Anne Mette Nygaard

• Wevling, Astrid Birgitte; Olsen, Brita Fosser; Nygaard, Anne Mette & Heiberg, Turid (2023). Knowledge and Awareness of Non-Technical Skills Over the Course of an Educational Program in Nursing - A Repeated Cross-Sectional Study. Advances in Medical Education and Practice. 14, p. 31–41. doi: 10.2147/amep.s379341. Full text in Research Archive Show summary

  Background: Non-technical skills (NTS) play an important role in preventing adverse events during hospitalization. Knowledge, awareness and mastery of NTS becomes important key factors in preventing errors. Current status of students and supervisor’s knowledge and awareness of NTS are needed in order to construct an educational plan for improvement.<p><p> Purpose: To examine knowledge and awareness of NTS over the course of continuing education of nurse anaesthetists, emergency care nurses, critical care nurses, and operating room nurses. <p>Methods: A descriptive, repetitive cross-sectional design with a questionnaire was used to evaluate knowledge and awareness in students and their supervisors about NTS at two different time points during the educational program. Cross tabulations were used in comparisons across specialties and between students and supervisors, frequencies to identify the levels of self-reported knowledge/ importance/focus in clinical practice/ impact on adverse events. <p>Results: The results showed that there was a numeric difference between the reported knowledge/focus in clinical practice on the one hand and importance/ impact on adverse events on the other, and that this gap was reduced after 12 months of education with special focus on NTS. There was no difference across specialties. Supervisors had higher focus on NTS in clinical practice and on the impact on adverse events, than students at both measurements. <p>Conclusion: These data suggest that NTS may have important potential for improvement if included into learning programs both in education and clinical practice. Integration of NTS in various learning activities seems to strengthen students’ competence about NTS.

• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2022). Interprofessional care for the ICU patient’s family: solitary teamwork. Journal of Interprofessional Care. ISSN 1356-1820. doi: 10.1080/13561820.2022.2038548. Full text in Research Archive Show summary

  The aim of this study was to explore how interprofessional family care by ICU teams was reflected in their daily work. Data were collected from four ICUs in Norway. Fieldwork and focus groups with ICU nurses and physicians were conducted in addition to dyadic and individual interviews of surgeons and internists. In line with a constructivist grounded theory approach, the core category “solitary teamworking” was constructed. Together with three sub-categories, proximity and distance, silent interprofessional work and a connecting link, this core category conceptualizes interprofessional family care as a form of contradictory cooperation where physicians and nurses alternate between working alone and as a team. The sub-categories reveal three notable characteristics of interprofessional family care: (1) it is emotionally challenging, affected by proximity and distance to the families and between the clinicians, (2) it is silent, at a strategic and organizational level, and (3) nurses and family members have an essential role as a connecting link in the ICU team. Interprofessional family care needs strong involvement by an organization that supports and prioritizes family care, includes family members as an active part of the ICU team and emphasizes interprofessional dialogue.

• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Laholt, Hilde; Brinchmann, Berit Støre & Lind, Ranveig (2022). Professionals' narratives of interactions with patients' families in intensive care. Nursing Ethics. ISSN 0969-7330. 29(4). doi: 10.1177/09697330211050995. Full text in Research Archive Show summary

  Background: ICU patients’ family members are in a new, uncertain, and vulnerable situation due to the patient’s critical illness and complete dependence on the ICU nurses and physicians. Family members’ feeling of being cared for is closely linked to clinicians’ attitudes and behavior. Aim: To explore ICU nurses’ and physicians’ bedside interaction with critically ill ICU patients´ families and discuss this in light of the ethics of care. Research design: A qualitative study using participant observation, focus groups, and thematic narrative analysis. Participants and research context: Data were gathered from July 2017 to August 2019, in four ICUs in Norway through 270 h of fieldwork and seven focus groups with ICU nurses and physicians. Ethical considerations: The Regional Committee for Medical and Health Research Ethics and the Norwegian Centre for Research Data approved the study. Findings: Quality of ICU family care depends on nurses’ and physicians’ attitudes, behavior, and personality traits. Three main themes were identified: being attentive, an active approach, and degree of tolerance. Discussion: The findings are discussed in light of the ethics of care and empirical research from the intensive care environment. Conclusions: This study shows that attentive, active, and tolerant clinicians represent a culture of ethical care that gives families greater freedom of action and active participation in patient care. Clinicians must not bear sole responsibility for this culture; it must have a firm basis in the hospital and ICU and be established through training, interprofessional reflection, and support of clinicians.

• Hardeland, Camilla; Claesson, Andreas; Blom, Marieke T; Blomberg, Stig Nikolaj Fasmer; Folke, Fredrik & Hollenberg, Jacob [Show all 14 contributors for this article] (2021). Description of call handling in emergency medical dispatch centres in Scandinavia: recognition of out-of-hospital cardiac arrests and dispatcher-assisted CPR. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. doi: 10.1186/s13049-021-00903-4. Full text in Research Archive Show summary

  Background The European resuscitation council have highlighted emergency medical dispatch centres as an important key player for early recognition of Out-of-Hospital Cardiac Arrest (OHCA) and in providing dispatcher assisted cardiopulmonary resuscitation (CPR) before arrival of emergency medical services. Early recognition is associated with increased bystander CPR and improved survival rates. The aim of this study is to describe OHCA call handling in emergency medical dispatch centres in Copenhagen (Denmark), Stockholm (Sweden) and Oslo (Norway) with focus on sensitivity of recognition of OHCA, provision of dispatcher-assisted CPR and time intervals when CPR is initiated during the emergency call (NO-CPRprior), and to describe OHCA call handling when CPR is initiated prior to the emergency call (CPRprior). Methods Baseline data of consecutive OHCA eligible for inclusion starting January 1st 2016 were collected from respective cardiac arrest registries. A template based on the Cardiac Arrest Registry to Enhance Survival definition catalogue was used to extract data from respective cardiac arrest registries and from corresponding audio files from emergency medical dispatch centres. Cases were divided in two groups: NO-CPRprior and CPRprior and data collection continued until 200 cases were collected in the NO-CPRprior-group. Results NO-CPRprior OHCA was recognised in 71% of the calls in Copenhagen, 83% in Stockholm, and 96% in Oslo. Abnormal breathing was addressed in 34, 7 and 98% of cases and CPR instructions were started in 50, 60, and 80%, respectively. Median time (mm:ss) to first chest compression was 02:35 (Copenhagen), 03:50 (Stockholm) and 02:58 (Oslo). Assessment of CPR quality was performed in 80, 74, and 74% of the cases. CPRprior comprised 71 cases in Copenhagen, 9 in Stockholm, and 38 in Oslo. Dispatchers still started CPR instructions in 41, 22, and 40% of the calls, respectively and provided quality assessment in 71, 100, and 80% in these respective instances. Conclusions We observed variations in OHCA recognition in 71–96% and dispatcher assisted-CPR were provided in 50–80% in NO-CPRprior calls. In cases where CPR was initiated prior to emergency calls, dispatchers were less likely to start CPR instructions but provided quality assessments during instructions.

• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2020). Information concerning ICU patients’ families in the handover— The clinicians’ «game of whispers»: A qualitative study. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 29(19-20), p. 3822–3834. doi: 10.1111/jocn.15414. Full text in Research Archive Show summary

  Aims and objectives: To explore how information concerning ICU patients´ families is included in the ICU clinicians’ daily handover. Background: Handover refers to the transfer of information and care responsibility between clinicians. An effective and precise handover are of great importance to ensure quality of care. Although improvements in handovers have received increasing attention in recent decades, little is known about how information about ICU patients’ family members is included in handovers. Design: A qualitative study using Charmaz’ constructivist grounded theory approach. Methods: Data were gathered through participant observation, focus groups, dyadic and individual interviews of physicians and nurses from four ICUs in different Norwegian hospitals. The data consist of 270 observation hours, seven focus groups, three dyadic interviews and two individual interviews. Field notes and transcribed interview data were analysed using constructivist grounded theory approach. COREQ checklist was applied as reporting guideline for this study. Findings: “A game of whispers” emerged as the core category, representing missing information about the patient's family during the handover. Together with three subcategories: “documentation dilemmas,” “being updated” and “talking together,” the core category explains how transfer of family-related information between clinicians is continually processed and resolved. Conclusions: This study indicates challenges related to appropriate and high-quality handover concerning ICU patients´ families. Oral handovers are essential in terms of clinicians’ need to elaborate on written information and update each other. However, oral transmission involves a high risk of information loss during the handover. Written documentation about the family seems to be inadequate and poorly structured. Relevance to clinical practice: The study findings suggest a need for increased awareness in practice and research of the importance of transferring appropriate and reliable information about patients’ families between ICU clinicians. User-friendly

• Wevling, Astrid; Ålesve, Cathrine; Nygaard, Anne Mette; Gunheim-Hatland, Lars; Høyum, Gro Merete & Heiberg, Turid (2019). Forståelse av ikke-tekniske ferdigheter (ITF) i spesialsykepleie; akutt-, intensiv og operasjonssykepleie (AIO). Nordisk sygeplejeforskning. ISSN 1892-2678. 9(3), p. 201–212. doi: 10.18261/issn.1892-2686-2019-03-05. Full text in Research Archive

View all works in NVA

• Nygaard, Anne Mette & Gulbrandsen, Tove (2025). Postoperativ sykepleie. In Stubberud, Dag-Gunnar & Solberg, Pål (Ed.), Intensivsykepleie. Cappelen Damm Akademisk. ISSN 9788202796983. p. 514–549. Full text in Research Archive Show summary

  Hvordan kan intensivsykepleieren ivareta de grunnleggende behovene til pasienter som er akutt og/eller kritisk syke? Bokas forfattere svarer gjennom å beskrive hvordan intensivsykepleierens spesialkompetanse kommer til uttrykk i profesjonens ulike funksjons- og ansvarsområder. I denne femte reviderte utgaven er fagstoffet oppdatert i tråd med ny nasjonal og internasjonal forskning og kunnskap. Målet er å styrke kompetansen for dermed å bidra til faglig forsvarlig helsehjelp og optimal pasientsikkerhet. I denne reviderte utgaven er det gjort pedagogiske grep blant annet i form av repetisjonsoppgaver om sentrale temaer i hvert kapittel. Boka er primært skrevet for studenter som tar videreutdanning eller masterstudium i intensivsykepleie. Den er egnet som oppslagsverk for sykepleiere som arbeider i akuttmottak, intensivavdelinger, overvåkingsavdelinger og postoperative avdelinger.

• Nygaard, Anne Mette (2022). Quality in communicating with relatives in the ICU. Full text in Research Archive
• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2022). Interprofessional care for the ICU patient’s family – solitary teamwork. Full text in Research Archive
• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2021). Information handover concerning the ICU patients’ family – a game of whispers? Full text in Research Archive
• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2021). Oppmerksom, aktiv og tolerant - intensivsykepleierens interaksjon med intensivpasientens pårørende. Full text in Research Archive
• Nygaard, Anne Mette; Haugdahl, Hege Selnes; Brinchmann, Berit Støre & Lind, Ranveig (2021). Interprofessional care for the ICU patient’s family – a solitary teamwork. Full text in Research Archive
• Nygaard, Anne Mette & Gulbrandsen, Tove Anita (2020). Postoperativ sykepleie. In Gulbrandsen, Tove Anita & Stubberud, Dag-Gunnar (Ed.), Intensivsykepleie. Cappelen Damm AS. ISSN 9788202603748. p. 507–542. Full text in Research Archive
• Nygaard, Anne Mette; Lind, Ranveig; Haugdahl, Hege Selnes & Brinchmann, Berit Støre (2019). Videreføring av informasjon relatert til intensivpasienters pårørende- en hviskelek og et dokumentasjonsdilemma. Full text in Research Archive
• Hardeland, Camilla; Claesson, Andreas; Blomberg, Stig Nikolaj Fasmer; Folke, Fredrik; Hollenberg, Jacob & Kramer-Johansen, Jo [Show all 13 contributors for this article] (2019). Differences in out-of-hospital cardiac arrest emergency dispatch recognition and dispatcher assisted cpr instructions – a Scandinavian multicentre study. Resuscitation. ISSN 0300-9572. Full text in Research Archive
• Fossen, Linn Therese; Sælid, Inger-Johanne; Nygaard, Anne Mette & Leonardsen, Ann-Chatrin Linqvist (2018). Hypotermibehandling. Optimalisering av blodsukkernivået etter hjertestans. Sykepleien. ISSN 0039-7628. doi: 10.4220/Sykepleiens.2018.71026. Full text in Research Archive
• Munch, Elin; Nygaard, Anne Mette & Leonardsen, Ann-Chatrin Linqvist (2018). Bruk av endotrakealtube med subglottis-sug kan forebygge ventilatorassosiert pneumoni. Sykepleien. ISSN 0039-7628. 106. doi: 10.4220/Sykepleiens.2018.65480. Full text in Research Archive
• Mathisen, Martine; Nygaard, Anne Mette & Leonardsen, Ann-Chatrin Linqvist (2018). Intensivsykepleiere kan forebygge PTSD. Sykepleien. ISSN 0039-7628. Full text in Research Archive
• Ruud, Hege; Markussen, Anette; Nygaard, Anne Mette & Leonardsen, Ann-Chatrin Linqvist (2018). Hvordan ivareta pårørende ved organdonasjon? Sykepleien. ISSN 0039-7628. Full text in Research Archive
• Chau, LM; Nygaard, Anne Mette & Leonardsen, Ann-Chatrin Linqvist (2017). Polynevromyopati hos intensivpasienter. Sykepleien. ISSN 0039-7628. Full text in Research Archive
• Wevling, Astrid; Bekkhus, Egil; Ålesve, Cathrine; Nygaard, Anne Mette & Heiberg, Turid (2017). What about non - technical skills in the operating theatre? Full text in Research Archive
• Wevling, Astrid; Bekkhus, Egil; Ålesve, Cathrine & Nygaard, Anne Mette (2015). Er det forskjell i klinisk utøvelse mellom spesialsykepleiere som har / ikke har deltatt i utvidet bruk av simulering under utdanning. Full text in Research Archive
• Nygaard, Anne Mette & Gulbrandsen, Tove (2015). Den postoperative pasienten. In Gulbrandsen, Tove & Stubberud, Dag-Gunnar (Ed.), Intensivsykepleie. Cappelen Damm Akademisk. ISSN 9788202415938. p. 719–760. Full text in Research Archive
• Nygaard, Anne Mette & Lind, Ranveig (2022). Family care strategies in an unpredictable ICU environment. ICU nurses’ and physicians’ interprofessional and individual strategies for critically ill ICU patients’ families – a qualitative study. UiT Norges arktiske universitet. Full text in Research Archive Show summary

  <p><i>Background:</i> Critical illness not only disrupts the patient’s life, but also the lives of close family members. The care provided by ICU nurses and physicians can reduce the family members’ burden and improve the patient's outcome. Previous research shows that although ICU families generally report high satisfaction, there are several barriers to family care and areas for improvement. Family members miss emotional support and opportunities to become more involved in patient care. They also report problems with inconsistent information and poor communication with clinicians. This indicates that more knowledge is needed of existing ICU family care practices. Therefore, the overall aim of this study was to explore ICU nurses’ and physicians’ individual and interprofessional strategies for providing care to the families of critically ill ICU patients, in order to enhance knowledge of existing ICU practices and hereby improve patient and family care. <p><i>Methods:</i> Data were gathered from July 2017 to August 2019, through participant observation, focus groups, dyadic and individual interviews of physicians and nurses from four ICUs in different Norwegian hospitals. In Papers 1 and 2, a constructivist grounded theory approach was used in the data analysis, while thematic narrative analysis was used in Paper 3. <p><i>Findings:</i> Papers 1, 2 and 3, respectively, describe how handovers, interprofessional care and an individual approach affect family care in the ICU. Together these articles show that family care in the ICU is an interprofessional responsibility, although an individual approach to families by nurses and physicians is crucial, and continuity in family care must be ensured by good information flow between clinicians. The study also indicates that family care in the ICU is largely based on clinicians’ experiences. <p><i>Conclusion:</i> The study demonstrates that ICU nurses and physicians show care and responsibility towards ICU families, although their family care strategies are mainly experiential and tacit. The study also reveals that despite the inherent unpredictability of ICU, family care can be facilitated by developing a family-friendly culture and environment. The ICU management has a vital role to play in enhancing nurses’ and physicians’ individual and interprofessional family care strategies by developing evidence-based guidelines and encouraging interprofessional dialogue and reflection.

View all works in NVA