Geir Vegar Berg

• Holthe, Torhild; Ødbehr, Liv Skomakerstuen & Berg, Geir Vegar (2026). Hvordan kan PAL-N bidra til å kartlegge aktivitetsnivå og tilrettelegge personsentrert ADL for personer med demens i sykehjem? Ergoterapeuten. ISSN 0800-3475. 4-2026, s. 16–24. Fulltekst i vitenarkiv Vis sammendrag

  Det ergoterapeutiske «Pool Activity Level Instrument - PAL» er nå oversatt til norsk. PAL-N brukes for å kartlegge aktivitetsnivå hos personer med demens i sykehjem, noe ergoterapeuter ofte er involvert i. Mer enn 80 prosent av beboere i sykehjem har demens. Forskning har vist at mange sykehjemsbeboere sitter uvirksomme store deler av dagen, og det rapporteres om at årsaker til ufullstendig omsorg er skrøpelige pasienter, lav bemanning, travelhet og manglende kompetanse. PAL-N ble pilotert med ti pleiepersonell som arbeider i demensavdelinger, og som skåret til sammen 18 pasienter. Vi klarte ikke å rekruttere ergoterapeuter til denne studien. Pleiepersonellet deltok i et digitalt fokusgruppeintervju om sine erfaringer med brukervennlighet og nytteverdi av PAL-N. Funnene viste at til tross for usikkerhet knyttet til nye ord og begreper, bidro PAL-N til å øke bevisstheten om pasientens aktivitetsevne og tilrettelegging for deltakelse. PAL-N syntes også å styrke personsentret tilnærming i ADL.

• Ward, Alison; Berg, Geir V. & Thoft, Diana Schack (2026). Interviewing Health Professionals’ Experiences of Administering Different Measures With People Living With Dementia: A Piece of a Holistic Puzzle. Health and Social Care in the Community. ISSN 0966-0410. 2026(1). doi: 10.1155/hsc/5047831. Fulltekst i vitenarkiv Vis sammendrag

  This paper aims to explore health professionals’ perspectives on administering different validated measures, both subjective and objective measures, with people with dementia within Denmark, Norway and the United Kingdom. A qualitative methodological approach was used through focus groups and individual interviews across the three countries. The transcribed interviews were thematically analysed. The analysis revealed three themes, which focused on considerations for the health care professional’s experiences using measures when meeting people with dementia; that administering tests is like invigilating an exam; and that supporting the assessment by being a friendly, curious person can be a positive approach. Validated measures can contribute valuable information supporting the assessment of a person living with dementia; however, they are only a piece of the puzzle. Heterogeneity in the way measures are used and interpreted may influence the results, calling for training and supervision of professionals using these measures. An ethics of care approach can provide a focus on supporting people with dementia when being assessed. However, there is a need for experience and knowledge in correctly conducting assessments together with balancing the ethical and sensitive aspects of assessing people with dementia. This calls for training and supervision to ensure the right measures are used to assess appropriate domains and inform support. This study addressed the issue of using different validated measures as part of regular dementia care, where the use of such measures is not often reviewed or openly discussed.

• Fjermeros, Are; Berg, Geir Vegar & Benders, Jos (2026). Back on track: a case study on sustaining and reducing stroke treatment times in a medium-sized Norwegian hospital. BMC Health Services Research. 26. doi: 10.1186/s12913-026-14929-w. Fulltekst i vitenarkiv
• Mortensen, Michael; Torheim, Ola Martin & Berg, Geir Vegar (2026). Quick Returns Between Shifts and Nurse Health: A Scoping Review. Nursing Forum. ISSN 0029-6473. s. 1–18. doi: 10.1155/nuf/6389676. Fulltekst i vitenarkiv Vis sammendrag

  Background Shift work, particularly the scheduling of quick returns (QRs), is a notable challenge within the healthcare sector. QRs, where a day shift follows an evening shift with less than 11 h of rest, pose significant demands on healthcare personnel. They are associated with insufficient recovery between shifts, which may adversely affect sleep, health, and job performance. This review aimed to map and synthesize the available evidence on the consequences of QRs for rotating nurses. Method A scoping review methodology was adopted using an inductive data collection and analysis approach. Studies published between January 2015 and February 2024 were sourced from five electronic databases: MEDLINE, CINAHL, Embase, Oria, and Google Scholar. The search was limited to studies published in English, Swedish, Danish, or Norwegian. A blinded selection process was conducted to ensure unbiased selection. Data were extracted and analyzed thematically and numerically to identify the breadth of outcomes reported. Results This research analyzed 30 studies involving over 110,000 participants, 15 of which were conducted in the Nordic region. Apart from one online survey of an unspecified location, all utilized quantitative methods. Thematic analysis identified five main categories of consequences of QRs: effects on sleep, physical health, psychological health, psychosocial well-being, and work-related incidents. Studies varied in how QRs were defined and measured. Conclusion QRs have been consistently associated with adverse short- and long-term consequences for nurses’ sleep, health, and work environment, although some studies report no significant effects. Methodological heterogeneity and the absence of qualitative studies remain important limitations. This review highlights the need for future research to explore nurses’ lived experiences of QRs and to examine how different health systems may mitigate their impact. Policy and scheduling practices should consider strategies to reduce the frequency of QRs or provide adequate recovery time in order to protect nurses′ well-being and patient safety.

• McCann, Lisa; Lewis, Liane; Oduntan, Olubukola; Harris, Jenny; Darley, Andrew & Berg, Geir Vegar [Vis alle 27 forfattere av denne artikkelen] (2024). Patients’ and Clinicians’ Experiences Using a Real-Time Remote Monitoring System for Chemotherapy Symptom Management (ASyMS): Qualitative Study. Journal of Medical Internet Research (JMIR). ISSN 1439-4456. 26. doi: 10.2196/53834. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patients receiving chemotherapy require ongoing symptom monitoring and management to optimize their outcomes. In recent years, digital remote monitoring interventions have emerged to provide enhanced cancer care delivery experiences to patients and clinicians. However, patient and clinician experiential evaluations of these technologies are rare. Therefore, we explored user experiences and perceptions of one such intervention—Advanced Symptom Management System (ASyMS)—after its scaled deployment in the context of the Electronic Symptom Management System Remote Technology (eSMART) trial. The eSMART trial was a large, multicenter randomized controlled trial to evaluate the efficacy of ASyMS in 12 clinical sites in 5 European countries. Objective: In this qualitative study, both patients’ and clinicians’ experiences of using ASyMS for up to 6 cycles of chemotherapy were explored to understand the impact of ASyMS on patients’ experiences, clinical practice, and supportive care delivery. Methods: For this analysis, individual, semistructured, one-to-one interviews with 29 patients with breast, colorectal, and hematological cancers and 18 clinicians from Austria, Greece, Ireland, Norway, and the United Kingdom were conducted. Interviews focused on patients’ and clinicians’ experiences of using ASyMS, care organization and changes in practice following the introduction of ASyMS, perceived changes in care associated with the use of ASyMS, and its potential for future integration into routine chemotherapy care pathways. Results: Thematic analysis identified several themes that describe patients’ and clinicians’ experiences using ASyMS. One central orienting theme—ASyMS as a facilitator of change—was supported by 5 key themes associated with human and technology monitoring: reassurance, enhanced communications and relationships, knowing what is “normal” and what is to be expected, enhancing cancer care experiences, and informing future cancer care. Conclusions: This study is the first to evaluate both patients’ and clinicians’ experiences of using a digital health intervention to remotely monitor chemotherapy symptoms across 5 countries. Experiences with ASyMS were positive from both patients’ and clinicians’ perspectives, although some improvements to support the wider-scale rollout and sustained implementation were identified. Overall, this study demonstrates that real-time remote monitoring systems can help patients feel more reassured during their chemotherapy treatments and can help clinicians provide the right care, at the right time, and in the right place.

• Fjermeros, Are; Berg, Geir Vegar; Holtskog, Halvor & Benders, Josephus Gerardus Johanne (2024). Starting continuous improvement; creating a common understanding of stroke care delivery in a general hospital. BMC Health Services Research. 24(1). doi: 10.1186/s12913-024-11327-y. Fulltekst i vitenarkiv Vis sammendrag

  Background Continuous improvement is based on fostering practitioners’ suggestions to modify their own work processes This improvement strategy is widely applied in healthcare but difficult to maintain. The cross-disciplinary nature of many care processes constitutes an extra impediment. Methods The study had an explorative design with a qualitative single-case approach. The case presents a project to improve the treatment of patients with thrombotic stroke. Data was obtained via hands on involvement, documents, observations, and interviews with participants in a cross-functional improvement group. A thematic analysis method was employed. Results Through learning how tasks were carried out in other disciplines, the participants developed a common understanding of why it took so long to provide treatment to stroke patients. These insights were used to implement practical changes, leading to immediate improvements in stroke care delivery. The results were fed back so that successes became visible. Participants’ understandings of the local context enabled them to convince peers of the rationale of changes, setting in motion a permanent improvement structure. The participants considered that mapping and then assessing the entire workflow across disciplines were relevant methods for improving the quality of patient care. Conclusion Starting an improvement project in a cross disciplinary environment requires deep engagement on the part of professionals. A quintessential prerequisite is therefore the realization that the quality of care depends on cross-disciplinary cooperation. A facilitated learning arena needs to (1) create insights into each other’s colleagues’ tasks and process interdependencies, (2) increase understanding of how the distribution of tasks among specialist units affects the quality of care, and (3) frequently report and provide feedback on results to keep the process going.

• Miller, Morven; McCann, Lisa; Lewis, Liane; Miaskowski, Christine; Ream, Emma & Darley, Andrew [Vis alle 25 forfattere av denne artikkelen] (2024). Patients' and Clinicians' Perceptions of the Clinical Utility of Predictive Risk Models for Chemotherapy-Related Symptom Management: Qualitative Exploration Using Focus Groups and Interviews. Journal of Medical Internet Research (JMIR). ISSN 1439-4456. 26, s. e49309–e49309. doi: 10.2196/49309. Fulltekst i vitenarkiv Vis sammendrag

  Background: Interest in the application of predictive risk models (PRMs) in health care to identify people most likely to experience disease and treatment-related complications is increasing. In cancer care, these techniques are focused primarily on the prediction of survival or life-threatening toxicities (eg, febrile neutropenia). Fewer studies focus on the use of PRMs for symptoms or supportive care needs. The application of PRMs to chemotherapy-related symptoms (CRS) would enable earlier identification and initiation of prompt, personalized, and tailored interventions. While some PRMs exist for CRS, few were translated into clinical practice, and human factors associated with their use were not reported. Objective: We aim to explore patients’ and clinicians’ perspectives of the utility and real-world application of PRMs to improve the management of CRS. Methods: Focus groups (N=10) and interviews (N=5) were conducted with patients (N=28) and clinicians (N=26) across 5 European countries. Interactions were audio-recorded, transcribed verbatim, and analyzed thematically. Results: Both clinicians and patients recognized the value of having individualized risk predictions for CRS and appreciated how this type of information would facilitate the provision of tailored preventative treatments or supportive care interactions. However, cautious and skeptical attitudes toward the use of PRMs in clinical care were noted by both groups, particularly in relationship to the uncertainty regarding how the information would be generated. Visualization and presentation of PRM information in a usable and useful format for both patients and clinicians was identified as a challenge to their successful implementation in clinical care. Conclusions: Findings from this study provide information on clinicians’ and patients’ perspectives on the clinical use of PRMs for the management of CRS. These international perspectives are important because they provide insight into the risks and benefits of using PRMs to evaluate CRS. In addition, they highlight the need to find ways to more effectively present and use this information in clinical practice. Further research that explores the best ways to incorporate this type of information while maintaining the human side of care is warranted. Trial Registration: ClinicalTrials.gov NCT02356081; https://clinicaltrials.gov/study/NCT02356081 J Med Internet Res 2024;26:e49309

• Solberg, Monica; Berg, Geir Vegar & Andreassen, Hege Kristin (2023). Lost in the loop - a qualitative study on patient experiences of care in standardized cancer patient pathways. BMC Health Services Research. 23(1). doi: 10.1186/s12913-023-10364-3. Fulltekst i vitenarkiv Vis sammendrag

  Background: The Norwegian health authorities introduced standardized cancer patient pathways (CPPs) in 2015, aiming to reduce practice variations across hospitals and regions, and improve the continuity, coordination and overall quality of the health care service provided to cancer patients. There has been few studies investigating this change, and that have looked into the organisational and economic benefits of standardized pathways, however the element of care and the patient perspective has been especially neglected. This study explored the care element in cancer patient pathways through an in-depth study of patient experiences. Methods: The patients were enrolled approximately three years after the introduction of standardized CPPs in Norway. Through a qualitative design with in-depth interviews, a total of 21 interviews were conducted with seven patients between 2018 and 2020. The first interview took place after the diagnosis was established and before treatment, the second interview during treatment, and the final interview approximately one year after the completion of active treatment. The empirical catchment area was eastern Norway. Data were analysed using a theoretical thematic analysis. Results: This study sheds light on the complex challenges patients' faces, while navigating CPPs, including the need for better transition support, improved coordination and continuity in care, and a more holistic approach that encompasses emotional well-being and family support. Three overarching themes were identified: [1] Navigating CPPs: patient care and transition challenges, [2] Fragmented cancer care: challenges in coordination and continuity [3] Unmet needs and overlooked opportunities in CPPs. Conclusions: Patients experience that cancer patient pathways offer good medical treatment, but that the care element deserves more attention. Current CPPs are trapped in a logic of choice, preventing room for the element of care to receive the attention it requires for the patient to truly experience holistic person-centred care and continuous, well-coordinated services. Based in our study we argue there is a need to look into the missed opportunities for using the CPPs as points of departure for more holistic collaborative models for cancer care.

• Sørensen, Inger Lise & Berg, Geir Vegard (2022). Facilitators and Barriers That Transfemoral Amputees Experience in Their Everyday Life: A Norwegian Qualitative Study. Rehabilitation Research and Practice. ISSN 2090-2867. 2022. doi: 10.1155/2022/2256621. Fulltekst i vitenarkiv Vis sammendrag

  Background. Living with a lower limb amputation influences multiple facets of life due to altered function. Individuals achieve a varied level of function post amputation, depending on several variables like age, level of function prior to amputation, and available personal and environmental resources. Releasing the potential to live life to the fullest despite a disability is important to the individual. Objectives. The primary objective of this study is to identify barriers and facilitators for function which lower limb amputees experience in their lives several years after amputation, from the amputee’s perspective. This knowledge can contribute to further development of the clinical pathway for lower limb amputees in a Norwegian rehabilitation hospital. Methods. The study has a descriptive and exploratory qualitative design with a phenomenological hermeneutical approach. Semistructured, individual interviews were conducted for data collection. Thematic analysis inspired by Braun and Clarke was used for data analysis. The sample consisted of eight transfemoral amputees ( (58-77 years)) living in the southern part of Norway. Average time since amputation was 11 years. Results. The results have been categorised into two main themes with subthemes: (1) facilitators: personal resources, a well-fitted prosthesis, rehabilitation, social network, balance in activity/rest, and accessibility and (2) barriers: walking distance, poorly fitted prosthesis, pain, comorbidities, climate/terrain/falling, reduced local competence on amputation, and pandemic. Conclusion. Lower limb amputees experience barriers in their everyday life, but they also develop strategies to cope with their disability. Clinical implications can include increased nutritional guidance, structural psychological mapping and follow-up, structured follow-ups over a significant period of time, and extended use of digital consultation.

• Kumlin, Marianne; Berg, Geir Vegard; Kvigne, Kari Johanne & Hellesø, Ragnhild (2022). Dilemmas and deliberations in managing the care trajectory of elderly patients with complex health needs: a single-case study. BMC Health Services Research. 22(1). doi: 10.1186/s12913-022-08422-3. Fulltekst i vitenarkiv Vis sammendrag

  Today, the ageing population is larger than ever before, and people who are living longer with chronic illnesses and multimorbidity need support from multiple healthcare service levels. Similarly, healthcare systems are becoming increasingly specialised and fragmented. The World Health Organization has highlighted novel policies for developing integrated and person-centred services. However, patients, next of kin and health professionals face several challenges in managing healthcare during the care trajectory. Limited literature has addressed the challenges experienced by these groups. Therefore, this study aimed to identify the dilemmas and deliberations faced by patients, next of kin and health professionals during the care trajectory of elderly patients with complex healthcare needs.

• Solberg, Monica; Berg, Geir Vegard & Andreassen, Hege Kristin (2022). An emotional roller coaster - family members’ experiences of being a caregiver throughout a cancer trajectory. International Journal of Qualitative Studies on Health and Well-being. ISSN 1748-2623. 17(1). doi: 10.1080/17482631.2022.2137965. Fulltekst i vitenarkiv Vis sammendrag

  Purpose: To explore family members' experiences of caregiving throughout a cancer trajectory from diagnosis until around one year after chemotherapy and radiation treatment ended. Method: We conducted a longitudinal qualitative study using in-depth interviews with 13 family members at one to three points of time: before, during, and after treatment. To analyse the interviews, we leaned on Braun and Clark procedure for thematic analysis. Result: The analysis revealed three themes in family members' experiences of being a caregiver to a cancer patient throughout a cancer trajectory. These were: (1) From the time of diagnosis-overwhelming and uncertain; (2) During and after treatment-invisible and not involved; (3) Throughout the cancer trajectory-an emotional roller coaster. Conclusion: The results indicated that the family members felt invisible and not involved and they experienced being a caregiver throughout the cancer trajectory as an emotional roller coaster. Our empirical findings thus indicate that in cancer care, family perspectives are yet to be implemented in daily practice. This is in contrast to explicit goals in current health policies underlining support and involvement of family members as a core aspect in cancer care.

• Batt-Rawden, Kari Bjerke; Berg, Geir Vegard & Andersson, Anders-Petter (2021). Music-based environmental therapy and training programme: a qualitative evaluation study, Norway. Health Promotion International. ISSN 0957-4824. 38(4). doi: 10.1093/heapro/daab173. Fulltekst i vitenarkiv Vis sammendrag

  Various authors have emphasized music’s value as beneficial intervention, with few or hardly any side effects. Further studies are called for on how music-based environmental treatment in nursing homes works in practice. The aims of the study are first to explore the subjective experiences, opinions and attitudes of health personnel from nursing homes participating in the ‘music-based environmental therapy programme (MB programme); and second, to examine why and how this programme impacts on patients and staff, and how it works in practice. It is the first qualitative study to evaluate the impact of the programme on health personnel’s daily practice in nursing homes. The sample was strategically selected by means of convenience sampling, and consisted of 26 (n = 26) nurses, managers, physiotherapists, social workers and carers from 11 nursing homes in the south-east of Norway. Data were collected in autumn 2019 using a methodological triangulation of in-depth interviews, focus groups and passive observation, and the data were analyzed using systematic text condensation. With systematic use of music in daily activities in the nursing homes, users became calmer and less outspoken, and the use of psychotropic drugs was greatly reduced. The MB programme seems to be a successful intervention that provides a unique opportunity to improve patients’ health and well-being with minimal adverse effects. This new focus on non-pharmacological approaches makes investigation of alternatives to medication vital.

• Mølmen, Knut Sindre; Jovanovic, Maja; Berg, Geir Vegard; Ellefsen, Stian & Grindaker, Eirik (2021). Styrketrening ved kronisk obstruktiv lungesykdom: Erfaringer fra The Granheim COPD Study. En kvalitativ analyse av motivasjonsfaktorer. Fysioterapeuten. ISSN 0016-3384. Fulltekst i vitenarkiv Vis sammendrag

  Bakgrunn: Regelmessig styrketrening gir gunstige helseeffekter for personer med kronisk obstruktiv lungesykdom (KOLS), og er derfor en naturlig del av lungerehabiliteringen. Pasienters opplevelse av slik trening er imidlertid lite studert. Hensikten med denne kvalitative studien var å kartlegge erfaringer med styrketrening hos deltakere i The Granheim COPD Study. Materiale og metode: Åtte av 24 prosjektdeltakere med KOLS (kvinner/menn, n=3/n=5; KOLS grad II/III, n=4/n=4; alder, 64-79 år) gjennomførte semistrukturerte, kvalitative intervjuer i den femte av totalt 13 uker med styrketrening. Funn: Samlet for alle prosjektdeltakerne med KOLS var treningsadherensen høy (97%) og frafallet lavt (n=2 av 22) under treningsperioden. Informantene som gjennomførte kvalitative intervjuer opplevde nokså høy og stigende grad av motivasjon for å trene under intervensjonen. Dette var knyttet til tett personlig oppfølging fra treningskyndig personell og opplevelse av trygghet under treningsøktene, samt økt mestringsfølelse og økt kompetanse. Fortolkning: Personlig veiledning fra treningskyndig personell var en avgjørende faktor for å øke treningsmotivasjonen blant studiedeltakerne. Individuell tilrettelegging og oppfølging ser derfor ut til å være en forutsetning for å oppnå gode aktivitetsvaner hos personer med KOLS. Nøkkelord: atferdsendring, kvalitativ forskning, lungerehabilitering, personlig treningsveiledning, treningsmotivasjon.

• Kumlin, Marianne; Berg, Geir Vegard; Kvigne, Kari Johanne & Hellesø, Ragnhild (2021). Unpacking Healthcare Professionals’ Work to Achieve Coherence in the Healthcare Journey of Elderly Patients: An Interview Study. Journal of Multidisciplinary Healthcare. 14. doi: 10.2147/JMDH.S298713. Fulltekst i vitenarkiv Vis sammendrag

  Aim: Today, seamless, person-centered healthcare is emphasized when dealing with elderly patients with comprehensive needs. Studies have uncovered a complex healthcare terrain. Despite a great deal of effort on the part of policy makers and healthcare providers, the work healthcare professionals undertake to develop seamless healthcare is still unclear. Therefore, the aim of this study was to uncover the work that healthcare professionals undertake to achieve coherent and comprehensive healthcare for elderly patients with multiple health problems during their journey through the complex healthcare terrain. Methods: This study has an explorative design with individual interviews. Twenty-five healthcare professionals from primary and specialist care agreed to participate. A thematic analysis method was employed. Results: The analyses revealed three central themes in the healthcare professionals’ work to build coherence in the patients’ care trajectory: Working to manage a patient’s illness trajectory during the course of the patient’s life, working to achieve a comprehensive overall picture, and considering multiple options in a “patchwork” terrain. Conclusion: Healthcare professionals have a common understanding that hospital stays are a short part of the elderly person’s journey in the healthcare system. In the comprehensive work to obtain the overall picture of the illness trajectory within the patient’s life story, healthcare professionals emphasized the importance of working in an interdisciplinary manner. Interprofessional consulting and collaboration should be strengthened to build coherence in the older patient’s complex care trajectory. Keywords: older, care trajectory, complex healthcare, health personnel, interdisciplinary

• Berg, Geir Vegard; Slettebø, Åshild; Johnsen, Kjersti Marie Frivoll; Dahl, Aud Findal & Fossum, Mariann (2021). Interviews with Community Healthcare Registered Nurses in Norway: Examination Practices and Clinical Evaluation Processes. Nursing Open. 8(6), s. 3291–3298. doi: 10.1002/nop2.1045. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Aim This study describes the examination practices and clinical evaluation processes that Registered Nurses in Norway perform in the community healthcare sector. Design A qualitative exploratory design. Methods Twenty interviews were conducted with Registered Nurses employed in the community healthcare sector in Norway. The data were analysed using a thematic analysis. Results We found four major themes: (1) evaluations are embedded in nurses’ daily work, (2) significance of a Registered Nurse's clinical competency, (3) different tasks require various roles and (4) access to resources and equipment. Registered Nurses possess several skills in a range of different examination techniques and clinical evaluation processes in the community healthcare sector. They perform complex assessments in their daily work and must rely on other healthcare professionals, facilities and equipment to provide high-quality care. Ongoing education and training will enable Registered Nurses to complete accurate assessments in their community healthcare practice.

• Maguire, Roma; McCann, Lisa; Kontronoulas, Grigorios; Kearney, Nora; Ream, Emma & Armes, Jo [Vis alle 26 forfattere av denne artikkelen] (2021). Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART). The BMJ. doi: 10.1136/bmj.n1647. Fulltekst i vitenarkiv
• Solberg, Monica; Berg, Geir Vegard & Andreassen, Hege Kristin (2021). In Limbo: Seven Families` Experiences of Encounter with Cancer Care i Norway. International Journal of Integrated Care (IJIC). 21(4). doi: 10.5334/ijic.5700. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Introduction: Like many other countries, Norway has seen a shift from inpatient to outpatient cancer care, with pathways aimed at improving the integration and coordination of health services. This study explores the perspectives of seven patients and their family members in light of this change. We focus on one particular phase of the pathway: the first encounter. Our interviews were set in the period from referral until the start of treatment. Methods: Nineteen individual in-depth interviews were conducted in seven families. Seven patients with cancer and 12 family members were interviewed. Results: Three categories of experiences stood out in the empirical material: ‘Being in between different health professionals’, ‘Overwhelmed by written and oral informationʼ and ‘Lack of involvement’. Conclusion: This study provides insight into families’ experiences with cancer care from referral until the start of treatment. Our findings indicate that families often experience cancer care as fragmented and confusing. Although evaluations have shown that the introduction of cancer pathways seems to have a positive effect on waiting times and standardization of examinations across hospitals and regions, there is still potential for improvement in coordination between services, family involvement, and emotional and practical support. We argue that our findings highlight the tension between two ideals of professional care: standardization and patient-centredness. The study illustrates shortcomings in translating the ideal of patient-centredness into professional practice. Keywords: cancer pathways, family, qualitative research, integrated care, patient-centred care. © 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

• Kumlin, Marianne; Berg, Geir Vegard; Kvigne, Kari Johanne & Hellesø, Ragnhild (2020). Elderly patients with complex health problems in the care trajectory: A qualitative case study. BMC Health Services Research. 20. doi: 10.1186/s12913-020-05437-6. Fulltekst i vitenarkiv Vis sammendrag

  Background Elderly patients with multiple health problems often experience disease complications and functional failure, resulting in a need for health care across different health care systems during care trajectory. The patients’ perspective of the care trajectory has been insufficiently described, and thus there is a need for new insights and understanding. The study aims to explore how elderly patients with complex health problems engage in and interact with their care trajectory across different health care systems where several health care personnel are involved. Methods The study had an explorative design with a qualitative multi-case approach. Eleven patients (n = 11) aged 65–91 years participated. Patients were recruited from two hospitals in Norway. Observations and repeated interviews were conducted during patients’ hospital stays, discharge and after they returned to their homes. A thematic analysis method was undertaken. Results Patients engaged and positioned themselves in the care trajectory according to three identified themes: 1) the patients constantly considered opportunities and alternatives for handling the different challenges and situations they faced; 2) patients searched for appropriate alliance partners to support them and 3) patients sometimes circumvented the health care initiation of planned steps and took different directions in their care trajectory. Conclusions The patients’ considerations of their health care needs and adjustments to living arrangements are constant throughout care trajectories. These considerations are often long term, and the patient engagement in and management of their care trajectory is not associated with particular times or situations. Achieving consistency between the health care system and the patient’s pace in the decision-making process may lead to a more appropriate level of health care in line with the patient’s preferences and goals.

• Berg, Geir Vegard (2019). Friluftsliv og helse til glede for de fleste. I Tellnes, Gunnar (Red.), NaKuHel og folkehelse som bærekraft: Samspillet Natur-Kultur-Helse sett i lys av FNs bærekraftmål. Det norske medicinske Selskab. ISSN 9788292871812. s. 59–63. Fulltekst i vitenarkiv Vis sammendrag

  Samfunnets helseutfordringer er nå, kanskje mer enn noen gang, knyttet til klima, miljø, matsikkerhet, migrasjon, økonomi, osv. Dette har aktualisert behovet for å styrke klodens bærekraft, blant annet for å sikre gode levekår og folkehelse for fremtidige generasjoner. Det er nå 25 år siden NaKuHel-senteret i Asker ble etablert. I den anledning vil vi synliggjøre betydningen av helsefremmende natur- og kulturaktiviteter sett i lys av FNs bærekraftsmål. Denne boken viser hvordan god samfunnshelse kan skapes på andre måter enn tradisjonell medisinsk tenkning, paradigme og ideologi. Det mangfold av perspektiv som presenteres i bokens 21 kapitler, skrevet av 24 forfattere, gir eksempler på helsefremmende tiltak som kan bidra til en salutogen samfunnsutvikling. Målet er å fremme helse, miljø, livskvalitet og velferd for alle. Inkluderende og helsefremmende fellesskap kan bidra til god folkehelse og bærekraftige samfunn. Et sentralt element ved NaKuHel-konseptet er at offentlige tjenester, frivillige organisasjoner og næringsliv skal samarbeide med utgangspunkt i felles mål for å bedre helse, miljø og velferd. På NaKuHel-senteret i Asker kan deltakere fra alle samfunnslag føle seg inkludert og får stor frihet til å realisere egne idéer i praksis. Senteret har dermed blitt et vitalt møtested for mangfold, kommunikasjon, solidaritet, økt livskvalitet, helse, mestring og miljøbevissthet.

• Furlong, Eileen; Darley, Andrew; Fox, Patricia A.; Buick, Alison R.; Kotronoulas, Grigorios & Miller, Morven [Vis alle 18 forfattere av denne artikkelen] (2019). Adaptation and implementation of a mobile phone-based remote symptom monitoring system for people with cancer in Europe. JMIR Cancer. 5(1), s. 1–14. doi: 10.2196/10813. Fulltekst i vitenarkiv Vis sammendrag

  Abstract BACKGROUND: There has been an international shift in health care, which has seen an increasing focus and development of technological and personalized at-home interventions that aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings. OBJECTIVE: This study aimed to describe the steps undertaken in the preparation of a multinational, multicenter randomized controlled trial (RCT) to test a mobile phone-based remote symptom monitoring system, that is, Advanced Symptom Management System (ASyMS), designed to enhance management of chemotherapy toxicities among people with cancer receiving adjuvant chemotherapy versus standard cancer center care. METHODS: There were 13 cancer centers across 5 European countries (Austria, Greece, Ireland, Norway, and the United Kingdom). Multiple steps were undertaken, including a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardized international care procedures, and the integration and evaluation of the technology within each cancer center. RESULTS: The ASyMS was successfully implemented and deployed in clinical practices across 5 European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, before the commencement of the RCT. CONCLUSIONS: Adapting and implementing this multinational, multicenter system required close attention to diverse considerations and unique challenges primarily related to communication and clinical and technical issues. Success was dependent on collaborative and transparent communication among academics, the technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the 5 relevant countries.

• Ballangrud, Randi; Husebø, Sissel Iren Eikeland; Aase, Karina; Aaberg, Oddveig Reiersdal; Vifladt, Anne & Berg, Geir Vegard [Vis alle 7 forfattere av denne artikkelen] (2017). “Teamwork in hospitals”: a quasi-experimental study protocol applying a human factors approach. BMC Nursing. 16(1). doi: 10.1186/s12912-017-0229-z. Fulltekst i vitenarkiv Vis sammendrag

  Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today’s specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel’s perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2). Methods: To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients’ medical records will be collected (Part 2). Discussion: This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel’s team competences with an opportunity to achieve changes in work processes and patient safety.

• Maguire, Roma; Fox, Patricia A.; McCann, Lisa; Miaskowski, Christine; Kotronoulas, Grigorios & Miller, Morven [Vis alle 20 forfattere av denne artikkelen] (2017). The eSMART study protocol: a randomised controlled trial to evaluate electronic symptom management using the advanced symptom management system (ASyMS) remote technology for patients with cancer. BMJ Open. 7(5). doi: 10.1136/bmjopen-2016-015016. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Introduction While some evidence exists that real-time remote symptom monitoring devices can decrease morbidity and prevent unplanned admissions in oncology patients, overall, these studies have significant methodological weaknesses. The electronic Symptom Management using the Advanced Symptom Management System (ASyMS) Remote Technology (eSMART) study is designed to specifically address these weaknesses with an appropriately powered, repeated-measures, parallel-group stratified randomised controlled trial of oncology patients. Methods and analysis A total of 1108 patients scheduled to commence first-line chemotherapy (CTX) for breast, colorectal or haematological cancer will be recruited from multiple sites across five European countries. Patients will be randomised (1:1) to the ASyMS intervention (intervention group) or to standard care currently available at each site (control group). Patients in the control and intervention groups will complete a demographic and clinical questionnaire, as well as a set of valid and reliable electronic patient-reported outcome measures at enrolment, after each of their CTX cycles (up to a maximum of six cycles) and at 3, 6, 9 and 12 months after completion of their sixth cycle of CTX. Outcomes that will be assessed include symptom burden (primary outcome), quality of life, supportive care needs, anxiety, self-care self-efficacy, work limitations and cost effectiveness and, from a health professional perspective, changes in clinical practice (secondary outcomes). Ethics and dissemination Ethical approval will be obtained prior to the implementation of all major study amendments. Applications will be submitted to all of the ethics committees that granted initial approval. eSMART received approval from the relevant ethics committees at all of the clinical sites across the five participating countries. In collaboration with the European Cancer Patient Coalition (ECPC), the trial results will be disseminated through publications in scientific journals, presentations at international conferences, and postings on the eSMART website and other relevant clinician and consumer websites; establishment of an eSMART website (www.esmartproject.eu) with publicly accessible general information; creation of an eSMART Twitter Handle, and production of a toolkit for implementing/utilising the ASyMS technology in a variety of clinical practices and other transferable health care contexts. Trial registration number NCT02356081. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/bmjopen-2016-015016

• Berg, Geir Vegard; Watne, Leiv Otto & Gjevjon, Edith L Roth (2016). Ny screening gir sikrere diagnose - Bruk av screeninginstrumentet 4AT kan forbedre diagnostiseringen av akutt delirium. Tidsskriftet sykepleien. ISSN 0806-7511. 104(3), s. 52–53. doi: 10.4220/Sykepleiens.2016.56686. Fulltekst i vitenarkiv
• Ingeborg, Flatgård & Berg, Geir Vegard (2016). Simulatortrening in situ, lek eller læring? En intervjuundersøkelse av hvilke erfaringer sykepleiere har med debrifingsfasen i full-skala simulatortrening gjennomført ved egen arbeidsplass. Nordisk sygeplejeforskning. ISSN 1892-2678. 6(3), s. 216–232. doi: 10.18261/issn.1892-2686-2016-03-02. Fulltekst i vitenarkiv Vis sammendrag

  Simulatortrening som læringsmetode er et viktig bidrag til økt pasientsikkerhet. Lokal full-skala simulatortrening søker å gjenskape virkeligheten og under debrifingsfasen utveksler deltakere opplevelser, erfaringer og kompetanse fra treningen. Debrifing tillegges størst vekt, og beskrives som betydningsfull for læring. Hensikten med studien var å beskrive hvilke erfaringer sykepleiere hadde med debrifingsfasen i full-skala simulatortrening gjennomført ved egen arbeidsplass for å skaffe dybdekunnskap om hva som gir læring. Data ble innhentet gjennom individuelle intervjuer med ti sykepleiere. En halvstrukturert intervjuguide ble benyttet. Data ble analysert med en kvalitativ innholdsanalyse. Sykepleierne erfarte at debrifingen må gjenspeile simuleringen og holdes i en positiv og direkte tone. Fasilitators kompetanse hadde betydning. Forståelsen for egen og andres roller økte og ga større trygghet og bedret samarbeid. Debrifingen opplevdes som en arena hvor en kunne lære av hverandre, reflektere og diskutere behov for endringer. Ytterligere forskning på simulering og debrifing lokalt er nødvendig for å finne ut i hvilken grad metoden bidrar til bedret klinisk praksis og pasientsikkerhet.

• Edenberg, Jan; Gløersen, Kaja; Osman, Herzi Abdi; Dimmen, Magne & Berg, Geir Vegard (2016). The role of contrast-enhanced ultrasound in the classification of CT-indeterminate renal lesions. Scandinavian Journal of Urology. ISSN 2168-1805. 50(6), s. 445–451. doi: 10.1080/21681805.2016.1221853. Fulltekst i vitenarkiv
• Gamme, Inger & Berg, Geir Vegard (2016). Operational Integration in Health Care versus Mass Production. Kvalita Inovácia Prosperita. ISSN 1335-1745. 20(1), s. 1–17. doi: 10.12776/QIP.V20I1.658. Fulltekst i vitenarkiv Vis sammendrag

  Operational integration has been studied by several authors. However, still there are many research questions to be raised. Two value chains have been studied within two different sectors: the health sector and the car component industry (mass producer). The research methodology is based on semi-structured interviews with selected persons from different levels within the organizations. The data was transcribed, coded and further analyzed to find enablers or disablers to operational integration in both sectors. From this study, factors such as management commitment, colocation, and job-rotation can be seen as contributing factors in both organizations. Both experience disablers such as working as functional silos and little alignment of overall goals. Differences are seen in the greater use of job rotation within health care, while the mass producer had more mechanisms to facilitate working in cross functional teams. Practical implication: This paper presents empirical findings of success factors and pitfalls for operational integration within the value chain of two different types of organizations. Based on this mapping, recommendations on how to achieve better operational integration will be presented. The research initiative provides knowledge experiences from operational integration in two different Norwegian organizations representing two different sectors.

• Solberg, Monica & Berg, Geir Vegard (2015). Familieperspektiv i psykisk helsevern. Sykepleien Forskning. ISSN 1890-2936. s. 372–378. doi: 10.4220/sykepleienf.2015.55994. Fulltekst i vitenarkiv
• Berg, Geir Vegard (2012). Eldre sykehuspasienter – helsefremmende tenkning i sykehus en utfordring for sykepleien. I Larsen, Torill Marie Bogsnes & Gammersvik, Åse (Red.), Helsefremmende sykepleie: teori og praksis. Fagbokforlaget. ISSN 9788245011395. s. 121–137. Fulltekst i vitenarkiv
• Berg, Geir Vegard; Sarvimäki, Annelie & Hedelin, Birgitta (2010). The diversity and complexity in promoting and empowering the old hospital patient's health - exploring nurse's reflections. Vård i Norden. ISSN 0107-4083. 30(1), s. 9–13. Fulltekst i vitenarkiv Vis sammendrag

  Background: In the future, health care services will be challenged by an increasing number of older hospital patients. This prompts a need to focus on and implement a health promoting approach in older people's nursing. Aim: The aim of this exploratory study was to illuminate nurses' reflections about health promotion and empowerment related to older hospital patients. Method: The study had a qualitative descriptive design. The concepts of health, health promotion and empowerment were initially introduced to nurses before participating in multistage focus group interviews. Two groups of nurses participated in three focus group interviews that were conducted by a moderator and an assistant. The interviews were tape-recorded, transcribed verbatim and analysed with qualitative content analysis. Findings: The nurses unfolded the theme «diversity and complexity marks health promotion and empowerment related to older hospital patients » as the latent content in the text. Two categories, «empowerment as balance of power - a twofold relation» and «focusing on the individual person», described the manifest content in the texts. The categories were further supported by sub-categories. Conclusion: The focus group interviews showed the ambiguity and complexity in the interpretation of the concepts - health promotion and empowerment - related to the older hospital patient. The findings also indicated that multistage focus group interviews may be a useful tool to develop nurses' reflections about their clinical practice.

• Berg, Geir Vegard (2009). Promoting elderly hospital patients' health with a holistic-existential nursing approach. Norsk tidsskrift for sykepleieforskning. ISSN 1501-4754. 11(3), s. 3–15. Fulltekst i vitenarkiv Vis sammendrag

  This paper is based on four studies, and has a qualitative approach that employs a combination between different data collection methods, data sources and analytical techniques. Health and health promotion is presented from three different perspectives; a theoretical nursing perspective formulating a stipulative definition of a health promotion with a holistic-existential nursing approach supported by five necessary conditions, health and health promotion described by ten elderly hospital patients and thirdly, health and health promotion seen from a clinical nursing perspective, which is based on a combination of dialogues with nurses and participant observation. The fourth study investigates nurses reflections about health, health promotion and empowerment connected to the old hospital patients, using focus group interviews. In conclusion: The proposed stipulative definition may serve as guidance or as an approach. There are different interpretations of health and health promotion, depending on the person¿s scientifically and professional background, current situation and age. Understanding of health promotion was vague among both the elderly people and nurses vague, but improved as a result of dialogue and discussions. The elderly seemed then to have an understanding of health and how to stay healthy that to some extent was consistent with a holistic view of health, while nurses in this study focused more on medical matters and technical matters in their daily work than health and health promotion. Empowerment may be a suitable strategy, as it helps both nurses and elderly patients to acknowledge the necessity of controlling and have influence on their own situation.

• Berg, Geir Vegard; Hedelin, Birgitta & Sarvimäki, Annelie (2006). Hospitalized older peoples' views of health and health promotion. International Journal of Older People Nursing. ISSN 1748-3735. 1, s. 25–33. Fulltekst i vitenarkiv
• Berg, Geir Vegard; Hedelin, Birgitta & Sarvimäki, Annelie (2005). Health promotion in a hospital: A holistic approach to the promotion of older hospital patients' health. International Nursing Review. ISSN 0020-8132. 52, s. 73–80. Fulltekst i vitenarkiv
• Berg, Geir Vegard (2003). A holistic-existential approach to health promotion. ?. 17(4), s. 384–391. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Health promotion seems to be implicit in many nursing theories, but the theoretical and philosophical basis of health promotion in nursing is not always explicitly stated. The interpretation of health promotion is closely related to the interpretation of man, health, illness and nursing. There is a need to clarify, refine and redefine health promotion in nursing because the concept is partly non-specific and have not been used to identify a distinctive nursing focus. The aim of this study was to formulate a stipulative definition of health promotive nursing with a holistic-existential approach. A philosophical frame of reference in combination with conceptual analysis and theoretical synthesis was used as the methodological approach. The philosophical framework served as a basis in selecting the nursing theories and influenced the analysis. Two nursing theories and one nursing model were selected due to their influence on Norwegian nursing, and because of their philosophical basis. Through analysis and synthesis of the selected nursing theories, the concepts man, health, illness/disease and nursing were analysed. The paper proposes a stipulative definition of health promotion in nursing based on a holistic-existential approach, supported by five necessary conditions. The definition and conditions needs to be further investigated by both empirical studies and by comparing with other relevant nursing theories, in order to formulate theoretical statements. The proposed definition may be the first step in a process of developing a theoretical framework of health promotive nursing with a holistic-existential approach.

Se alle arbeider i NVA

• Berg, Geir Vegar (2026). Hvordan støtter en hverdagsaktiviteter hos personer med demens? - Nasjonalt senter for aldring og helse. doi: https:/www.aldringoghelse.no/hvordan-stotter-en-hverdagsaktiviteter-hos-personer-med-demens/. Fulltekst i vitenarkiv
• Hollister, Brooke Ann; Arntsen, Bjørnulf; Westbye, Berit; Nærdal, Birgitte; Norschau, Ingunn Meyer & Vigre, Monica Reiersølmoen [Vis alle 8 forfattere av denne artikkelen] (2025). VOKSENSKOLEMODELLEN - EN IMPLEMENTERINGSVEILEDER. doi: https:/www.uia.no/om-uia/senter-og-nettverk/sof/forskning/grimstad-demensskole-voksenskolen-for-personer-med.html. Fulltekst i vitenarkiv Vis sammendrag

  I 2019 etablerte Grimstad kommune i samarbeid med USHT Agder (Øst) Voksenskolen for personer med demens, en brukerskole og et aktivitetstilbud for personer med demenssykdom i tidlig til moderat fase. Voksenskolen har som målsetting å bidra til: • Vedlikehold av kognitive og fysiske funksjoner • Opplevelse av mestring i hverdagen • Bedre livskvalitet • Erfaringsutveksling Voksenskolen ble evaluert i 2024 og kunne vise til gode resultater både blant skolens elever, ansatte og pårørende (Berg et al. 2024). Med utgangspunkt i disse resultatene og gjennom dialog med alle involverte ved skolen ble Voksenskolemodell for personer med demens (Figur 1) utarbeidet som vist i figuren nedenfor. Hensikten med modellen var å formidle erfaringer med Voksenskolen og gjøre det enklere for andre kommuner å etablere et tilsvarende tilbud og styrke muligheten for videre forskning på området. Voksenskolemodellen bygger på noen grunnleggende verdier, pilarer og rammefaktorer. Nedenfor gis først en kortfattet beskrivelse av disse, før vi i kommer nærmere inn på hvordan disse kan forstås inn i et praktisk implementeringsarbeid i kommunen. For en nærmere beskrivelse henvises det også til evalueringsrapporten (Berg et al. 2024).

• Berg, Geir Vegar; Ward, Alison & Toft, Diana (2024). Lessons learned from the creation of an international research collaboration on lifelong learning for people living with dementia Dementia research and innovation: International collaborations, challenges and opportunities. Fulltekst i vitenarkiv
• Kumlin, Marianne; Hellesø, Ragnhild; Kvigne, Kari Johanne & Berg, Geir Vegard (2018). Å henge i løse luften» Pasientens perspektiv på pasientforløp. Fulltekst i vitenarkiv
• Ballangrud, Randi; Husebø, Sissel I.E.; Aase, Karina; Aaberg, Oddveig Reiersdal; Vifladt, Anne & Berg, Geir Vegard [Vis alle 7 forfattere av denne artikkelen] (2018). Teamarbeid i sykehus, en kvasi-eksperimentell studieprotokoll med en human factor tilnærming. Fulltekst i vitenarkiv
• Berg, Geir Vegard; McCann, Lisa; Ream, Emma; Armes, Jo; Harris, Jenny & Kontronoulouas, Grigorious [Vis alle 18 forfattere av denne artikkelen] (2018). Remote monitoring systems in the cancer setting: eSMART: Electronic Symptom Management using the Adavnced Symptom Management System (ASyMS)Remote Technology for patients With cancer. Fulltekst i vitenarkiv
• Berg, Geir Vegard (2018). Oppfølging av pasienter via mobilapp. Fulltekst i vitenarkiv
• Harris, Jenny; Armes, Jo; Cheevers, Katy; Berg, Geir Vegard & Maguire, Roma (2018). eSmart: a EUROPEAN RCT evaluating electronic symptom managment using the advanced symptom managment system (ASyMS) during adjuvant Chemotherapy. Fulltekst i vitenarkiv Vis sammendrag

  Show more authors Abstract Backgound: ASyMS is a mobile-phone based remote-monitoring and alert system enabling real-time monitoring of patients’ chemotherapy-related symptoms. The eSMART RCT compares patient-reported outcomes (PROs) and delivery of care for patients using ASyMS with those accessing the same Acute Oncology Service through the standard care pathway at each participating site. Methods: Patients newly diagnosed with breast, haematological or colorectal cancer and scheduled to receive at least three cycles of chemotherapy are recruited into this multinational repeated measures, parallel-group stratified RCT. 1108 patients will be randomised to either ASyMS or standard care. Patient demographic and clinical data is collected at baseline and standardised PRO measures are completed at baseline, during each cycle of chemotherapy and every 3 months up to 12 months after chemotherapy. The primary outcome measure is the Memorial Symptom Assessment Scale. Secondary measures include: Functional Assessment of Cancer Therapy-General, Supportive Care Needs Survey-Short Form 34, State-Trait Anxiety Inventory, Communication and Attitudinal Self-Efficacy scale for cancer, Work limitations Questionnaire, EuroQol and Client Services-Receipt Inventory. Results: RCT data collection started in May 2016, and to date 266 patients have been recruited from 11 centres in 5 countries including participants from the UK. Conclusion: Patients are willing to accept randomisation into the study and recruitment is ongoing. An overview of the trial aims and design and a reflection on the challenges faced in setting up the study and the solutions implemented to overcome them will be provided. Acknowledgement: The study is funded by a grant from the EC: FP7-HEALTH-2013-INNOVATION-1 Grant Agreement Number 602289 The eSMART RCT: Comparing electronic... (PDF Download Available). Available from: https://www.researchgate.net/publication/318792280_The_eSMART_RCT_Comparing_electronic_Symptom_Management_using_the_Advanced_Symptom_Management_System_ASyMS_with_standard_care_for_patients_during_adjuvant_chemotherapy [accessed May 03 2018].

• Høvik, Martha; Kienlin, Simone & Berg, Geir Vegard (2017). Palliative forløp kan gjøres bedre. Tidsskriftet sykepleien. ISSN 0806-7511. 105(8), s. 48–52. doi: 10.4220/Sykepleiens.2017.63017. Fulltekst i vitenarkiv
• Kumlin, Marianne; Berg, Geir Vegard; Hellesø, Ragnhild & Kvigne, Kari Johanne (2017). Eldre med sammensatte helseproblemer- hva forstås med pasientforløp. Fulltekst i vitenarkiv
• Berg, Geir Vegard; Young, Teresa & Maguire, Roma (2017). The eSmart RCT: Comparing electroninv Symptom Management usinbg the Advanced Symptom Managment System(ASyMS) with standard care for patients during adjuvant chemotherapy. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Backgound: ASyMS is a mobile-phone based remote-monitoring and alert system enabling real-time monitoring of patients’ chemotherapy-related symptoms. The eSMART RCT compares patient-reported outcomes (PROs) and delivery of care for patients using ASyMS with those accessing the same Acute Oncology Service through the standard care pathway at each participating site. Methods: Patients newly diagnosed with breast, haematological or colorectal cancer and scheduled to receive at least three cycles of chemotherapy are recruited into this multinational repeated measures, parallel-group stratified RCT. 1108 patients will be randomised to either ASyMS or standard care. Patient demographic and clinical data is collected at baseline and standardised PRO measures are completed at baseline, during each cycle of chemotherapy and every 3 months up to 12 months after chemotherapy. The primary outcome measure is the Memorial Symptom Assessment Scale. Secondary measures include: Functional Assessment of Cancer Therapy-General, Supportive Care Needs Survey-Short Form 34, State-Trait Anxiety Inventory, Communication and Attitudinal Self-Efficacy scale for cancer, Work limitations Questionnaire, EuroQol and Client Services-Receipt Inventory. Results: RCT data collection started in May 2016, and to date 266 patients have been recruited from 11 centres in 5 countries including participants from the UK. Conclusion: Patients are willing to accept randomisation into the study and recruitment is ongoing. An overview of the trial aims and design and a reflection on the challenges faced in setting up the study and the solutions implemented to overcome them will be provided. Acknowledgement: The study is funded by a grant from the EC: FP7-HEALTH-2013-INNOVATION-1 Grant Agreement Number 602289 The eSMART RCT: Comparing electronic... (PDF Download Available). Available from: https://www.researchgate.net/publication/318792280_The_eSMART_RCT_Comparing_electronic_Symptom_Management_using_the_Advanced_Symptom_Management_System_ASyMS_with_standard_care_for_patients_during_adjuvant_chemotherapy [accessed May 03 2018].

• Evensen, Sigurd; Forr, Thea; Al-Fattal, Ahmad; Groot, Cathrine De; Lønne, Greger & Gjevjon, Edith L Roth [Vis alle 8 forfattere av denne artikkelen] (2016). Nytt verktøy for å oppdage delirium og kognitiv svikt. Tidsskrift for Den norske legeforening (Tidsskriftet). ISSN 0029-2001. 136(4), s. 299–300. doi: 10.4045/tidsskr.15.1334. Fulltekst i vitenarkiv Vis sammendrag

  Delirium er et vanlig ledsagerfenomen ved akutt sykdom hos eldre pasienter. Tilstanden kan likevel være vanskelig å diagnostisere. 4AT er et nytt screeningverktøy som nå er oversatt til norsk, og som kan bidra til at flere pasienter med delirium får korrekt diagnose.

• Berg, Geir Vegard (2016). eSmart gir bedre oppfølging av kreftpasienter v/Geir Berg, Sykehuset Innlandet. Fulltekst i vitenarkiv
• Berg, Geir Vegard (2007). Eldre i sykehus, sykepleie og omsorg er helsefremmende. Fulltekst i vitenarkiv
• Berg, Geir Vegard (2007). Helsefremmende sykepleie til eldre pasienter i sykehus. Fulltekst i vitenarkiv Vis sammendrag

  Antallet eldre i samfunnet stiger, noe som også fører til at flere pasienter i sykehus har høy alder. Eldre (i denne sammenhengen over 70 år) er en heterogen gruppe med tanke på helsestatus og sykelighet. Avhandlingens overordnede hensikt er å beskrive og utvikle kunnskap om helse, og det å fremme helsen til eldre pasienter i sykehus. Med en kvalitativ tilnærming undersøkes og beskrives helse, og det å fremme helsen til eldre pasienter. Det er ved triangulering av datasamlingsmetoder, datakilder og analyseteknikker. Delstudie I ble gjennomført som teoretisk analyse og syntese av begrepene menneske, helse, sykdom og sykepleie. I Delstudie II ble ti eldre sykehuspasienter intervjuet om hvordan de forsto helse, og hva som skulle til for å bedre helse. Datainnsamling i Delstudie III ble gjennomført ved deltagende observasjon og uformelle samtaler med sykepleiere i en medisinsk sykehusavdeling. I delstudie IV ble avhandlingens tre andre delstudier ble presentert for to grupper sykepleiere. Sykepleierne diskuterte begrepene helse, å fremme helse, empowerment og eldre pasienter i sykehus i tre fokusgruppe intervjuer (refleksjonsgruppe dialoger) for hver gruppe. Avhandlingen foreslår en stipulativ definisjon av helsefremmende sykepleie som støttes av fem nødvendige forutsetninger. Helse forstås av de gamle sykehuspasientene som å være den personen man er, kunne gjøre, og å føle seg vel og ha krefter. Å fremme helse ble beskrevet som: 1) å bli i stand til å være den personen man er, 2) å få informasjon og kunnskap, og 3) å ha håp og motivasjon. Sykepleiernes forståelse av helse, og dermed å bidra til å fremme den eldre sykehuspasientens helse var preget av en veksling mellom to tilnærminger; på den ene sida en biomedisinsk tilnærming og på den andre siden en holistisk sykepleietilnærming. Refleksjonsgruppe dialogene avdekket et tosidig forhold til makt og empowerment hos de deltagende sykepleierne. Sykepleierne understreket betydningen av en individuell tilnærming i arbeidet med å fremme den eldre pasientens helse. Hvor respekt for individet og normalisering av situasjonen må inngå som viktig elementer i helsefremmende sykepleie for eldre pasienter i sykehus. Avhandlingens foreslåtte stipulative definisjon, og fem nødvendige forutsetninger, er et forslag om en helsefremmende sykepleie tilnærming til eldre pasienter i sykehus. Forståelsen av helse har betydning for den helsefremmende sykepleien til eldre pasienter i sykehus. Både sykepleiere og eldre sykehuspasienters forståelse av helsefremming var delvis vag og uklar, men dialoger og diskusjoner fremmet forståelsen. Empowerment som norsk betyr myndiggjøring, fremsettes som en viktig faktor i helsefremmende strategier. Avhandlingens funn indikerer at empowerment kan være en tilnærming å bruke, ettersom sykepleiere og eldre pasienter anerkjenner betydningen av å ha kontroll og innflytelse over egen situasjon. Uansett forutsetter empowerment en bevissthet om egen makt og maktposisjon. I følge de eldre sykehuspasientene i denne studien fremmes deres helse gjennom at de sees som en person, når de får adekvat informasjon og kunnskap om sin situasjon. Refleksjonsgruppe dialogene kan være en pedagogisk strategi for å øke sykepleiernes bevissthet om eldre i sykehus og derigjennom til å fokusere på å fremme den eldre pasienters helse.

• Berg, Geir Vegard (2006). Hvordan ser eldre pasienter på sin egen helse? Fulltekst i vitenarkiv Vis sammendrag

  Studier fra flere land viser at det er store individuelle forskjeller blant eldre med tanke på sykelighet, førlighet og livskvalitet. Et aspekt er riktignok spesielt for eldre - de har ofte flere medisinske problemstillinger samtidig. Bedre innsikt i hvordan eldre oppfatter sin egen helse vil gjøre det mulig å utvikle sammensatte tilbud som bedre dekker denne pasientgruppens behov.

• Berg, Geir Vegard (2005). Gammal og sjuk sier dom, men jeg har da bra helse! s. 21–21. Fulltekst i vitenarkiv Vis sammendrag

  Det hersker mange myter og forestillinger om eldres helse og sykelighet skapt av massemedia og delvis fagfolk. Riktignok er eldre mer syke og har flere nedsatte funksjoner, men det gjelder på langt nær alle eldre. Basert på intervjuer med 10 eldre sykehuspasienter ble helse beskrevet som å være den personen en er, være i stand til å kunne gjøre det en ønsker og føle velvære samt å ha krefter. Et av sykepleiens områder er å forbedre menneskers helse. Dette innbærer at sykepleien også trenger kunnskaper om eldre sykehuspasienters helse sett fra de eldres perspektiv. Hovedfunnene i studien viser at helse er et komplekst og sammensatt begrep som sykepleiere trenger kunnskaper om.

• Berg, Geir Vegard (2004). helsefremmende sykepleie i sykehus. Fulltekst i vitenarkiv Vis sammendrag

  Foredraget bygger på et doktorgradsprosjekt hvor fokuset er på helhetlig sykepleie, helse, og helsefremmende sykepleie i forhold til eldre sykeshuspasienter. Prosjektet henter funn fra sykepleieteori, fra observasjon av sykepleiere i en medisinsk sykehusavdeling og intervju av eldre sykehuspasienter. Helse kan defineres ulikt, noe studiene viser. Helsefremmende er både for sykepleiere og den eldre pasienten et fremmed begrep. En kan og bør derfor stille spørsmål om hvordan en så skal kunne arbeide helsefremmende. Den siste studien er planlagt som en intervensjonsstudie i en medisinsk avdeling, ved å presentere funn fra de andre studiene.

• Berg, Geir Vegard (2004). Health and health promotion interpreted by elderly hospital patients. Fulltekst i vitenarkiv Vis sammendrag

  HEALTH AND HEALTH PROMOTION INTERPRETED BY ELDERLY HOSPITAL PATIENTS. Geir V. Berg, Høgskolen i Gjøvik/Nordiska högskolan för folkehelsevetenskap Birgitta Hedelin, Karlstad Universitet/Høgskolen i Gjøvik Anneli Sarvimäki, Nordiska högskolan för folkehelsevetenskap geir.berg@hig.no As a consequence of the growing elderly population, more and more hospital patients are old. Elderly patients have other needs than younger ones related to diagnosis, treatment and rehabilitation. Preparing them for returning to a relatively independent life in their own home is a challenge that calls for effective health promotion. In a previous study, however, we found that there was not much space for health promotive nursing of elderly hospital patients. The aim of this study was to describe elderly hospital patients’ own interpretations of health and experiences of health promotion during hospitalisation. Ten older adults (age > 70) were interviewed. The study had a descriptive and explorative design. The analysis was inspired by Van Manen’s (1997) interpretative method. Preliminary findings: health was interpreted as not being sick, feeling well, having strength and being able to do things that are important or meaningful for the individual. Signs of good health: activities related to being able to do meaningful activities or have strength to do so, and feeling well in a concrete situation or more generally. Health promotion was not a familiar concept to the elderly hospital patients. The project will continue with an intervention study developing health promotive nursing.

• Berg, Geir Vegard (2003). Health promotion in a hospital: a holistic-existential nursing approach to promote elderly hospital patients health. Fulltekst i vitenarkiv Vis sammendrag

  Health promotion in a hospital: a holistic-existential nursing approach to promote elderly hospital patients health. Geir Vegard Berg, Anneli Sarvimäki ABSTRACT Introduction How do nurses understand their health promotive function in a medical hospital ward? How visible is the health promotive work in the ward? Methodological issues This study has a descriptive and explorative design. Trough participant observation and dialogue/interviews with nurses (N= 5) working in an infection unit ina small general hospital in Norway, data was created (Burgess 1991, Hammersley & Atkinson 1996). The nurses are followed during two periods of three weeks 2-4 times lasting 4-5 hours each time. Different situations are interpreted by the researcher and translated into to text. A reflection of how close or distanced the analysis should be is important. The process of creating data is not a mechanical registration, but an active continuous interpretative process. The process is also characterised bya continuous dialogue and interaction between the environment in the ward and researcher. Findings The nursing context, limits, possibilities and approaches have a great influence on how the nurses manage their work. One preliminary category is that the nurses have a balance between a biomedical approach and a Holistic- (existential) approach. It also seems to include flexibility, variation, complexity and problem solving. The Hospital has a main task to cure patients as quick and cheap as possible, how does this correspond with 1) elderly patient's complex and often chronic illness and 2) a holistic- existential nursing approach? Is there space, room, time and is it legitimate to focus on health promotion in a hospital context? Intended learning outcomes: - What health promotion can be, how nurses cope with health promotion and elderly hospital patient. - Maybe also as knowledge to be used in development of professional practice.

• Haustveit, Karen; Mæhlum, Åse Hjellet; Tangerud, Marit & Berg, Geir Vegard (2000). Praksisveiledere styrker de kliniske studier. Tidsskriftet sykepleien. ISSN 0806-7511. 88(1), s. 51–53. Fulltekst i vitenarkiv
• Berg, Geir Vegard & Tangerud, Marit (1999). Erfaringer med praksisveiledere i kliniske studier ved Lillehammer Fylkessykehus. Fulltekst i vitenarkiv
• Berg, Geir Vegard (1999). Et anderledes undervisningsprogram! Fulltekst i vitenarkiv
• Berg, Geir Vegar; Arntsen, Bjørnulf; berit, westbye; Sørbotten, Merete; Losnedahl, Marthe Kirkefjord & Norschau, Ingunn Meyer [Vis alle 9 forfattere av denne artikkelen] (2025). Voksenskolen for personer med demens Grimstad. Senter for omsorgsforskning. ISSN 9788283401509. doi: https:/www.ntnu.no/documents/1266921281/1323774121/rapport_02_2025-u2.pdf/6a5be5bf-865b-0a2e-e594-f4175741b025?t=1761308867358. Fulltekst i vitenarkiv Vis sammendrag

  BAKGRUNN OG HENSIKT Med utgangspunkt i erfaringer og inspirasjon fra andre modeller, startet Grimstad kommune sammen med Utviklingssenter for sykehjem og hjemmetjenester Agder øst, i mars 2019 en Voksenskole (VS) for hjemmeboende personer med tidlig til moderat kognitiv svikt (i dag Grimstad Demensskole). VS er det første langvarige heldags lavterskeltilbud i sitt slag for denne gruppen i Norge der elevene får tilbud om å delta 1-2 dager i uka fra kl. 09.00 –14.30. VS er tuftet på følgende fire grunnpilarer som danner utgangspunkt for skoledagens innhold: • Kognitiv trening (steds- og tidsorientering, lese avisen, skrive i loggboken, puslespill eller spørrespill, Kims lek, etc.) • Fysisk aktivitet (styrkeøvelser, balanseøvelser, gåturer, etc.) • ADL-trening (lage kaffe, dekke bord, lage mat, skjære brød, rydde, etc.) • Sosialt samvær (utveksling av erfaringer, gi hverandre tips og råd, etc.) Høsten 2021 startet et forsknings- og utviklingsprosjekt, finansiert via Norske Kvinners Sanitetsforening fra Stiftelsen DAM der hensikten var å evaluere VS i Grimstad og på bakgrunn av dette videreutvikle og spre en VS-modell for personer med demens. Denne rapporten oppsummerer og sammenfatter resultatene fra dette prosjektet. METODE I evaluering av VS ble det brukt et såkalt mixed method design der både kvantitative og kvalitative data ble samlet inn og analysert. Kvantitative data fra 11 elever ved VS ble samlet inn på to ulike måletidspunkter med 7 måneders mellomrom i gjennomsnitt. På hvert måletidspunkt ble det ble gjennomført en kartlegging av elevenes kognitive funksjon (MMSE og klokketest), fysiske funksjon (Barthels ADL-indeks og gripestyrke) og livsvalitet (QOL-AD). Pårørendebelastning ble målt med kartleggingsinstrumentet Relatives’ stress scale (RSS). Kvalitative data ble hentet fra individuelle intervjuer og elevenes loggbøker. Her ble det gjennomført 16 intervjuer med pårørende, 13 intervjuer med elever og 12 intervjuer med lærere ved VS. VOKSENSKOLEN FOR PERSONER MED DEMENS GRIMSTAD Sammendrag VI RESULTATER Selv om antall mulige respondenter blant elevene var begrenset så viste vår analyse av kvantitative data at elever ved VS over tid ser ut til å opprettholde livskvalitet, kognitiv funksjon og grad av selvstendighet i hverdagen. Prosjektets kvalitative data supplerer og underbygger grunnlaget for å kunne konkludere med at elever, pårørende og ansatte er fornøyde med VS modellen som et helhetlig tilbud. Pårørende opplever VS som «et friminutt» i hverdagen og deltakelse på VS ser ut til å ha en positiv betydning for elevene både når de er til stede på skolen, men også utover skoledagen. Basert på disse resultatene og dialog med alle involverte deltakere så ble det videre utarbeidet et forslag til en VS modell som består av grunnverdier, fire grunnpilarer og sju rammefaktorer. Grunnverdiene er at VS skal bygge på evidensbasert- og personsentrert omsorg og livslang læring. De fire grunnpilarene viser hva hovedinnholdet i skoledagen skal organiseres rundt: kognitiv trening, fysisk aktivitet, sosialt samvær og ADL-trening. Sammen med grunnpilarene og grunnverdiene, så gir følgende rammefaktorer en nødvendig struktur og føring for fremtidig implementering av modellen: tilhørighet, forutsigbarhet, differensiering, ressurser, kompetanse, innomhus, og utomhus. Til slutt har vi utviklet en VS implementeringsveileder for å støtte kommuner som er interessert i å etablere sin egen VS modell. Det er imidlertid viktig å påpeke at våre kvantitative data er basert på et lavt antall respondenter. Det er derfor nødvendig å gjennomføre nye og større studier for å teste ut VS modellen i andre kommuner i Norge eller internasjonalt. Prosjektet har blitt presentert på konferanser i Grimstad, Oslo, Stavanger, Ålborg og Lutterworth og et samarbeid med miljøene i Danmark og England vil danne grunnlag for et større datagrunnlag og et internasjonalt samarbeid.

• Holthe, Torhild; Ødbehr, Liv Skomakerstuen & Berg, Geir Vegar (2024). POOL ACTIVITY LEVEL (PAL) INSTRUMENT - norsk versjon (PAL-N). Aldring og helse. Fulltekst i vitenarkiv
• Berg, Geir Vegar; Ødbehr, Liv Skomakerstuen & Holthe, Torhild (2024). Engasjement og selvstendighet ved demens Norsk versjon av The Engagement and Independence in Dementia Questionnaire (EID-Q). Aldring og helse. Fulltekst i vitenarkiv
• Hellesø, Ragnhild; Berg, Geir Vegar; Kvigne, Kari & Kumlin, Marianne (2023). Elderly patients care trajectories from the perspectives of patients, next of kin and health care professionals: A qualitative case study. Universitetet i Oslo. ISSN 9788234803185. Fulltekst i vitenarkiv Vis sammendrag

  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 next of kin experience the services incoherent and fragmented and health professionals strive to provide coherent and person-centered healthcare. To get an in-depth understanding of the challenges and issues regarding the care trajectory where several actors are involved it is emphasized that the perspectives from patient, next of kin and health professional need to be included. The aim of this thesis was to explore and describe the care trajectory for elderly patients with complex healthcare needs from their hospitalization to their return to primary care as it is experienced from the patient, next of kin and health care professional involved. The patients were followed through their care trajectory from their hospital stay, during discharge and after being discharged to the municipalities. In a multiple-case study participation observations and interviews were used as methods, in addition to extracted data from the patients’ records. The main findings show that the patient and next of kin´s decisions and choices for further follow up during and after the hospital stay were part of a long term and continuous process that included conditions about life otherwise. For healthcare professionals the differences between patient’s long-term needs and organizational requirements led to challenges in providing person-centered healthcare. The thesis reveals that one must facilitate the time and space needed by the patient and next of kin to make decisions with a long-term perspective in mind. This means that the patient’s considerations about decisions and choices must be seen in the light of their life in general.

• Batt-Rawden, Kari Bjerke; Andersson, Anders-Petter; Berg, Geir Vegard & Kebede, Meselu Taye (2019). EVALUERING AV OPPLÆRINGSPROGRAMMET MUSIKKBASERT MILJØBEHANDLING MED INTEGRERT BRUK AV MUSIKK OG SANG TIL HELSE- OG OMSORGSTJENESTENE – En kvalitativ studie. På oppdrag av Helsedirektoratet, Kompetanseløft 2020. Norges teknisk-naturvitenskapelige universitet. Fulltekst i vitenarkiv Vis sammendrag

  Fire forskere fra NTNU har høsten 2019 gjennomført en kvalitativ studie med ansatte fra ni ulike sykehjem. Informantene representerer hjelpepleiere, helsefagarbeidere, aktivitører, sykepleiere og avdelingsledere (n=26) på Østlandet, Sørlandet og Midt-Norge. Datainnsamlingen bestod av individuelle intervjuer, gruppeintervjuer, dokumentgjennomgang og noe observasjon. Evalueringen kan vise til både barrierer og suksesskriterier i forhold til de to hoveddproblemstillingene. Evalueringens første hovedproblemstilling var å svare på spørsmålene om hvilke effekter som kan tilskrives de aktiviteter som de statlige midlene gir opphav til. Dersom vi ser på hva som synes å fungere bra med hensyn til de ulike aktivitetne, metodene og verktøyene som opplæringsprogrammene vektlegger, vises det til mange, gode effekter av opplæringsprogrammene. Samtlige informanter meddelte økt kompetanse, kunnskap og bevisstgjøring gjennom den opplæringen de hadde fått. Det var ingen negative uttalelser og kritikk av hvordan musikk, sang og bevegelse kan benyttes i miljøbehandling. Subtemaer som ble kartlagt fra dette hovedtema var økt fokus og kompetanse på musikk og lydmiljø og økt bevisstgjøring og forståelse for at pårørende var en viktig ressurs når det gjaldt kartlegging av musikkpreferanser. Det andre hovedtema som ble kartlagt var de positive erfaringer, opplevelser og resultater fra praksis. Subteamer som ble kartlagt her var det psyko-sosiale arbeidsmiljøet i form av økt trivsel, humor og glede med å være på jobb. Reduksjon eller opphold i medisinbruk i kortere eller lengre tid, og at beboerne kunne sove bedre, være mye roligere og mindre rastløse. Musikkbasert miljøbehandling gir glede, trivsel, humor, samhold og fellesskap for alle. De gode effektene av aktivitetene synes å gi økt kvalitet på pleie og omsorgstjenestene i form av musikalsk omsorg og bedre kommunikasjon mellom ansatte og beboere. Evalueringens andre hovedproblemstilling var å svare på hvilken grad disse effektene kan sies å oppfylle målene for ordningene. Dersom vi ser på hovedtemaet som ble kartlagt, synes det å være noen utfordringer og barrierer med opplæringsprogrammene og implementeringen i praksis. Dette gjaldt både de som hadde deltatt på ABC kurset og det samlingsbaserte kurset i miljøbehandling (3+2+1). Subtemaer som kom fram var vansker med å finne tid til å kartlegge beboernes musikkpreferanser og lage de individuelle spillelistene. Ansvarliggjøring og integrering av musikkaktivitetene i arbeids- og pleieplanene kunne by på utfordringer, samt formidling av kunnskaper og erfaringer til kollegaer fra kursene. En god og stabil forankring i ledelsen var viktig for å oppnå en vellykket gjennomføring av musikkbasert miljøbehandling. Hva evalueringen ikke synes å få godt nok svar på er hvordan opplæringsprogrammet er blitt markedsført, og hvem de har de nådd og hvordan. Fra et helhetlig perspektiv kan vi konkludere med at den første hovedproblemstilling synes å være oppnådd med hensyn til de ulike effekter som kan tilskrives de aktiviteter som de statlige midlene gir opphav til. Når det gjelder den andre hovedproblemstilling, så vises det til de skisserte utfordringene og barrierene som bør tas hensyn til dersom man kan vurdere at alle disse effektene kan sies oppfylle målene for ordningene. Dersom vi ser på merverdien av tiltaket i forhold til de kommuner som ikke har vært involvert i opplæringen, så kan vi konkludere med at samtlige informanter var svært fornøyde med kursene. De ønsket å anbefale andre institusjoner til å delta på kurs i musikkbasert miljøbehandling, og flere ønsket at dette burde være en obligatorisk aktivitet for helse- og omsorgstjenestene. På den måten er også overføringverdien av resultatene fra denne evalueringen høy (...).

• Berg, Geir Vegard (2007). Å fremme den eldre sykehuspasientens helse i lys av et folkehelse- og et holistisk-eksistensielt sykepleieperspektiv. Nordiska Högskolan för folkhälsovetenskap. ISSN 9789185721252. Fulltekst i vitenarkiv
• Juvkam, Rannveig Aure & Berg, Geir Vegard (2000). Studentprosjekter i helsefremmende og forebyggende arbeid. Innlegg på FoU-konferanse Lillehammer 11. april 2000. Høgskolen i Gjøvik. Fulltekst i vitenarkiv
• Berg, Geir Vegard (1999). Studenten i sentrum : et undervisningsprosjekt organisert og gjennomført ved bruk av prinsipper fra andragogikk, didaktisk relasjonstenkning og sentrale sykepleiebegreper. Høgskolen i Gjøvik. Fulltekst i vitenarkiv

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