Bent Håkan Lindberg

• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2023). Effect of an educational intervention for telephone triage nurses on out-of-hours attendance: a pragmatic randomized controlled study. BMC Health Services Research. ISSN 1472-6963. 23. doi: 10.1186/s12913-022-08994-0. Full text in Research Archive Show summary

  Background Telephone triage has been established in many countries as a response to the challenge of non-urgent use of out-of-hours primary care services. However, limited evidence is available regarding the effect of training interventions on clinicians’ telephone consultation skills and patient outcomes. Methods This was a pragmatic randomized controlled educational intervention for telephone triage nurses in 59 Norwegian out-of-hours general practitioners’ (GPs) cooperatives, serving 59% of the Norwegian population. Computer-generated randomization was performed at the level of out-of-hours GP cooperatives, stratified by the population size. Thirty-two out-of-hours GP cooperatives were randomized to intervention. One cooperative did not accept the invitation to participate in the educational programme, leaving 31 cooperatives in the intervention group. The intervention comprised a 90-minute e-learning course and 90-minute group discussion about respiratory tract infections (RTIs), telephone communication skills and local practices. We aimed to assess the effect of the intervention on out-of-hours attendance and describe the distribution of RTIs between out-of-hours GP cooperatives and list-holding GPs. The outcome was the difference in the number of doctor’s consultations per 1000 inhabitants between the intervention and control groups during the winter months before and after the intervention. A negative binomial regression model was used for the statistical analyses. The model was adjusted for the number of nurses who had participated in the e-learning course, the population size and patients’ age groups, with the out-of-hours GP cooperatives defined as clusters. Results The regression showed that the intervention did not change the number of consultations for RTIs between the two groups of out-of-hours GP cooperatives (incidence rate ratio 0.99, 95% confidence interval 0.91–1.07). The winter season’s out-of-hours patient population was younger and had a higher proportion of RTIs than the patient population in the list-holding GP offices. Laryngitis, sore throat, and pneumonia were the most common diagnoses during the out-of-hours primary care service. Conclusions The intervention did not influence the out-of-hours attendance. This finding may be due to the intervention’s limited scope and the intention-to-treat design. Changing a population’s out-of-hours attendance is complicated and needs to be targeted at several organizational levels.

• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2021). Phone triage nurses’ assessment of respiratory tract infections–the tightrope walk between gatekeeping and service providing. A qualitative study. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 39(2), p. 139–147. doi: 10.1080/02813432.2021.1908715. Full text in Research Archive Show summary

  Aim To measure change in service user involvement in secure mental health units, before and after the implementation of recovery-oriented practice. Design Quasi-experimental study pretest–posttest design with non-equivalent comparison groups. Methods Data were collected from May 2018 to December 2019 in four medium-/high-security units in Norway. Two intervention units that implemented recovery-oriented practice were compared with two comparison units that did not. Data were obtained using anonymous questionnaires at baseline and at 6-month follow-up. For intervention units, data were also obtained at a 12-month follow-up to measure sustainability of improvements over time. Twenty inpatients (‘patients’; intervention group: 10, comparison group: 10) and 141 members of frontline staff (‘service providers’; intervention group: 92, comparison group: 49) participated at baseline. Mann–Whitney U-tests and independent sample t-tests were applied at the group-level to analyse changes in mean scores in groups. Results Among patients in the intervention units, findings indicated no improvements after 6 months, but significant improvements after 12 months in terms of patients’ opportunities to participate in formulating their individual care plans, to influence decision-making about therapy and to receive information about complaint procedures. Opportunities to participate in discussions about medication and treatment regimens did not improve. After 6 months, service providers in the intervention units reported an increase in democratic patient involvement, patient collaboration and management support, but not in carer involvement and assisted patient involvement. The improvements in democratic patient involvement and management support were sustained over time. No changes were found in the comparison groups. Conclusion The patients and the service providers reported a higher degree of service user involvement after implementing recovery-oriented practice. Specific work is needed to ensure patients’ involvement in all domains.

• Lindberg, Bent Håkan; Gjelstad, Svein; Foshaug, Mats & Høye, Sigurd (2017). Antibiotic prescribing for acute respiratory tract infections in Norwegian primary care out-of-hours service. Scandinavian Journal of Primary Health Care. ISSN 0281-3432. 35(2), p. 178–185. doi: 10.1080/02813432.2017.1333301.

View all works in Cristin

• Lindberg, Bent Håkan (2023). Bruk av legevakt ved luftveisinfeksjoner.
• Rebnord, Ingrid Keilegavlen & Lindberg, Bent Håkan (2023). HAPPY PATIENT - The Health Alliance for Prudent Prescription and Yield of Antibiotics from a patient-centered perspective, a study in out-of-hours services.
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2022). Legevaktsykepleier – portvakt eller serviceyter?
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2022). Can an educational intervention for telephone triage nurses influence the number of RTI-patients in out-of-hours services?
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2022). Luftveisinfeksjoner - e-læringskurs for legevaktsykepleiere.
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2022). Changing a population’s health seeking behaviour out-of-hours – a task for telephone triage nurses?
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2022). Can telephone triage nurses influence a population’s out-of-hours attendance? A biangular approach.
• Lindberg, Bent Håkan (2021). Kan sykepleiere på legevakt påvirke om pasienter får antibiotika? [Business/trade/industry journal]. Sykepleien.
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2021). Assessing respiratory tract infections out-of-hours - the tightrope walks of phone triage nurses. A qualitative study.
• Lindberg, Bent Håkan (2019). Effekt av et klinisk opplæringsprogram om luftveisinfeksjoner for legevaktsykepleiere.
• Lindberg, Bent Håkan; Rebnord, Ingrid Keilegavlen & Høye, Sigurd (2018). Effect of a Clinical Training Program on Respiratory Tract Infections for Phone Triage Nurses in Out-of-hours Primary Care Centres.
• Lindberg, Bent Håkan; Gjelstad, Svein; Foshaug, Mats & Høye, Sigurd (2017). Antibiotic prescribing for acute respiratory tract infections in Norwegian primary care out-of-hours service.
• Lindberg, Bent Håkan & Høye, Sigurd (2016). Antibiotika-forskrivning ved akutte luftveisinfeksjoner på interkommunal legevakt.
• Lindberg, Bent Håkan (2023). Use of out-of-hours services for respiratory tract infections. University of Oslo. ISSN 978-82-348-0235-5.

View all works in Cristin