Public Defence: Kjersti Johanne Østrem Fløtten

MPhil Kjersti Johanne Østrem Fløtten at Institute of Clinical Medicine will be defending the thesis “Exploring the Practice Architectures of a Complex Intervention – securing Health promotIng transitions For young IndiViduals in Health carE (HI‐FIVE)” for the degree of PhD (Philosophiae Doctor).

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Photo: Øystein Horgmo, UiO. 

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Due to copyright issues, an electronic copy of the thesis must be ordered from the faculty. For the faculty to have time to process the order, the order must be received by the faculty at the latest 2 days before the public defence. Orders received later than 2 days before the defence will not be processed. After the public defence, please address any inquiries regarding the thesis to the candidate.

Trial Lecture – time and place

See Trial Lecture.

Adjudication committee

  • First opponent: Professor Joan-Carles Surís, University of Lausanne, Switzerland
  • Second opponent: Head of Department Marit Kirkevold, OsloMet,
  • Third member and chair of the evaluation committee: Associate Professor Lisbeth Thoresen, University of Oslo

Chair of the Defence

Professor II Marte Lie Høivik, University of Oslo

Principal Supervisor

Anne Lee Solevåg, MD, PhD, Oslo University Hospital

Summary

Adolescents are a group of patients with specific needs, different from those of the younger children, and the adult patients. Health services have not traditionally been designed in a way that takes this sufficiently into account. Adolescents who live with chronic or long-term illnesses meet extra challenges in their everyday life. Not only are they, like all other adolescents, facing large development tasks, but they increasingly have to take over responsibility for their own disease management and health. The international research literature argues that this group of patients need patient education in a guided educational process that runs for years and has been labelled ‘transition’. Akershus University Hospital (Ahus) was the first hospital in Norway to develop a program to be implemented in all subspecialties within paediatrics.

The overall aim of this study has been, through an action research design, to explore the current practice of our transition program in order to support and develop it. Through the experience of developing our own program, we sought to advance our understanding of transition programs in general.

Through exploring the practice architectures of the program, we see that there are elements in them that constrain the practice. Material-economic arrangements such as the amount of time in a consultation, enough staff to carry out consultations and access to adequate rooms for consultations are obstacles. The differences we saw among staff in the perceptions of the program goals, in other words in the cultural-discursive and social-political arrangements, illustrated a need for discussion of the program theory and what we want the program to be.

Additional information

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Published Aug. 9, 2023 1:08 PM - Last modified Aug. 21, 2023 1:17 PM