Kristin Heggen

Kristin Heggen
University of Oslo · Division of Medicine

About

97
Publications
22,853
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,225
Citations

Publications

Publications (97)
Article
Full-text available
Agenda 2030 with the Sustainable Development Goals makes the transformative pledge to ‘leave no one behind.’ This paper asks how Agenda 2030 bring certain gendered vulnerabilities to light and make others invisible, and how this affects that transformative pledge. Through a close reading supported by Chantal Mouffe and Ernesto Laclau’s discourse th...
Article
Full-text available
The aim of this paper is to analyze epistemic interactions in healthcare practices. In clinical encounters, participants exchange and interpret knowledge. Patients suffering from fibromyalgia often report that healthcare professionals do not take their testimonies and interpretations seriously. Such experiences will be explored using the concept of...
Article
Full-text available
This article explores recent HIV prevention campaigns for pre-exposure prophylaxis (PrEP), focusing on how they integrate pleasure and desire in their calls for self-discipline through a continual use of pharmaceuticals. This emerging type of health promotion, here represented by ads promoting the preventive use of pharmaceuticals, no longer simply...
Article
Purpose To explore, from a philosophy of knowledge perspective, the contribution of the guideline development process to reducing epistemic uncertainty in clinical decision-making – defined as the challenge of applying evidence to patients, dealing with conflicting information and determining the level of confidence in a medical conclusion. Method...
Article
Full-text available
Background: The United Nations (UN) Sustainable Development Goals (SDGs) are parts of an ambitious framework for global development, the 2030 Agenda. Voluntary national reviews (VNRs) are described as "cornerstones" in the followup system, which is premised on international sharing of knowledge and experience. Norway and Sweden are among the world...
Conference Paper
Objectives Abstract In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence-based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of ‘bias.’ To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may benefit fr...
Article
Full-text available
In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence‐based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of “bias.” To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may benefit from a closer analysis...
Article
Full-text available
Background: As a response to the criticisms evidence-based practice currently faces, groups of health care researchers and guideline makers have started to call for the appraisal and inclusion of different kinds of knowledge in guideline production (other than randomized controlled trials [RCTs]) to better link with the informal knowledge used in...
Article
Full-text available
Evidence‐based health care (EBHC), previously evidence‐based medicine (EBM), is considered by many to have modernized health care and brought it from an authority‐based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals of a changing EBHC. In this pape...
Article
Background: Obesity is regarded as a modern lifestyle problem, causing illness, stigma, discrimination, and psychological problems. To help patients avoid these problems, physiotherapists increasingly engage in lifestyle programs specialized in weight loss. Objective: To explore how physiotherapists' encounters with patients diagnosed as "obese"...
Article
Full-text available
Background: SUPPORT tools consist of 18 articles addressing the health policy-makers so that they can learn how to make evidence-informed health policies. These tools have been particularly recommended for developing countries. The present study tries to explain the process of evidence utilization for developing policy documents in the Iranian Mini...
Article
Full-text available
The evidence-based practice and evidence-based medicine (EBM) movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue th...
Article
Full-text available
Proceeding from a phenomenological perspective, this study investigates how physiotherapists’ experience-based knowledge acquires significance in their encounters with patients diagnosed as obese. Presenting the thematic accounts of three physiotherapists, this paper illuminates how they make use of experiences from both their own life as well as e...
Article
Full-text available
Earlier this year, the UN announced the 2030 Agenda for Sustainable Development with the aim of promoting global equity and justice. We claim that the success of this plan depends not only on measures taken, but also on how sustainable development is defined by policy makers. We argue that over the past three decades there has been a pronounced shi...
Article
Full-text available
Objectives: Funding bodies, policy makers, researchers and clinicians are seeking strategies to increase the translation of knowledge between research and practice. Participatory research encompasses a range of approaches for clinicians' involvement in research in the hope of increasing the relevance and usability of research. Our aim was to explo...
Article
Full-text available
Objective: In nursing education, nurses are trained to perceive their patients as whole persons with mind, body, and spirit. This relates to the professional ideal of holism. This article focuses on how basic nursing textbooks conceptualize the ideal, when instructing students to understand their patients in particular ways. Methods: We analyzed se...
Article
Full-text available
In a recent article, Gorik Ooms has drawn attention to the normative underpinnings of the politics of global health. We claim that Ooms is indirectly submitting to a liberal conception of politics by framing the politics of global health as a question of individual morality. Drawing on the theoretical works of Chantal Mouffe, we introduce a conflic...
Article
Full-text available
A walking skill intervention was reported by two randomized controlled trials (RCTs) to be effective in improving walking for patients who had undergone total hip or knee arthroplasty. When studying non-pharmacological interventions, addressing outcomes as well as developing insights into how the intervention is tailored to the specific context is...
Article
Full-text available
The gap between “theory” and “practice” is a much-debated issue in nursing education, and one of the challenges is to strengthen the coherence between the theoretical content of the education programme and the student's practical experiences. The students' life experience, understood as experiences from their non-professional sphere of life, has no...
Article
Full-text available
In this paper we emphasize the importance of questioning the global validity of significant concepts underpinning global health policy. This implies questioning the concept of global health as such and accepting that there is no global definition of the global. Further, we draw attention to 'quality' and 'empowerment' as examples of world-forming c...
Article
Full-text available
In this paper we emphasize the importance of questioning the global validity of significant concepts underpinning global health policy. This implies questioning the concept of global health as such and accepting that there is no global definition of the global. Further, we draw attention to ‘quality’ and ‘empowerment’ as examples of world-forming c...
Article
Full-text available
Background/Objective: The aim of this study is to explore the interaction between technology and care in the student-patient relationship during clinical practice training. In the traditional discourse on nursing, technology is seen as insignificant or secondary to the actual work of caring. Using new insights from the social sciences field on how...
Article
Full-text available
In a recent article, Gorik Ooms has drawn attention to the normative underpinnings of the politics of global health. We claim that Ooms is indirectly submitting to a liberal conception of politics by framing the politics of global health as a question of individual morality. Drawing on the theoretical works of Chantal Mouffe, we introduce a conflic...
Article
Full-text available
This article is addressing what is considered to be the unique claim and ideal of the profession of social work; to promote change at both the individual and the societal level. However, research has shown that despite the commitment to this ideal of dual responsibility; social work interventions only address the individual’s problems by offering s...
Article
Full-text available
Society assigns professional educational programs the responsibility to aid students in learning and dedicate expert knowledge to furthering the well-being of citizens. This demand calls for addressing the how educational policies prioritize learning professionals' responsibility. Inspired by the theory of Jacques Derrida, we deconstruct the nation...
Article
Full-text available
In this article, we present a methodological design for qualitative investigation of knowledge translation (KT) between participants in a participatory research project. In spite of a vast expansion of conceptual models and frameworks for conducting KT between research and practice, few models emphasise how KTs come about. Better understanding of t...
Article
Full-text available
The aim of this article is to explore how male students learn to practice nursing and the role of technology in their training process. The study is inspired by Bruno Latour's understanding of social interaction as an interplay between humans and technology. The students' use of the washcloth and the stethoscope, two significant nursing tools, is e...
Article
Full-text available
This article is concerned with how the development of mixed methods research is influenced by the many aspects of human interplay occurring between researchers representing different disciplines. It examines findings from interviews, field notes, and written documentation from a case study involving a team of health science researchers doing mixed...
Article
This article studies discourses within the accreditation of Norwegian higher education conducted by the Norwegian Agency for Quality Assurance in Education (NOKUT), using one concrete case (the accreditation of bachelor programs in nursing). Analysis of policy documents and accreditation reports are influenced by two of Foucault's concepts of power...
Article
Full-text available
Empowerment and user participation represents an ideal of power with a strong position in the health sector. In this article we use text analysis to investigate notions of power in a program plan for health workers focusing on empowerment. Issues addressed include: How are relationships of power between users and helpers described in the program pl...
Chapter
Protecting participants' confidentiality using a situated research ethics approach Ann was one of a number of people who eagerly responded to Stefan's call for research participants. The project was on everyday life experiences of parents whose child had been diagnosed as severely obese. Stefan was the lead researcher on this project examining how...
Article
Novice researchers must be trained to be ethical practitioners. This means more than just knowing how to gain ethics approval and being familiar with the codes of ethics. Rather, researchers need to develop their ethical awareness, perception, and judgment, and their capabilities to reflect and act when actually in the field, which we refer to as "...
Article
History has demonstrated the necessity of protecting research participants. Research ethics are based on a concept of asymmetry of power, viewing the researcher as powerful and potentially dangerous and establishing ethics committees as external agencies in the field of research. We argue in favour of expanding this perspective on relationships of...
Article
Full-text available
Questions on what it means to live and die well are raised and discussed in the hospice movement. A phenomenological lifeworld perspective may help professionals to be aware of meaningful and important dimensions in the lives of persons close to death. Lifeworld is not an abstract philosophical term, but rather the opposite. Lifeworld is about ever...
Chapter
The purpose of this chapter is to discuss the relevance of research for the improvement of professional education in universities of applied sciences and professional practice in the relevant occupations. The chapter discusses four arguments that have been used to introduce research in professional programmes: (1) Teaching will improve if the staff...
Article
Drawing on the findings from studies in Australia and Norway that explored the use of laboratories in the preparation of nursing students for entry to practice, this article identifies the pedagogical challenges for the undergraduate education of nurses. The findings from both countries are compared and, in spite of distinct differences in the leve...
Article
Artikkelen er motivert av behovet for en utdypet forståelse av sykepleieres profesjonelle ansvar. Utviklingen av velferdsstaten og helsetjenestene de siste ti-år har lagt nye premisser for all profesjonsutøvelse. I artikkelen belyser og drøfter vi hvordan dette synes å påvirke sykepleieansvaret. Artikkelens bidrag er å identifisere og vise hvordan...
Article
Care has always been a key element of nursing. This paper presents findings from research on the following issue: What opportunities and limitations do nursing students encounter when learning nursing care? The study has a qualitative design with field methodology and the study of documents. Six nursing students have been closely monitored during t...
Article
Power relations in care: A Foucauldian analysis of productive power in a nursing home The aim of this paper is to explore how power is enacted in the relational interaction between nurses and residents in a nursing home. Foucault's perspectives on power as a productive force inform the analysis of data. The study is conducted using participant obse...
Article
Full-text available
The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless...
Article
Qualitative research is largely dependent on building good interpersonal relations between researcher and participant. This is necessary for generating rich data, while at the same time ensuring respect is maintained between researcher and participant. We argue for a better understanding of researcher-participant relations in research practice. Cod...
Article
Clinical preparation for practice is a vital part of undergraduate education in nursing. This study explored contemporary constructions of clinical skills laboratories in two nursing undergraduate programs in Norway using qualitative collective case study methods. Data were gathered using individual and group interviews and observation during site...
Article
Full-text available
This article addresses psychotic patients' fragile boundaries and need for professional help to restore their personal untouchable zone. We examine how nurses move into this inviolable zone and re-establish limits. Empirical data are drawn from an acute psychiatric setting and focus on one patient in different situations and on her relationships wi...
Article
This Norwegian-based study investigates how and to what extent the idea of the nursing home as a home has been realized. For the last two decades, Norway, as other Western Country has had an explicit national policy that nursing homes should become more like homes. The research literature indicates that residents in nursing home seem to lack the op...
Article
Full-text available
This article addresses psychotic patients' fragile boundaries and need for professional help to restore their personal untouchable zone. We examine how nurses move into this inviolable zone and re-establish limits. Empirical data are drawn from an acute psychiatric setting and focus on one patient in different situations and on her relationships wi...
Article
Full-text available
Informed consent represents a cornerstone of the endeavours to make health care research ethically acceptable. Based on experience of qualitative research on power dynamics in nursing care in acute psychiatry, we show that the requirement for informed consent may be practised in formalistic ways that legitimize the researcher's activities without t...
Article
In Australia and Norway final examinations to determine eligibility for registration as a nurse were discontinued during the period when nurse education moved into the higher education sector. In response to recent calls for the reintroduction of final examinations we explore the range of knowledge needs for the practice of nursing. These various f...
Article
Full-text available
The Norwegian Nurses' Association recently (2001) approved a new code of ethics that included compassion as one of the basic values in nursing care. This paper examines the idea of compassion in the context of the Bible story of the Good Samaritan using an analysis of qualitative data from nurses' clinical work with psychiatric patients. The aim is...
Article
Caring is characterized by close and fragile relations between nurses and patients. At times, even with good intentions, nurses cause unintended harm of patients. We argue that the dominance of economic discourses in health care and their subsequent influence on service delivery and health care practices has the potential to increase unintended pat...
Article
The basically asymmetric character of the ‘psychotic patient–psychiatric nurse’ relationship constitutes an ethical challenge for the nurse. One aspect of this relationship is that nurses must constantly self-consciously control their behaviour towards the patient. There is some evidence that the patient sometimes feels offended because of his perc...
Article
Full-text available
To explore what patients that had completely recovered from fibromyalgia (FM) experienced as being important for their recovery. Five women, aged between 37 and 49 were interviewed individually. The interviews were aimed at finding out about the recovery process and the women's daily lives at the time of the interview and before and after their dia...
Article
We studied resilience related to childhood experiences of famine in Ethiopia. We sought an understanding of how young Ethiopians survived and coped with the devastating effects of famine. Participant observations and in-depth interviews at an orphanage in Addis Ababa with eight boys and girls (ages 18 to 23), survivors from famine catastrophe in Et...
Article
The theoretical foundations and professional ideals of psychiatric nursing contain built-in contradictions. One central ideal is that nurses should use themselves as therapeutic instruments. The expectation that nurses should have both a professional and a human function is examined in this study. The purpose of this study was to find out how nurse...

Network

Cited By