background There is a growing demand to provide complex healthcare services in patients' own homes. However, high quality home healthcare clinical placements are often difficult to obtain, and arranging laboratory-based simulations to provide relevant clinical-practical learning experiences for all students is resource intensive. Objectives The ai...

Cultivation and co-creation of education between academy and nursing home - a critical ethnography study Collaboration between academy and practice in education is emphasized. In this study, we explored and described boundary-crossing spaces, when co-creating an adjusted educational program for nursing students in a nursing home in Norway. Our aim...

Aim To explore perioperative nursing students' experiences of interprofessional simulation‐based learning to gain a deeper understanding of how this educational tool can be used to support students' learning and enable them to achieve the intended learning outcomes. Background Despite extensive research, it remains unclear what and how participant...

Introduction Improved quality in clinical supervision and assessment of student nurses in nursing home clinical placements is vitally important to effective recruitment and preparation for this healthcare sector. Knowledge regarding supervision and assessment practices within these settings is limited. Also, knowledge of evolving e-learning tools o...

Background Nursing education has evolved in line with societal needs, and simulation-based learning (SBL) is increasingly being used to bridge the gap between practice and education. Previous literature reviews have demonstrated the effectiveness of using SBL in nursing education. However, there is a need to explore how and why it works to expand t...

Purpose The number of adolescents experiencing pain is increasing. Pain has a major impact on several areas of daily living, such as function at school and school absenteeism, loss of appetite and socializing. One out of ten pupils in Norwegian schools is immigrants, and surveys have shown that immigrants suffer from poor health more often than the...

Purpose This paper aims to investigate the conditions under which learning and innovation occur within nursing homes by focusing on how the dynamics of the distribution and transformation of ideas and knowledge may be viewed as a prerequisite for innovation in both formal, planned learning situations and informal, everyday practices. Design/method...

Aim To evaluate the validity and responsiveness of a questionnaire developed to measure the impact of a high‐fidelity simulation intervention. Design A pre‐ and postintervention design. Methods In August 2017, 107 participants completed a questionnaire measuring knowledge and perceived self‐confidence pre‐ and postintervention. Validity of the qu...

Nursing education in countries belonging to the European Union (EU) must follow EU directive requirements. The aim of this opinion paper is to explore and discuss the challenges presented by EU requirements to clinical practice in nursing education. These requirements prescribe that clinical practice must be carried out in a variety of different an...

Meaningfulness in life: A vital factor for well-being in (very) old age? Dominant models in gerontology and old age care, such as active ageing or successful ageing, focus mainly on the preservation of optimal cognitive and physical functioning into advanced age and often strive to mediate age-related decline. A recent different perspective, framed...

Preconditions for successful social innovation in nursing homes: Managers' perspectives - a qualitative interview study In this article, we investigate preconditions for social innovation in institution-based elderly care in Norway and Denmark. The article draws on two semi-structured interviews and one focus-group interview. The interviewees are...

The rapidly growing number of older people with increasingly complex needs places pressure on quality of care and thereby presents a need for innovation in nursing homes. The aim of this review was to provide a comprehensive overview of the current state of evidence for the importance of leadership in innovation processes in nursing homes. A system...

Aims: To explore how older Norwegian women living at home experience ageing, and how their everyday life has been influenced by their encounters with the challenges of life. Methods: A qualitative design, interviewing ten women age 90 or older, was employed. Results: The overall theme of the findings is how everyday life in old age is influenced by...

Background In recent years, inter-municipal cooperation in healthcare services has been an important measure implemented to meet future demographic changes in western countries. This entails an increased focus on communication and information sharing across organisational borders. Technology enables efficient and effective solutions to enhance such...

Background Traditional, hierarchical government structures have recently been challenged by increased complexity, fragmented services and heavy public demand. When healthcare services become fragmented and decentralised, they require redesign. Inter-municipal cooperation is a strategy to deal with current challenges and future demographic changes....

Background: The objective was to summarize knowledge, systematically collect and quantify meta-analytical results regarding the effects of high-fidelity simulation in nursing education to improve student’s ability to recognize and respond to deteriorating patients. Methods: In total, 4048 citations were screened, 40 articles were selected for full...

Aim and Objectives The aim of this article is to present results from interviews of older people living in nursing homes, on how they experience freedom. Background We know that freedom is an existential human matter, and research shows that freedom remains important throughout life. Freedom is also important for older people, but further research...

Future nursing education is challenged to develop innovative and effective programs that align with current changes in health care and to educate nurses with a high level of clinical reasoning skills, evidence-based knowledge, and professional autonomy. Serious games (SGs) are computer-based simulations that combine knowledge and skills development...

Background: Despite an increasing number of serious games (SGs) in nursing education, few evaluation studies specifically address their educational value in terms of face, content, and construct validity. Objectives: To assess nursing students' perceptions of a video-based SG in terms of face, content, and construct validity. In addition, the st...

Aim: The aim of this study was to explore family members’ satisfaction with care and decision-making during the intensive care units stay and their follow-up needs after the patient’s discharge or death. Design: A cross-sectional survey study was conducted. Methods: Family members of patients recently treated in an ICU were participating. The quest...

Background Pain problems are a rapidly growing health problem found among both children and adolescent, and about 15–30% have reported chronic pain problems. School nurses in Norway meet adolescents with various ailments, including pain. Yet research on how school nurses perceive the pain experienced by adolescents is limited. The aim of the presen...

Background: Ethical challenges arise in all types of care, and leaders need to be aware of how to resolve these challenges. Healthcare systems tend to be organised around medical conditions, and the patient is often faced with a series of uncoordinated visits to multiple specialties. Ideally, care should be organised around the patient's needs. A...

Knowledge about public health and public health work is important for meeting current and future health challenges. A group of nursing students in a cohort participated in a practicum programme pertaining to the study of the academic subject ‘Nursing and Society’. The municipality’s public healthcare services were the learning arena. The purpose of...

Background: Living in a nursing home may be challenging to the residents' experience of dignity. Residents' perception of how their dignity is respected in everyday care is important. Aim: To examine how nursing home residents experience dignity through the provision of activities that foster meaning and joy in their daily life. Method: A qual...

Aim and objectives: The aim of this study was to get information on how nursing students react to, think about and learn from digital recording as a learning and teaching method over time. Background: Based on the teaching and learning philosophy of the university college, we used digital recording as a tool in our daily sessions in skills labor...

A central task in palliative care is meeting the needs of frail, dying patients in nursing homes. The aim of this study was to investigate how healthcare workers are influenced by and deal with ethical challenges in end-of-life care in nursing homes. The study was inspired by clinical application research. Researchers and clinical staff, as co-rese...

Background: Serious games (SGs) are a type of simulation technology that may provide nursing students with the opportunity to practice their clinical reasoning and decision-making skills in a safe and authentic environment. Despite the growing number of SGs developed for healthcare professionals, few SGs are video based or address the domain of ho...

Background: The home healthcare context can be unpredictable and complex, and requires registered nurses with a high level of clinical reasoning skills and professional autonomy. Thus, additional knowledge about registered nurses' clinical reasoning performance during patient home care is required. Objectives: The aim of this study is to describ...

The aim of this study was to answer the question "What do nursing home residents do themselves in order to maintain their dignity?" Twenty-eight residents, 8 men and 20 women, aged 62 to 103 years, from 6 different nursing homes in Scandinavia were interviewed. The results showed that the residents tried to expand their life space, both physical an...

Aims and objectives: The aim of this study is to describe healthcare professionals' experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway. Background: Documentation of individualized patient care is a continuing concern in hea...

Respecting as a basic teamwork process in the operating theatre Background: Studies show that working as a team in the operating theatre can be a challenge, and that surgical teams are not so cohesive as might be expected. Methods: A qualitative approach with exploratory design was used, inspired by grounded theory (GT) as a methodology. The data a...

Background: Older people, living in nursing homes, are exposed to diverse situations, which may be associated with loss of dignity. To help them maintain their dignity, it is important to explore, how dignity is preserved in such context. Views of dignity and factors influencing dignity have been studied from both the residents' and the care provi...

Background Physical impairment and dependency on others may be a threat to dignity. Research questions The purpose of this study was to explore dignity as a core concept in caring, and how healthcare personnel focus on and foster dignity in nursing home residents. Research design This study has a hermeneutic design. Participants and research con...

Aims and Objectives To illuminate relatives’ experiences of everyday life after a loved one's stay in an intensive care unit. Background Relatives of intensive care patients experience considerable stress that can have a long‐lasting effect on their everyday lives. Relatives frequently report anxiety, depression and complicated grief as a result o...

Numerous factors in today's health care environment make nursing education a critical priority and challenge. Changes are needed in order to provide quality education, and nursing education must drive this change instead of trying to keep pace. This study aims to evaluate nurse educators' experience of their current role and future challenges withi...

The aim of this study was to design and pilot-test a serious game for teaching nursing students clinical reasoning and decision-making skills in caring for patients with chronic obstructive pulmonary disease. A video-based serious game prototype was developed. A purposeful sample of six participants tested and evaluated the prototype. Usability iss...

This abstract describes an evaluation of an action research project conducted to improve nursing documentation practice in four municipalities in Norway. In an explorative design, four focus group interviews and two individual interviews were conducted. The interview data were analyzed using content analysis. Three themes emerged: healthcare profes...

Objectives More adolescents report pain now than previously. In Norway, episodic pain problems have been reported by 60% of children and adolescents aged 8–18 years, with 21% reporting duration of pain of more than 3 months. Since adolescents spend much time at school, the attitude and behaviour of teachers play important roles regarding the experi...

To explore nurses' strategies that may support the sense of coherence in people with dementia. People with dementia are often described as people with no resources, people who need support from family or from healthcare personnel to function in everyday life. Despite the disease, some people still have the resources needed to cope well with parts o...

The aim of this article was to present and discuss findings on what individuals with dementia do by themselves to maintain or promote their dignity of identity when they live in a nursing home. The majority of residents living in Norwegian nursing homes suffer from dementia. Individuals who suffer from dementia are particularly vulnerable, and thei...

Dignity is a core concept in nursing care. In earlier theories on dignity, close links have been drawn between dignity and autonomy, and autonomy has been closely related to independence. These traditional understandings of dignity and autonomy may be challenged when an individual moves into a nursing home. Our findings show that negative views abo...

The aim of this study was to investigate whether agility activity with dogs can be used to motivate less active children in physical activity and how such activity is experienced by parents and handlers. Data were collected through qualitative interviews with handlers and parents of the participating children. Agility with dogs appeared to motivate...

Dignity is a core concept in nursing care. In earlier theories on dignity, close links have been drawn between dignity and autonomy, and autonomy has been closely related to independence. These traditional understandings of dignity and autonomy may be challenged when an individual moves into a nursing home. Our findings show that negative views abo...

In Norway, an Individual Plan (IP) is a statutory right and a tool for cooperation between the client in need of long-term, coordinated services and the public services. This study analyses the explicit needs of users, how the various actors in the IP process met these needs, as seen from the users' perspective, and, finally, how disability influen...

This chapter, Sustainability in nursing education, Åshild Slettebø argues how sustainability can be integrated into nursing training and education. A key here is for the students to be able to develop a comprehensive perspective on nursing. The chapter uses different definitions of sustainability, linked to an account of responsibilities of nurses....

The purpose of the present study was to investigate the ethical challenges healthcare professionals experience as a consequence of the way health services are organised and how to meet these challenges for older people in a Norwegian municipality. A qualitative approach was used. It was completed 15 focus-group interviews with healthcare profession...

As more people experience old age as a time of growth and productivity, more research is needed that explores how they master everyday life. This paper reports on a qualitative study that explored how ten older women age 90 years or more experience and cope with the challenges of everyday life with a salutogenic perspective. The findings suggest th...

Background Situations where patients resist necessary help can be professionally and ethically challenging for health professionals, and the risk of paternalism, abuse and coercion are present. Research question The purpose of this study was to examine ethical challenges in situations where the patient resists healthcare. Research design The meth...

This study describes different perspectives of dignity in the care of residents experienced by family caregivers. Both patients and family caregivers express existential concerns about dignity in care, but differences between these experiences are out of phase with each other. Individual interviews with 28 family caregivers were conducted between J...

Background Ethical reflections over care practices are important. In order to be able to perform such reflections, healthcare professionals must learn to think critically about their care practice. Aim The aim of this study was to evaluate whether an introduction to and practice in ethical reflections in community healthcare have consequences for...

This qualitative study focused on dignity in nursing homes from the perspective of family caregivers. Dignity is a complex concept and central to nursing. Dignity in nursing homes is a challenge, according to research. Family caregivers are frequently involved in their family members’ daily experiences at the nursing home. Twenty-eight family careg...

Health professionals are required to collect data from standardized tests when assessing older patients' functional ability. Such data provide quantifiable documentation on health outcomes. Little is known, however, about how physiotherapists and occupational therapists who administer standardized tests use test information in their daily clinical...

The objective was to evaluate master level nurse education in Denmark, Finland, Norway, and Sweden in relation to educational convergence and the professional status of nurses. A qualitative literature review was conducted and during 2009 to 2012, official databases, concerning European and national educational initiatives, were searched to identif...

Background As part of an ongoing Scandinavian project on the dignity of care for older people, this study is based on ‘clinical caring science’ as a scientific discipline. Clinical caring science examines how ground concepts, axioms and theories are expressed in different clinical contexts. Central notions are caring culture, dignity, at-home-ness,...

Aims and objectives: The aim of this crosscountry Scandinavian study was to explore how residents in nursing homes experience that their dignity is promoted and attended to. This is one part of the Scandinavian project in which we interviewed residents, relatives and staff members. Background: The main subject concerns the dignity of residents of n...

This study describes different perspectives of dignity in the care of residents experienced by family caregivers. Both patients and family caregivers express existential concerns about dignity in care, but differences between these experiences are out of phase with each other. Individual interviews with 28 family caregivers were conducted between J...

This article explores the kind of critical and reflective thinking taht influences the social and health care professionals in the Individual Plan process. An inter-professional group of six healthcare and social researchers collected the data, which consisted of in-depth interviews with 12 service providers who were the clients´coordinatorsclients...

This article presents and discusses findings from a qualitative study on how the dignity of patients with dementia is preserved or harmed when they live in a nursing home. The results build on participant observation in two nursing home wards, combined with qualitative interviews with seven relatives of patients with dementia. The most important is...

Demographical changes have stimulated a coordination reform in the Norwegian health care sector, creating new working practices and extending coordination within and between primary and hospital care, increasing the need for inter-municipal cooperation (IMC). This study aimed to identify challenges to coordination and IMC in the Norwegian health ca...