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(Doctoral thesis / Doktoravhandling, 2024)
In many countries, general practitioners (GPs) play a fundamental role in primary healthcare services. Owing to their prominent role in healthcare, the increasing difficulty many Nordic countries experience in recruiting ...
(Doctoral thesis / Doktoravhandling, 2024)
Colorectal cancer is the third most common cancer in the world, and the incidence rate in Norway is one of the highest in the world. Recently, the awareness of cancer cases occurring after a colonoscopy (post-colonoscopy ...
(Doctoral thesis / Doktoravhandling, 2024)
Clinicians rely on dependable guidelines for point-of-care decision-making, while decision aids facilitate shared decision-making (SDM). However, both encounter challenges in production, underlying evidence, uptake, and ...
(Doctoral thesis / Doktoravhandling, 2024)
The main aim of this PhD project was to provide knowledge about various aspects of the Municipal Acute Wards (MAWs) as an alternative to hospitalization. The PhD project included three studies:
The first study explored ...
(Doctoral thesis / Doktoravhandling, 2024)
Total Knee Arthroplasty (TKA) is a commonly performed surgical procedure for treating knee osteoarthritis. Despite its prevalence, a significant number of patients continue to suffer from chronic post-surgical pain and ...
(Doctoral thesis / Doktoravhandling, 2024)
Tuberculosis (TB) is a global public health problem. The World Health Organization has developed the End TB Strategy to end the global TB epidemic by 2035. Achieving the End TB targets requires the establishment of efficient ...
(Doctoral thesis / Doktoravhandling, 2024)
The thesis explores the short- and long-term experiences of doctors after participating in a peer support program. The research is situated within the broader context of doctor well-being which is of importance both for ...
(Doctoral thesis / Doktoravhandling, 2024)
When allocating scarce medical resources, we strive to do the best we can with the available resources. However, while we aspire to provide as “much health” as possible, we also care about who the beneficiaries are. Severity ...
(Doctoral thesis / Doktoravhandling, 2024)
Social media (SoMe) is a user-friendly, and easy way of communicating through smartphones, and may be a novel way to communicate about local quality of care in busy intensive care units (ICU). The aim of this doctoral ...
(Doctoral thesis / Doktoravhandling, 2024)
Scientific evidence suggests that family interventions lead to significantly improved outcomes for persons with psychotic disorders, their relatives, and the public health and welfare services, yet the implementation in ...
(Doctoral thesis / Doktoravhandling, 2024)
Early identification of at-risk women and enabled effective management strategies can help prevent the development of iron deficiency and anaemia during pregnancy and postpartum. We used data from the population-based ...
(Doctoral thesis / Doktoravhandling, 2024)
The Norwegian Agreement on a More Inclusive Working Life (IA Agreement) is an initiative by the Norwegian government and organisations representing employers and employees. The aim of the IA Agreement is to reduce withdrawal ...
(Doctoral thesis / Doktoravhandling, 2024)
Pain after orthopedic surgery is a considerable clinical problem. There is a lack of knowledge on acute pain trajectories, as well as how psychological, clinical, surgical, and lifestyle risk factors may be related to ...
(Doctoral thesis / Doktoravhandling, 2023)
The thesis aimed to explore how respiratory tract infections are assessed and handled in out-of-hours clinics by telephone triage nurses and doctors and to assess the effect of an educational intervention for telephone ...
(Doctoral thesis / Doktoravhandling, 2023)
Day care is assumed to play an important role in dementia care and is highlighted as an important service for home-dwelling persons with dementia. The aim of the day care is to provide attendees with activities, stimulation, ...
(Doctoral thesis / Doktoravhandling, 2023)
Exercise is a cornerstone in the treatment of patients with osteoarthritis (OA). The patients need long-term support to adhere to prescribed exercise, but this need cannot be met solely within the healthcare system. ...
(Doctoral thesis / Doktoravhandling, 2023)
This thesis contributes to the discussion about how to enhance patient autonomy in the case of advanced cancer posing an existential threat to all aspects of being.
The aim was to explore 1) what existential concerns ...
(Doctoral thesis / Doktoravhandling, 2023)
Many children experience pain after surgery, and pediatric postoperative pain is often underestimated and undertreated. Unrelieved pain may increase unnecessary suffering, complications after surgery, longer hospital stay, ...
(Doctoral thesis / Doktoravhandling, 2023)
Epigenetic modifications, such as DNA methylation, are implicated in a wide array of developmental processes, including cellular differentiation and human development. The overarching aim of this thesis was to explore ...
(Doctoral thesis / Doktoravhandling, 2023)
Mental health disorders are prevalent, exerting a significant demand on patients, health care systems, and society. Studies find that these disorders often remain undiagnosed by general practitioners in primary care.
This ...
(Doctoral thesis / Doktoravhandling, 2023)
Being the next of kin to a person with dementia may lead to a large burden and a decreased quality of life (QoL). Providing caregivers with information, support and respite is an overall goal in dementia care.
Day care ...
(Doctoral thesis / Doktoravhandling, 2023)
Psychotropic drugs are widely used in nursing home residents. In older persons and in people with dementia, these drugs may cause severe adverse effects while their effect on psychological and behavioural symptoms in ...
(Doctoral thesis / Doktoravhandling, 2023)
Colorectal cancer is considered a growing health burden and a preventable disease. It is the third most common cancer and the second leading cause of cancer death worldwide. Many countries have implemented colorectal cancer ...
(Doctoral thesis / Doktoravhandling, 2023)
This study, conducted at the National Institute of Occupational Health in Norway, delves into the occupational health risks faced by workers exposed to vibration from handheld power tools. The research, led by Thomas Clemm ...
(Doctoral thesis / Doktoravhandling, 2023)
Mental and physical symptoms such as posttraumatic stress (PTS) symptoms and pain is common after treatment of critically ill patients in the intensive care unit (ICU). This can further develop to posttraumatic stress ...
(Doctoral thesis / Doktoravhandling, 2023)
Healthcare students need to develop competence in interprofessional collaboration (IPC) during their education. Few studies report the use of sub-acute scenarios to develop the students’ IPC competence.
The aim was to ...
(Doctoral thesis / Doktoravhandling, 2023)
Recently, there has been a growing focus on how to address the global burden of malnutrition. Global public-private partnerships have, as within most policy fields, been promoted as inclusive and effective means that can ...
(Doctoral thesis / Doktoravhandling, 2023)
Nearly half of all people over the age of 70 who receive home care services in Norway have dementia. People with dementia may have complex needs, and a person-centered and holistic approach is recommended. Given the facts ...
(Doctoral thesis / Doktoravhandling, 2023)
Pain is a common problem for hospitalized patients worldwide. Despite the efforts made to improve pain management in Ethiopia, the number of patients who report having pain remains high. This thesis contributes to a better ...
(Doctoral thesis / Doktoravhandling, 2023)
The actions we take to prevent ourselves from becoming ill are influenced by social determinants of health. The same is true for a pregnant woman who wants to make sure that her unborn child and herself are healthy during ...
(Doctoral thesis / Doktoravhandling, 2023)
This PhD thesis studies induced abortion in Addis Ababa, Ethiopia. A main finding is that the abortion legislation gives healthcare personnel plenty of scope for their own interpretations. In practice, it is often up to ...
(Doctoral thesis / Doktoravhandling, 2023)
Relatives of persons with psychotic disorders provide important informal care. Systematic family interventions consistently demonstrate positive patient outcomes, and have also been found significant for the relatives ...
(Doctoral thesis / Doktoravhandling, 2023)
Perinatal outcomes are important indicators of maternal and fetal health on a population level, as well as important predictors of later health on an individual level. Although much is known about predictors of perinatal ...
(Doctoral thesis / Doktoravhandling, 2023)
For approximately six decades, Research Ethics Committees (RECs), also known as Institutional Review Boards (IRBs), have played an integral part in the identification of ethical issues before the commencement of clinical ...
(Doctoral thesis / Doktoravhandling, 2023)
An increasing number of elderly people are living longer with chronic illnesses. Many need healthcare from different health care professionals at various levels in the health care services. It is known that patient and ...
(Doctoral thesis / Doktoravhandling, 2023)
People with disabilities are less active than people without disabilities.
- Can access to a “tailored” tricycle lead to increased mastery and cycling activity and general activity level?
- Can specific tests predict ...
(Doctoral thesis / Doktoravhandling, 2023)
Introduction: Ethical challenges arise daily in the municipal health service. These challenges can be addressed systematically, and ethics committees can play a vital role to facilitate such discussions. The purpose of ...
(Doctoral thesis / Doktoravhandling, 2023)
Colorectal cancer (CRC) accounts for nearly a million deaths worldwide each year. Endoscopy of the large intestine can reduce CRC incidence and mortality by removing polyps and by detecting CRC at an early stage. Screening ...
(Doctoral thesis / Doktoravhandling, 2023)
Post-stroke fatigue (PSF) is a highly prevalent condition which negatively impacts the lives of stroke survivors. Currently, there is a lack of evidence-based treatments for PSF, and a major barrier to further progress is ...
(Doctoral thesis / Doktoravhandling, 2023)
The overall aim was to describe the state of health and clinical trajectories of older home nursing care patients with suspected acute functional decline and factors influencing the trajectories, and to explore the impact ...
(Doctoral thesis / Doktoravhandling, 2023)
Introduction
Universal health coverage (UHC) aims to provide all people with access to needed healthcare without financial hardship. Many Low- and Middle-Income Countries, including The Gambia, explore innovative financing ...
(Doctoral thesis / Doktoravhandling, 2022)
Peer-led breastfeeding education and support provided during the antenatal and postnatal periods are known to improve optimal breastfeeding practices; however, there is a paucity of evidence on the effectiveness of such ...
(Doctoral thesis / Doktoravhandling, 2022)
Cardiovascular diseases (CVDs), type 2 diabetes mellitus (T2DM), and metabolic syndrome (MS) are related to reduced life expectancy, increased disability and significant socioeconomic burden. Data from Brazil for the related ...
(Doctoral thesis / Doktoravhandling, 2022)
Neck pain is very common and costly to both society and individuals. Knowing how neck pain progresses over time could improve our understanding as well as aid in pain management. Although prognosis is mostly favorable in ...
(Doctoral thesis / Doktoravhandling, 2022)
The aim of this thesis is to increase the understanding of how we can use health registry data in inflammatory bowel disease (IBD) research and provide knowledge on the epidemiology and treatment of IBD in Norway. IBD ...
(Doctoral thesis / Doktoravhandling, 2022)
Colorectal cancer is a major health burden worldwide. Screening for colorectal cancers and surveillance programmes after adenoma removal have been implemented in many countries to decrease the risk of colorectal cancer ...
(Doctoral thesis / Doktoravhandling, 2022)
Drug-related problems are common in nursing homes and medication reviews are measures to improve the quality of medication use. We assessed changes in drug use after multidisciplinary medication reviews and variations in ...
(Doctoral thesis / Doktoravhandling, 2022)
This thesis describes a combined cognitive and vocational intervention aimed at improving work participation after mild-to-moderate traumatic brain injury (TBI). The aims of this thesis were to describe a sample of patients ...
(Doctoral thesis / Doktoravhandling, 2022)
To ensure a timely diagnosis and individually tailored treatment, advice, support, and services for people with dementia, case-finding and a thorough assessment process is necessary. These assessments should focus on ...
(Doctoral thesis / Doktoravhandling, 2022)
In her dissertation «Restraint in pediatric dentistry in the Norwegian Public Dental Service», Regina Skavhellen Aarvik and colleagues investigated the use, experience, and documentation of restraint during dental treatment ...
(Doctoral thesis / Doktoravhandling, 2022)
Background: Fibromyalgia (FM) is a heterogeneous and complex musculoskeletal pain disorder characterised by multiple symptoms. The often unpredictable remission and recurrence of FM symptoms further impair social and ...
(Doctoral thesis / Doktoravhandling, 2022)
Degenerative meniscal tears represent an early sign of knee osteoarthritis. Arthroscopic partial menis-cectomy has been the usual treatment for symptomatic tears, but studies have shown no additional benefit compared to ...
(Doctoral thesis / Doktoravhandling, 2022)
Vaccine development is essential in efforts to avert and respond to emerging epidemics. The dissertation develops and applies a framework for prioritizing investments in vaccine development against emerging infectious ...
(Doctoral thesis / Doktoravhandling, 2022)
Migrant women constitute a growing proportion of women giving birth across Europe. Previous research has shown an increased risk of adverse maternal outcomes in sub-groups of migrant women.
The aims of the thesis were ...
(Doctoral thesis / Doktoravhandling, 2022)
Anne Brodwall's study; "Children and adolescents with functional gastrointestinal disorders" emphasizes the complexity of the pain condition "functional gastrointestinal disorders" (FGIDs) in children and adolescents. The ...
(Doctoral thesis / Doktoravhandling, 2022)
This thesis describes characteristics associated with consumption of organic food among pregnant women and the potential impact of organic food consumption on the risk of developing pre-eclampsia in the women, and hypospadias ...
(Doctoral thesis / Doktoravhandling, 2022)
Children with rheumatic diseases (RDs) have experienced substantial improvements in symptom burden and physical function due to new medical treatments. However, this treatment usually requires weekly subcutaneous injections ...
(Doctoral thesis / Doktoravhandling, 2022)
Perspectives from psychiatric epidemiology and medical ethics are combined in a comprehensive analysis of geographical variation in compulsory hospitalisation in mental health care. The thesis contains important new knowledge ...
(Doctoral thesis / Doktoravhandling, 2022)
Symptoms are experienced by most people every day. However, we know less about how symptoms are associated with self-rated health, diagnoses, life-stressors and unexplained conditions.
The aims of this thesis were to ...
(Doctoral thesis / Doktoravhandling, 2022)
In Norway, the Mental Health Act provides the opportunity to use coercion in the treatment of people with mental disorder. Patients with an outpatient commitment (OC) decisions live in their own homes in the municipality, ...
(Doctoral thesis / Doktoravhandling, 2022)
The overall aim of this thesis is to explore how real-world evidence can be used to support priority setting and planning in the cancer care. The thesis includes four published papers in which data from Norwegian health ...
(Doctoral thesis / Doktoravhandling, 2022)
Humans are exposed to ever-increasing number of synthetic chemicals released into the environment. However, safety regulations often lag behind, and only a small fraction of these chemicals are extensively studied for their ...
(Doctoral thesis / Doktoravhandling, 2022)
In recent years, there has been a growing focus on essential reproductive health commodities, including drugs and supplies for safe motherhood, contraceptives to control fertility and drugs like misoprostol, which has been ...
(Doctoral thesis / Doktoravhandling, 2022)
The increasing focus on the openness of results and outcomes from health services as well as the quality of care that patients receive has led to increased initiatives for assessing and reporting the quality of health care ...
(Doctoral thesis / Doktoravhandling, 2022)
Chest pain is a frequent presenting symptom in emergency primary care, challenging due to the lack of sensitive diagnostic tools to exclude an acute myocardial infarction (AMI). The consequent clinical uncertainty contributes ...
(Doctoral thesis / Doktoravhandling, 2022)
Women with FGC, particularly those subjected to the most severe type (i.e., infibulation), require specialized healthcare interventions such as deinfibulation, a minor surgical procedure performed to prevent or manage ...
(Doctoral thesis / Doktoravhandling, 2022)
Background. Patient safety was brought into the forefront of public debate with the groundbreaking report “To Err is Human” (Kohn Lt 1999) calling for quality to be a critical component of high-performing health systems. ...
(Doctoral thesis / Doktoravhandling, 2022)
Developments in cancer care are characterized by functional and organizational fragmentation resulting in complex structures and processes that still are closely interdependent. We rely on demanding processes of coordination ...
(Doctoral thesis / Doktoravhandling, 2021)
In line with international trends, the public healthcare system in Norway is under increasing pressure. The composition of the population is changing and the number of elderly is rising, resulting in a growing need for ...
Introduction, adoption, and facilitation of standardized care plans in municipal healthcare services
(Doctoral thesis / Doktoravhandling, 2021)
To ensure patient safety and continuity of care, nurses need access to accurate and timely information. Standardized care plans (SCPs) were implemented in Norwegian municipalities to improve the quality of the patient ...
(Doctoral thesis / Doktoravhandling, 2021)
Small, subtle changes in dietary habits can increase vulnerability for undernutrition in old age. Nutrition apps holds potential to increase awareness among older adults and health professionals about dietary challenges ...
(Doctoral thesis / Doktoravhandling, 2021)
In a multi-ethnic cohort of healthy pregnant women and their children, we found striking ethnic differences in overweight and thinness in children at age 4-5 years. Children with origin in the Middle East and North Africa ...
(Doctoral thesis / Doktoravhandling, 2021)
Intimate partner violence (IPV) during pregnancy imposes a substantial effect on the health of the woman and her fetus. However, studies on the extent of the problem, contributing factors, and how the communities’ different ...
(Doctoral thesis / Doktoravhandling, 2021)
Background: Traumatic brain injury (TBI) constitutes a challenge for the entire family. An increased focus on family functioning and response after TBI has produced an international consensus that family should be an ...
(Doctoral thesis / Doktoravhandling, 2021)
In order to implement effective health policy reforms, knowledge of physician preferences, and hence, their responses to policy reforms is desirable. This thesis consists of three papers aiming to address fundamental ...
(Doctoral thesis / Doktoravhandling, 2021)
Aging research is essential to identifying factors that influence healthy aging, with improved well-being and increased longevity for contemporary humans. Importantly, the rate of biological aging varies considerably between ...
(Doctoral thesis / Doktoravhandling, 2021)
Access to safe drinking water is highly important for public health. In Norway, most people have access to reliable sources of drinking water and high-standard water supply and sanitation services. Despite precautionary ...
(Doctoral thesis / Doktoravhandling, 2021)
Children with cerebral palsy (CP) often undergo orthopaedic lower limb surgery to correct malalignments, improve and maintain functional gait. In the post-operative period ankle-foot orthoses (AFOs) are used to support ...
(Doctoral thesis / Doktoravhandling, 2021)
International non-governmental organisations (INGOs) play an increasingly prominent role in global health. They serve as global health advocates, participants in global health policy development, partners, and implementers ...
(Doctoral thesis / Doktoravhandling, 2021)
Rotavirus is the most common cause of severe acute gastroenteritis (AGE) among young children globally. In 2014, Norway added the rotavirus vaccine into the national immunization program. The overall aim of this thesis is ...
(Doctoral thesis / Doktoravhandling, 2021)
Medicinal plants and pharmaceutical medicines are widely used in Africa; however, there is scarcity of studies about their use in pregnant and lactating women. This study investigated the use and safety of medicinal plants ...
(Doctoral thesis / Doktoravhandling, 2021)
This thesis aimed to investigate the differential roles of antiretroviral regimens in pregnancy outcome and maternal and offspring health. Data was abstracted from clinical records of HIV-infected pregnant women and their ...
(Doctoral thesis / Doktoravhandling, 2021)
The aims of this study were to compare physical activity (PA) behavior and physical fitness in patients with JIA who were diagnosed in the era of biologics with controls from the general population, and to examine if disease ...
(Doctoral thesis / Doktoravhandling, 2021)
Fatigue is the most common symptom amongst patients with sarcoidosis. As reduced exercise capacity and muscle strength is highly prevalent as well, exercise training is recommended.
Since the impact of high-intensity ...
(Doctoral thesis / Doktoravhandling, 2020)
Norway has one of the highest rates of colorectal cancer (CRC) in the world. Cancer treatment causes distressing side effects, and patients with CRC can experience severe and distressing symptoms due to the disease and the ...
(Doctoral thesis / Doktoravhandling, 2020)
In this population-based study, we linked different Norwegian health registries (the Medical Birth Registry, the Cause of Death Registry, the Education Registry) and health surveys (County study, Age 40 Program, CONOR) to ...
(Doctoral thesis / Doktoravhandling, 2020)
Provision of equitable health care to migrants presents challenge to most health care systems, including the Norwegian health care system. However, access to and utilization of healthcare may not be the same across population ...
(Doctoral thesis / Doktoravhandling, 2020)
This study focuses on the introduction of a nurse practitioner role, called advanced geriatric nurse (AGN) into the Norwegian healthcare system. The overall aim was to investigate the role of AGNs, what AGNs and their ...
(Doctoral thesis / Doktoravhandling, 2020)
Health literacy (HL) can be understood as personal and social abilities required to find, understand and use information to make informed decisions about health. There has been a lack of knowledge about how kidney transplant ...
(Doctoral thesis / Doktoravhandling, 2020)
Based on fieldwork among Kurdish-Norwegians, Ingvild Bergom Lunde’s doctoral thesis shows how condemnation and silence are central in how research participants relate to female genital cutting (FGC). The stigma associated ...
(Doctoral thesis / Doktoravhandling, 2020)
Equal access to quality health care services, efficient resource use and cost containment are Norway’s health care policy objectives. To reach these goals, policymakers use financial incentives and organizational structures. ...
(Doctoral thesis / Doktoravhandling, 2020)
Having type 2 diabetes constitutes a burden for the persons affected, and digital solutions can be useful supplements to clinical care enabling individualized approach and strengthening of self-management.
The aims of ...
(Doctoral thesis / Doktoravhandling, 2020)
Background: During pregnancy, women experience physiological and anatomical changes that may influence their physical function. In addition, a large number of pregnant women develop pelvic girdle pain (PGP). PGP is regarded ...
(Doctoral thesis / Doktoravhandling, 2020)
Children with spastic bilateral cerebral palsy (CP) often develop muscle contractures and it appears to evolve by lower functional levels and age. Hamstring muscle shortening is one of several impairments developing during ...
(Doctoral thesis / Doktoravhandling, 2020)
Increasing numbers of elderly people will lead to more elderly cancer patients in the palliative phase in the years to come. With health policy goals for patients to spend more time at home, the family becomes responsible ...
(Doctoral thesis / Doktoravhandling, 2020)
Burnout can be sited within the current debate of evidence-based versus person-centred approaches in medicine and healthcare. Despite huge effort to understand different aspects of the phenomenon, burnout remains a contested ...
(Doctoral thesis / Doktoravhandling, 2020)
Patients report both pain and discomfort in relation to treatment in intensive care units (ICU). Traditionally, patients were kept sedated on mechanical ventilation (MV) in the ICU, but currently it is well recognized that ...
(Doctoral thesis / Doktoravhandling, 2020)
Despite extensive research aimed at facilitating evidence-based practice, it has not been sufficiently integrated into the nursing workplace. Thereby, quality of care, patient safety, and disease outcomes may suffer. ...
(Doctoral thesis / Doktoravhandling, 2020)
Each year, an estimated 5.2 million stillbirths and newborn deaths occur, primarily in low-resource settings. Regular fetal heart rate monitoring during labor and the early detection of fetal distress is one method to ...
(Doctoral thesis / Doktoravhandling, 2020)
The aim was to examine if extended workdays and compressed work periods were risk factors for fatigue-related errors as measured by neurobehavioral tests and cardiovascular strain as indicated by heart rate variability ...