Vivian Nystrøm

Department of Nursing, Health and laboratory science

Norwegian version of this page Position

Assistant Professor

Contact

+4769608727

vivian.nystrom@hiof.no

Study place

Fredrikstad

Office nr.

Academic interests

Management and organization

Quality development

Intensive care patients

Management of sedation and delirium in intensive care patients

Respiration and mechanical ventilation

Circulation and hemodynamics

Digitalisation of health services

Background

Education:

Nursing-Østfold University College1996-1999
Critical care nursing-Western University of Applied Sciences 2001-2002
Master i sykepleie -fagutvikling og klinisk forskning ved OsloMet 2014-2016
Docoral research fellowship Universitetet i Oslo - medisinsk fakultet

Work experience:

Intenisve care units 1999-2018:

SØF- Sykehuset i Østfold
Helse Bergen - Haukeland Universitetssykehus
UNN Universitetssykehuset NordNorge Tromsø

College lecturer:

Høyskolen I Østfold, avdeling for Helse og Velferd 2018 - 2019
PhD candidate 2019 - d.d.

Research groups

Nystrøm, Vivian & Olsen, Brita Fosser (2024). The effect of noise and light on sedation in critical care patients. A cross-sectional study of critical care nurses in three intensive care units in Norway. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707.
Nystrøm, Vivian; Lurås, Hilde; Moger, Tron Anders & Leonardsen, Ann-Chatrin Linqvist (2022). Finding good alternatives to hospitalisation: a data register study in five municipal acute wards in Norway. BMC Health Services Research. ISSN 1472-6963. 22, p. 1–12. doi: 10.1186/s12913-022-08066-3. Full text in Research Archive Show summary
Background: In Norway, municipal acute wards (MAWs) have been implemented in primary healthcare since 2012. The MAWs were intended to offer decentralised acute medical care 24/7 for patients who otherwise would be admit‑ ted to hospital. The aim of this study was to assess whether the MAW represents the alternative to hospitalisation as intended, through 1) describing the characteristics of patients intended as candidates for MAWs by primary care physicians, 2) exploring the need for extended diagnostics prior to admission in MAWs, and 3) exploring factors asso‑ ciated with patients being transferred from the MAWs to hospital. Methods: The study was based on register data from five MAWs in Norway in the period 2014–2020. Results: In total, 16 786 admissions were included. The median age of the patients was 78 years, 60% were women, and the median length of stay was three days. Receiving oral medication (OR 1.23, 95% CI 1.09–1.40), and the MAW being located nearby the hospital (OR 2.29, 95% CI 1.92–2.72) were factors associated with patients admitted to MAW after extended diagnostics. Patients needing advanced treatment, such as oxygen therapy (OR 2.13, 95% CI 1.81–2.51), intravenous medication (OR 1.60, 95% CI 1.45–1.81), intravenous fluid therapy (OR 1.32, 95% CI 1.19–1.47) and MAWs with long travel distance from the MAW to the hospital (OR 1.46, 95% CI 1.22–1.74) had an increased odds for being transferred to hospital. Conclusions: Our findings indicate that MAWs do not represent the alternative to hospitalisation as intended. The results show that patients receiving extended diagnostics before admission to MAW got basic treatment, while patients in need of advanced medical treatment were transferred to hospital from a MAW. This indicates that there is still a potential to develop MAWs in order to fulfil the intended health service level
Nystrøm, Vivian; Lurås, Hilde; Midlov, Patrik & Leonardsen, Ann-Chatrin Linqvist (2021). What if something happens tonight? A qualitative study of primary care physicians’ perspectives on an alternative to hospital admittance. BMC Health Services Research. ISSN 1472-6963. 21(1), p. 1–10. doi: 10.1186/s12913-021-06444-x. Full text in Research Archive
Olsen, Brita Fosser & Nystrøm, Vivian (2020). Respiratorbehandling . In Gulbrandsen, Tove Anita & Stubberud, Dag-Gunnar (Ed.), Intensivsykepleie. Cappelen Damm AS. ISSN 9788202603748. p. 339–386.
Leonardsen, Ann-Chatrin Linqvist; Nystrøm, Vivian; Grimsrud, Inger-Johanne Sælid; Hauge, Linn Maria & Olsen, Brita Fosser (2020). Competence in caring for patients with respiratory insufficiency-A cross-sectional study. Intensive & Critical Care Nursing. ISSN 0964-3397. p. 1–8. doi: 10.1016/j.iccn.2020.102952.
Nystrøm, Vivian; Olsen, Brita Fosser & Brekke, Idunn (2020). Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions. Nordic journal of nursing research. ISSN 2057-1585. 40(2), p. 105–112. doi: 10.1177/2057158519899548.

View all works in Cristin

Nystrøm, Vivian (2024). Legenes skepsis til kvaliteten og kompetansen på KAD er sannsynligvis ubegrunnet. [Internet]. Den Norske Legeforeningen.
Nystrøm, Vivian (2024). Forsker: – KAD-ene representerer et trygt og sikkert helsetjenestetilbud. [Internet]. Dagens Medisin.
Leonardsen, Ann-Chatrin Linqvist; Nystrøm, Vivian; Moger, Tron Anders & Lurås, Hilde (2024). Kommunale akuttavdelinger skulle bli et alternativ til sykehusinnleggelse- men legene stoler ikke på tilbudet. Forskning.no. ISSN 1891-635X.
Nystrøm, Vivian; Lurås, Hilde; Moger, Tron Anders & Leonardsen, Ann-Chatrin Linqvist (2023). Patient experiences and clinical outcomes of admissions to municipal acute wards versus a hospital.A multicenter randomised controlled trial in Norway. .
Nystrøm, Vivian; Lurås, Hilde; Moger, Tron Anders & Leonardsen, Ann-Chatrin Linqvist (2023). Finding good alternatives to hospitalisation.A data register study in five municipal acute wards in Norway.
Nystrøm, Vivian; Lurås, Hilde; Midlov, Patrik & Leonardsen, Ann-Chatrin Linqvist (2023). Tenk om det skjer noe i natt? Kommunale legers erfaringer med å henvise pasienter til kommunale akutte døgnenheter.
Slang, Renate; Leonardsen, Ann-Chatrin Linqvist; Hole Trollnes, Anne Kristin & Nystrøm, Vivian (2023). Digitale verktøy i intensivsykepleie.
Nystrøm, Vivian (2021). Tenk om noe skjer i natt. Kommunale legers erfaringer med å henvise pasienter til kommunale akutte døgnenheter .
Nystrøm, Vivian (2021). Kommunale legers erfaringer med å henvise pasienter til kommunale akutte døgnenheter.
Nystrøm, Vivian (2021). Kommunale leger skeptiske til å legge pasienter inn på KAD. [Internet]. Dagens Medisin.
Nystrøm, Vivian (2021). Finding good alternatives to hospitalization? A register study from five municipal acute wards in the southeastern part of Norway.
Nystrøm, Vivian (2021). Hva hvis noe skjer i natt? [Internet]. Legeforeningen.no.
Leonardsen, Ann-Chatrin Linqvist & Nystrøm, Vivian (2020). Hvordan kan vi organisere akutte helsetjenester på en god måte? Sykepleien. ISSN 0802-9768. doi: 10.4220/Sykepleiens.2020.82265.
Nystrøm, Vivian (2020). Kvalitet og effektivitet ved sykehus versus KAD.
Bratli, Lene; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2020). Hvordan kan sykepleiere kartlegge barns smerte? Tidsskriftet sykepleien. ISSN 0806-7511. p. 50–56. doi: 10.4220/SYKEPLEIENS.2020.80444.
Baastad, Sophie; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2020). Bruk av dagbok hos intensivpasienter. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. p. 26–29.
Skrøder, Ann Christin; Michalsen, Stine; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2019). Hyperoksi hos premature. InspirA - Tidsskrift for anestesi- og intensivsykepleiere. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707.
Halvorsen, Hedda Teig; Hammer, Sandra Karoliussen; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2019). Delirium hos intuberte intensivpasienter- intensivsykepleieres erfaringer. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 4, p. 17–25.
Fjerdingby, Tine; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2019). Mobilisering av intensivpasienter. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 4, p. 12–16.
Winsvold, Therese; Eriksen, Mina; Nystrøm, Vivian & Leonardsen, Ann-Chatrin Linqvist (2019). Bruk av NIV til ekstuberte pasienter. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 3, p. 15–20.
Nystrøm, Vivian (2018). Smerte,sedasjon og delirhåndtering - et kvalitetsforbedringsprosjekt.
Nystrøm, Vivian (2016). Støy øker sederingsbehov.
Nystrøm, Vivian (2024). An Issue Of Trust. Exploring Different Aspects of the Municipal Acute Ward as an Alternative to Hospitalization . Faculty of medicine, University of Oslo. ISSN 978-82-348-0362-8.