Hilde Wøien

• Glad, Kristin Alve; Wøien, Hilde; Stensland, Synne; Reitan, Solveig Klæbo; Zwart, John Anker Henrik & Atar, Dan [Show all 8 contributors for this article] (2024). Health care workers’ qualitative descriptions of ethically challenging situations evoking moral distress during Covid-19. Nursing Ethics. ISSN 0969-7330. doi: 10.1177/09697330241257567.
• Flæten, Øystein Øygarden; Stafseth, Siv Anna Ulla-Britt Karlsson; Vinje, Hilde; Johansen, Edda Aslaug; Sunde, Kjetil & Wøien, Hilde [Show all 8 contributors for this article] (2023). Incidence, characteristics, and associated factors of pressure injuries acquired in intensive care units over a 12-month period: A secondary analysis of a quality improvement project. Intensive & Critical Care Nursing. ISSN 0964-3397. 81, p. 1–7. doi: 10.1016/j.iccn.2023.103587. Full text in Research Archive Show summary

  Objectives: To determine the 12-month cumulative incidence, characteristics, and associated factors of pressure injuries acquired in Intensive Care Units. Setting: Four intensive care units in a Norwegian University Hospital. Research methodology: A prospective observational cohort study using data from daily skin inspections during a quality improvement project. We used descriptive statistics and logistic regression. Variables associated with the development of intensive care unit-acquired pressure injuries are presented with odds ratios (OR), and 95% confidence intervals. Results: The 12-month cumulative incidence of patients (N = 594) developing intensive care unit-acquired pressure injuries was 29 % (172/594) for all categories and 16 % (95/594) when excluding category I pres- sure injuries (no skin loss). Cumulative incidence for patients acquiring medical device-related pressure injuries was 15 % (91/594) and 11 % (64/594) for category II or worse. Compression stockings (n = 51) and nasogastric tubes (n = 22) were the most frequent documented medical devices related to pressure injuries. Development of pressure injuries category II or worse was significantly associated with vasoactive drug infusions (OR 11.84, 95 % CI [1.59; 88.13]) and longer intensive care unit length of stay (OR 1.06, 95 % CI [1.04; 1.08]). Conclusion: The 12-month cumulative incidence of intensive care unit-acquired pressure injuries was relatively high when category I pressure injuries were included, but comparable to other studies when category I was excluded. Some medical device-related pressure injuries were surprisingly frequent, and these may be prevented. However, associated factors of developing pressure injuries were present and deemed non-modifiable. Implications for clinical practice: Awareness about pressure injury prevention is needed in the intensive care unit considering high incidences. Nurses can detect category I pressure injuries early, which may be reversed. Our findings show several factors that clinicians can control to reduce the risk of pressure injuries in the intensive care unit.

• Petosic, Antonija; Berntzen, Helene; Beeckman, Dimitri; Flaatten, Hans Kristian; Sunde, Kjetil & Wøien, Hilde (2023). Use of Facebook in a quality improvement campaign to increase adherence to guidelines in intensive care: A qualitative study of nurses’ and physicians’ experiences. Intensive & Critical Care Nursing. ISSN 0964-3397. 78. doi: 10.1016/j.iccn.2023.103475. Full text in Research Archive
• Bondjers, Kristina; Lingaas, Ingebjørg; Stensland, Synne; Atar, Dan; Zwart, John Anker Henrik & Wøien, Hilde [Show all 7 contributors for this article] (2023). “I’ve kept going” – a multisite repeated cross-sectional study of healthcare workers’ pride in personal performance during the COVID-19 pandemic. BMC Health Services Research. ISSN 1472-6963. 23(1). doi: 10.1186/s12913-023-09246-5. Full text in Research Archive
• Hauff, Tonje; Petosic, Antonija; Småstuen, Milada Cvancarova; Wøien, Hilde; Sunde, Kjetil & Stafseth, Siv Anna Ulla-Britt Karlsson (2022). Patient mobilisation in the intensive care unit and evaluation of a multifaceted intervention including Facebook groups: A quasi-experimental study. Intensive & Critical Care Nursing. ISSN 0964-3397. doi: 10.1016/j.iccn.2022.103315. Full text in Research Archive
• Sørensen, Kari; Skirbekk, Helge; Kvarstein, Gunnvald & Wøien, Hilde (2022). Home administration of needle injections for children with rheumatic diseases: A qualitative study on nurses’ perception of their educational role. Journal of Pediatric Nursing : Nursing Care of Children and Families. ISSN 0882-5963. 66, p. e137–e144. doi: 10.1016/j.pedn.2022.04.011. Full text in Research Archive Show summary

  Purpose To explore nurses' perceptions of their educational role, pedagogical competence, and practice in teaching children with rheumatic diseases and their parents to manage subcutaneous injections at home. Design and methods In this qualitative study, we used thematic analysis to analyze data from three focus groups with 14 nurses responsible for patient education at one pediatric ward and two outpatient clinics. Results We identified three main themes capturing nurses' perceptions of their educational role: myriad expectations, awareness of own competence, and facilitation and prioritization of patient education. Nurses perceived patient education as an expected but challenging duty of their work. They described a lack of pedagogical competence, insecurity in managing parents' and children's fears and worries, and limited organizational structures guiding their educational role. Nurses who worked in outpatient clinics felt freer to individualize education compared to ward nurses. Conclusions Nurses perceive their educational role as significant in enabling children and parents to manage subcutaneous injections at home; however, they require pedagogical competence integrated with daily practice to provide high-quality care. Short-term admissions require a different organization of patient education than before.

• Svensberg, K.; Kalleberg, Birgitte Grøstad; Rosvold, E.O.; Mathiesen, Liv; Wøien, H. & Hove, L.H. [Show all 11 contributors for this article] (2021). Interprofessional education on complex patients in nursing homes: a focus group study. BMC Medical Education. ISSN 1472-6920. 21(1). doi: 10.1186/s12909-021-02867-6. Full text in Research Archive Show summary

  Background An ageing population leads up to increasing multi-morbidity and polypharmacy. This demands a comprehensive and interprofessional approach in meeting patients’ complex needs. This study describes graduate students’ experiences of working practice based in interprofessional teams with complex patients’ care needs in nursing homes. Method Students from advanced geriatric nursing, clinical nutrition, dentistry, medicine and pharmacy at the University of Oslo in Norway were assigned to groups to examine and develop a care plan for a nursing home patient during a course. Focus groups were used, 21 graduate students participating in four groups. Data were collected during spring 2018, were inductively analysed according to a thematic analysis method (Systematic Text Condensation). An analytical framework of co-ordination practices was applied to get an in-depth understanding of the data. Results Three themes were identified: 1) Complex patients as learning opportunities- an eye-opener for future interprofessional collaboration 2) A cobweb of relations, and 3) Structural facilitators for new collective knowledge. Graduate university students experienced interprofessional education (IPE) on complex patients in nursing homes as a comprehensive learning arena. Overall, different co-ordination practices for work organization among the students were identified. Conclusions IPE in nursing homes facilitated the students’ scope from a fragmented approach of the patients towards a relational and collaborative practice that can improve patient care and strengthen understanding of IPE. The study also demonstrated the need for preparatory teamwork training to gain maximum benefit from the experience. Something that can be organized by the education institutions in the form of a stepwise learning module and as an online pre-training course in interprofessional teamwork. Further, focusing on the need for well thought through processes of the activity by the institutions and the timing the practice component in students’ curricula. This could ensure that IPE is experienced more efficient by the students.

• Henriksen, Kjersti Forbech; Hansen, Britt Sætre; Wøien, Hilde & Tønnessen, Siri (2021). The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography. Journal of Advanced Nursing. ISSN 0309-2402. doi: 10.1111/jan.15044. Full text in Research Archive Show summary

  Aim: To develop a conceptual framework of the core qualities and competencies of the intensive and critical care nurse based on the experiences of intensive care patients, their relatives and the intensive and critical care nurses. Design Meta-ethnography. Data sources A comprehensive, systematic search in seven databases supplemented with hand, citation and reference search. Sources published from 2007 to 2019 were included. Review Methods: Noblit and Hare's understanding of meta-ethnography and the work of the eMERGE project have directed the synthesis. Results: Nineteen studies were included and synthesized into a conceptual framework. Overarching theme: ‘feeling safe and being safe’, subtheme: ‘creating confidence and motivation’ and conceptual categories (CCs): ‘technical skills and biophysical knowledge’; ‘inter/intra professional teamwork skills’; ‘communication skills (with patients and their relatives)’; ‘constant and attentive bedside presence’; ‘creating participative care’; ‘creating confidence through daily care’; ‘creating a good atmosphere and having a supportive and encouraging attitude’; and ‘building relationship to maintain self-esteem’. Conclusion: By including the perspectives of intensive care patients, their relatives and intensive and critical care nurses, the core qualities and competencies comprise elements of both patient safety and the feeling of safety. The framework outlines concepts necessary to ensure person-centred and safe intensive care. Further research should involve each perspective to validate and strengthen the findings. Impact: The development of standards and competence guidelines expressing the learning outcomes and qualification of intensive and critical care nurses should be based on input from intensive care patients, their relatives and intensive and critical care nurses. A variety of core qualities and competencies are necessary to create confidence and motivation, and to make the patient feel safe and be safe. This conceptual framework might form a basis for development of a program or assessment tool to facilitate excellence in education and practice in intensive care.

• Petosic, Antonija; Småstuen, Milada C.; Beeckman, Dimitri; Flaatten, Hans; Sunde, Kjetil & Wøien, Hilde (2021). Multifaceted intervention including Facebook-groups to improve guideline-adherence in ICU: A quasi-experimental interrupted time series study. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 65(10), p. 1466–1474. doi: 10.1111/aas.13969. Full text in Research Archive
• Wøien, Hilde (2021). Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study. The Lancet Respiratory Medicine. ISSN 2213-2600. doi: 10.1016/S2213-2600(20)30552-X.
• Sørensen, Kari; Skirbekk, Helge; Kvarstein, Gunnvald & Wøien, Hilde (2021). I don’t want to think about it: A qualitative study of children’s and parents’ experiences with regular needle injections at home . Pediatric Rheumatology. ISSN 1546-0096. 19, p. 1–13. doi: 10.1186/s12969-021-00495-4. Full text in Research Archive
• Wøien, Hilde (2020). Movements and trends in intensive care pain treatment and sedation: What matters to the patient? Journal of Clinical Nursing (JCN). ISSN 0962-1067. 29(7-8), p. 1129–1140. doi: 10.1111/jocn.15179.
• Berntzen, Helene; Bjørk, Ida Torunn; Storsveen, Ann-Marie & Wøien, Hilde (2020). "Please mind the gap": A secondary analysis of discomfort and comfort in intensive care. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 29(13-14), p. 2441–2454. doi: 10.1111/jocn.15260. Full text in Research Archive
• Sørensen, Kari; Skirbekk, Helge; Kvarstein, Gunnvald & Wøien, Hilde (2020). Children's fear of needle injections: a qualitative study of training sessions for children with rheumatic diseases before home administration. Pediatric Rheumatology. ISSN 1546-0096. 18:13, p. 1–12. doi: 10.1186/s12969-020-0406-6. Full text in Research Archive
• Petosic, Antonija; Sunde, Kjetil; Beeckman, Dimitri; Flaatten, Hans & Wøien, Hilde (2019). Use of social media for communicating about critical care topics: A Norwegian cross-sectional survey. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 63(10), p. 1398–1405. doi: 10.1111/aas.13449. Full text in Research Archive
• Berntzen, Helene; Bjørk, Ida Torunn & Wøien, Hilde (2018). "Having the compass - drawing the map": Exploring nurses' management of pain and other discomforts during use of analgosedation in intensive care. Nursing Open. ISSN 2054-1058. doi: 10.1002/nop2.227. Full text in Research Archive
• Collet, Marie O.; Caballero, Jesús; Sonneville, Romain; Bozza, Fernando A.; Nydahl, Peter & Schandl, Anna [Show all 21 contributors for this article] (2018). Prevalence and risk factors related to haloperidol use for delirium in adult intensive care patients: the multinational AID-ICU inception cohort study. Intensive Care Medicine. ISSN 0342-4642. 44(7), p. 1081–1089. doi: 10.1007/s00134-018-5204-y.
• Berntzen, Helene; Bjørk, Ida Torunn & Wøien, Hilde (2018). Pain relieved, but still struggling”—Critically ill patients experiences of pain and other discomforts during analgosedation. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 27(1-2), p. e223–e234. doi: 10.1111/jocn.13920.
• Wøien, Hilde; Værøy, Henning; Aamodt, Geir & Bjørk, Ida Torunn (2014). Improving the systematic approach to pain and sedation management in the ICU by using assessment tools. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 23(11-12), p. 1552–1561. doi: 10.1111/j.1365-2702.2012.04309.x.
• Wøien, Hilde; Balsliemke, Stephan & Stubhaug, Audun (2013). The incidence of delirium in Norwegian intensive care units; deep sedation makes assessment difficult. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 57(3), p. 294–302. doi: 10.1111/j.1399-6576.2012.02793.x.
• Wøien, Hilde; Stubhaug, Audun & Bjørk, Ida Torunn (2012). Analgesia and sedation of mechanically ventilated patients - a national survey of clinical practice. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 56(1), p. 23–29. doi: 10.1111/j.1399-6576.2011.02524.x.
• Wøien, Hilde & Bjørk, Ida Torunn (2012). Intensive care pain treatment and sedation: Nurses' experiences of the conflict between clinical judgment and standardized care: An explorative study. Intensive & Critical Care Nursing. ISSN 0964-3397. doi: 10.1016/j.iccn.2012.11.003.
• Sørensen, Kari & Wøien, Hilde (2011). Vurdering av smertelindring og sedasjon hos barn på respirator ved hjelp av Comfort Scale :. Sykepleien Forskning. ISSN 1890-2936. p. 80–89. doi: 10.4220/sykepleienf.2011.0070.
• Wøien, Hilde & Bjørk, Ida Torunn (2006). Nutrition of the critically ill patient and effects of implementing a nutritional support algorithm in ICU. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 15, p. 168–177.

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• Collet, Marie Oxenbøll; Laerkner, Eva; Jensen, Janet; Egerod, Ingrid; Christensen, Jan & Jørgensen, Niels Kasper [Show all 14 contributors for this article] (2023). Functional and cognitive rehabilitation interventions during intensive care admission: A protocol for a systematic integrative review. Acta Anaesthesiologica Scandinavica. ISSN 0001-5172. 67(5), p. 670–674. doi: 10.1111/aas.14214.
• Henriksen, Kjersti Forbech; Tønnessen, Siri; Wøien, Hilde & Hansen, Britt Sætre (2022). A conceptual framework of the core competencies and qualities of the intensive care nurse.
• Wøien, Hilde; Rosseland, Leiv Arne; Bondjers, Kristina; Lingaas, Ingebjørg; Dyb, Grete Anita & Zwart, John Anker Henrik [Show all 7 contributors for this article] (2022). Stress reactions and health problems in hospital personel during the Covid-19 pandemic; a longitudinal, multicenter study.
• Wøien, Hilde (2022). Stress og helseplager hos helsepersonell gjennom pandemiens fire bølger.
• Bondjers, Kristina; Stensland, Synne; Zwart, John Anker Henrik; Rosseland, Leiv Arne; Wøien, Hilde & Atar, Dan [Show all 11 contributors for this article] (2021). Hvordan gikk det? Støtte og stolthet gjennom pandemien - rapport fra en longitudinell studie av 2000 sykehuspersonell.
• Bondjers, Kristina; Stensland, Synne; Zwart, John Anker Henrik; Rosseland, Leiv Arne; Wøien, Hilde & Atar, Dan [Show all 11 contributors for this article] (2021). Hvordan gikk det? Støtte og stolthet gjennom pandemien - rapport fra en longitudinell studie av 2000 sykehuspersonell.
• Bondjers, Kristina; Stensland, Synne; Zwart, John Anker Henrik; Rosseland, Leiv Arne; Wøien, Hilde & Atar, Dan [Show all 11 contributors for this article] (2021). Psychological impact of the Covid-19 pandemic on healthcare workers.
• Stensland, Synne; Bondjers, Kristina; Zwart, John Anker Henrik; Rosseland, Leiv Arne; Wøien, Hilde & Atar, Dan [Show all 11 contributors for this article] (2021). Did hospital personnel receive adequate help and support to reduce work-related stress during the Covid-19 pandemic? The Norwegian Study of Hospital Personnel.
• Bondjers, Kristina; Lingaas, Ingebjørg; Stensland, Synne; Wøien, Hilde; Muller, Ashley Elizabeth & Atar, Dan [Show all 8 contributors for this article] (2021). Is it all bad? - sense of accomplishment among health-care workers during the Covid-19 pandemic.
• Wøien, Hilde (2018). Advanced geriatric nursing in the interdisciplinary team New learning model.
• Wøien, Hilde; Svendsen, Edel Jannecke & Hellesø, Ragnhild (2018). Sykepleiere med spesialisering. Bedre helsetjeneste med forskrivningsrett? Dagens medisin. ISSN 1501-4290.
• Randen, Irene & Wøien, Hilde (2010). Smertelindring og sedasjonspraksis ved norske intensivavdelinger - resultater fra en nasjonal og en lokal kartlegggingsstudie.
• Wøien, Hilde; Bjørk, Ida Torunn & Stubhaug, Audun (2009). Side-effects of sedatives and analgesics are perceived as a major problem by Norwegian ICU clinicians.

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