Members of PROCARD

Patient-Reported Outcomes in CARDiology (PROCARD) og QUALity of care in CARDiology (QUALCARD) is a research group at Department of Heart Disease, Haukeland University Hospital.

Leadership

Tone M. Norekvål

Tone Norekvål

Professor Tone M Norekval is the chair of the Patient-Reported Outcomes in Cardiology (PROCARD) research group. She is a professor in cardiovascular nursing at the Department of Clinical Science, University of Bergen, and Institute of Nursing at the Western Norway University of Applied Sciences. Her main position is at the Department of Heart Disease working as a professor and nurse in research and development. She is also the director of the Centre on Patient-reported Outcomes in Bergen leading national initiatives in Patient-reported Outcomes in the national medical quality registries.

Professor Norekval graduated as a registered nurse in 1992, and has worked with cardiac patients since then. Her role has included clinical, management and research positions. She received her Master degree from the University of Bergen in 1998 and doctoral degree on patient-reported outcomes in women with heart disease in 2009. Her professional activities spread widely both nationally and internationally. She is the Past Chair of the Norwegian National Society of Cardiovascular Nursing. She initiated the national postgraduate education in cardiovascular nursing in Norway together with Fålun, and now chairs the only national Masters programme in cardiovascular nursing in the country. She is the Past Chair of the Council on Cardiovascular Nursing and Allied Professions in the European Society of Cardiology, and has been involved in the CVSN of the American Heart Association. She has a number of high level board positions; member of the board of the Norwegian Heart Failure Registry, and the Norwegian Advisory Board on Cardiovascular Disease, which she now is chairing. Her professional activities also include participation in ESC guidelines, and as Associate editor of the European Journal of Cardiovascular Nursing.


Field of research

Norekvål has 66 PubMed-registered publications, in addition to books chapters and more than 160 abstracts presented at national and international scientific meetings.  

Selected publications:

Publications related to arrhythmia

Norekvål TM, Kirchhof P, Fitzsimons D. Patient-centred care of patients with ventricular arrhythmias and risk of sudden cardiac death: What do the 2015 European Society of Cardiology guidelines add? Eur J Cardiovasc Nurs. 2017 Oct;16(7):558-564.

Fålun N, Moons P, Fitzsimons D, Kirchhof P, Swahn E, Tubaro M, Norekvål TM. Practical challenges regarding in-hospital telemetry monitoring require the development of European practice standards. Eur Heart J Acute Cardiovasc Care. 2016 Jul 19.

Priori SG, Blomström-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, Elliott PM, Fitzsimons D, Hatala R, Hindricks G, Kirchhof P, Kjeldsen K, Kuck KH, Hernandez-Madrid A, Nikolaou N, Norekvål TM, Spaulding C, Van Veldhuisen DJ. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015 Nov 1;36(41):2793-867.

Norekvål TM, Kirchhof P, Fitzsimons D. Patient-centred care of patients with ventricular arrhythmias and risk of sudden cardiac death: What do the 2015 European Society of Cardiology guidelines add? Eur J Cardiovasc Nurs. 2017 Oct;16(7):558-564.

Fålun N, Moons P, Fitzsimons D, Kirchhof P, Swahn E, Tubaro M, Norekvål TM. Practical challenges regarding in-hospital telemetry monitoring require the development of European practice standards. Eur Heart J Acute Cardiovasc Care. 2016 Jul 19.

Priori SG, Blomström-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, Elliott PM, Fitzsimons D, Hatala R, Hindricks G, Kirchhof P, Kjeldsen K, Kuck KH, Hernandez-Madrid A, Nikolaou N, Norekvål TM, Spaulding C, Van Veldhuisen DJ. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015 Nov 1;36(41):2793-867.

Morken IM, Norekvål TM, Bru E, Larsen AI, Karlsen B. Perceptions of healthcare professionals' support, shock anxiety and device acceptance among implantable cardioverter defibrillator recipients.  Journal of  Advanced  Nursing. 2014 Sep;70(9):2061-71.

Norekvål TM, Peersen LR, Seivaag K, Fridlund B, Wentzel-Larsen T. Temporal trend analysis of nurses' knowledge about implantable cardioverter defibrillators. Nursing in Critical Care. 2014 Jan 22. doi: 10.1111/nicc.12075. [Epub ahead of print]

Pettersen TR, Fålun N, Norekvål TM. Improvement of in-hospital telemetry monitoring in coronary care units: An intervention study for achieving optimal electrode placement and attachment, hygiene and delivery of critical information to patients. Eur J Cardiovasc Nurs. 2013 Dec 4. [Epub ahead of print]

Fålun N, Nordrehaug JE, Hoff PI, Langørgen J, Moons P, Norekvål TM. Evaluation of appropriateness and outcomes of in-hospital telemetry monitoring.  American Journal of Cardiology. 2013 ;112 (8):1219-23.

Morken I, Isaksen K, Karlsen B, Norekvål TM, Bru E, Larsen AI. Recent tachyarrhythmia as a predictor of shock anxiety in ICD recipients. PACE, 2012 Nov;35(11):1369-76.

Vijgen J, Botto G, Camm J, Hoijer CJ, Jung W, Le Heuzey JY, Lubinski A, Norekvål TM, Santomauro M, Schalij M, Schmid JP, Vardas P. Consensus statement of the European Heart Rhythm Association: updated recommendations for driving by patients with implantable cardioverter defibrillators. Europace. 2009 Aug;11(8):1097-107. 

Publications related to coronary artery disease

Valaker I, Norekvål TM, Råholm MB, Nordrehaug JE, Rotevatn S, Fridlund B; CONCARD Investigators. Continuity of care after percutaneous coronary intervention: The patient's perspective across secondary and primary care settings. Eur J Cardiovasc Nurs. 2017 Jun;16(5):444-452. doi: 10.1177/1474515117690298. Epub 2017 Jan 1.

Fålun N, Fridlund B, Schaufel MA, Schei E, Norekvål TM. Patients' goals, resources, and barriers to future change: A qualitative study of patient reflections at hospital discharge after myocardial infarction. Eur J Cardiovasc Nurs. 2016 Dec;15(7):495-503.

Solvang MM, Norekvål TM, Tell GS, Berge LI, Iversen MM. Attempts to improve and confidence in improving health behaviour in 40-49 year olds with and without coronary heart disease: The Hordaland Health Study. Eur J Cardiovasc Nurs. 2016 Apr;15(3):e60-9

 

Puaschitz NG, Strand E, Norekvål TM, Dierkes J, Dahl L, Svingen GF, Assmus J, Schartum-Hansen H, Øyen J, Pedersen EK, Drevon CA, Tell GS, Nygård O. Dietary intake of saturated fat is not associated with risk of coronary events or mortality in patients with established coronary artery disease. J Nutr. 2015 Feb;145(2):299-305.

Tubaro M, Danchin N, Goldstein P, Filippatos G, Hasin Y, Heras M, Jansky P, Norekval TM, Swahn E, Thygesen K, Vrints C, Zahger D, Arntz HR, Bellou A, de la Coussaye JE, De Luca L, Huber K, Lambert Y, Lettino M, Lindahl B, McLean S, Nibbe L, Peacock WF, Price S, Quinn T, Spaulding C, Tatu-Chitoiu G, Van de Werf F. Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology. Acute Cardiac Care, June 2011; 13(1-2):56-67.


Norekvål TM, Fridlund B, Rokne B, Segadal L, Wentzel-Larsen T, Nordrehaug JE. Patient-reported outcomes as predictors of 10-year survival in women after acute myocardial infarction. Health Qual Life Outcomes. 2010 Nov 25;8(1):140.

Norekvål TM, Moons P, Hanestad BR, Nordrehaug JE, Wentzel-Larsen T, Fridlund B. The Other Side of the Coin: Perceived Positive Effects of Illness in Women following Acute Myocardial Infarction. European Journal of Cardiovascular Nursing, 2008, volume 7, number 1; 80-87.

Norekvål TM, Wahl A, Fridlund B, Nordrehaug JE, Wentzel-Larsen T, Hanestad  BR. Quality of life in female myocardial infarction survivors: a comparative study with a randomly selected female population cohort. Health and Quality of Life Outcomes 2007, 5:58.

Publications related to valve treatment

Oterhals K, Haaverstad R, Nordrehaug JE, Eide GE, Norekvål TM. Self-reported health status, treatment decision and survival in asymptomatic and symptomatic patients with aortic stenosis in a Western Norway population undergoing conservative treatment: a cross-sectional study with 18 months follow-up. BMJ Open. 2017 Aug 21;7(8):e016489.

Instenes I, Gjengedal E, Eide LS, Kuiper KK, Ranhoff AH, Norekvål TM; CARDELIR Investigators. "Eight Days of Nightmares … " - Octogenarian Patients' Experiences of Postoperative Delirium after Transcatheter or Surgical Aortic Valve Replacement. Heart Lung Circ. 2017 Mar 20.

Olsen SJ, Fridlund B, Eide LS, Hufthammer KO, Kuiper KK, Nordrehaug JE, Skaar E, Norekvål TM; CARDELIR Investigators. Changes in self-reported health and quality of life in octogenarian patients one month after transcatheter aortic valve implantation. Eur J Cardiovasc Nurs. 2017 Jan;16(1):79-87.

Eide LS, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KK, Nordrehaug JE, Norekvål TM; CARDELIR Investigators. Readmissions and mortality in delirious versus non-delirious octogenarian patients after aortic valve therapy: a prospective cohort study. BMJ Open. 2016 Oct 5;6(10):e012683.

Eide LS, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KK, Nordrehaug JE, Norekvål TM; Delirium in Octogenarians Undergoing Cardiac Surgery or Intervention-CARDELIR Investigators. Delirium as a Predictor of Physical and Cognitive Function in Individuals Aged 80 and Older After Transcatheter Aortic Valve Implantation or Surgical Aortic Valve Replacement. J Am Geriatr Soc. 2016 Jun;64(6):1178-86.

Amofah HA, Broström A, Fridlund B, Bjorvatn B, Haaverstad R, Hufthammer KO, Kuiper KK, Ranhoff AH, Norekvål TM; CARDELIR Investigators. Sleep in octogenarians during the postoperative phase after transcatheter or surgical aortic valve replacement. Eur J Cardiovasc Nurs. 2016 Apr;15(2):168-77.

Lauck SB, Kwon JY, Wood DA, Baumbusch J, Norekvål TM, Htun N, Stephenson L, Webb JG. Avoidance of urinary catheterization to minimize in-hospital complications after transcatheter aortic valve implantation: An observational study. Eur J Cardiovasc Nurs. 2017 Jun.

Hansen TB, Berg SK, Sibilitz KL, Zwisler AD, Norekvål TM, Lee A, Buus N. Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery. Eur J Cardiovasc Nurs. 2017 Jun.

Eide LS, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KK, Nordrehaug JE, Norekvål TM; CARDELIR Investigators. Comparison of frequency, risk factors, and time course of postoperative delirium in octogenarians after transcatheter aortic valve implantation versus surgical aortic valve replacement. Am J Cardiol. 2015 Mar 15;115(6):802-9. 

Oterhals K, Hanssen TA, Haaverstad R, Nordrehaug JE, Eide GE, Norekvål TM. Factors associated with poor self-reported health status after aortic valve replacement with or without concomitant bypass surgery . Eur J Cardiothorac Surg. 2014 Nov 19. pii: ezu425. [Epub ahead of print]

Frantzen AT, Kuiper KKJ, Norekvål TM. Transkateter aortaklaff implantasjon: når kirurgi ikke er et alternativ. Tidsskriftet Sykepleien 2013.

Oterhals K, Fridlund B, Nordrehaug JE, Haaverstad R, Norekvål TM. To live with a mechanical aortic valve: A phenomenographic study. Journal of Advanced Nursing. 2013 Sep;69(9):2088-98. 

Oterhals K, Deaton C, de Geest S, Jaarsma T, Lenzen M, Moons P, Mårtensson J, Smith K, Stewart S, Strömberg A, Thompson D, Norekvål TM. On behalf of the Undertaking Nursing Interventions Throughout Europe (UNITE) Research Group. European cardiovascular nurses' current practice and knowledge on anticoagulation therapy.  European Journal of Cardiovascular Nursing. 2014 Jun;13(3):261-9.

Publications related to intensive care nursing

Holm MS, Fålun N, Gjengedal E, Norekvål TM. Music during after death care. A focus group study. Nursing in Critical Care 2011:17 (6): 302- 

Holm MS, Norekvål TM, Fålun N, Gjengedal E. 2012. Partners' ambivalence towards cardiac arrest and hypothermia treatment: A qualitative study. Nursing in Critical Care. 2012: 17 (5): 231.

Fulbrook P, Latour J, Albarran J, de Graaf W, Lynch F, Devictor D, Norekval T; The presence of family members during cardiopulmonary resuscitation: European Federation of Critical Care Nursing Associations, European Society of Paediatric and Neonatal Intensive Care and European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions joint position statement. Nursing in Critical Care. 2007 Sep-Oct;12(5):250-2.

Publications related to heart failure

Gundersen GH, Norekval TM, Haug HH, Skjetne K, Kleinau JO, Graven T, Dalen H.Adding point of care ultrasound to assess volume status in heart failure patients in a nurse-led outpatient clinic. A randomised study. Heart. 2016 Jan;102(1):29-34.

Gundersen GH, Norekvål TM, Graven T, Haug HH, Skjetne K, Kleinau JO, Gustad LT, Dalen H. Patient-reported outcomes and associations with pleural effusion in outpatients with heart failure: an observational cohort study. BMJ Open. 2017 Mar 20;7(3):e013734.

Dalen H, Gundersen GH, Skjetne K, Haug HH, Kleinau JO, Norekval TM, Graven T. Feasibility and reliability of pocket-size ultrasound examinations of the pleural cavities and vena cava inferior performed by nurses in an outpatient heart failure clinic. European Journal of Cardiovascular Nursing. 2014 Aug 13. Epub ahead of print]

Fålun N, Instenes I, Norekvål TM. Hjertesvikt krever spesialkompetanse. Tidsskriftet Sykepleien. 2012:13; 68-70.

Publications on health care management

Moons P, Norekvål TM. European nursing organizations stand up for family presence during cardiopulmonary resuscitation: A joint position statement. Progress in Cardiovascular Nursing; Summer 2008: 136-139.

Fålun N, Rossland TA, Norekvål TM, 2009. Timebank – en optimal arbeidsplanmodell ved en intensivavdeling? Sykepleien Forskning, 2009:2: 108-115.

Norekvål TM. The European Society of Cardiology's Council on Cardiovascular Nursing and Allied Professions. Cardiovascular Nursing Practices are Changing and Vary Across Europe. Interview by Jennifer Taylor. Circulation, February 5, 2008; 27-28.

Norekvål TM, Scholte op Reimer W, Deaton C. The European Council on Cardiovascular Nursing and Alllied Professions: Toward promoting excellence in cardiovascular care. Progress on Cardiovascular Nursing, Fall 2007;22(4):217-220.

Norekvål TM, Fålun N, Alm C. Cardiovascular Nursing in Norway – on the move. Progress in Cardiovascular Nursing, 2005:20: (4): 173-176.

Publications on research methods

Norekvål TM, Fålun N, Fridlund B. On behalf of the Patient-Reported Outcomes in Cardiology (PROCARD) research group

Patient-reported outcomes on the agenda in cardiovascular clinical practice. Eur J Cardiovasc Nurs. 2015 Oct 28. pii: 1474515115614133. [Epub ahead of print]

Wentzel-Larsen T, Norekvål TM, Ulvik B, Nygård O, Pripp AH. A proposed method to investigate reliability throughout a questionnaire. BMC Medical Research Methodology 2011 Oct 5;11(1):137.

Moons P, Jaarsma T, Norekvål TM. Requirements for quality-of-life reports. Editorial. European Journal of Cardiovascular Nursing 2010; 9(3): 141-143.

Books

Holm MS, Norekvål TM, Fålun N. Det siste stell: Ivaretakelse av den døde, hans familie og pleieren. I: Husebø S. (red) 2014. Omsorg ved livets slutt – en verdig alderdom. 

Fålun N, Oterhals K, Norekvål TM (red). I møte mellom klinikk og akademia – fremvekst av avansert sykepleie til pasienter med hjertesykdom. Skriftserien nr 1/2013, Høgskolen i Bergen.

Alm C. Norekvål TM. Sykepleiere i norsk kardiologi: Fra pleiefunksjoner til aktiv rolle i diagnostikk og behandling. I: Forfang K. & Rasmussen K. (red). 2007. Det norske hjerte. Norsk hjertemedisins historie. Universitetsforlaget. 

Bengt Fridlund

Portrett Bengt Fridlund. Foto

bengt.fridlund@hhj.hj.se

RN, RNAN, RNT, BScEd, PhD, FESC; Professor and Director of Research and Research School, School of Health Sciences, Jönköping university, Sweden and Professor in Cardiovascular Nursing, Bergen University College and Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. Professor Fridlund's research interests are related to three main issues: to maintain health, to prevent disease, and to restore health. So far, his studies have mainly focused on both the care of chronically and critically ill patients and their partners, particular in cardiovascular nursing but also in cancer, psychiatric and mental health nursing.

As a research leader as well as an associate of both primary healthcare and hospital research/expert teams, his focus has primarily been on the public´s lifestyle behavior comprising social relations and healthy/risk factors. Patients' psychosocial situation - especially among women and couples - after a cardiac event (angina pectoris, myocardial infarction, CABG, PCI, ICD) has been especially focused upon (The TWEIST-NORD study group, the MISS-W study group, the FaN study group, the FY heart study group, the GoBo study group) as well as patients´ quality of care in hospitals (QoC study group). Other completed studies concerned patients with CHD and their existing social relations, especially with focus on marital and sexual life as well as non-participation in cardiac rehabilitation programs (the GI study group, the CASSMI study group and the SAMMI study group). A further interest has been the quality of education in the nursing profession (QoE-Nurs study group).

In the European Society of Cardiology (ESC) he belonged during the first decade of 2000 to the Working Group on Cardiovascular Nursing & Allied Professions, also comprising the UNITE study group. Current research groups and networking exist at County Council Jönköping (CO Brahm), Linköping University (T Jaarsma, A Stromberg), Linnaeus University (S Almerud, E Benzein, C Elmqvist), Lund University (K Samuelson), Aarhus University, Denmark (L Bastrup-Jorgensen, Karina Nielsen), University/ University College of Bergen (T Norekvål), Qazvin University, Iran (A Pakpour), and Wichita State University, USA (E Steinke). In 2013 he published along with 10 international scientists guidelines for sexual counseling to patients and their partners on behalf of the American Heart Association (Circulation, 2013) and the ESC (Eur Heart J, 2013).

The scientific portfolio includes over 325 articles in European, Asian, Australian and American (educational, nursing, medical, public health and social) journals while the pedagogical and administration portfolio includes 30 books or chapters (in Swedish, Danish and English) comprising both factual and methodological issues; the latest national-established ones are "Cardiovascular Nursing" (Studentlitteratur 2012) as editor together with D Malm and J Mårtensson and chapter author in "Science of Theory and Methodology" and "Nursing Grounds" (Studentlitteratur 2012 and 2014, respectively). As an associate professor (1991) - both in medicine and social science - as well as a professor (1999), so far 54 nurses or other healthcare professionals have reached the PhD or PhL level with him as their supervisor and of these 6 have reached the academic degree of professor.

Scientific publications/Vetenskapliga publikationer

Bengt Fridlund – 20 articles 2013-14 related to cardiovascular disease

Byrne M, Doherty S, Fridlund BGA, Mårtensson J, Steinke EE, Jaarsma T, Devane D
Sexual counselling for sexual problems in patients with cardiovascular disease.
Cochrane Database of Systematic Reviews 2014;2

Ekblad H, Malm D, Fridlund B, Conlon C, Rönning H
The well-being of relatives of patients with atrial fibrillation: A critical incident technique analysis Open Nurs J 2014; 8:34-41

Fridlund B, Baigi A.
Developing and establishing the psychometric properties of an Ethos towards wellness Questionnaire (EtWeQ) Open J Nurs 2014;4:538-47

Dahlviken RM, Fridlund B, Mathisen L
Women's experiences of Takotsubo cardiomyopathy in a short-term perspective: a qualitative content analysis Scand J Caring Sci 2014:21 in press

Jaarsma T, Fridlund B, Mårtensson J
Sexual dysfunction in heart failure patients Curr Heart Fail Rep 2014;11:330-6

Azimi N, Burri A, Ashrafti F, Fridlund B, Koening HG, Derogatis LR, Pakpour AH
Psychometric properties of the Iranian version of the female sexual distress scale-revised in women J Sex Med 2014;11:995-1104

Norekvål TM, Peersen LR, Seivaag K, Fridlund B, Wentzel-Larsen T.
Temporal trend analysis of nurses' knowledge about implantable cardioverter defibrillators Nurs Crit Care 2014 in press

Fridlund B, Jönsson AC, Andersson, et al.
Essentials of nursing in randomized controlled trials of nurse-led interventions in somatic care: a systematic review. Open J Nurs 2014:4:181-97Azimi Nekoo E, Burri A, Ashrafti F, Fridlund B, Koenig HG, Derogatis LR, Pakpour AH.
Psychometric properties of the Iranian version of the female sexual distress scale-revised in women.  J Sex Med. 2014 Apr;11(4):995-1004.

Pakpour AH, Yekaninejad MS, Nikoobakht MR, Burri A, Fridlund B
Psychometric properties of the Iranian version of the premature ejaculation diagnostic tool Sex Med 2014;2(1):31-40

Jaarsma T, Deaton C, Fiztsimmons D, Fridlund et al
Research in cardiovascular care: A position statement of the Council on Cardiovascular Nursing and Allied Professionals of the European Society of Cardiology.Eur J Cardiovasc Nurs 2014;13:9-21

Fransson E, Arenhall E, Steinke EE, Fridlund B, Nilsson UG
Perceptions of intimate relationships in partners before and after a patient's myocardial infarction J Clin Nurs 2014;23:2196-204

Dalteg T, Benzein E, Sandgren A, Fridlund B, Malm D
Managing uncertainty in couples with atrial fibrillation J Cardiovasc Nurs 2014;13:9-21

Wieslander I, Mårtensson J, Fridlund B, Svedberg P
Factors influencing female patients' recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses. Open J Nurs 2013; 3 (2): 230-40

Lyngå P, Fridlund B, Langius-Eklöf A, Bohm K
Heart failure patients´ perceptions of telemonitoring and transmission of body weight
Int J Qual Stud Well-Being 2013;8:21524

Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM , Fridlund B et al
Sexual counselling for individuals with cardiovascular disease and their partners; a consensus document from American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Eur Heart J 2013;34:3217-35

Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM , Fridlund B et al
Sexual counselling for individuals with cardiovascular disease and their partners; a consensus document from American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP) Circ 2013;128:2075-96

Jönsson K, Fridlund B.
A comparison of adherence to correctly documented triage level of critically ill patients between emergency department and the ambulance service nurses. Int Emerg Nurs 2013;21:204-9

Broström A, Sunnergren O, Nilsen P, Fridlund B et al
Gender differences in respiratory disturbance and daytime sleepiness in hypertensive patients with different degrees of obesity Eur J Cardioavasc Nurs 2013;12:140-9

Oterhals K, Fridlund B, Nordrehaug JE et al
Adapting to living with a mechanical aortic heart valve: a phenomenographic study
J Adv Nurs 2013;69:2088-98

Nina Fålun

Portrett Nina Fålun. Foto

nina.falun@helse-bergen.no

Fålun graduated as a registered nurse in 1981. Her career has been devoted to cardiac patients in general and medical intensive care patients in particular. She fulfilled her post graduate education in intensive care nursing in 1985, her master degree in nursing science at the University of Bergen in 2011 and is employed part time as senior lecturer at the Institute of Nursing, University College of Bergen.

Her position is at the at the Department of Heart Disease, Haukeland University Hospital - as an advanced nurse practitioner at the Heart Failure Clinic and as a Nurse in Research and Development.

She has extended management experience as Head of the medical intensive care unit (MICU) at the Department of Heart Disease, chair of the of the Norwegian Society of Cardiovascular Nursing, the Nordic Group of Cardiovascular Nursing and Head of the Master degree program in cardiovascular nursing, Part 1,at the University College of Bergen.

Research area

Fålun has contributed to the establishment of the PROCARD Research Group at the Department of Heart Disease. Her research has primarily concerned implementation of international guidelines into clinical practice (on in-hospital telemetry monitoring, and improvement of nurses' knowledge in correct electrode placement). Current research is related to patient-reported outcomes in heart failure patients. Fålun has co-supervised two master degree candidates and supervised seven postgraduate students in cardiovascular nursing. He has more than 70 abstracts accepted at national and international congresses.

Publications related to coronary artery disease:

Fålun N, Fridlund B, Schaufel MA, Schei E, Norekvål TM.Patients' goals, resources, and barriers to future change: A qualitative study of patient reflections at hospital discharge after myocardial infarction.Eur J Cardiovasc Nurs. 2015 Oct 27. pii: 1474515115614712. [Epub ahead of print]

Publication on implementation research / arrhythmias: 

Fålun N, Moons P, Fitzsimons D, Kirchhof P, Swahn E, Tubaro M, Norekvål TM. Practical challenges regarding in-hospital telemetry monitoring require the development of European practice standards. European Heart Journal Acute Cardiac Care. July 2016.

Fålun N, Hoff PI, Norekvål TM, Langørgen J. Retningslinjer for bruk av telemetri ved Haukeland Universitetssjukehus. Hjerteforum 2014;4: 33-36.

Pettersen TR, Fålun N, Norekvål TM. Improvement of in-hospital telemetry monitoring in coronary care units: An intervention study for achieving optimal electrode placement and attachment, hygiene and delivery of critical information to patients. Eur J Cardiovasc Nurs. Dec;13(6):515-23.

Fålun N, Nordrehaug JE, Hoff PI, Langørgen J, Moons P, Norekvål TM.. Evaluation of appropriateness and outcomes of in-hospital telemetry monitoring.  Am J Cardiol. 2013 ;112 (8):1219-23.

Sæthre I, Ludvigsen T, Fålun N, Norekvål TM. Kartlegging av elektrodeplassering, hygiene og pasientinformasjon ved telemetriovervåking av hjertepasienter - en pilotstudie. Vård i Norden 2012:  332 (1)1: 47-52

Publication on intensive care:

Holm MS, Fålun N, Gjengedal E, Norekvål TM. Music during after death care. A focus group study. Nursing in Critical Care 2011:17 (6): 302- 

Holm MS, Norekvål TM, Fålun N, Gjengedal E. 2012. Partners' ambivalence towards cardiac arrest and hypothermia treatment: A qualitative study. Nursing in Critical Care 2012: 17 (5): 231.

Publication on heart failure:

Fålun N, Instenes I, Norekvål TM. Hjertesvikt krever spesialkompetanse. Tidsskriftet Sykepleien. 2012:13; 68-70

Publication on health management: 

Fålun N, Oterhals K, Rossland TA, Norekvål TM, 2009. Timebank – en optimal arbeidsplanmodell ved en intensivavdeling? Sykepleien Forskning, 2009:2: 108-115.

Norekvål TM., Fålun N, Alm C. Cardiovascular Nursing in Norway – on the move. Progress in Cardiovascular Nursing (PCVN), 2005:20: (4): 173-176.

Netland H, Fålun N, Norekvål TM. Samtaler kan styrke hjertepasienten. Tidsskriftet Sykepleien 2011:2, 50-52.

Fålun N. 2005 Sertifisering som dokumentasjon av kunnskapsnivå. Tidsskriftet Sykepleien 2005:16

Publications on research methods

Norekvål TM, Fålun N, Fridlund B. On behalf of the Patient-Reported Outcomes in Cardiology (PROCARD) research group

Patient-reported outcomes on the agenda in cardiovascular clinical practice. Eur J Cardiovasc Nurs. 2015 Oct 28. pii: 1474515115614133. [Epub ahead of print]

Books

Hom MS, Norekvål TM, Fålun N. 2014. Omsorg ved livets slutt – en verdig alderdom.  Chapter 17: Det siste stell: Ivaretakelse av den døde, hans familie og pleieren. 

Fålun N, Oterhals K, Norekvål TM (editors). I møte mellom klinikk og akademia – fremvekst av avansert sykepleie til pasienter med hjertesykdom. Utvalgte studentoppgaver 2004-2012. Skriftserien nr 1/2013, Høgskolen i Bergen.

Oterhals, Kjersti

Portrett Kjersti Oterhals. Foto

kjersti.oterhals@helse-bergen.no

Kjersti Oterhals, RN, ICN, MSc, Ph.D started her career as a nurse in 1980, and worked from 1986 to 1998 as an intensive care nurse at the Coronary Intensive Care Unit at Haukeland University Hospital, thereafter as a Head Nurse, assistant Officer Nurse, and since 2006 as Nurse in Research and Development at the Department of Heart Disease, Haukeland University Hospital.

Oterhals completed her master thesis at the Medical and Dentistry Faculty, University of Bergen in 2005 on 'In-hospital information and patient satisfaction after acute myocardial infarction', and defended her doctoral degree in august 2015 on 'Patient-reported outcomes in patients with aortic stenosis with and without aortic valve replacement'. Her main position is as at the Department of Heart Disease, Haukeland University Hospital. She is also an associate professor at the Institute of Nursing at Bergen University College.

Publications

Oterhals K, Haaverstad R, Nordrehaug JE, Eide GE, Norekvål TM. Self-reported health status, treatment decision and survival in asymptomatic and symptomatic patients with aortic stenosis in a Western Norway population undergoing conservative treatment: a cross-sectional study with 18 months follow-up.
BMJ Open. 2017 Aug 21;7(8):e016489. doi: 10.1136/bmjopen-2017-016489

Oterhals K, Hanssen TA, Haaverstad R, Nordrehaug JE, Eide GE, Norekvål TM. Factors associated with poor self-reported health status after aortic valve replacement with or without concomitant bypass surgery. European journal of Cardio-Thoracic Surgery 2014 nov;

Oterhals K, Deaton C, De Geest S, Jaarsma T, Lenzen M, Moons P, Mårtensson J, Smith K, Stewart S, Strömberg A, Thompson DR, Norekvål TM. European cardiovascular nurses` current practice and knowledge on anticoagulation therapy.  Eur J Cardiovasc Nurs 2014 Jun;13(3):261-9

Oterhals K, Fridlund B, Nordrehaug JE, Haaverstad R, Norekvål TM, "Adapting to living with a mechanical aortic heart valve: a phenomenographic study". Journal of Advanced Nursing 2013 Sep;69(9):2088-98).

Hilde Smith Strøm, Kjersti Oterhals, Else Cathrine Rustad, Toril Larsen, "Culture crash regarding nursing students' experience of implementation of EBP in clinical practice". Vård i Norden 32.4 (Winter 2012):55-59

Nina Fålun, Kjersti Oterhals, Tona Astrid Rossland, Tone Merete Norekvål. "Sykepleieres erfaringer med timebank som en alternativ arbeidsplanmodell ved en intensivenhet". Sykepleien Forskning 2009 4(2):108-115

Oterhals K, Hanestad BR, Eide GE, Hanssen TA. "The relationship between in-hospital information and patient satisfaction after acute myocardial infarction". Eur J Cardiovasc Nurs. 2006 Dec;5(4):303-10.

Books

Nina Fålun, Kjersti Oterhals, Tone Merete Norekvål (red). I møte mellom klinikk og akademia – fremvekst av avansert sykepleie til pasienter med hjertesykdom. Videreutdanning i kardiologisk sykepleie, utvalgte studentoppgaver 2004-1012. Fagrapport Bergen University College Journal, no 1, 2013

 

 

Members

Al-Azawy, Mawahib

Portrett Al-Azawy Mawahob. Foto

mawahib.tahir.al-azawy@helse-bergen.no

Mawahib Al-Azawy has worked at the Department of Heart Disease at Haukeland University Hospital since 2002. She has previous work experience from the intensive care unit at Vest-Agder Central hospital, Central Hospital in Hedmark and Stavanger University Hospital.

She continued her post graduate education in cardiac nursing at the University of Bergen in 2010, and then attained a subsequent Master in clinical nursing, in the field of cardiac nursing, in 2012. 

Her research field is on pain treatment under radiofrequency ablation therapy (RFA) for patients with atrial fibrillation.

Amofah, Hege Andersen

Portrett Hege Andersen Amofah. Foto

hege.andersen.amofah@helse-bergen.no 

Hege Andersen Amofah has long clinical experience from the Thoracic Surgical Ward at Department of Heart Disease, Haukeland University Hospital. She has also work experience from abroad; at the Geriatric Hospital of Cernay, France.

In 2008 she finished her postgraduate education in cardiac nursing, followed by a Master in Clinical nursing, cardiac nursing, in 2013. 

Research Fields

Her field of interest is postoperative care and treatment for cardiac surgical patients, more specifically sleep in octogenarian patients after surgical or transcutaneous aortic valve replacement. 

Bergtun, Sønneva

sonneva_b@hotmail.com

Sønneva Bergtun graduated as a nurse in 2006. Since this, she has worked at a cardiac ward at Department of Heart Disease at Haukeland University Hospital. At first, she worked as a nurse, then the last years as assisting department manager at the same ward. She attended Master of Clinical Nursing – Cardiac Nursing, and graduated in June 2017. Sønneva is a registered instructor in adult advanced CPR. Her main areas of interest are atrial fibrillation and treatment with catheter ablation. 

Field of research

Patients’ experiences after catheter ablation due to atrial fibrillation. The project is economically supported by The Olav Raagholt and Gerd Meidel Raagholt Research Foundation.

Drotningsvik, Irene

Portrett Irene Frotningsvik. Foto.

irene.drotningsvik@helse-bergen.no

Irene started her work at the Department of Heart Disease at Haukeland University Hospital in 1991 and has since then worked with cardiac patients both at medical ward, and now at the cardiac rehabilitation unit.

She continued her education in cardiac nursing at the University of Bergen in 2004, and then subsequent Master in clinical nursing, Cardiac nursing, in 2014.

Research field

Main interest ischemic coronary disease with particular interest for cardiac rehabilitation and secondary prevention. She is a research associate in BECARES study whose purpose is to collect patient-reported data about health and quality of life in patients in early cardiac rehabilitation, Phase 2a.

Publications

Drotningsvik I, Norekvål TM. Egen enhet hjelper flere. Tidsskriftet Sykepleien. 2005; 93 (11):46-47.

Eide, Leslie Sofia Pareja

Portrett Leslie SofiaPareja Eide.

leslie.sofia.pareja.eide@helse-bergen.no

Leslie S.P. Eide has Bachelor degrees in Gerontology and in Nursing and a Master degree in Gerontology. She completed  her PhD training at the University of Bergen and defended her PhD thesis in 2016.

Eide is interested in the aging process and the care of older adults under different contexts. Her clinical practice involves varied geriatric settings in the United States and in Norway. She has teaching experience with graduate and undergraduate students and is currently working as Associate professor at Western Norway University of Applied Sciences.

Eide's PhD project is linked to the "Delirium in octogenarians undergoing cardiac surgery or intervention (CARDELIR) study", focusing on postoperative delirium in patients with severe aortic stenosis and in need of surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI).

Email:

leslie.sofia.parej.eide@helse-bergen.no

lpe@hvl.no

Publications

Eide LS, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KK, Nordrehaug JE, Norekvål TM; CARDELIR Investigators. Readmissions and mortality in delirious versus non-delirious octogenarian patients after aortic valve therapy: a prospective cohort study. BMJ Open. 2016 Oct 5;6(10).

Eide LS, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KK, Nordrehaug JE, Norekvål TM; Delirium in Octogenarians Undergoing Cardiac Surgery or Intervention-CARDELIR Investigators. Delirium as a Predictor of Physical and Cognitive Function in Individuals Aged 80 and Older After Transcatheter Aortic Valve Implantation or Surgical Aortic Valve Replacement. J Am Geriatr Soc. 2016 Apr 23. doi: 10.1111/jgs.14165. [Epub ahead of print] 

Eide LSP, Ranhoff AH, Fridlund B, Haaverstad R, Hufthammer KO, Kuiper KJ, Nordrehaug JE, Norekvål TM. 

Comparison of Frequency, Risk Factors and time course of postoperative delirium in octogenarians after transcatheter aortic valve implantation versus surgical aortic valve replacement. American Journal of Cardiology. 2015

Pareja-Ceron, L. S. Privatization of Pension Plans i Chile. The southwest Journal on Aging. 1997; Vol 13. No.1.

Frantzen, Astri Tafjord

Portrett Astri Tafjord Frantzen. Foto

astri.frantzen@gmail.com  

Frantzen works at the Section of cardiothoracic surgery at Department of Heart Disease, Haukeland University Hospital.

She undertook her postgraduate education in cardiac nursing in 2012 and finished her Master in clinical nursing, cardiovascular nursing in 2014. Her main field of interest is the treatment and care of patients with severe symptomatic aortic stenosis. 

Field of research

Her research area is frailty, patient-reported health and quality of life among elderly > 80 years old who are accepted for transcatheter aortic valve implantation (TAVI) or surgical replacement (SAVR).

Henriksen, Lise Søvde

lisesovde@gmail.com 

Henriksen is working as academic nurse in the Cardiac and pulmonary ward at Diakonhjemmet hospital, Oslo. She undertook her postgraduate education in cardiac nursing at the Bergen University College in 2010, and copleted her Master in clinical, cardiac nursing in 2015.

The project is connected to the Patient-reported outcomes in patients with arotic stenosis with and without aortic valve replacement' at the Department of Heart Disease, Haukeland University Hospital, specifically focusing on depression in patients with aortic stenosis.

Research interest

Depression and anxiety in cardiac patients

Holm, Marianne Sætrang

marianne.saetrang.holm@oslo-univesitetssykehus.no

Marianne Sætrang Holm 
RN; ICN, Msc

Holm has worked as an Intensiv Care Nurse (ICN) at the Department of Heart Disease, Haukeland University Hospital, Bergen, Norway for several years. In addition to clinical work, she has worked with teaching and professional development at de same department. Today she works as professional development at the Intensive Cardiologic Department at Oslo University Hospital (OUS). Holm has performed teaching assignments at various post graduate educational courses for nurses at the University College of Bergen. She has also been supervising three post graduate nurses in cardiac nursing. 

Research interest

The focus of her projects has been care of relatives of critically ill patients at intensive care units, and dignity and care of dead patients and their relatives. She has 13 accepted abstracts at national and international congresses. 

Holm has for several years been committed to the work of the National Society of Cardiovascular Nurses both at a national and international level. 

Publications 

Holm M, Norekvål TM, Fålun N, Gjengedal E. 2012.
Partners' ambivalence towards cardiac arrest and hypothermia treatment: a qualitative study. Nursing in Critical care; 17(5): p. 231-8.

Holm M, Fålun N, Gjengedal E, Norekvål TM. 2012.
Music during after- death care: a focus group study. Nursing in Critical Care; 17(6): p. 302-8.

Holm M. Solvang, E Sollesnes, Husebø S. 2013.
«Lære for å lære videre» - Et nasjonalt opplæringsprogram for eldreomsorgen ( Teach the teacher: a multidisciplinary national education in Geriatric Care). OMSORG 1/2013; 19-24..  

Books

Holm MS, Husebø SB (editors). 2015. En verdig alderdom- Omsorg ved livets slutt (Dignity of the frail old - end of life care). Fagbokforlaget. 

Holm MS, Norekvål TM, Fålun N (2015). Chapter 17. Det siste stell: omsorg for den døde, hans pårørende og pleieren (The last office: Care of the dead patient, their relatives and the nurse.) Fagbokforlaget.

Instenes, Irene

​Irene Instenes graduated from nursing school in 1998, and undertook her postgraduate education in geriatric nursing in 2002. After graduating she has mainly worked with cardiac patients at the Department of Heart Disease at Haukeland University hospital.
​She undertook her Master in Nursing Science at University of Bergen, graduating in June 2015.

​Research field​

Her research interest is geriatric patients with heart failure. 

Publications

A qualitative studie from Procard Researchgroup and the CARDELIR study. The article are published in the international journal: Heart, Lung and Circulation. Findings from the study were presented at EuroHeartCare 2016 in Athen and won price for the best “Moderated Poster”. Findings were also presented at EuroHeartCare 2017 in Jönköping and achived “Top Score Poster”.
Eight Days of Nightmares … " - Octogenarian Patients' Experiences of Postoperative Delirium after Transcatheter or Surgical Aortic Valve Replacement.
https://www.ncbi.nlm.nih.gov/pubmed/?term=Instenes%2C+delirium
"Eight Days of Nightmares … " - Octogenarian Patients' Experiences of Postoperative Delirium after Transcatheter or Surgical Aortic Valve Replacement.

Surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) are increasingly performed in octogenarian patients with severe aortic stenosis (AS). Postoperative delirium (PD) is a common and serious complication in older patients, characterized by reduced awareness, change in consciousness, disturbance in logical thinking and hallucinations. A qualitative study using in-depth interviews was conducted 6-12 months post-discharge. Five women and five men between 81 and 88 years were included in the study. The incident of PD was assessed for 5 postoperative days using Confusion Assessment Method. Cognitive function was assessed perioperative using Mini-Mental State Examination. The Delirium experiences were grouped into six themes: "Like dreaming while awake", "Disturbed experiences of time", "Existing in a twilight zone", "Trapped in medical tubes", "Moving between different surroundings" and "Meeting with death and the deceased". The findings shows that patients who undergo SAVR or TAVI have strong and distressing memories of their delirious state, memories that can persist for up to 12 months later. This new information will likely improve delivery of health services and enhance professional and empathic care of octogenarians after SAVR and TAVI.

Johannesen, Elisabeth

 

Elisabeth Johannesen

Elisabeth Johannesen worked at the Section of infectious diseases at the Hospital of Southern Norway in Kristiansand from 2008 to 2013. In 2012 she finished her MSc in Public health with a focus on health promotion.

While working on her thesis she was connected to the Mother and Child Cohort Study at the Norwegian Institute of Public Health. Elisabeth is currently working as a nurse at the ward at the Section of thoracic surgery at the Oslo University Hospital, Rikshospitalet.

Fields of research

Elisabeth was assigned as a project assistant by the Mother and Child Cohort Study (Moba), which is connected to the Norwegian Institute of Public Health. The purpose of the project was to validate a food frequency questionnaire (FFQ) to be used by youth who were a part of the MoBa-study. As a part of this project she has also developed a online FFQ (using Survey Xact), conducting a pilot-study as well as a validation study of the FFQ. 

Publications

Øverby, N.C., Johannesen, E., Jensen, G., Skjaevesland, A.K., Haugen, M. Test-retest reliability and validity of a web-based food-frequency questionnaire for adolescents aged 13-14 years to be used in the Norwegian Mother and Child Cohort Study (MoBa)".Food and Nutrition Research, 2014. Oct 17;58. Doi: 10.3402/fnr.v58.23956

Pettersen, Trond Røed

Trond.Pettersen@helse-bergen.no

Trond Pettersen completed his Bachelor of Nursing at the Royal Melbourne Institute of Technology in 2003. In 2010 he graduated as an Advanced nurse practitioner in cardiology, before he completed his masters degree in clinical nursing at Bergen University College in 2012.

His master degree was a implementation research project focusing on patient safety during in-hospital telemetry monitoring, and the results of the study has been published in the European Journal of Cardiovascular Nursing.  Pettersen is currently working in the coronary care unit at Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. 

Publication

Pettersen TR, Fålun N, Norekvål TM.Improvement of in-hospital telemetry monitoring in coronary care units: An intervention study for achieving optimal electrode placement and attachment, hygiene and delivery of critical information to patients. ., Eur J Cardiovasc Nurs. 2013 Dec 4. [Epub ahead of print]

Torsvik, Eva

eva.torsvik@helse-bergen.no

Eva Torsvik has, after completing her nursing education (RN), worked at the Department of Heart Disease at Haukeland University Hospital. She started her work at the Cardiac Intervention Center (HINT), and then underwent postgraduate education in intensive care nursing in 2000.

She worked at the Medical Intensive Care Unit (MIO) for several years, and then returned to the Cardiac Intervention Center as a Section manager. In 2011 she completed her Master in Evidence Based Practice in Health Care at Bergen University College. From 2011 she has worked in the clinical field as an intensive care nurse at the tachyarrhythmia unit at the Cardiac Intervention Center and as a Nurse in Research and Development at the Department of Heart Disease. In 2012 she started a nursing-led pre-operative telephone follow-up to patients undergoing radiofrequency ablation therapy (RFA). This work was implemented as a result of her master work.

Research field

Eva Torsvik has in her master work performed a survey of cancellations of RFA procedures, frequent causes of cancellations, and how to reduce the number of cancellations of these procedures. The recommended measures were implemented in the department in November 2012, and includes a pre-operative assessment over the phone; 30 days before RFA, and in addition 1 day before the procedure.

Publications

Torsvik E, Graverholt B, Hoff PI, Seifert R, Norekvål TM. Cancellations of elective cardiac radiofrequency ablation procedures and compliance with a national quality indicator: A clinical audit. International Journal of Healthcare Management, 2014 December 4. 

Valaker, Irene

irene.valaker@hisf.no 

Irene Valaker graduated from the Norwegian Business School (BI) in 1993, before she undertook her nursing degree (RN) in 1996. After graduation she has mainly worked with cardiac patients at Helse Førde.                                                 

In 2003-2005 she underwent post graduate education in cardiac nursing at Bergen University College, and after that she was working with quality and improvement in cardiovascular care. Irene has been employed at the Sogn og Fjordane University College, Faculty of Health Studies during the past eight years, and has also completed a Master's degree in Organization and Management. Since autumn 2014, she is a PhD student at University of Bergen and assistant professor at Sogn og Fjordane University College.

Research field

Her research interest is patients' need for continuity of care after percutaneous coronary intervention. Increasing medical specialization and organizational frag​mentation affects service needs. The patients experience the entire progress through the healthcare system and are therefore able to identify challenges to be addressed. Patient's experiences can be used for quality improvement or even as benchmark tool for healthcare professionals and policy-makers.

The CONCARD research project is carried out at the Department of Heart Disease at Haukeland University Hospital in collaboration the Norwegian Register of Invasive Cardiology (NORIC).