Marianne Torp Stensvehagen

• Skavern, Hege Jansen; Martinsen, Randi; Gardulf, Ann; Smaradottir, Anna Brynja; Nysæter, Toril Merete & Stensvehagen, Marianne Torp (2025). Norske intensiv-, operasjon og kreftsykepleiestudenters selvrapporterte kompetanse ved oppstart av masterstudiet - en tverrsnittsstudie | Inspira. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. 20(2), s. 44–57. doi: 10.23865/inspira.v20.7241. Fulltekst i vitenarkiv Vis sammendrag

  Bakgrunn: I 2021 fastsatte Kunnskapsdepartementet nye nasjonale forskrifter for utdanningene innen intensiv-, operasjons-, og kreftsykepleie, som sikrer et nasjonalt likeverdig faglig nivå og felles sluttkompetanse for kandidater. Det er et presserende behov for å utdanne flere spesialsykepleiere innen disse områdene i Norge, for å opprettholde kvaliteten i helsetjenestene. Det er begrenset kunnskap i en nordisk kontekst om masterstudenters egenrapporterte profesjonelle kompetanse. Hensikt: Studiens hensikt var å kartlegge hvordan masterstudenter ved klinisk spesialisering i intensiv-, operasjons- og kreftsykepleie vurderte sin selvrapporterte kompetanse innen seks viktige sykepleiefaglige områder ved oppstart av studiet. Metode: En tverrsnittstudie ble gjennomført blant masterstudenter på et av universitetene i Norge. Data ble samlet inn via et nettbasert spørreskjema. Den norske versjonen av The Nurse Professional Competence Scale – Short Form ble benyttet til å måle sykepleiefaglig kompetanse.  Resultater: Høyest gjennomsnittsskår ble funnet for kompetanseområdet «Medisinsk og teknisk omsorg», mens lavest gjennomsnittsskår ble funnet for «Fagutvikling, faglig ledelse og organisering av sykepleie». Kvinner rapporterte en signifikant høyere kompetanse innen «Medisinsk og teknisk omsorg» sammenlignet med menn. Masterstudentene i aldersgruppen 41-50 år rapporterte en signifikant høyere kompetanse innen «Verdibasert sykepleie». Det var ingen signifikante forskjeller i selvrapportert kompetanse mellom studentgruppene i de tre ulike spesialiseringene. Masterstudentene fremhevet at deltidsutdanning som var samlingsbasert gav dem mulighet til å kombinere utdanning med andre forpliktelser som familie, jobb og økonomi. Konklusjon: Det er viktig å sikre at fagutvikling, faglig ledelse og organisering av sykepleie får mer fokus i masterutdanningene for å styrke fremtidige spesialsykepleieres kompetanse i intensiv-, operasjons- og kreftsykepleie. Deltidsutdanning gjør det lettere for studentene å kombinere studiene med andre forpliktelser.  ENGLISH ABSTRACT Norwegian intensive care, operating room and cancer nursing students’ self-reported competence at the start of their master’s degree - a cross-sectional study Background: In 2021, the Ministry of Education established new national regulations for education in intensive, perioperative, and oncology nursing, ensuring a nationally equivalent professional academic level and common final competencies for graduates. There is an urgent need to educate more specialized nurses in in these areas in Norway to maintain the quality of healthcare services. There is limited knowledge in a Nordic context regarding master’s students’ self-reported professional competence. Aim: The study aimed to map how master’s students specializing in intensive-, perioperative-, and oncology nursing assessed their self- reported professional competence in six important nursing areas at the start of their studies. Method: A cross-sectional study was conducted among master’s students at one of the universities in Norway. Data was collected via an online questionnaire. The Norwegian version of the Nurse Professional Competence Scale – Short Form was used to measure self-reported professional competencies. Results: The highest mean score was found in the competence area «Medical and Technical Care,», while the lowest mean score was found for «Professional Development, Management, and Organization of Nursing Care.» Women reported significantly higher competence in «Medical and Technical Care» compared to men. Master’s students aged 41-50 reported significantly higher competence in «Value-Based Nursing.» There were no significant differences in self-reported competence among the student groups in the three different specializations. The students emphasized that part-time education, which was gathering-based, allowed them to combine education with other commitments such as family, work and finances. Conclusion: It is important to ensure that professional development, leadership and organization of nursing care receive more focus in master’s programs to strengthen the future competencies of specialist nurses in intensive, perioperative, and oncology nursing. Part- time education facilitates students’ ability to manage their studies alongside other responsibilities. 

• Granlund, Marthe Maritsdatter; Stensvehagen, Marianne Torp; Bakken, Bjørn Tallak & Larsson, Ulf Gerry (2025). “Nobody is superman”: exploring stress and coping in Norwegian firefighters in rural areas. International Journal of Emergency Services. ISSN 2047-0894. 14(3), s. 213–223. doi: 10.1108/IJES-03-2025-0016. Fulltekst i vitenarkiv Vis sammendrag

  Purpose The study aims to gain a deeper understanding of stressors and stress management among Norwegian firefighters in rural areas. Design/methodology/approach The study employed an inductive approach with semi-structured interviews with 13 participants from fire and rescue services in Innlandet County, Norway, and were analyzed in line with thematic analysis. Findings Rural firefighters face stressors similar to urban firefighters, but with unique challenges such as personal connection to victims, extended response times, broader responsibility and work–life balance issues. This study presents a model identifying factors serving as a resource base and at each incident phase (before, during and after), and at individual, group and organizational levels that can be stressors or aids in stress management. Focusing on the individual level, the paper highlights the importance of a strong “Resource Base” for effective stress management, in addition to mental preparedness en route, on-site avoidance (professionalism and shielding) and post-incident approach coping (dealing with the aftermath and letting go). Research limitations/implications An inductive approach only, a narrow geographical focus on one Norwegian county and a male-only participant base may have limited broader insights, cross-country comparisons and gender-specific findings. Practical implications Emphasizing individual coping strategies and tailored training can enhance stress management and efficiency in high-stress situations, well-being and career longevity in rural firefighting. Originality/value Unique to this study is the rural context and the inclusion of Norwegian firefighters, in addition to the consideration of interconnected factors of stress and stress management.

• Larsson, Ulf Gerry; Nilsson, Sofia; Ohlsson, Alicia; Svensén, Sofia & Stensvehagen, Marianne Torp (2025). PTSD screening using a ten-item checklist of psychological symptoms: a large-scale military veteran sample and a civilian comparison group. Nordic Journal of Psychiatry. ISSN 0803-9488. 79(3), s. 227–232. doi: 10.1080/08039488.2025.2479684. Fulltekst i vitenarkiv Vis sammendrag

  Purpose The aim was to explore if self-rated psychological symptoms in military veterans covary strong enough with established PTSD scales to make a symptom checklist a useful screening tool. Methodology A Swedish sample of military veterans (n = 1,859) responded to a questionnaire which contained a checklist of ten psychological symptoms and a test of PTSD indication. The items measured the situation during the last month. All symptoms had the following response choices: 1 (Never), 2 (Seldom), 3 (Sometimes), 4 (Often) and 5 (Very often). The choices Often and Very often were combined and form the basis of the analysis. Findings The majority of individuals in the military sample reported that they had not experienced any of the ten psychological symptoms often or very often during the last month. Approximately 5% of the men and 9% of the women scored five symptoms or more. Among the men who reported five symptoms or more, about one third scored above a higher established PTSD cut-off value (PCL-4 > 44). Originality The psychological symptom checklist represents a new approach to PTSD indication screening and identification of individuals who may need further support. Research limitations and strengths Clinical assessment of PTSD would be a necessary complement for those that indicate further need. Study strengths include a large sample, use of established scales and a straightforward and simple statistical analysis. Practical implications The checklist is easy to administer and score. After a brief introduction, it takes about two minutes to complete.

• Stensvehagen, Marianne Torp; Bronken, Berit Arnesveen; Lien, Lars & Larsson, Ulf Gerry (2022). Association of daily hassles, daily uplifts, coping styles and stress-related symptoms among women exposed to sexual abuse — A cross-sectional study. Scandinavian Journal of Caring Sciences. ISSN 0283-9318. s. 1–14. doi: 10.1111/scs.13107. Fulltekst i vitenarkiv Vis sammendrag

  Background: Women who experience physical or sexual violence report poor self-perceived health. Knowledge of daily hassles, daily uplifts and coping styles, as well as how these factors can affect health and well-being among survivors of sexual abuse, is important for healthcare professionals to understand and target their needs. Aim: The aim of the current study was to explore the association of daily hassles, daily uplifts, coping strategies and stress-related symptoms among female survivors of sexual abuse. Methods: A group of women (n = 57), exposed to sexual abuse, were recruited from nine support centres in Norway. Participants completed a questionnaire that addressed demographics, socioeconomic conditions, trauma history, daily hassles, daily uplifts, coping styles and stress-related symptoms. Two groups of participants were compared: one group that had above-median scores on uplifts and adaptive coping styles and one group that had above-median scores on daily hassles and maladaptive coping styles. Results: Results indicate that women who experienced more daily hassles and used maladaptive coping styles reported significantly more stress-related symptoms, and particularly emotional symptoms, than women who experienced more daily uplifts and used adaptive coping styles. There were few differences between the two groups related to socioeconomic conditions and trauma history. Conclusion: The results indicate that women in both groups struggle with stress-related physical, emotional, cognitive and target group-specific symptoms. However, high incidence of daily hassles and the use of maladaptive coping styles were associated with an increase in stress-related symptoms. Novell's findings indicate that despite severe traumatic experiences, adaptive coping styles and favourable perceptions of stress in everyday life were associated with a lower frequency of stress-related symptoms. It may therefore be helpful to focus on altering maladaptive coping styles to reduce stress-related symptoms among sexual abuse survivors. Keywords: coping styles; cross-sectional; daily hassles; daily uplifts; sexual abuse; stress-related symptoms; women.

• Stensvehagen, Marianne Torp; Bronken, Berit Arnesveen; Lien, Lars & Larsson, Ulf Gerry (2020). Interrelationship of Posttraumatic Stress, Hassles, Uplifts, and Coping in Women With a History of Severe Sexual Abuse: A Cross-Sectional Study. Journal of Interpersonal Violence. ISSN 0886-2605. 37(5-6). doi: 10.1177/0886260520935479. Fulltekst i vitenarkiv Vis sammendrag

  Experiencing trauma, such as sexual abuse, increases the risk of a negative health outcome. The aim of the present study was to compare two groups of female survivors of sexual abuse, one group with a lower indication of posttraumatic stress disorder (L-PTSD) and one with a higher indication of posttraumatic stress disorder (H-PTSD). We hypothesized that, with a history of sexual abuse, higher levels of PTSD symptoms would be associated with more daily hassles, fewer daily uplifts, and more maladaptive coping strategies, and that there would be more reporting of severe types of sexual victimization, less resourceful socioeconomic conditions and a lower level of emotional stability. A questionnaire, including measures of socioeconomic conditions, trauma experience, emotional stability (the Single-Item Measures of Personality), Posttraumatic Stress Disorder Checklist (PCL), daily hassles and uplifts (the Stress Profile), and coping strategies (the Brief Coping Orientation to Problems Experienced [COPE] questionnaire), was completed by 57 female users at nine support centers for survivors of incest and sexual abuse in Norway. The results show that the H-PTSD group reported significantly more daily hassles, fewer daily uplifts, and more use of maladaptive coping strategies. The L-PTSD group reported more emotional stability, fewer daily hassles, and more uplifts, and used more adaptive coping strategies. However, few differences were found between the H-PTSD and the L-PTSD groups with regard to severity of sexual abuse and socioeconomic conditions. The results on the hassle, uplift, and coping scales are potentially interesting from an interventional point of view. Major life events such as sexual abuse may be out of control for the afflicted victim. Appraisal of and coping with everyday events, however, can be affected and offer interesting possibilities for interventions directed at the survivor, her significant others, and professional helpers.

• Stensvehagen, Marianne Torp; Bronken, Berit Arnesveen; Lien, Lars & Larsson, Ulf Gerry (2019). How women experience and cope with daily hassles after sexual abuse – a retrospective qualitative study. Scandinavian Journal of Caring Sciences. ISSN 0283-9318. doi: 10.1111/scs.12649. Fulltekst i vitenarkiv Vis sammendrag

  The impact of stress on health can depend on factors such as frequency, heightening of stress during a given period or the presence of one or a few repeated hassles of psychological importance. The aim of this study was to gain a deeper understanding of how adult women experience and cope with daily hassles after sexual abuse. Ten interviews were analysed using the grounded theory method. The theoretical model of ‘protecting armor in daily life’ emerged. The aftermath of sexual abuse related coping with daily stress can be understood as a three-phase process: (1) avoiding and Introduction Violence against women is a common public health con- cern and one in three women worldwide, experiences physical or sexual violence in their lifetime (1). The World Health Organization (2) defines sexual violence as: Any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed against a person’s sexu- ality using coercion, by any person regardless of their relationship to the victim, in any setting including but not limited to home and work. (p. 11) Sexual abuse may include everything from sexualised language/behaviour to more severe abuse like intimate touching and rape (3). According to the World Health Organization (4), one in five women reports having been sexually abused as a child and one in three women has been a victim of physical or sexual violence by an Correspondence to: Marianne Torp Stensvehagen, Inland Norway University of Applied Sciences, Postboks 400, 2418 Elverum, Norway. E-mail: marianne.stensvehagen@inn.no escaping—coping after experiencing sexual abuse; (2) accepting and disclosing—starting a process of recovery; and (3) reconciling and repossessing—living with the experience in the present. The model contributes to a deeper understanding of the everyday life of women who have experienced sexual abuse. Increased knowl- edge of coping behaviours that can be used to deal with daily hassles may also serve as a tool for health professionals, other helpers and family to help these women rebuild a good life. Keywords: sexual abuse, women, daily hassles, daily uplifts, coping strategies, stress reactions.

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• Stensvehagen, Marianne Torp (2024). Å leve videre etter overgrep: – Finn gleder og pusterom i hverdagen. [Journal]. Psykologisk.no. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp (2023). Hverdagsstress hos kvinner utsatt for seksuelle overgrep. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp; Bronken, Berit Arnesveen; Lien, Lars & Larsson, Ulf Gerry (2019). How women experience and cope with daily hassles after sexual abuse– a retrospective qualitative study. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp; Bronken, Berit Arnesveen; Lien, Lars & Larsson, Ulf Gerry (2019). Hvordan håndterer kvinner som har opplevd seksuelle overgrep hverdagsstress - en retrospektiv kvalitativ studie. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp (2018). Hverdagsstress og mestring hos kvinner som har opplevd seksuelle overgrep. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp (2017). Hverdagsgleder og mestring av hverdagsstress etter seksuelle overgrep. Fulltekst i vitenarkiv
• Stensvehagen, Marianne Torp (2016). Seksuelle overgrep, hverdagsstress og helse. Fulltekst i vitenarkiv
• Mytting, Tuva Helene Sandsdalen & Stensvehagen, Marianne Torp (2011). Kompetanseutvikling hos erfarne anestesi-, intensiv- og operasjonssykepleiere. Fulltekst i vitenarkiv
• Mytting, Tuva Helene Sandsdalen; Stensvehagen, Marianne Torp & Arvidsson, Barbro (2010). Hvordan oppfatter erfarne anestesi-, intensiv- og operasjonssykepleiere at kompetanseutvikling fremmes - en fenomenografisk studie. Norges teknisk-naturvitenskapelige universitet. Fulltekst i vitenarkiv Vis sammendrag

  ENGELSK: The anaesthesia-, intensive care- and operating room nurse (AIO nurse) are all required to be competent and operative, able to take care of patients in state of acute and/or critical illness, and also to take care of their nearest. On an international and national level there are few studies on general competence development, but no study has investigated how the experienced AIO nurse may acquire further competence. (...) The findings of the study show a variety of different perceptions of how competence is further developed for the experienced AIO-nurse. Competence development is submitted on three different levels, an individual, group and system level. Findings significant for clinical practice may be an increased awareness, that in order to promote and prepare for learning and competence development for experienced AIO nurses, it will be important to facilitate both the individual, the practice community as a group and on systems for competence development in the department.

• Berg, Marit; Klein, Alexandra; Myromslien, Frøydis; Sandsdalen, Tuva & Stensvehagen, Marianne Torp (2009). Nytilsatt ved Høgskolen i Hedmark: Hva gjør vi nå? Høgskolen i Hedmark. ISSN 9788276717310. Fulltekst i vitenarkiv Vis sammendrag

  På bakgrunn av en felles oppfattelse av at Høgskolen i Hedmark mangler et godt system til å sikre opplæring, veiledning og oppfølging av nytilsatte ? med spesielt fokus på det pedagogiske området ? har vi undersøkt høgskolens muligheter for bedre å kunne tilrettelegge dette. Følgende problemstilling ble utformet: Hvordan kan Høgskolen i Hedmark legge til rette for at nytilsatte blir kjent med sin pedagogiske funksjon og sitt pedagogiske ansvar? I denne forbindelse ble det sett på eksisterende introduksjonstiltak ved Institutt for Lærerutdanning og Naturfag (LUNA) og ved Institutt for Sykepleie Avdeling Helse og Idrett (HI) samt foretatt en spørreundersøkelse blant 15 nytilsatte ? som til sammen representerer 6 forskjellige institutter ved LUNA og HI. Undersøkelsens resultat viste at det er svært ulik praksis ved høgskolen når det gjelder introduksjonstiltak og at de fleste lærere mener at god oppfølging i nytilsattperioden er viktig. I forkant av undersøkelsen ble det utarbeidet en liste over ulike pedagogiske tiltak til mulig nytte for nytilsatte undervisere. Reaksjonen fra et flertall av respondentene var, at samtlige tiltak ville hatt stor eller meget stor betydning. På bakgrunn av dette materialet ble det utarbeidet et forslag til et nytilsattprogram med tiltak som forhåpentlig både kan bidra til en kvalitetssikring av den enkeltes undervisning og til at den nytilsatte skal bli kjent med sin pedagogiske funksjon og sitt pedagogiske ansvar. Based on the assumption that Hedmark University College lacks a good system to assure training, supervision and follow-up of the new-employed teachers ? with particular emphasis on the educational area ? we have examined the institution?s opportunities to better adapt this. The following question was formulated: How can Hedmark University College lay the groundwork to help the new-employed teacher getting familiar with his or hers educational function and educational responsibilities? For that reason, the existing introduction material of measures by the Department of Education and Science (LUNA) and at the Department of Nursing Department of Health and Sport (HI) was examined and a survey conducted among 15 new employees ? representing 6 different departments at LUNA and HI all together. The survey results both showed a high variety in practice at the college when it comes to introducing measures and that most newemployed teachers believed that a good follow-up in the new-employee period is important. A list of various educational measures to the possible benefit of new-employed teachers was prepared in advance of the survey. A majority of the respondents agreed that all suggested measures would have been of great or the greatest significance. On the basis of this material a proposal for a new employee program with measures was prepared. Measures, which will hopefully both contribute to the quality assurance of the performance of every single teacher and that new-employed teachers will become familiar with their educational function and educational responsibilities.

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