Simen A Steindal

• PhD
• Professor (Full) at VID Specialized University

Background: Critical thinking is a crucial skill in the nursing profession and must be fostered through nursing education. Simulation-based learning (SBL) with technological modalities is a pedagogical approach to enhance critical thinking skills for nursing students. The use of technology in SBL to achieve critical thinking skills is diverse. No p...

BACKGROUND Families with children who need pediatric palliative care (PPC) often stay at home to preserve a sense of normalcy. However, families may experience challenges regarding communication and follow-up from health-care professionals (HCPs). Using health technologies for home-based PPC may be a way to facilitate communication between families...

Historically, in-person contact between patients and nurses in home-based care has been pivotal in palliative care and hospice care. The provision of home-based palliative care services could be challenged by the projected increase in patients who need palliative care and by the expected shortage of nurses. Digital health services could constitute...

Background In digital follow-up, patients measure their vital signs themselves and answer questionnaires regarding their health. Nurses assess the patients’ health from a distance, based on the reported data and telephone conversations with the patients. The aim of this study was to explore nurses’ experiences of assessing changes in health status...

Aim To explore registered nurses' experiences with pain management in patients with opioid use disorder (OUD) in home care. Design Qualitative explorative‐descriptive design. Methods Data were collected via nine individual semi‐structured interviews with registered nurses working in home care meeting patients with OUD. Data were analysed using sy...

Aim To analyse the qualitative evidence on the role of critical care nurses in rapid response teams. Design Qualitative systematic review. Methods This qualitative systematic review employed Bettany‐Saltikov and McSherry’s guidelines and is reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research checkli...

Background Patients describe surreal experiences, hallucinations, loss of control, fear, pain, and other discomforts during their stay in intensive care units. Diaries written by critical care nurses can help patients fill-in memory gaps, gain an understanding of their illness after returning home, and enhance recovery. However, critical care nurse...

BACKGROUND Critical thinking is a crucial skill in the nursing profession and must be fostered through nursing education. Simulation-based learning (SBL) with technological modalities is a pedagogical approach to enhance critical thinking skills for nursing students. The use of technology in SBL to achieve critical thinking skills is diverse. No pr...

Bakgrunn: Sykepleiere behandler pasienter med noradrenalin på flere intermediærenheter på sykehus i Norge. Ingen tidligere studier har utforsket sykepleieres erfaringer med å behandle pasienter med noradrenalin på intermediærenheter. Hensikt: Å utforske hvilke erfaringer sykepleiere har med å behandle pasienter med noradrenalin på intermediærenhet...

Bakgrunn: Hjertesykdom medfører symptomer som kan være vanskelig å oppdage basert på kliniske undersøkelser, for både erfarne sykepleiere og leger. Fokusert ultralyd er en standardisert, men forenklet ultralydundersøkelse som raskt kan kartlegge viktige parametere knyttet til hjertesykdom. Bruk av ultralyd utført av sykepleiere blir stadig mer vanl...

Background Patients with severe chronic obstructive pulmonary disease (COPD) could have palliative care (PC) needs because of unmet needs such as dyspnoea. This may lead to anxiety and may have an impact on patients’ ability to perform daily activities of living. PC can be started when patients with COPD have unmet needs and can be provided alongsi...

Bakgrunn: Barnepalliasjonsforskning er et ungt forskningsfelt i Norge. For å bruke ressursene best mulig er det nødvendig å identifisere hvilke forskningsområder som kan prioriteres. Forskningen bør fylle kunnskapshull og informere praksisfeltet til det beste for barna og familiene som er i palliasjon. Hensikt: Hensikten med denne studien var å i...

Background Welfare technology interventions have become increasingly important in home-based palliative care for facilitating safe, time-efficient, and cost-effective methods to support patients living independently. However, studies evaluating the implementation of welfare technology innovations are scarce, and the empirical evidence for sustainab...

Abstract Treatment with non-invasive ventilation (NIV) can be conducted at general wards with an intermediate care room and can therefor potentially mitigate the pressure on the intensive care capacity. The aim of this study was to elucidate what nurses consider as important prerequisites for successfully initiating NIV treatment in general wards...

Background: Active learning approaches, such as the use of active learning classrooms, can be an important measure to prepare health professional students for work-life. In addition to teaching approaches, the design of the classroom or learning spaces could facilitate learning. Although active learning classrooms are used in health professional ed...

BACKGROUND In nursing education, bridging the gap between theoretical knowledge and practical skills is crucial for developing competence in clinical practice. Nursing students encounter challenges in acquiring these essential skills, making self-efficacy a critical component in their professional development. Self-efficacy pertains to individuals'...

Background In nursing education, bridging the gap between theoretical knowledge and practical skills is crucial for developing competence in clinical practice. Nursing students encounter challenges in acquiring these essential skills, making self-efficacy a critical component in their professional development. Self-efficacy pertains to individual’s...

Aim: The aim of this study was to describe the experience of Norwegian nursing students with internationalization through participation in a Collaborative Online International Learning (COIL) course. Background: Educators in Norway and the United States collaborated to incorporate internationalization and population health concepts into virtual cou...

Background Measuring outcomes facilitates evaluation of palliative services for children, adolescents, and young adults (CAYAs) with life-limiting and/or life-threatening (LL/LT) conditions. Implementation of patient-reported, proxy-reported, or patient-centered outcome measures (hereafter PROMs) is recommended to ensure palliative services. The pu...

Objectives To explore critical care nurses’ experiences of caring for adult patients experiencing iatrogenic opioid withdrawal in the intensive care unit. Research methodology/design A qualitative study with an explorative and descriptive design was conducted. Data were collected through semi-structured interviews and systematic text condensation...

Aim To synthesise the qualitative evidence regarding the role of critical care nurses in the decision-making process of withdrawing life-sustaining treatment in critically ill adults. Design Qualitative systematic review. Review Methods This qualitative systematic review employed the guidelines of Bettany-Saltikov and McSherry. The review was...

Background Approximately 20% of total knee arthroplasty patients experience persistent postsurgical pain one year after surgery. No qualitative studies have explored previous stories of painful or stressful life experiences in patients experiencing persistent postsurgical pain after total knee replacement. This study aimed to explore stories of pre...

Background: Telehealth seems feasible for use in home-based palliative care (HBPC). It may improve access to health care professionals (HCPs) at patients' homes, reduce hospital admissions, enhance patients' feelings of security and safety, and increase the time spent at home for patients in HBPC. HBPC requires the involvement of various HCPs such...

Background Nurses require advanced competence in palliative care, but they face wide variations in education and a shortage in opportunities for clinical placement. Simulation-based learning (SBL) can enable students to develop clinical skills, critical thinking and confidence. No scoping reviews to date have mapped the use of SBL in palliative car...

Background: The challenges of nursing shortage in the nursing profession and of limited nursing educational capacity in nursing education in clinical practice need to be addressed to ensure supply according to the demand of these professionals. In addition, communication problems among nursing students, nurse educators, and nurse preceptors; variat...

Objectives to map Brazilian undergraduate nursing students’ critical thinking level and investigate the correlation between selected sociodemographic data and critical thinking domains. Methods in this descriptive cross-sectional study, participants’ (N=89) critical thinking was assessed using the Health Science Reasoning Test. Correlation between...

Background Awareness and prompt recognition of sepsis are essential for nurses working in the emergency department (ED), enabling them to make an initial assessment of patients and then to sort them according to their condition s severity. The aim of this systematic review was to investigate prognostic accuracy in detecting sepsis in the emergency...

Aims: To explore haematological nurses' experiences about the palliative care trajectories of patients with life-threatening haematological malignancies. Design:A qualitative study with a descriptive and explorative design. Methods: Data were collected through 12 individual semi-structured interviews of nurses who work with patients with haematol...

The significance of different nutritional interventions in the development of intensive care unit acquired weakness – a systematic review Background: Enhancements in critical care have resulted in reduced mortality in patients admitted to the intensive care unit (ICU). However, the survivors of critical care experience reduced physical function te...

Aim The aim of the study was to examine the experiences and perceptions of Indian RNs who supervise Norwegian undergraduate nursing students during their clinical practice in India. Background The globalization process has generated a need for registered nurses (RNs) to develop cultural competence. As a result, nursing education and policy need to...

The nursing profession faces pressing challenges, such as a nurse shortage and inadequate nursing education capacity. In Norway, 50% of nursing education is conducted in clinical practice and is limited by the scarcity of available clinical placements near educational institutions. Furthermore, several research studies report communication problems...

Background: The challenges of nursing shortage in the nursing profession and of limited nursing educational capacity in nursing education in clinical practice need to be addressed to ensure supply according to the demand of these professionals. In addition, communication problems among nursing students, nurse educators, and nurse preceptors; varia...

Background: Due to the increasing number of people with palliative care needs and the current shortage in the health care professional workforce, providing quality palliative care has become a greater challenge. Telehealth could enable patients to spend as much time as possible at home. However, no previous systematic mixed studies reviews have syn...

Background: Telehealth seems feasible for use in home-based palliative care (HBPC). However, acceptance among health care professionals (HCPs) is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of HCPs regarding the use of telehealth in HBPC. Objective: The aim of this r...

Aims and objectives: To explore the longitudinal experiences using an application named remote home care for remote palliative care among patients with cancer living at home. Background: Introducing welfare technology in home-based care for patients with cancer in the palliative phase is internationally suggested as a measure to remotely support...

Background: Due to the increasing number of people with palliative care needs and the current shortage in the health care professional workforce, providing quality palliative care has become a greater challenge. Telehealth could enable patients to spend as much time as possible at home. However, no previous systematic mixed studies reviews have syn...

Background By sharing patient stories, health care professionals (HCPs) may communicate their attitudes, values and beliefs about caring and treatment. Previous qualitative research has shown that HCPs usually associate paediatric palliative care (PPC) with death or dying and that they find the concept challenging to understand and difficult to imp...

The care situation for people with dementia changed dramatically in the early phase of the COVID-19 pandemic, especially for those living alone who received less support from homecare services and family caregivers. The Norwegian health authorities instructed older people to stay at home and not to invite family members and friends to into their h...

Background: There is widespread recognition and acceptance of the need for critical thinking in nursing education, as critical thinking is needed to provide high-quality nursing. The aim of this study was to evaluate the feasibility of a newly developed intervention prior to a randomized controlled trial (RCT). The intervention, the Technology-Supp...

Background Approximately 20% of patients report pain 12 months after TKA. No studies have investigated patients’ experiences of living with persistent postsurgical pain 5 to 7 years after TKA by combining a qualitative and quantitative methodology. Question/purpose In a mixed methods study, we explored patients’ experiences of living with pers...

Background: There is widespread recognition and acceptance of the need for critical thinking in nursing education, as it is necessary to provide high-quality nursing. The Technology-Supported Guidance Model (TSGM) intervention was conducted during clinical practice among undergraduate nursing students and aimed to support the development of critic...

A mixed-methods follow up study of a sub-group of patients reporting pain with walking 1 year after TKA surgery. Data collection: Individual semistructured interviews & Brief Pain Inventory questionnaire

Aims: The aim of the study was to explore intensive care nurses' collaboration with doctors' when considering ending the life-prolonging treatment of patients in the intensive care unit. Design: A qualitative method with an explorative descriptive design was employed. Methods: Data were collected through semi-structured interviews with four in...

Background: Nursing education has increasingly focused on critical thinking among nursing students, as critical thinking is a desired outcome of nursing education. Particular attention is given to the potential of technological tools in guiding nursing students to stimulate the development of critical thinking; however, the general landscape, facil...

Background The concept of pediatric palliative care (PPC) is applied differently within the healthcare system and among healthcare professionals (HCPs). To our knowledge, no studies have investigated how multidisciplinary HCPs understand the concept of PPC and the aim of this study was to explore the concept of PPC from the view of HCP in a paediat...

Background: Approximately 20% of patients report pain 12 months after TKA. No studies have investigated patients' experiences of living with persistent postsurgical pain 5 to 7 years after TKA by combining a qualitative and quantitative methodology. Question/purpose: In a mixed methods study, we explored patients' experiences of living with pers...

ABSTRACT Background: Nursing education has increasingly focused on critical thinking among nursing students, as critical thinking is a desired outcome of nursing education. Particular attention is given to the potential of technological tools in guiding nursing students to stimulate the development of critical thinking, but the general landscape,...

Objective To explore the experiences intensive care nurses have with volatile anaesthetics in the intensive care unit. Research methodology and design A qualitative exploratory and descriptive design was used. Data were collected in 2019 from individual interviews with nine intensive care nurses, who were recruited using purposive sampling. Data w...

Abstract Background Limited access to supervision, feedback and quality learning experiences pose challenges to learning in the clinical setting for first-year nursing students who are beginning their clinical experiences. Prior studies have indicated that simulation training, as a partial replacement of clinical practice hours, may improve learnin...

Background: Nursing education has increasingly focused on critical thinking among nursing students, as critical thinking is a desired outcome of nursing education. Particular attention is given to the potential of technological tools in guiding nursing students to stimulate the development of critical thinking; however, the general landscape, faci...

ABSTRACT Background: Critical thinking is a crucial skill in the nursing profession, so teaching strategies and methodology must be carefully considered when training and preparing nursing students to think critically. Studies on simulation-based learning supported by technology are increasing in nursing education, but no scoping reviews have mapp...

BACKGROUND Critical thinking is a crucial skill in the nursing profession, so teaching strategies and methodology must be carefully considered when training and preparing nursing students to think critically. Studies on simulation-based learning supported by technology are increasing in nursing education, but no scoping reviews have mapped the lite...

Background: The electrical activity in the brain is altered when patients are given anaesthetics. This can be seen on an electroencephalogram. By interpreting the electroencephalogram, the possibility is given of a detailed and accurate assessment of sleep depth. This study examines nurse anesthetists’ experiences of using electroencephalogram and...

Abstract Introduction Patients with advanced chronic obstructive pulmonary disease (COPD) experience a great symptom burden. Breathlessness is a very frequently reported symptom that negatively affects all aspects of daily life and could lead to fear of dying. Non-invasive ventilation (NIV) could be an important palliative measure to manage breathl...

Aims and objectives To explore hospital nurses’ experience assessing changes in the health status of stem-cell transplanted patients in home care (HC). Background Stem-cell transplanted patients in HC are treated at home instead of in hospital wards. Hospital nurses visit patients daily and play a key role in assessing the patients’ health status....

Introduction Educational institutions worldwide have implemented learning management systems (LMSs) to centralise and manage learning resources, educational services, learning activities and institutional information. LMS has mainly been used by teachers as storage and transfer of course material. To effectively utilise digital technologies in educ...

Background: Critical thinking is an essential set of skills in nursing education, and nursing education therefore needs a sharper focus on effective ways to support the development of these skills, especially through the implementation of technological tools in nursing education. Objective: The aim of this study protocol is to assess the feasibilit...

Palliation is a concept that has gained increasing relevance in recent years. The terms palliation and alleviation are often used in Norwegian academic environments. However, the concepts and use of the concepts in clinical practice are unclear. The purpose of the study is to clarify the concepts of palliation and alleviation and thereby gain a dee...

Background Introducing welfare technology in home-based palliative care has been suggested to be beneficial for improving access to health care at home and enhancing patients’ feelings of security and safety. However, little is known about the experiences of municipal health-care professionals using welfare technology in palliative home care. The a...

BACKGROUND Telehealth seems feasible for use in home-based palliative care. However, acceptance among healthcare professionals is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of healthcare professionals on the use of telehealth for home-based palliative care. OBJECTI...

Background: Telehealth seems feasible for use in home-based palliative care. However, acceptance among health care professionals (HCPs) is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of HCPs on the use of telehealth for home-based palliative care. Objective: The aim...

Background In pediatric palliative care (PPC), there is a need to involve the child’s voice in situations regarding their symptoms and care needs. Patient-reported outcome measures (PROMs) can be tools to systematically gather data reported from the child or a proxy if the child is not capable to self-report in order to provide the services they ne...

Palliative care at the end of life to people with chronic lunge disease

BACKGROUND Critical thinking is an essential set of skills in nursing education, and nursing education needs a sharper focus on effective ways to support the development of these skills, especially through the implementation of technological tools in nursing education. OBJECTIVE To assess the feasibility for nursing students in clinical practice o...

Background: This paper is based on implementation of Salmon’s model for online collaborative learning in a blended learning context for part-time nursing students at a Norwegian university. Objectives: The aim of this study was to explore and describe students’ experiences and to assess the relevance of Salmon’s model applied in a blended learning...

Aim To identify and synthesize the evidence regarding adult patients' memories from their stay in the intensive care unit. Design A qualitative systematic review and meta‐synthesis. PROSPERO # CRD42020164928. The review employed the guideline of Bettany‐Saltikov and McSherry and the Enhancing transparency in reporting the synthesis of qualitative...

Abstract Background Nurses are the key professionals in the introduction, implementation, and use of technology in clinical practice. A lack of technical expertise and technological understanding poses a challenge to the quality of health services and possibly to the safety, dignity, and quality of life of patients. Therefore, possessing technologi...

Background Nurses are the key professionals in the introduction, implementation, and use of technology in clinical practice. A lack of technical expertise and technological understanding poses a challenge to the quality of health services and possibly to the safety, dignity, and quality of life of patients. Therefore, possessing technological liter...

Background: Critical thinking is an essential skill that nursing students need to develop. Critical thinking is developed through guidance in clinical practice. Technological tools have opened new avenues for technology–supported guidance that stimulates the development of nursing students` critical thinking, but it is unclear which technology–supp...

Introduction Limited access to nurse supervisors, insufficient learning support and staff with high workloads are well documented in the research literature as barriers to nursing students´ learning in clinical practice in nursing homes. Due to these barriers nursing students may benefit from additional learning support from nurse educators during...

Aim To translate The Clinical Learning Environment Comparison Survey (CLECS) into Norwegian and to evaluate the psychometric properties of the Norwegian version. Design A cross‐sectional survey including a longitudinal component. Methods The CLECS was translated into Norwegian following the World Health Organization guidelines, including forward...

Nurses are constantly managing complex situations and are the healthcare professionals with most constant proximity to patients and as such vulnerable to moral dilemmas and hazardous situations. The importance of the nursing profession in healthcare has become more visible with the COVID- 19 pandemic. Experiences show that, due the current pandemic...

Aim: To examine the clinical utility and measurement properties of the Critical-Care Pain Observation Tool and the Behavioural Pain Scale when used to assess pain during procedures in the intensive care unit. Design: A systematic review was conducted, guided by the Preferred ReportingItems for Systematic Reviews and Meta-Analyses checklist. Methods...

BACKGROUND Critical thinking is an essential skill that nursing students need to develop. Critical thinking is developed through guidance in clinical practice. Technological tools have opened new avenues for technology–supported guidance that stimulates the development of nursing students` critical thinking, but it is unclear which technology–suppo...

Background: Critical thinking is an essential skill that nursing students need to develop. Technological tools have opened new avenues for technology-supported guidance models, but the challenges and facilitators of such guidance models, as well as how they stimulate the development of critical thinking, remain unclear. Objective: We developed a p...

BACKGROUND Due to the increasing number of people in need of palliative care services and the current health care professional workforce strain, providing equitable, quality palliative care has become a challenge. Telehealth could be an innovative approach to palliative care delivery, enabling patients to spend more time or even remain at home, if...

Background: Due to the increasing number of people in need of palliative care services and the current health care professional workforce strain, providing equitable, quality palliative care has become a challenge. Telehealth could be an innovative approach to palliative care delivery, enabling patients to spend more time or even remain at home, if...

Aims and objectives To explore nurses’ experiences and perspectives on discharge collaboration when patients receiving palliative care for cancer are discharged home from hospitals. Background Patients receiving palliative care for cancer experience multiple transitions between the hospital and their home. Poor discharge collaboration is a major c...

Aims and objectives To explore the on‐campus activities of the flipped classroom and their role in nursing students’ experiences of mastering physiology. Background A nurse must be confident in their knowledge of physiology to feel confident as a nurse. However, many nursing students do not believe in their ability to master physiology. The flippe...

Bakgrunn Veiledningsmodellen som er benyttet i sykepleieutdanningens kliniske praksis har mange utfordringer knyttet til student, veileder, lærer og samfunnets perspektiv. Nåværende veiledningsmodell er ressurskrevende for både praksissted og utdanningsinstitusjon og fører til begrenset kontakt mellom sykepleierstudentene og lærer. Mangel på praksi...

This paper presents the protocol for a randomized controlled trial aimed at studying the effects of a technology-supported guidance model delivered by smartphone and intended to strengthen the follow-up of nursing students during their clinical practicum. The research outcomes will reflect students’ critical thinking, learning outcomes, and satisfa...

Bakgrunn Anestesisykepleiere jobber daglig tett på andre yrkesgrupper i et høyteknologisk miljø og under tidvis krevende omstendigheter. Godt teamarbeid er essensielt for å gjennomføre arbeidet inne på en operasjonsstue. En arbeidssituasjon som i utgangspunktet oppleves som stressende, vil kunne få negative konsekvenser. Arbeidsmiljø, arbeidsglede,...

Digitisation has become a part of quality education and can help change the teacher’s role from a lecturer to a supervisor, encourage a more student-centred approach, and increase the interactivity between the teacher and the students. However, it can be challenging to facilitate more interactive pedagogy in large classes. The aim of this study was...

Objective To explore the experience of intensive care nurses when participating in the withdrawal of life-sustaining treatments from intensive care unit patients. Design and methods A qualitative descriptive and explorative design. Data were collected in 2017 and 2018 by interviewing nine intensive care nurses. The data were analysed by using syst...

BACKGROUND Telehealth is increasingly being used in homecare and could be one measure to support the needs of home-based patients receiving palliative care. However, no previous scoping review has mapped existing studies on the use of telehealth for patients in palliative home care. OBJECTIVE To map and assess published studies on the use of teleh...

Background: Telehealth is increasingly being used in home care and could be one measure to support the needs of home-based patients receiving palliative care. However, no previous scoping review has mapped existing studies on the use of telehealth for patients in palliative home care. Objective: The aim of this study was to map and assess publis...

In Norway, approximately 50% of older people die in nursing homes (NH). Holistic care and pharmacological management are key factors in quality at the end of life. The purpose of this longitudinal study was to describe the use of opioids in an NH during a 5-year period. We focused on palliative care, symptoms, and suffering during the last 3 days b...

Nursing students experience physiology as a challenging subject to learn. A learner-centred approach could enhance their learning. This study explored nursing students' experiences of actively studying anatomy and physiology off-campus within a flipped classroom using various digital tools. The data from focus group interviews and students' reflect...