Randi E. Martinsen

• Hauger, Birgit; Martinsen, Randi; Hestad, Knut Asbjørn & Ødbehr, Liv Skomakerstuen (2026). Loneliness Among Older Adults Receiving Home Care: A Phenomenological-Hermeneutical Study. Nursing Reports. ISSN 2039-439X. 16(7), s. 1–19. doi: 10.3390/nursrep16070230. Fulltekst i vitenarkiv Vis sammendrag

  Background/Objectives: Norway’s ageing population includes many older adults living alone who receive home care and are at increased risk of loneliness. Loneliness is the subjective sense of unmet or imbalanced social needs, shaped by culture and living conditions, and can be social (lack of contact) or emotional (absence of close, trusting relationships). In older people, it often follows partner or role loss or reduced mobility or participation and is associated with emotional pain, lowered self-worth and poorer health and quality of life. This study aimed to explore patients’ experiences of loneliness while living alone and receiving home care. Methods: Twelve older patients (aged 74–98 years) participated in in-depth interviews, which were analysed using phenomenological-hermeneutical analysis in line with Lindseth and Norberg’s recommendations. Results: The results are presented under the following themes: (I) An overwhelming and painful feeling, (II) A presence without connection, and (III) Experiencing a sense of alienation. Conclusions: This study describes complex feelings of loneliness for the majority of participants, often worsened by poor mobility and shrinking social networks. From the patient perspective, good home care goes beyond practical and medical tasks: patients need to be treated as whole persons, with respect and understanding, to alleviate loneliness. Staffing stability, predictable visiting times, time for conversation, and small acts of kindness are central to well-being and the prevention of loneliness. Municipal healthcare should prioritize relationship-building, communication skills, and organizational solutions that enable continuity and flexibility. Focusing on the patient perspective in planning and evaluation will create better targeted interventions and support dignified ageing.

• 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. 

• Martinsen, Randi; Aiyub, Aiyub; Baharuddin, Dharina; Gressia, Rosa Galica Gita; Burenlind, Desirée & Helgesen, Ann Karin (2025). Navigating Educational Challenges: Unravelling Educators’ Experiences of Online Teaching in Nursing Education—A Qualitative Study. Nursing Forum. ISSN 0029-6473. 2025(1). doi: 10.1155/nuf/3322929. Fulltekst i vitenarkiv Vis sammendrag

  Aim: To explore experiences of how the COVID‐19 pandemic affected nurse educators’ teaching in Indonesian contexts. Background: The shift to online teaching during the COVID‐19 pandemic affected the educational system and teaching in higher education institutions worldwide. The transition to online teaching highlighted that many educators were not sufficiently prepared, skilled and equipped to cope with online teaching. This study might add knowledge to the body of literature on innovative teaching methods. Methods: A total of 29 Indonesian nurse educators answered an open‐ended question regarding their experience of online teaching and its consequences during COVID‐19. The data were analysed using qualitative content analysis. Results: The transition from a conventional face‐to‐face educational system to online teaching had both negative and positive effects for the nurse educator role. Challenges during their daily work were worries and difficulties in assessing students’ learning outcomes and how to practise nursing skills and simulate nursing interventions. The nurse educators developed their teaching skills and digital literacy. They also became more conscious of their responsibility to activate all students. Conclusion: The transition to online teaching represents a paradigm shift that implies that nurse educators need to develop their online teaching competencies. However, not all aspects of the nursing curriculum can be covered by online teaching. How online teaching can contribute to and develop sustainable nursing education in the future needs to be discussed at a global level.

• Martinsen, Randi; Landheim, Anne Signe & Bronken, Berit Arnesveen (2025). A turning point after FACT: a qualitative study of family members’ experiences and follow-up provided by flexible assertive community treatment. BMC Health Services Research. 25(1). doi: 10.1186/s12913-025-13485-z. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Background Service users living with severe mental illness are often in need of treatment from different health care professionals. Their family members play an important but underreported role in their treatment and care. Following the implementation of the flexible assertive community treatment (FACT) model in Norway since 2013, FACT teams have been evaluated from different perspectives. The overall aim of this study was to explore how family members of people living with SMI experience their situation and the follow-up provided by FACT teams. Methods Forty-one family members aged 31 to 78 years took part in nine focus groups representing seven FACT teams from both rural and urban areas in Norway. Most of the participants had parental roles. The data was analysed using qualitative content analysis. Results The results revealed the following two main themes and five sub-themes: (1) An all-consuming and demanding role ( A life of love , care and despair and A life affecting health and well-being) , and (2) A turning point after FACT ( From a patchwork to more integration and continuity , Family involvement as a vital part of care and Availability of support outside regular opening hours). Conclusions Being family members of service users with SMI are experienced as an all-consuming and demanding role. The family members experience the FACT team as an important support in their day-to-day life. However, they wish to receive more support and inclusion in the treatment than they currently do. Further strengthening the involvement and collaboration between the family members and the FACT teams is recommended. Psychoeducational interventions arranged by the FACT team could support family members’ situations. To share their stories with professionals and/or peers would further contribute to their well-being. Extending the opening hours of FACT is recommended as it might mitigate family members’ everyday challenges and improve their subjective well-being.

• Grøndahl, Vigdis Abrahamsen; Andersen, Kirsti Lauvli; Helgesen, Ann Karin; Asniar, Asniar; Martinsen, Randi & Septiani, Riza [Vis alle 10 forfattere av denne artikkelen] (2025). Indonesian Nursing Educators’ Experiences with Developing Student-Centered Learning Methods. Nursing Reports. ISSN 2039-439X. 15(3). doi: 10.3390/nursrep15030081. Fulltekst i vitenarkiv Vis sammendrag

  Background/Objectives: There is a rising global demand to educate independent and reflective nurses capable of addressing the evolving needs of healthcare systems and diverse populations. The Indonesian Nursing Act solidifies the professional status of nurses, although challenges persist including discrepancies between practice and educational standards. There is a need to increase the competence of Indonesian nurse educators and their ability to facilitate learning that can strengthen the nursing programs’ quality and improve the nurses’ ability to address various health issues in the population. The aim of the study was to describe the nurse educators’ experiences with developing student-active methods in nursing education in Indonesia. Methods: This study is part of an Erasmus+ project: Capacity Building in Nursing Education in Indonesia (CABNEI). A three-year educational program for nursing educators in Indonesia was developed. The current study used a qualitative, descriptive design with a questionnaire containing four open-ended questions focusing on the educators’ experiences with developing student-active methods and conditions affecting this process. Data were collected between January and November 2022 and analyzed using qualitative content analysis. Results: A total of 32 educators from two universities and two nursing schools in Indonesia participated. The analysis revealed the theme “A change of pedagogical approaches to nursing students’ learning” with three categories: “Setting the stage for pedagogical development in the nursing education”, “From correction to reflection”, and “Factors affecting the educators’ learning process”. Conclusions: The nursing educators’ experiences with developing student-active methods in Indonesia were positive. They reported incorporating additional pedagogical tools into their teaching methods and nursing programs. Management is vital in facilitating active-learning strategies. It is important to foster collaborative opportunities for educators and enhance their pedagogical skills to meet the healthcare system’s evolving needs and society’s demands for sustainable nursing expertise.

• Hauger, Birgit; Martinsen, Randi; Hestad, Knut Asbjørn & Ødbehr, Liv Skomakerstuen (2025). Assessment Teams Experience of Barriers and Challenges When Assessing Loneliness and Depression Among Home-Dwelling Elderly: A Qualitative Study. Scandinavian Journal of Caring Sciences. ISSN 0283-9318. 39(2). doi: 10.1111/scs.70026. Fulltekst i vitenarkiv Vis sammendrag

  Background: Loneliness and depression in the elderly population are a worldwide challenge. Elderly people receiving home care are very vulnerable, as they often suffer from comorbidity and various other challenges. Aim: The study aim was to explore how care assessment teams experience assessing loneliness and symptoms of depression among home care recipients aged 65 years and older in planned home visits. Method: This study has a qualitative design. Data were collected during two phases. First, data from documents were collected in seven municipalities on 168 home care decisions made by assessment units during 1 month. Second, 10 caseworkers and 10 case managers from different care assessment teams in 20 municipalities located in four different regions in Norway were individually interviewed. Both data sources were analysed using qualitative content analysis. Results: Analysis of the documents revealed that only three of the 168 home care decisions described support for mental health. The analysis of the interviews resulted in three themes: (i) 'Physical health has higher priority than mental health in home care', (ii) 'Being diagnosed is essential to receive support from home care', (iii) 'Major differences in mental health support between municipalities'. Conclusion: Caseworkers in care assessment teams find that many home-dwelling elderly are struggling with loneliness and depression, but barriers on both organisational and administrative levels prevent them from providing appropriate interventions. Mental health is thus not systematically recorded in assessments, which may lead to loneliness and depression being overlooked. There are significant differences between municipalities regarding service offerings and follow-up procedures for loneliness and depression, and both caseworkers and municipal leadership must ensure a system that provides comprehensive patient care.

• Hauger, Birgit; Martinsen, Randi; Hestad, Knut Asbjørn & Ødbehr, Liv Skomakerstuen (2025). Nurses’ perspectives on clinical competence to identify loneliness and depression in older people in home care: a qualitative study. BMC Health Services Research. 25(1), s. 1–14. doi: 10.1186/s12913-025-12428-y. Fulltekst i vitenarkiv Vis sammendrag

  Background: Loneliness and depression in older people are increasing worldwide. Proficient nursing practice requires the continuous and long-term development of clinical knowledge. Lifelong learning is essential and enhances clinical nursing practice. Nursing includes various functional areas that illustrate registered nurses' wide range of responsibilities to ensure healthcare quality. Registered nurses are committed to working comprehensively, observing patients and identifying symptoms of both physical and mental ill-being. The aim of this study is to explore how registered nurses perceive their clinical competence in observing signs of loneliness and depression in older people in home care, and which barriers in home care services prevent quality improvement. Methods: Fifteen registered nurses from home care units in Norway were individually interviewed, and the interviews were analysed using qualitative content analysis. Results: The analysis revealed three themes in accordance with the study aim: I) Uncertainty about knowledge of mental health, II) Lack of opportunities to meet the patients' needs regarding mental ill-being, III) Feelings of guilt for not doing enough for patients. Conclusions: Lack of education and training in mental health creates uncertainty and limits registered nurses' ability to effectively address signs of loneliness and depression. Registered nurses often feel unprepared to handle psychological aspects of care. Organizational barriers hinder effective care. Additionally, the emotional toll on registered nurses, who experience guilt and moral distress due to their limited ability to provide sufficient care, highlights the impact of these systemic issues on patients. The study underscores the need for improved training, better collaboration, and stronger leadership to prioritize mental health and ensure that registered nurses have the necessary resources and support to meet the needs of older people with signs of mental ill-being in home care.

• Martinsen, Randi; Søvde, Sigrid Ahlin; Grov, Ellen Karine; Andersson, Ewa K & Gardulf, Ann (2024). Self-reported competence among advanced practice nursing students in Denmark, Finland and Norway: a cross-sectional multicentre study. BMC Nursing. 23(1). doi: 10.1186/s12912-024-01930-z. Fulltekst i vitenarkiv Vis sammendrag

  Background The health care systems in the Nordic countries and worldwide are under pressure due to increasedlongevity and a shortage of nurses. Providing nurses with a high level of education, such as advanced practicenursing, is of great importance to ensure effective, safe and high-quality care.Aim The aim of this study was to investigate self-reported competence using the Nurse Professional CompetenceScale Short-Form for the first time among master’s students of advanced practice nursing in the Nordic countries andto relate the findings to age, work obligations, child-rearing responsibilities, level of education and clinical nursingexperience.Methods A multicentre, cross-sectional design was used in this study conducted at five universities in Denmark,Finland and Norway. The Nurse Professional Competence Scale Short-Form consisting of six competence areas wasused with a maximum score of 7 per item for the analysis of single items and a transformed scale from 14.3 to 100 foranalysing the competence areas (higher score equals higher self-reported competence). Descriptive and comparativestatistics were used to analyse the data.Results The highest mean score was found for the competence area ‘Value-based nursing care’. Students livingwith home-dwelling children (≤ 18 years) reported significantly higher competence in ‘Nursing care’, while students≥33 years reported significantly higher competence in ‘Nursing care’ and ‘Value-based nursing care’. No significantdifferences were found between students working and those not working alongside their studies, between studentswith and without further nursing-related education, or between students with long and short experience as nurses.Conclusions The findings from this study might help to further develop curricula in advanced practice nursingmaster’s programmes to ensure high-quality nursing and sustainable health care in the future. Future high-qualitymaster’s programmes might benefit from systematic collaboration between Nordic higher education institutionsas also Sweden is planning master’s programme. Higher age, having children at home and working while studyingshould not be considered causes for concern.

• Birkheim, Siv Lena; Calogiuri, Giovanna; Hvalstad, Mette & Martinsen, Randi (2024). Exploring the experiences of resident doctors in child and adolescent psychiatry with virtual reality-based simulation training: a qualitative study. BMC Health Services Research. 24(1). doi: 10.1186/s12913-024-11941-w. Fulltekst i vitenarkiv Vis sammendrag

  Background The use of virtual reality simulation for the training of non-technical skills among healthcare professionals may improve professional development as well as the quality of care. This study aims to explore the experiences of resident doctors in child and adolescent psychiatry with the use of virtual reality-based simulation for the training of non-technical skills. Methods The study had an exploratory qualitative design. Data were collected through observations of thirteen resident doctors in child and adolescent psychiatry during their participation in three virtual reality-based simulation sessions, followed by two focus groups. Data were analyzed using reflective thematic analysis. Results The analysis revealed the following three themes: 1) The importance of pedagogical principles, 2) Playful and motionally affected learning, and 3) Observational learning contributing to lifelong learning. Conclusions Virtual reality-based simulation was felt to be an appropriate method of training non-technical skills for resident doctors in child and adolescent psychiatry. In particular, the intervention met resident doctors’ desires and needs regarding learning through observation and peer discussions. However, some challenges related to technical issues and the content of the scenarios were highlighted. This method may not only increase the resident doctors’ self-efficacy and competence, but also contribute to their lifelong learning.

• Martinsen, Randi; Svendsboe, Ellen J; Røthing, Merete & Eriksen, Kristin Ådnøy (2024). Work-Aged Family Caregivers’ Experiences in Severe Neurological Diseases and Sustainability in Future Local Healthcare Workforce: A Qualitative Metasynthesis. Nordisk välfärdsforskning | Nordic Welfare Research. 9(4), s. 300–313. doi: 10.18261/nwr.9.4.3. Fulltekst i vitenarkiv Vis sammendrag

  Family caregivers play an important role as an unpaid part in the health care workforce in the communities. Without family caregivers’ contribution, sustainability in the health care workforce may be severely challenged. This metasynthesis identifies the experiences of work-aged family caregivers, related to care for persons living with Amyotrophic Lateral Sclerosis, Multiple Sclerosis, Huntington’s Disease and Parkinson’s Disease to uphold a sustainable health care workforce. Eleven original qualitative studies concerning family caregiving in severe, degenerative neurological diseases were included and analysed based on an elaborated, four steps strategy. The results revealed the three following themes: The practical and emotional impact on family caregiver, Balancing own needs and family obligations and A price to pay for family caregivers providing long-term care. These findings implicate that family caregivers’ contribution depends on tailored information from the health care regarding the disease and the development of the disease. Work-aged family caregivers’ needs should be clarified and valued, regarding their own personal time, economic situation, social activity, work, and family situation. The health authorities should discuss the financial framework for family caregivers’ contribution and role. It is further necessary that the health care workforce invites to dialogue about prerequisites for health care and how health care tasks could be distributed to uphold a sustainable health care both for the work force and the work-aged family caregivers in the future.

• Birkheim, Siv Lena; Calogiuri, Giovanna & Martinsen, Randi (2023). Advancing immersive virtual reality-based simulation practices: developing an evidence-based and theory-driven pedagogical framework for VR-based simulations of non-technical skills among healthcare professionals. Interactive Learning Environments. ISSN 1049-4820. doi: 10.1080/10494820.2023.2186896. Fulltekst i vitenarkiv Vis sammendrag

  ABSTRACT Virtual reality (VR) based simulation is emerging as an innovative tool for the training and education of healthcare professionals. However, pedagogical frameworks specific to this type of simulation are yet missing. This paper explores participants’ experiences with VR-based simulation training in non-technical skills (VR-SIMI) and integrates them with established pedagogical theory. Non-technical skills refer to cognitive, social, and personal resource skills such as effective communication, relational competence, and stress management. An observational study was conducted involving 11 health care professionals in children and adolescents’ mental health who attended four VR-SIMI sessions over one year. Data were collected through field notes during participant observation and informal conversations with the participants. Directed content analysis was conducted, informed by the established practice of VR-SIMI (including INACL standards of best practice simulation), Jeffries simulation theory, Kolb’s experiential learning theory, and adult learning theory. The findings indicate that the participants positively evaluated the use of VR-SIMI. However, they also reported that the implementation and learning outcomes should be further refined. Based on these findings, an evidence-based and theory-driven pedagogical framework is proposed to guide andenhance the quality of VR-based simulations of non-technical skills for various of healthcare professionals, as well as inform future research.

• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne S.; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2021). Perceived study-induced influence on the control group in a randomized controlled trial evaluating a complex intervention to promote psychosocial well-being after stroke : a process evaluation. Trials. 22. doi: 10.1186/s13063-021-05765-w. Fulltekst i vitenarkiv Vis sammendrag

  Background: A commonly applied control condition in trials evaluating complex interventions in rehabilitation research is “usual care.” The main challenge is to ensure that the control group receives genuine usual care as delivered in everyday clinical practice. The assessment interviews and dialogues with the data collectors may influence the control group participants’ reflections on their condition and adjustments. This represents a threat to the internal validity of the trial. Thus, the aim of this study was to explore the perceived study-induced influence of assessment interviews on the adjustment of the members of a control group in a randomized clinical trial. The aim of the trial was to test a dialogue-based psychosocial intervention aiming at promoting the psychosocial well-being and adjustment of stroke survivors. Methods: Fifteen participants in the control group of a multicenter stroke rehabilitation trial participated in narrative semi-structured interviews. Ricoeur’s interpretation theory guided the analysis. Results: The perceived study-induced influence of the assessment interviews on the adjustment process of members of the control group varied considerably. The results demonstrated that the assessment interviews facilitated some participants’ feelings of control and their ability to cope. Other participants’ statements indicate that they relied on their existing personal capacity to cope and adjust and that the assessment interviews did not make any difference either on their coping ability or on their process of adjustment. Five themes were identified that described the perceived study-induced influence of the assessment interviews in the control group. The themes illustrated that the assessments served as a safety net, enhanced awareness and understanding, encouraged seeking support, allowed the opportunity to vent disappointment, or did not make any difference either way. Conclusions: RCT assessment interviews may influence the adjustment process and represent a serious problem in measuring interventions over time in trials of complex interventions in rehabilitation research. To uphold rigor and stringency, the usual care control conditions should be thoroughly assessed and described. Informing participants only about the treatment they were allocated to receive might counteract the potential to dilute the difference between the two arms of the trial.

• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Kvigne, Kari Johanne; Evju, Anne Svelstad & Bronken, Berit Arnesveen [Vis alle 10 forfattere av denne artikkelen] (2021). Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation. BMC Health Services Research. doi: 10.1186/s12913-021-06857-8. Fulltekst i vitenarkiv Vis sammendrag

  Background: Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail to meet their psychosocial needs following discharge to home. The responsibility of nurses and occupational therapists in stroke rehabilitation is to assist the persons and their families during the recovery and adjustment process. A home-based dialogical intervention aiming to enhance psychosocial support was therefore developed and tested in a randomized controlled trial. This study is a part of the process evaluation conducted alongside the trial. The aim was to explore the nurses’ and occupational therapists’ experiences of conducting the intervention. Methods: Eighteen nurses and four occupational therapists participated in six focus groups to explore their experiences when providing the intervention. The themes discussed in the focus groups were the aspects that facilitated the delivering of the intervention and the challenges they encountered during the study period. The interviews were analysed using qualitative content analysis. Results: The analysis generated two themes. The theme Developing a supportive relationship to facilitate the adjustment process following stroke had two subthemes: Getting personally involved and Handling challenges. This theme reveals how the nurses and occupational therapists experienced their relationship with the persons with stroke and potential threats which challenged them while conducting the intervention. The theme Developing professional skills in providing psychosocial support had two subthemes: Becoming confident in conducting dialogues and Integrating psychosocial topics. This theme reveals the aspects that the nurses and occupational therapists perceived as facilitating the development of their professional skills in conducting the dialogues. Conclusion: Delivering the psychosocial intervention was perceived as deeply meaningful and increased the nurses’ and occupational therapists’ understanding of how to support stroke survivors to live with the consequences of stroke. However, balancing the professional and the personal relationship was challenging. A basic educational programme, training, supervision and having dedicated time were crucial elements to instil confidence in professionals conducting theme-based dialogues to promote post-stroke psychosocial well-being. Individual clinical experience and knowledge of stroke care were considering important to enable professionals to integrate psychosocial rehabilitation into community health care.

• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Zucknick, Manuela; Sveen, Unni; Thommessen, Bente & Bronken, Berit Arnesveen [Vis alle 13 forfattere av denne artikkelen] (2020). The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial. Clinical Rehabilitation. ISSN 0269-2155. 34(8), s. 1056–1071. doi: 10.1177/0269215520929737. Fulltekst i vitenarkiv Vis sammendrag

  Objective: To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke. Design: Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups. Setting: Community. Subjects: Three-hundred and twenty-two adults (⩾18 years) with stroke within the last four weeks were randomly allocated into intervention group (n = 166) or control group (n = 156). Interventions: The intervention group received a dialogue-based intervention to promote psychosocial well-being, comprising eight individual 1–1½ hour sessions delivered during the first six months post-stroke. Main measures: The primary outcome measure was the General Health Questionnaire-28 (GHQ-28). Secondary outcome measures included the Stroke and Aphasia Quality of Life Scale-39g, the Sense of Coherence scale, and the Yale Brown single-item questionnaire. Results: The mean (SD) age of the participants was 66.8 (12.1) years in the intervention group and 65.7 (13.3) years in the control group. At 12 months post-stroke, the mean (SE) GHQ-28 score was 20.6 (0.84) in the intervention group and 19.9 (0.85) in the control group. There were no between-group differences in psychosocial well-being at 12 months post-stroke (mean difference: −0.74, 95% confidence interval (CI): −3.08, 1.60). The secondary outcomes showed no statistically significant between-group difference in health-related quality of life, sense of coherence, or depression at 12 months. Conclusion: The results of this trial did not demonstrate lower levels of emotional distress and anxiety or higher levels of health-related quality of life in the intervention group (dialogue-based intervention) as compared to the control group (usual care) at 12 months post-stroke.

• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2019). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: An explanatory sequential mixed methods study. BMC Medical Research Methodology. 19(59). doi: 10.1186/s12874-019-0694-z. Fulltekst i vitenarkiv Vis sammendrag

  Background: Evaluation of complex interventions should include a process evaluation to give evaluators, researchers, and policy makers greater confidence in the outcomes reported from RCTs. Implementation fidelity can be part of a process evaluation and refers to the degree to which an intervention is delivered according to protocol. The aim of this implementation fidelity study was to evaluate to what extent a dialogue-based psychosocial intervention was delivered according to protocol. A modified conceptual framework for implementation fidelity was used to guide the analysis. Methods: This study has an explanatory, sequential two-phase mixed methods design. Quantitative process data were collected longitudinally along with data collection in the RCT. Qualitative process data were collected after the last data collection point of the RCT. Descriptive statistical analyses were conducted to describe the sample, the intervention trajectories, and the adherence measures. A scoring system to clarify quantitative measurement of the levels of implementation was constructed. The qualitative data sources were analyzed separately with a theory-driven content analysis using categories of adherence and potential moderating factors identified in the conceptual framework of implementation fidelity. The quantitative adherence results were extended with the results from the qualitative analysis to assess which potential moderators may have influenced implementation fidelity and in what way. Results: The results show that the core components of the intervention were delivered although the intervention trajectories were individualized. Based on the composite score of adherence, results show that 80.1% of the interventions in the RCT were implemented with high fidelity. Although it is challenging to assess the importance of each of the moderating factors in relation to the other factors and to their influence on the adherence measures, participant responsiveness, comprehensiveness of policy description, context, and recruitment appeared to be the most prominent moderating factors of implementation fidelity in this study. Conclusions: This evaluation of implementation fidelity and the discussion of what constitutes high fidelity implementation of this intervention are crucial in understanding the factors influencing the trial outcome. The study also highlights important methodological considerations for researchers planning process evaluations and studies of implementation fidelity. Trial registration: ClinicalTrials.gov, NCT02338869; registered 10/04/2014. Keywords: Process evaluation, Implementation fidelity, Stroke, Psychosocial intervention, Mixed methods

• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2019). Finding the way forward : the lived experience of people with stroke after participation in a complex psychosocial intervention. Qualitative Health Research. ISSN 1049-7323. 29(12), s. 1711–1724. doi: 10.1177/1049732319833366. Fulltekst i vitenarkiv Vis sammendrag

  Stroke patients’ well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with stroke and a trained health care professional were conducted 1 to 6 months post-stroke with one group of participants and 6 to 12 months post-stroke with another group. Subsequently, 19 of these stroke patients were interviewed to gain an in-depth understanding of their lived experience of the influence of the intervention on their adjustment process. Interview texts were analyzed using Ricoeur’s interpretation theory. Two participants did not personally find the intervention useful. The remaining participants greatly appreciated dialogues with the empathetic intervention personnel, feeling free to discuss their fears and worries. The intervention raised these participants’ awareness of their needs and resources. They were guided to resume their everyday life and adopt a future-oriented attitude. The intervention facilitated their meaning-making endeavors and post-stroke adjustment.

• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). Effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke in Norway: A randomized controlled trial. Journal of Rehabilitation Medicine. ISSN 1650-1977. 51(8), s. 557–565. doi: 10.2340/16501977-2585. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Objective: To evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. Design: Multicentre, prospective, randomized controlled trial. Subjects: Adults (aged ≥ 18 years) who had their first or recurrent stroke within the last month, were medically stable, had sufficient cognitive functioning to participate and understood and spoke Norwegian. Methods: A total of 322 participants were randomly assigned to the intervention (n = 166) or control (n = 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. The primary outcome was the proportion of participants with normal mood measured by the General Health Questionnaire-28 (GHQ-28). The secondary outcomes included health-related quality of life (Stroke and Aphasia Quality of Life Scale; SAQOL-39g), depression (Yale-Brown single-item questionnaire; Yale) and sense of coherence (SOC-13). Results: After controlling for the baseline values, no significant benefit was found in the intervention group over the control group (odds ratio (OR): 0.898: 95% confidence interval (95% CI): 0.54-1.50, p = 0.680) 6 months post-stroke. Conclusion: Psychosocial well-being improved during the first 6 months after stroke in both arms of the trial, but no statistically significant benefit of the dialogue-based intervention was found compared with usual care. Lay Abstract The aim of this study was to evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. A total of 322 participants were assigned to an intervention (= 166) or control (= 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. Psychosocial well-being improved during the first 6 months after the stroke in both arms of the trial. However, no benefit of the dialogue-based intervention was found compared with usual care.

• Kirkevold, Marit; Bragstad, Line Kildal; Bronken, Berit Arnesveen; Kvigne, Kari Johanne; Martinsen, Randi & Hjelle, Ellen Gabrielsen [Vis alle 13 forfattere av denne artikkelen] (2018). Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial. BMC Psychology. 6(12). doi: 10.1186/s40359-018-0223-6. Fulltekst i vitenarkiv Vis sammendrag

  Background: Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms and 20% report anxiety during the first months or years after the stroke. Psychosocial difficulties may impact significantly on long-term functioning and quality of life, reduce the effects of rehabilitation services and lead to higher mortality rates. The aim of the study is to evaluate the effect of a previously developed and feasibility tested dialogue-based psychosocial intervention aimed at promoting psychosocial well-being and coping following stroke among stroke survivors with and without aphasia. Methods: The study will be conducted as a multicenter, randomized, single blind controlled trial with one intervention and one control arm. It will include a total of 330 stroke survivors randomly allocated into either an intervention group (dialogue-based intervention to promote psychosocial well-being) or a control group (usual care). Participants in the intervention group will receive eight individual sessions of supported dialogues in their homes during the first six months following an acute stroke. The primary outcome measure will be psychosocial well-being measured by the General Health Questionnaire (GHQ). Secondary outcome measures will be quality of life (SAQoL), sense of coherence (SOC), and depression (Yale). Process evaluation will be conducted in a longitudinal mixed methods study by individual qualitative interviews with 15–20 participants in the intervention and control groups, focus group interviews with the intervention personnel and data collectors, and a comprehensive analysis of implementation fidelity. Discussion: The intervention described in this study protocol is based on thorough development and feasibility work, guided by the UK medical research council framework for developing and testing complex interventions. It combines classical effectiveness evaluation with a thorough process evaluation. The results from this study may inform the development of further trials aimed at promoting psychosocial well-being following stroke as well as inform the psychosocial follow up of stroke patients living at home

• Martinsen, Randi; Kirkevold, Marit & Sveen, Unni (2015). Young and midlife stroke survivors’ experiences with the health services and long-term follow-up needs. Journal of Neuroscience Nursing. ISSN 0888-0395. 47(1), s. 27–35. doi: 10.1097/JNN.0000000000000107. Fulltekst i vitenarkiv Vis sammendrag

  The aim of this qualitative study was to explore young and midlife stroke survivors’ experiences with the health services and to identify long-term follow-up needs. Sixteen participants from two cohorts were interviewed in-depth. The interviews were analyzed applying a hermeneuticYphenomenological analysis. The participants struggled to gain access to follow-up health services. They felt that whether they were systematically followed up was more coincidental than planned. Young and midlife stroke survivors thus appear vulnerable to falling outside the follow-up system. Those participants who received some follow-up care perceived it as untailored to their specific needs. To be considered supportive, the follow-up programs must be in line with their long-term needs, take into account their particular challenges as young and midlife stroke survivors, and be planned in close collaboration with the individual patient. To secure systematic and follow-up health services tailored to the individual, knowledgeable and committed healthcare professionals should play a prominent role within the community health services.

• Kirkevold, Marit; Martinsen, Randi; Bronken, Berit Arnesveen & Kvigne, Kari (2014). Promoting psychosocial wellbeing following stroke using narratives and guided self-determination: a feasibility study. BMC Nursing. 2(4). doi: 10.1186/2050-7283-2-4. Fulltekst i vitenarkiv Vis sammendrag

  Extensive studies have documented the complex and comprehensive psychosocial consequences of stroke. Psychosocial difficulties significantly affect long-term functioning and quality of life. Many studies have explored psychosocial interventions to prevent or treat psychosocial problems, but most have found modest effects. This study evaluated, from the perspective of adult stroke survivors, (1) the content, structure and process and (2) experienced usefulness of a dialogue-based psychosocial nursing intervention in primary care aimed at promoting psychosocial health and wellbeing. This was part of a feasibility study guided by the UK MRC complex interventions framework. It consisted of dialogue-based encounters with trained health professionals during approximately the first year poststroke. It was tested in two formats; individual or group encounters. Inclusion criteria were: Acute stroke, above 18 y.o., sufficient physical and cognitive functioning to participate. Data were collected immediately before, during and 14 days after the completion of the intervention. Pre- and post-data included medical and demographic data, quality of life, emotional wellbeing, life satisfaction, anxiety and depression. Qualitative interviews focusing on participant experiences were conducted two weeks following the intervention. Log notes taken by the health professionals conducting the intervention and work sheets filled in by participants also comprised data. Data analysis was case-oriented. The structured instruments were analysed regarding completeness of data and indication of changes in outcome variables. The qualitative interviews, log notes and work sheets were analysed using thematic content analysis. Twenty-five stroke survivors (17 men, 8 women), median age 64 (range 33–89), participated. Physical limitations varied from mild to severe. Seven participants had moderate to severe expressive aphasia. The participants found the content and process of the intervention relevant. Both the individual and group formats were found useful. Patients with aphasia reported that there were too few encounters (eight encounters were originally planned). The participants underscored the benefits of being supported through a difficult time, having a chance to tell and (re)create their story and being supported in their attempts to cope with the situation. This study provides initial support for the usefulness of the psychosocial intervention and highlights areas requiring further consideration and development

• Kvigne, Kari; Kirkevold, Marit; Martinsen, Randi & Bronken, Berit Arnesveen (2014). Masculinity and strokes: The challenges presented to younger men by chronic illness. Journal of Gender Studies. ISSN 0958-9236. 23(2), s. 197–210. doi: 10.1080/09589236.2013.790797. Fulltekst i vitenarkiv Vis sammendrag

  Abstract Stroke is a major cause of disability in the Western world, changing not only to the victim's body but also his or her lifestyle. Men tend to experience stroke at a younger age than women. Most people understand stroke as a disease of the elderly, however, this study looks at the effects of stroke on the young adult male. Adolescence, and young- and middle-adulthood are the periods in which the intergenerational dialectics and the interactions between society and the individual are most salient, as it is during these periods that people are completing their education, launching careers, forming intimate relationships, establishing a family and developing an identity. Serious chronic illnesses during these periods may threaten a man's taken-for-granted masculinity. Studies also show that men suffering chronic illness negotiate and renegotiate their masculinity in light of the limitations placed on them by their own and others' understanding of the social and personal consequences of their disease. This current single case study with a narrative approach is drawn from a larger phenomenological study of 16 men suffering from stroke and aims to explore how masculinity is challenged in a young stroke survivor's life. One survivor experienced challenges to his masculinity with respect to those characteristics of masculinity described by Connell and Courtenay: being the family breadwinner, strength, toughness, power, control and independence.

• Martinsen, Randi; Kirkevold, Marit; Bronken, Berit Arnesveen & Kvigne, Kari (2013). Work-aged stroke survivors' psychosocial challenges narrated during and after participating in a dialogue-based psychosocial intervention: a feasibility study. BMC Nursing. 12(22). doi: 10.1186/1472-6955-12-22. Fulltekst i vitenarkiv Vis sammendrag

  Studies point to the lack of psychosocial support and rehabilitation services that are adjusted to the work-aged stroke survivors’ specific needs in order to promote psychosocial well-being. The aim of the study was to illuminate the psychosocial challenges work-aged participants (i.e. aged 18–67 years) thematised during and after participating a dialogue-based psychosocial intervention during the first year following a stroke. The study was a feasibility study guided by the UK Medical Research Council Framework for developing and evaluating complex interventions. Qualitative data from in-depth interviews with fourteen stroke-survivors aged 33–66 years, researcher field notes and log notes written during the intervention were analysed applying a hermeneutic-phenomenological approach. The stroke and its consequences had a substantial impact on family and work life. Their experiences were summarised in the two themes The threat of becoming marginalised in family life and The threat of becoming marginalised in work life. Life as a work-aged stroke survivor was experienced as challenging and created a threat of becoming marginalised in family and work life. The study highlights the need to understand the specific psychosocial challenges and needs facing work-aged stroke survivors’ in order to promote their psychosocial well-being. More research is needed concerning specific life-span challenges amongst work-aged stroke survivors in order to further develop appropriate interventions that helps address this issue.

• Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne (2012). Promoting psychosocial well-being following a stroke: Developing a theoretically and empirically sound complex intervention. International Journal of Nursing Studies. ISSN 0020-7489. 49(4), s. 386–397. doi: 10.1016/j.ijnurstu.2011.10.006. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Kirkevold, Marit; Martinsen, Randi & Kvigne, Kari (2012). The Aphasic Storyteller: Coconstructing Stories to Promote Psychosocial Well-Being After Stroke. Qualitative Health Research. ISSN 1049-7323. 22(10), s. 1303–1316. doi: 10.1177/1049732312450366. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Kirkevold, Marit; Martinsen, Randi; Wyller, Torgeir Bruun & Kvigne, Kari (2012). Psychosocial Well-Being in Persons with Aphasia Participating in a Nursing Intervention after Stroke. Nursing Research and Practice. ISSN 2090-1429. 2012, s. 1–14. doi: 10.1155/2012/568242. Fulltekst i vitenarkiv

Se alle arbeider i NVA

• Gardulf, Ann; Martinsen, Randi & Tanaka, Mika (2026). Nursing Education in Crisis. Fulltekst i vitenarkiv
• Landheim, Anne Signe; Clausen, Hanne Kristin; Martinsen, Randi & Bronken, Berit Arnesveen (2026). Flexible Assertive Community Treatment (FACT): An Integrated Care Model Bridging Primary and Specialist Mental Health Services – Perspectives from Collaborating Partners and Relatives. Fulltekst i vitenarkiv Vis sammendrag

  Individuals with serious mental illness are among the most vulnerable groups in society, often experiencing marginalization and social exclusion. They face significant challenges such as disability, unemployment, social isolation, and poor health — all of which contribute to reduced quality of life and shortened life expectancy. Despite needing coordinated and continuous care, they frequently encounter a fragmented and complex service system. There is a growing need for holistic and integrated care approaches that ensure collaboration between municipal and specialist health services. The involvement of the voluntary sector and patients’ social networks is also essential. In Norway, Flexible Assertive Community Treatment (FACT) is an integrated care model that bridges primary and specialist mental health services, aiming to provide seamless, person-centred support. In this symposium, we will present findings from research exploring FACT in the Norwegian context, highlighting perspectives from collaborating partners and relatives.

• Nilsson, Jan & Martinsen, Randi (2025). Capacity Building in Nursing Education in Indonesia (CABNEI). Fulltekst i vitenarkiv Vis sammendrag

  The Project's Goal The CABNEI project strengthens nursing education and clinical practice in Aceh by empowering nurse educators with international competencies, advancing health outcomes, and supporting key UN Sustainable Development Goals. Specific Needs Addressed by the Project 1. Educational Quality and Relevance: Aligns nursing education with national and international standards, ensuring competency-based programs that meet quality benchmarks and reflect population health needs. 2. Faculty Development: Enhances pedagogical skills, clinical expertise, and use of modern teaching technologies among nurse educators. 3. Policy Alignment: Supports WHO’s Global Strategic Directions for Nursing and Midwifery (2021–2025), particularly in education, and contributes to goals related to jobs, leadership, and service delivery. 4. Systemic Improvement in Aceh: Improves nursing curricula, strengthens clinical practice, promotes health over disease treatment, and integrates global approaches like Person-Centred Care and transcultural nursing. Key Elements of Distinction and Importance The project employed an evidence-based methodology with pre- and post-assessments to evaluate nurse educators’ competencies. It successfully transitioned to digital teaching and remote project management during the COVID-19 pandemic. The final international conference, attended by approximately 400 participants, fostered academic exchange and launched a web-based writing initiative, resulting in three published articles (with four in manuscript) and two project members beginning PhD studies. Relevance for the University and Higher Education Sector • Digital Internationalization: Facilitates cross-border collaboration and learning through digital platforms. • Evidence-Based Capacity Building: Uses measurable, research-driven methods to enhance educator competencies and support sustainable academic development. • Scientific Dissemination: Publishes outcomes in international peer-reviewed journals, contributing to global academic discourse and best practices in nursing education.

• Nord-Baade, Silje; Landheim, Anne Signe; Martinsen, Randi; Jensen, Camilla Bergsve; Bakmann, Anne Stine Mjelve & Kielland, Torhild (2025). Forskningsdagene 2025 - Ung voksen, psykisk helse, rus og utenforskap. Fulltekst i vitenarkiv
• Martinsen, Randi; Landheim, Anne Signe & Bronken, Berit Arnesveen (2025). Trygghet for pårørende til alvorlig psykisk syke. Fulltekst i vitenarkiv
• Martinsen, Randi; Landheim, Anne Signe & Bronken, Berit Arnesveen (2025). Trygghet for pårørende til alvorlig psykisk syke. Fulltekst i vitenarkiv
• Martinsen, Randi (2025). Development of Nursing competency  to provide climate-responsive health care and to achieve Sustainable Development Goals in a Norwegian context. Fulltekst i vitenarkiv
• Martinsen, Randi (2025). Bærekraftig sykepleierutdanning. Er vi på rett vei. Fulltekst i vitenarkiv
• Martinsen, Randi (2025). Masterutdanning i avansert klinisk allmennsykepleie. Fulltekst i vitenarkiv
• Martinsen, Randi (2024). Kompetanseheving, hvordan møte fremtidens utfordringer? Fulltekst i vitenarkiv
• Martinsen, Randi; Solheim, Ann Cathrin Nilsen & Skavern, Hege Jansen (2024). Nurses’ and Advanced Practice Nurses’ experiences of prerequisites for caring in home care contexts in Norway. A phenomenological-hermeneutic study. Fulltekst i vitenarkiv
• Gardulf, Ann; Berg, Marit; Nakrem, Sigrid & Martinsen, Randi Elisabeth (2023). Norwegian Nursing Students' Self-Reported Competence Related to Fortcoming Work as Nursing During the COVID-19 Pandemic - a Cross Sectional Study. Fulltekst i vitenarkiv
• Martinsen, Randi Elisabeth; Søvde, Sigrid Ahlin; Grov, Ellen Karine & Gardulf, Ann (2023). Self-reported Competence among Advanced Practice Nursing students in Norway, Finland and Denmark - A Cross-sectional study. Fulltekst i vitenarkiv
• Martinsen, Randi (2023). Psychological Health for Patients Living With Stroke. Fulltekst i vitenarkiv
• Martinsen, Randi (2022). Community Health Promotion: How nurses and authorities collaborate to promote patients’ well-being - Lessons learned from Norway. Fulltekst i vitenarkiv
• Martinsen, Randi; Ahlin-Søvde, Sigrid; Andersson, Ewa K; Grov, Ellen Karine & Gardulf, Ann (2022). Self-Reported Competence among Nurse Practitioners’ students in Norway, Finland and Denmark – a Pilot Study. Fulltekst i vitenarkiv
• Martinsen, Randi (2022). "Home Care for Patients Post Stroke": Experiences from Norway. Fulltekst i vitenarkiv
• Martinsen, Randi & Søvde, Sigrid Ahlin (2021). Presentasjon av Masterutdanning i avansert klinisk sykepleie. Fulltekst i vitenarkiv
• Martinsen, Randi & Søvde, Sigrid Ahlin (2021). Hva har helse- og omsorgstjenesten lært ett år etter pandemien? Fulltekst i vitenarkiv
• Martinsen, Randi & Søvde, Sigrid Ahlin (2021). Nødvendig med avansert sykepleiekompetanse i kommunehelsetjenesten. Fulltekst i vitenarkiv
• Martinsen, Randi & Søvde, Sigrid Ahlin (2021). Nødvendig med avansert sykepleiekompetanse i kommunehelsetjenesten. Fulltekst i vitenarkiv
• Martinsen, Randi (2021). Presentasjon av Master i avansert klinisk allmennsykepleie ved Høgskolen i Innlandet. Fulltekst i vitenarkiv
• Martinsen, Randi & Søvde, Sigrid Ahlin (2021). Nødvendig med avansert sykepleiekompetanse i kommunehelsetjenesten. Fulltekst i vitenarkiv
• Søvde, Sigrid Ahlin; Martinsen, Randi & Guldvik, Ingrid (2020). Er vi rustet til å ivareta stadig sykere pasienter i kommunehelsetjenesten? Fulltekst i vitenarkiv
• Martinsen, Randi (2020). Å leve med en usynlig skade i hjernen. Fulltekst i vitenarkiv
• Martinsen, Randi (2020). Å leve med en usynlig skade i hjernen. Fulltekst i vitenarkiv
• Martinsen, Randi (2020). Å leve med en usynlig skade i hjernen. Fulltekst i vitenarkiv
• Søvde, Sigrid Ahlin; Martinsen, Randi & Guldvik, Ingrid (2020). Er vi rustet til å ivareta stadig sykere pasienter i kommunehelsetjenesten? Fulltekst i vitenarkiv
• Søvde, Sigrid Ahlin; Martinsen, Randi & Guldvik, Ingrid (2020). Er vi rustet til å ivareta stadig sykere pasienter i kommunehelsetjenesten? Fulltekst i vitenarkiv
• Søvde, Sigrid Ahlin; Martinsen, Randi & Guldvik, Ingrid (2020). Er vi rustet til å ivareta stadig sykere pasienter i kommunehelsetjenesten? Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 9 forfattere av denne artikkelen] (2019). Interpreting neutral results in an intervention aimed at promoting psychosocial well-being following stroke: A process evaluation. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen Hjelle; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). The complexities of an intervention to promote psychosocial well-being after stroke: Implications for trial outcome. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2019). Implementation fidelity in an RCT evaluating psychosocial well-being following stroke: an explanatory sequential mixed methods study. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Zucknick, Manuela; Bronken, Berit Arnesveen & Martinsen, Randi [Vis alle 11 forfattere av denne artikkelen] (2019). The effect of a psychosocial intervention on well-being 6 months after stroke – a multicentre prospective randomized controlled trial. Fulltekst i vitenarkiv
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Bronken, Berit Arnesveen; Evju, Anne Svelstad & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2019). Helsepersonells erfaringer med å gjennomføre psykososial støtte til personer med hjerneslag. Fulltekst i vitenarkiv
• Mangset, Margrete; Kitzmüller, Gabriele; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Martinsen, Randi [Vis alle 12 forfattere av denne artikkelen] (2019). The influence of the assessment interviews on the control group participants in a complex psychosocial intervention study after stroke. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part One. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Sveen, Unni; Hjelle, Ellen Gabrielsen; Kitzmüller, Gabriele & Martinsen, Randi [Vis alle 9 forfattere av denne artikkelen] (2018). Implementation fidelity in a complex intervention promoting psychosocial well-being following stroke: an explanatory sequential mixed methods study. Part Two. Fulltekst i vitenarkiv
• Martinsen, Randi; Kirkevold, Marit; Mangset, Margrete; Kitzmüller, Gabriele; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Vis alle 10 forfattere av denne artikkelen] (2018). Nurses’ and occupational therapists’ experiences of their roles in supporting stroke survivors during rehabilitation. Fulltekst i vitenarkiv
• Martinsen, Randi (2018). Menn i omsorgsyrker. Hamar arbeiderblad. s. 12–12. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2017). Promoting Psychosocial well-being following stroke. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 10 forfattere av denne artikkelen] (2017). Psykososial helse etter hjerneslag - en kontrollert, randomisert multisenter studie. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari Johanne [Vis alle 9 forfattere av denne artikkelen] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. En samtalebasert intervensjon. Fulltekst i vitenarkiv
• Martinsen, Randi & Bronken, Berit Arnesveen (2017). Psykososialt velvære etter hjerneslag. En randomisert, singelblindet, kontrollert multisenter studie. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Bragstad, Line Kildal; Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete & Hjelle, Ellen Gabrielsen [Vis alle 8 forfattere av denne artikkelen] (2017). Promoting psychosocial well-being following stroke: Facilitating implementation of a complex intervention in primary Healthcare. Fulltekst i vitenarkiv
• Martinsen, Randi; Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Bronken, Berit Arnesveen & Bragstad, Line Kildal [Vis alle 10 forfattere av denne artikkelen] (2017). Promoting psychosocial wellbeing following stroke: Nurses' and occupational therapists' experiences of delivering an individualized dialogue-based intervention to support stroke survivors the first six months following stroke. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Sveen, Unni; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Vis alle 9 forfattere av denne artikkelen] (2017). Guidet egenbeslutning for å fremme psykososial helse etter hjerneslag. Ergoterapeuten. ISSN 0800-3475. 60(6), s. 31–33. Fulltekst i vitenarkiv
• Kitzmüller, Gabriele; Mangset, Margrete; Evju, Anne Svelstad; Angel, Sanne; Aadal, Lena & Kvigne, Kari Johanne [Vis alle 12 forfattere av denne artikkelen] (2017). Promoting psychosocial well-being following stroke: Stroke patients' experiences of participating in a complex psychosocial intervention. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Bronken, Berit Arnesveen; Hjelle, Ellen Gabrielsen; Sveen, Unni; Martinsen, Randi & Kitzmüller, Gabriele [Vis alle 9 forfattere av denne artikkelen] (2017). Promoting psychosocial wellbeing following stroke: Evaluating implementation fidelity in a multi-center RCT – a quantitative study of intervention adherence. Fulltekst i vitenarkiv
• Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Bronken, Berit Arnesveen; Martinsen, Randi & Kvigne, Kari [Vis alle 10 forfattere av denne artikkelen] (2016). Promoting psychosocial well-being following stroke: A randomized, single blind, controlled trial. Fulltekst i vitenarkiv
• Gaarder, Jorun & Martinsen, Randi (2016). Unge med slag sliter i hverdagslivet. [Journal]. Dagbladet. Fulltekst i vitenarkiv
• Steinsvik, Stian & Martinsen, Randi (2015). Følges opp for dårlig. [Journal]. Hamar Arbeiderblad. Fulltekst i vitenarkiv
• Martinsen, Randi (2015). Psykososiale utfordringer og oppfølgingsbehov hos personer som har gjennomgått hjerneslag og som er i arbeidsfør alder. Presentasjon av en kvalitativ, eksplorativ studie. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Kirkevold, Marit; Martinsen, Randi; Wyller, Torgeir Bruun & Kvigne, Kari (2015). Aphasia following Stroke: Promoting psychosocial well-being: A feasibility study. Fulltekst i vitenarkiv
• Bakken, Hege Breen & Martinsen, Randi (2015). Lever på nåde i egen familie etter slag. [Internet]. Forskning.no. Fulltekst i vitenarkiv
• Martinsen, Randi & Fjeld, Bjørnhild (2015). Problemene som unge slagrammede sliter med, synes ikke alltid utenpå. [Internet]. Handikapnytt.no. Fulltekst i vitenarkiv
• Martinsen, Randi; Bronken, Berit Arnesveen; Kvigne, Kari; Sveen, Unni & Kirkevold, Marit (2015). Work-aged stroke survivors’ short term and long term psychosocial challenges and follow-up needs. Fulltekst i vitenarkiv
• Martinsen, Randi (2015). Unge slagpasienter misfornøyd med oppfølging. [Internet]. Unikard. Fulltekst i vitenarkiv
• Martinsen, Randi & Davidsen, Andrine (2015). Unge slagrammede må lete etter hjelp. [Internet]. Journalen.hioa.no. Fulltekst i vitenarkiv
• Martinsen, Randi & Kristiansen, Heidi (2015). Tilfeldig oppfølging av småbarnsfamilier ved hjerneslag. [Internet]. Voksne for barn. Fulltekst i vitenarkiv
• Bragstad, Line Kildal; Hjelle, Ellen Gabrielsen; Bronken, Berit Arnesveen; Martinsen, Randi; Kvigne, Kari & Kouwenhoven, Siren Eriksen [Vis alle 10 forfattere av denne artikkelen] (2015). Psychosocial wellbeing following stroke: A randomized, single blind, controlled trial. Fulltekst i vitenarkiv
• Bronken, Berit Arnesveen; Kirkevold, Marit; Sveen, Unni; Martinsen, Randi; Kvigne, Kari & Kouwenhoven, Siren Eriksen [Vis alle 8 forfattere av denne artikkelen] (2014). Promoting psychosocial well-being following stroke. A randomized, single blind, controlled trial. Fulltekst i vitenarkiv
• Martinsen, Randi (2014). Ta resultatene fra elevundersøkelsen alvorlig. Fulltekst i vitenarkiv
• Martinsen, Randi (2014). Psykososial rehabilitering av personer som har gjennomgått hjerneslag og som er i arbeidsfør alder. Fulltekst i vitenarkiv
• Martinsen, Randi (2014). Yngre slagpasienter sliter. [Journal]. Sykepleien. Fulltekst i vitenarkiv
• Martinsen, Randi (2014). Validering av kvantitative og kvalitative forskningsmetoder relatert til oppfølging av psykososiale behov hos personer som har gjennomgått slag og som er i arbeidsfør alder. Fulltekst i vitenarkiv
• Martinsen, Randi; Kirkevold, Marit & Sveen, Unni (2013). Unge hjerneslagrammedes erfaringer med familielivet. Fulltekst i vitenarkiv
• Martinsen, Randi (2013). Guidet egenbestemmelse. En helsefremmende kommunikasjonsmodell. Fulltekst i vitenarkiv
• Martinsen, Randi (2012). Å leve med hjerneslag. Fulltekst i vitenarkiv
• Martinsen, Randi; Berg, Marit; Nakrem, Sigrid & Gardulf, Ann (2025). Nursing Education in Crisis: Exploring Norwegian Students’ Competence and Learning Disruptions Amid the COVID-19 Pandemic. Universitet i Innlandet / University of Inland Norway. Fulltekst i vitenarkiv Vis sammendrag

  Background: The COVID-19 pandemic disrupted nursing education in Norway, transitioning theoretical education to digital platforms and adversely impacting clinical placements. Aims: To investigate bachelor nursing students’ self-reported competence at graduation, perceived impact of the COVID-19 pandemic on their educational situation regarding and perceived overall concern that the educational situation during the pandemic had not given sufficient competence to start working as a nurse. Additionally, the study aimed to investigate how these results were associated with students’ demographic, educational background, and work experience data, and to examine whether self-reported competences were correlated with the overall concern that the educational situation had not given sufficient competence to start work as a nurse. Method: The validated 35-item Nurse Professional Competence Scale Short Form, covering six competence areas (CAs), was used alongside demographic and background questions. Findings: Students reported the highest competence in ‘Value-based Nursing Care’ (mean 84.3/100) and ‘Nursing Care’ (mean 81.4). The students reported the lowest competence in ‘Development, Leadership, and Organization of Nursing Care’ (mean 70.6) and ‘Care Pedagogics’ (mean 74.4). Over 30% of the students reported that their competence in managing drugs, handling technical equipment, and educating patients was negatively impacted by the pandemic. Additionally, 40.6% expressed high concern about being inadequately prepared to start working as nurses. Younger students reported significantly lower competence in the three CAs ‘Value-based Nursing Care’, ‘Care Pedagogics’ and Development, Leadership and Organization of Nursing Care’. They also expressed greater overall concern regarding their readiness to transition into professional nursing roles. Conclusion: The findings of this study provide valuable insights into the self-reported competence at graduation of Norwegian nursing students during a global crisis, addressing an important gap in the literature. The results highlight both the resilience of nursing students and the importance of identifying vulnerable student groups, such as younger nursing students, early to provide targeted support and enhance their readiness to begin working as nurses. The study emphasizes the need for universities to re-evaluate and potentially redesign educational frameworks to ensure that nursing students continue gaining competence during crisis. This study serves as a foundation for future research and policy development aimed at fostering innovative approaches to education and preparing nursing students to meet clinical challenges in both ordinary and extraordinary circumstances.

• Landheim, Anne Signe & Martinsen, Randi (2024). Evaluering av Valdres-modellen. Midtveisrapport. Sykehuset Innlandet HF. Fulltekst i vitenarkiv
• Martinsen, Randi; Nilsson, Jan; Grøndahl, Vigdis Abrahamsen & Suwarni, Abubakar (2023). CABNEI International Conference Guide and Abstract book. Quality Improvement of Nursing Education. Inland Norway University of Applied Sciences. ISSN 9788283804195. Fulltekst i vitenarkiv
• Martinsen, Randi (2020). Periodisk evaluering av Bachelorutdanning i sykepleie, deltid, høst 2019. Høgskolen i Innlandet. Fulltekst i vitenarkiv
• Martinsen, Randi (2019). Periodisk evaluering av Bachelorutdanning i sykepleie Heltid Høgskolen i Innlandet, Elverum. Høgskolen i Innlandet. Fulltekst i vitenarkiv
• Martinsen, Randi (2014). Work-aged stroke survivors’ psychosocial challenges and follow-up needs. A qualitative exploratory study. Universitetet i Oslo. Fulltekst i vitenarkiv Vis sammendrag

  Background Suffering a stroke in the age span between 18-67 years means being threatened by a serious illness during a productive phase of life. During this phase, people usually focus on education, launching a career and/or establishing a family, and the role commitments are many and demanding. Suffering a stroke during this phase of life might give rise to different psychosocial challenges and problems compared to suffering a stroke later in life. A number of psychosocial challenges have been identified following a stroke. Research has suggested that younger stroke survivors are dissatisfied with their life as a whole. However, little knowledge is available concerning how a stroke influences life for younger stroke survivors. The lack of research concerning this topic made it necessary to investigate more in depth how a stroke impacts the lives of younger patients both from a short-term and long-term perspective. Aim The overall aim of this study was to explore work-aged stroke survivors’ psychosocial challenges and psychosocial follow-up needs. Design and method This doctoral thesis grew out of a larger study that aimed to develop a dialogue-based psychosocial nursing intervention to promote psychosocial well-being following a stroke. The specific focus in this study is the psychosocial challenges of younger, work-aged stroke survivors. The thesis consists of four sub-studies exploring experiences with the consequences of stroke in two different groups of work-aged stroke survivors. The first two studies focus on experiences among participants in the dialogue-based nursing intervention post-stroke. The last two studies focus on work-aged stroke survivors’ experiences of living with a stroke over a longer perspective, particularly highlighting their encounters with the healthcare services and their experienced psychosocial follow-up needs. Twenty-five stroke survivors aged 33-89 years participated in study I. The specific aim of this study was to evaluate the content, structure and process as well as the experienced usefulness of participating in the intervention from the patients’ point of view using a qualitative content analysis method. Fourteen of the participants from study I, aged 33-66 years, were included in study II. The aim of this study was to illuminate the psychosocial challenges the work-aged participants thematised during and after participating in the dialogue-based intervention. The study had a hermeneutic phenomenological approach. To expand the knowledge concerning the specific challenges and psychosocial follow up needs among younger stroke survivors in a longer perspective, a group of work-aged stroke survivors who had not participated in the intervention were included in study III. This study focused on how a stroke impacts family life from the stroke survivors’ view, six months or more after the stroke. Twenty-two stroke survivors aged 20-61 years participated in this study which had a hermeneutic phenomenological approach. In study IV, eight participants included in study II and eight participants included in study III participated in follow-up interviews one year after they were interviewed in the initial studies. The aim of study IV was to explore the work-aged stroke survivors’ experiences with health services and their experienced long-term follow-up needs. The sixteen participants participating in this hermeneutic phenomenological study were aged 21-67 years. Main findings The participants experienced the content, structure and process of the dialogue-based nursing intervention as relevant and participation as an important support the first six months after stroke onset. The evaluation of the intervention gave valuable insights into aspects that require further consideration and development of the intervention before launching a randomised controlled trial (study I). Life as a work-aged stroke survivor was experienced as challenging and created a risk of becoming marginalised in family life and work life the first year following the stroke (study II). Living with the consequences from the stroke was found to pose significant and multifaceted challenges to family life even many years after the stroke. However, the challenges varied with time, from an initial struggle to suffice in and balance the relationships and roles within the family early after the stroke, towards a more resigned attitude later on in the stroke trajectory (study III). Non-established stroke survivors living alone seemed to be particularly vulnerable as they are often isolated in their homes. In addition, stroke survivors in parental roles were also found to be vulnerable in their attempt to fulfil their roles as mothers and fathers (study III). The study participants struggled to gain access to follow-up services which were described as coincidental and untailored to the younger stroke survivors’ specific needs. The younger stroke survivors thus appeared vulnerable to falling outside the follow-up system (study IV). Conclusion Understanding and managing life following a stroke is demanding and the daily demands are substantial among people aged 18-67 years. This calls for individual support and follow-up adjusted the stroke survivors’ phase in life and specific situation. The psychosocial challenges generate a need to narrate their experiences and a need for tailored follow-up support in order to meet the demands of family life and work life. Being provided opportunities to narrate their experiences outside the home context might be helpful to prevent psychosocial problems. To be experienced as supportive, the follow-up program must be knowledge-based and address both the short-term and long-term needs. Furthermore, it must be carried out in close collaboration with the stroke survivor.

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