Lise Hounsgaard

• Professor
• Professor at University of Southern Denmark

Background: Research shows that simulation-based training can increase knowledge and skills among pregraduate healthcare students, that simulation-based training of technical skills places the participants higher on the learning curve in practice, and that simulation-based training can improve participants’ human factor skills. Nevertheless, how co...

Increasingly more resources are being used internationally in training and educating qualified healthcare personnel due to high personnel flow and rapid development within technology, care and treatment. Consequently, transferring learning from simulation-based training to competency in clinical practice is an essential question for healthcare facu...

Introduction Reviews within the field of assistive technology have shown that a client-centered approach is important for user satisfaction, and that assistive technology service delivery should be evidence-based, systematic, and structured. However, client-centered instruments and systematic, structured models are not used consistently. As part of...

Background Simulation-based training used to train healthcare teams’ skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is beneficial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to marginal an...

Aims and Objectives This integrative literature review is to collect what is known about the care of people with dementia when they require a hospital admission for an orthopaedic surgical procedure and to contribute to developing an evidence‐base to support nursing practice when caring for people with dementia in an orthopaedic setting. Backgroun...

Background: The responsibilities of critical care nurses for mechanical ventilation (MV) management may differ among countries, particularly in the weaning process. Aim: To identify nurses' perceptions, roles, and challenges regarding the weaning process for patients in intensive care units (ICUs) in Denmark, Egypt, and the Kingdom of Saudi Arabia...

Abstract Background: Simulation-based training used to train healthcare teams’ skills and improve clinical practice has evolved in recent decades. While it is evident that technical skills training is benefcial, the potential of human factor training has not been described to the same extent. Research on human factor training has been limited to...

Aims and objective To investigate how participating in the early recognition method treatment strategy affect illness insight and management, in patients with schizophrenia or bipolar disorder in community mental healthcare. Background The current practice in mental healthcare focus on shared decision-making and self-managing capacity, but poor in...

While the past decade has witnessed a proliferation of work in the intersection between phenomenology and empirical studies of cognition, the multitude of possible methodological connections between the two remains largely uncharted. In line with recent developments in enactivist ethnography, this article contributes to the methodological multitude...

This naturalistic multicenter study explored the relationship between participating in the Early Recognition Method (ERM) intervention and relapse, defined as spending at least one night at a psychiatric ward. The intervention was tailored to adult patients with schizophrenia or bipolar disorder in an outpatient mental health care setting. Before t...

Introduction In recent years, there has been a development in ambulant mental health care towards a more preventive approach, resulting in relapse prevention interventions. Interventions may be patient‐tailored, to a greater or lesser extent, in relation to the treatment elements included. Aim To create an overview of non‐pharmacological intervent...

Aims and objectives: To explore how children and young adults from divorced families experience double bereavement when they lose a divorced parent with cancer and how the double bereavement influences their mental health consequences and need of support. Background: Children and young people who are confronted with the cancer and death of a par...

Results from the construct validation of MR-CRAS within 13 forensic psychiatric inpatient units in Denmark

This poster represents the results of the face validation, the content validation and the pilot testing of MR-CRAS

Patients with Alzheimer’s as a co-morbidity find hospital stays challenging, because the focus is primarily on the somatic cause for the admission. This results in poorer holistic care, compared to patients without dementia, and an increased cost for the healthcare sector and, society as a whole. This study conducted participant observation resear...

The specific objective were to construct validate whether scores in the three MR-CRAS subscales; confounder, risk and paramenters of alliance, were an adequate reflection of its content domains and determine the final domains of MR-CRAS, and evaluate the use of MR-CRAS and determine the need for revisions of the checklist and its user manual

Background Nurses who care for acute patients with dementia in a hospital setting report a variety of challenges in regard to meeting the complex needs of their patients. In particular, known barriers to optimal care include a lack of knowledge about dementia, lack of dementia‐friendly acute clinical environments, lack of time to care for the indiv...

This cross-sectional survey compares the risk of mental health problems like poor well-being, complicated and prolonged grief, and mental disorders between young adults experiencing a divorced or non-divorced parent's death. 190 participants were recruited from Facebook via the Danish National Center for Grief. Well-being was measured using WHO-5,...

The experience of parental death concomitant with parental divorce occurs for 46% of Danish children and 50% of American children who lose a parent to death. This experience of loss and double bereavement compounds increased risk of mental health problems. The aim of this study was to explore nursing interventions for double bereaved children that...

Background: A new short-term risk assessment instrument, the Mechanical Restraint – Confounders, Risk, Alliance Score (MR – CRAS) checklist, including three subscales with altogether 18 items, has been developed in close collaboration with forensic mental health nurses, psychiatrists’ etc., and shows evidence of being comprehensible, relevant, comp...

Introduction: Increased knowledge about forensic psychiatric patients' relatives' perceptions in regard to the use of mechanical restraint (MR) is necessary, if clinical practice is to be improved and to achieve a reduction in the use and frequency of MR. However, a specific knowledge deficit about relatives' perspectives on the use of MR limits th...

The aim of this study was to investigate whether the subscales: confounders, risk and parameters of alliance, constituted separate subscales and needed further revisions. Materials and methods: MR – CRAS was field-study tested among nurses, nurse assistants and social and healthcare assistants in 13 Danish closed forensic mental health inpatient u...

This thesis addresses the development and validation of the short-term risk assessment instrument – Mechanical Restraint – Confounder, Risk, Alliance Score (MR – CRAS), for use during MR to observe and assess the forensic mental health (FMH) inpatients’ readiness to be released from MR. This instrument development study spans from conceptual devel...

ABSTACT Background: From the perspective of older adults, the assistive technology application process is complex and their perceived involvement varies. Occupational therapists find it challenging to satisfy their clients’ needs while complying with the eligibility criteria of the service provision system. Research has shown that, from the perspec...

Abstract Patients with dementia as co-morbidity find hospital stays challenging, because the focus is primarily on the somatic cause for the admission, with less emphasis on the needs pertaining to dementia-related support and care. This results in poorer holistic outcomes, compared to patients without dementia, and an increased cost for the health...

Introduction: Previous studies have suggested that, in addition to factors such as sociocultural and physical contexts, the incorporation of assistive technology (AT) into everyday life is influenced by acceptance. Less seems to be known about the actual process by which the AT becomes incorporated. Purpose: To investigate older adults’ experiences...

To reduce the use and duration of mechanical restraint in forensic settings and ensure evidence‐based patient care, we need more knowledge about patients’ subjective experiences and perceptions. The aim was to investigate forensic psychiatric patients’ perceptions of situations associated with the use of mechanical restraint and what they perceive...

Purpose: To identify, synthesize, and evaluate existing literature concerning the process of becoming a user of assistive technology (AT). Method: A systematic review and meta-synthesis were carried out. Five bibliographic databases (MEDLINE via PubMed, CINAHL, Web of Science, PsycINFO and SocINDEX) were systematically searched up to 13th of Mar...

A prospective national cohort study assessed the development of health‐related quality of life (HRQoL) and symptoms in adult patients undergoing treatment and care for advanced cancer in Greenland. HRQol was examined by EORTC QLQ‐C30 version 3.0 questionnaire monthly for 4 months. Changes over time and between‐group comparisons were examined. Of 58...

Background: Patient-family-healthcare provider interaction seems important for patients with chronic obstructive pulmonary disease (COPD) and their family members' self-management practices. Because the need for support might be enhanced after a hospitalisation, it might be beneficial to explore this interaction further in follow-up health care....

The acute hospital admission of patients with dementia is associated with poor outcome and higher costs. Much of our knowledge on how hospital stays are experienced by patients and staff is generated from short and fragmented data collections, in which the significance of knowledge about day-to-day care might be overlooked, and might partly explain...

This project focusses on the development of a clinically and psychometrically validation of a new short-term risk assessment instrument: Mechanical Restraint - Confounder, Risk, Alliance Score (MR-CRAS) among forensic psychiatric clinicians

Purpose: In healthcare related to hospital discharge and follow-up, it is acknowledged that patient participation can strengthen self-management in patients with chronic obstructive pulmonary disease. However, the meaning of participation in care following a severe acute exacerbation is less described. Therefore, the aim of this part of a larger st...

Aim and objectives: To explore the experiences of patients with chronic obstructive pulmonary disease and their family members relating both to participation in care during hospitalisation for an acute exacerbation in chronic obstructive pulmonary disease, and to the subsequent day-to-day care at home. Background: When recovering from an exacerb...

Introduction: There is a lack of research into psychiatric patients' perceptions of coercion that discriminates between different types of coercive measures, while also investigating patients' perceptions of undergoing coercion as a process. This knowledge is required to improve our understanding and provide a foundation for improving clinical pra...

Palliative cancer care in Greenland is provided by health professionals at local level, the national Queen Ingrid’s Hospital and at Rigshospitalet in Denmark. To improve and develop care for relatives of patients with advanced cancer, we conducted a mixed method study examining relatives’ level of satisfaction with care and treatment and their curr...

Purpose: The aims were to describe symptoms and health-related quality of life (HRQoL) in Greenlandic patients with advanced cancer and to assess the applicability and internal consistency of the Greenlandic version of the EORTC-QLQ-C30 core version 3.0. Methods: A Greenlandic version of the EORTC QLQ-C30 v.3.0 was developed. The translation pro...

Background: During past decades the formerly active lifestyle in Greenland has become sedentary, and the intake of traditional food has gradually been replaced with imported food. These lifestyle and dietary habits may affect pregnant women. Aim: To describe age and regional differences in reproductive factors, lifestyle and diet among Greenland...

De burde slet ikke være indlagt her" - et Ph.d. projekt om indlæggelse af patienter med demens på det somatiske hospital

Background: Unstructured risk assessment, as well as confounders (underlying reasons for the patient's risk behaviour and alliance), risk behaviour, and parameters of alliance, have been identified as factors that prolong the duration of mechanical restraint among forensic mental health inpatients. Aim: To clinically validate a new, structured s...

One of the main reasons for prolonged duration of mechanical restraint is patient behaviour in relation to the clinician-patient alliance. This article reports on the forensic mental health clinicians experiences of the clinician-patient alliance during mechanical restraint, and their assessment of parameters of alliance regarding the patient's rea...

Background: Telemedicine may have the possibility to provide better access to healthcare delivery for the citizens. Telemedicine in arctic remote areas must be tailored according to the needs of the local population. Therefore, we need more knowledge about their needs and their view of telemedicine. Objective: The aim of this study has been to e...

Presentation of Danish reminiscence researcher’s network

Results of the face validation, content validation and pilot testing of MR-CRAS

The development and clinical validation of MR-CRAS among forensic psychiatric clinicians

Formål: Brugen af telemedicin har skabt nye muligheder for borgere at tilgå sundhedsvæsenet på. For at optimere brugen af telemedicin i arktiske områder, er det essentielt at indsamle viden omkring borgernes perspektiv på brugen af telemedicin, således at brugen af telemedicin i arktiske udkantsområder tilpasses således at det understøtter den loka...

According to research literature, humor inside the staff-patient interaction seems to be significant in the area of forensic mental healthcare. However, existing literature on the subject is limited. Therefore, the aim of this study was to explore the characteristics of the use humor by forensic mental health staff members in interactions with fore...

Ovarian cancer is the leading cause of death from a gynaecological malignancy in the Western World. To explore if experiences of physical comfort influenced hope and life courage during final diagnosis and early treatment, qualitative research interviews were performed with women undergoing surgery for ovarian cancer. By applying a phenomenological...

Artiklen er et integrativt systematisk review om børn og unges tab og dobbeltsorg når de kommer fra en skilt familie og mister en forælder, samt hvilke konsekvenser det har for deres mentale sundhed og behov for støtte Denne artikel er oversat fra engelsk og har tidligere været offentliggjort på engelsk i Clinical Nursing Studies 2015; Vol. 3, No....

Background: Currently telemedicine is introduced with the expectation that it can solve basic challenges faced by the health system regarding an increasing number of patients with chronic service needs (1). The effects of teleconsultations, however, on the embodied, experiential and perceptual dimension of the relationship between nurses and patien...

The aim of this review was to identify research on children and adolescents who experience double bereavement, i.e. the experience of loss through parental divorce followed by either parental death or critical illness with imminent death. This knowledge may identify evidence to underpin knowledge and practice for nurses and other health professiona...

Text analysis is not a question of a right or wrong way to go about it, but a question of different traditions. These tend to not only give answers to how to conduct an analysis, but also to provide the answer as to why it is conducted in the way that it is. The problem however may be that the link between tradition and tool is unclear. The main ob...

Background. Engaging patients and family members in healthcare is a central intention of health policy in many countries. Hospitalized patients with severe chronic obstructive pulmonary disease (COPD) may be particularly challenged to participate actively in their own care. A better understanding of participating in care based on experiences of bot...

Poster presenting Ph.d. project

Introduction This paper evaluates audits and feedback as methods to increase implementation of evidence in stroke rehabilitation. Method The study used an action research approach and theories of knowledge translation. A sample of 22 occupational therapists participated from two Danish hospitals that admitted stroke patients. Data collection metho...

Humor utilized in the practice of forensic mental health nursing might seem somehow inappropriate, given the serious circumstances surrounding most forensic mental health patients. However, some recent research has pointed to the use of humor as an important component in staff interactions with forensic mental health patients. This study reviews th...

Introduction Cognitive Adaptation Training Cognitive Adaptation Training (CAT) is a treatment that circumvents cognitive impairments by rearranging the environment to support, prompt and sequence appropriate behaviours. CAT has shown promising results, including improved social functioning. As yet, no reports have appeared on the use of CAT in comb...

We investigated the effect of daily real-time teleconsultations for one week between hospital-based nurses specialised in respiratory diseases and patients with severe COPD discharged after acute exacerbation. Patients admitted with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) at two hospitals were recruited at hospital disc...

Number: 375 Publication Number: 215 Abstract Group: 9.3. Nurses

Smoking-related illnesses, such as chronic obstructive pulmonary disease, cardiovascular disease and lung cancer, are common in Greenland. Factors such as age, gender, cigarette use, restricted smoking at home and socio-economic determinants are well-known predictors for smoking and smoking cessation. In 2005, 66% of the adult population in were Gr...

In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30-40. Systematic screening can identify women with cervical cell changes, which if untreated may cause cervical cancer. In 2007, less than 40% of eligibl...

The Greenlandic Healthcare Reform (2010) required improved quality of services for health promotion, prevention of infectious and lifestyle diseases, family nursing and evidence-based clinical nursing. To investigate current nursing practice in Greenland and to identify whether it meets the requirements of healthcare reform. This ethnographic study...

This article reports on and compares two separate studies of the interactional characteristics of forensic mental health staff and acute mental health staff as they interact with inpatients, respectively. Both studies were conducted using participant observation, along with informal and formal interviews. Findings show that both acute and forensic...

Aim: Studies have shown that evidence-based practice improves outcomes, both for patients and for staff organisational systems. However, the incorporation of evidence-based guidelines in a health care practice requires a specific, targeted approach on all organisational levels. Purpose: To gain a deeper understanding of how to facilitate the imp...

. This paper deals with secular, spiritual, and religious existential concerns during severe illness. Materials and Methods . Qualitative research interviews were made before and after surgery with women who underwent final diagnostics, surgery, and chemotherapy for ovarian cancer. By applying a phenomenological-hermeneutic text interpretation meth...

Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark. In this article we describe and discuss the feasibility of us...

Purpose: The study objective was to survey general health and coping in women undergoing ovarian cancer surgery, and subsequently to develop and test a supportive care intervention. Methods/materials: Women who underwent surgery on the suspicion of ovarian cancer participated in a follow-up questionnaire study in which the Short Form-36 Question...

The aim of the study is to gain insight into the user's perspective on user involvement in mental health rehabilitation. The study was designed as a field study lasting 15 months in two supported housing schemes. An ethnographic approach by James Spradley was employed, involving participant observation, informal conversations, and individual- and g...

Forensic psychiatry is an area of priority for the Danish Government. As the field expands, this calls for increased knowledge about mental health nursing practice, as this is part of the forensic psychiatry treatment offered. However, only sparse research exists in this area. The aim of this study was to investigate the characteristics of forensic...

Cognitive adaptation training (CAT) targets the adaptive behaviour of patients with schizophrenia and has shown promising results regarding the social aspects of psychosocial treatment. As yet, no reports have appeared on the use of CAT in combination with assertive community treatment (ACT). Our purpose was to evaluate the effect of CAT in compari...

hounsgaard l, pedersen b & wagner l (2011) Journal of Nursing and Healthcare of Chronic Illness 3, 504–512 The daily living for informal caregivers with a partner with Parkinson’s disease – an interview study of women’s experiences of care decisions and self-management Aim. To throw light on the lived experiences of female partners of patients with...

SEIBAEK L., PETERSEN L.K., BLAAKAER J. & HOUNSGAARD L. (2012) European Journal of Cancer Care21, 360–371 Hoping for the best, preparing for the worst: the lived experiences of women undergoing ovarian cancer surgery In this study, the lived experiences of women undergoing ovarian cancer surgery were explored, aiming to provide a patient perspective...

Psychosocial Nursing Care in a High Tech Critical Care Unit – A Study of Psychosocial Nursing in Encounters between the Awake Intubated Patient and the Critical Care Nurse Modern technology and new ways of treating and caring for the ventilated patient have implied a change in the need for nursing. The aim of this study was to gain deeper understa...

Purpose This study investigated the facilitation of evidence-based practice with the use of everyday life occupations and client-centred practice within occupational therapy in three settings of stroke rehabilitation. Method The study was based on a phenomenological hermeneutical research approach, and inspired by participatory action research met...

To explore newly qualified nurses' (NQN) interaction with members of community of practice (CoP) and how it affects their participation in the CoP. The entry of NQNs into the health care service is problematic which can result in NQNs leaving the profession within the first years of their career. Studies indicate that interaction between NQNs and t...

Ovarian cancer is the leading cause of death among women suffering from gynaecological malignancies in the Western world. Worldwide, approximately 200,000 women are diagnosed with the disease each year. This article deals with the health care seeking and symptom interpretation process among Danish women, who have a very high mortality rate. The hea...

Aim: The study aimed to explore service user involvement in supported housing schemes as experienced by adults with mental illness in interplay with professionals during rehabilitation. Method: The study was designed as a field study in two supported housing schemes, using an ethnographic approach to data collection, including participant observati...

Background: When implementing evidence-based practice in occupational therapy the investigation of clinical reasoning provides important information on research utilization. Aim: This study investigates aspects affecting occupational therapists' reasoning when implementing research-based evidence within stroke rehabilitation. Methods: The study was...

Participating in a community of practice (CoP) is essential for final year nursing students. The article describes the opportunities of student nurses to participate as members of a CoP, and how these opportunities were exploited. Ten students in their final clinical practice were included. Empirical data were generated through participant observat...

In Denmark the increasing number of forensic mental health patients has led to prioritized services, including the area of nursing; however, this field is subject to sparse research. The aim of this study was to review existing research literature and in doing so investigate what characterizes forensic mental health staff interaction with forensic...

Reflecting only on the use of method involves the risk of reducing science to the use of tools, such as interviews, questionnaires or participant observations. In doing this there is a risk of overlooking the underlying epistemologies and methodological considerations, which are pivotal in understanding and assessing qualitative research. The aim o...

Aim: To obtain knowledge of nearly graduated nursing student´s expectations to becoming a nurse and experiences of being a new nursing graduate Background: The transition from student to new nursing graduate is experienced to be conflict-ridden and may result in newly registered nurses changing jobs (staff turnover) after a short period of time. Di...

The aim of this study was to focus on the nursing rehabilitation of patients with cognitive problems following acquired brain damage. The objective of the study was to explore how actions of highly experienced nurses promoted and strengthened the complex content of the nursing rehabilitation. This article discusses a field study which used particip...

Aim This review aimed to identify and evaluate research on user participation and involvement in mental health rehabilitation; how it is viewed from the users and the professionals perspectives, how it affects the processes and outcome of rehabilitation, and which theories and research methods are used. Method Empirical research papers from 1997–2...

The aim of this study is to gain knowledge about women's perceptions of illness based on their abnormal PAP smears, following screening for cervical cancer. The study uses a phenomenological, hermeneutic approach inspired by Ricoeur's theory of interpretation. Twelve women, aged between 23 and 59 years, were consecutively selected and then followed...