Oddveig Reiersdal Aaberg

• Aaberg, Oddveig Reiersdal; Hall-Lord, Marie Louise; Husebø, Sissel Iren Eikeland & Ballangrud, Randi (2021). A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Services Research. ISSN 1472-6963. 21. doi: 10.1186/s12913-021-06071-6. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study. Methods: This study had a pre-post design with measurements at baseline and after 6 and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data. Results: After 6 months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention. Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.

• Aaberg, Oddveig Reiersdal; Ballangrud, Randi; Husebø, Sissel Iren Eikeland & Hall-Lord, Marie Louise (2019). An Interprofessional Team Training Intervention with an Implementation Phase in a Surgical Ward: A controlled quasi-experimental study. Journal of Interprofessional Care. ISSN 1356-1820. s. 1–10. doi: 10.1080/13561820.2019.1697216. Fulltekst i vitenarkiv
• Aaberg, Oddveig Reiersdal; Hall-Lord, Marie Louise; Husebø, Sissel Iren Eikeland & Ballangrud, Randi (2019). A Complex Teamwork Intervention in a Surgical Ward in Norway. BMC Research Notes. ISSN 1756-0500. 12. doi: 10.1186/s13104-019-4619-z. Fulltekst i vitenarkiv Vis sammendrag

  Objectives Interprofessional team training has a positive impact on team behavior and patient safety culture. The overall objective of the study was to explore the impact of an interprofessional teamwork intervention in a surgical ward on structure, process and outcome. In this paper, the implementation of the teamwork intervention is reported to expand the understanding of the future evaluation results of this study. Results The evidence-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was implemented in three phases according to the program’s implementation plan, which are built on Kotter’s organizational change model. In the first phase, a project group with the leaders and researchers was established and information about the project was given to all health care personnel in the ward. The second phase comprised 6 h interprofessional team training for all frontline health care personnel followed by 12 months implementation of TeamSTEPPS tools and strategies. In the third phase, the implementation of the tools and strategies continued, and refresher training was conducted. Trial registration Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date May 30, 2017

• Aaberg, Oddveig Reiersdal; Hall-Lord, Marie Louise; Husebø, Sissel Iren Eikeland & Ballangrud, Randi (2019). Collaboration and Satisfaction About Care Decisions in Team questionnaire - psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units. Nursing Open. ISSN 2054-1058. 6(2), s. 642–650. doi: 10.1002/nop2.251. Fulltekst i vitenarkiv Vis sammendrag

  Aim To translate “The Collaboration and Satisfaction About Care Decisions in Team” questionnaire (CSACD‐T) into Norwegian and test it for psychometric properties. The further aim was to describe and compare healthcare personnel's collaboration and satisfaction about team decision‐making (TDM) across hospital units. Design A cross‐sectional study. Methods The questionnaire was translated into Norwegian. A total of 247 healthcare personnel at two hospitals responded to the questionnaire. An explorative factor analysis was performed to test the factor structure of the questionnaire, while a Cronbach's alpha analysis was used to test for internal consistency. A one‐way ANOVA analysis and a Kruskal–Wallis test were applied to test for differences between hospital units. Results The results demonstrate that the Norwegian version of the CSACD‐T has promising psychometric properties regarding construct validity and internal consistency. The mean score of the CSACD‐T was significantly higher in the maternity ward group than in the emergency room group.

• Aaberg, Oddveig Reiersdal & Wiig, Siri (2017). Interprofessional team training in hospital wards: A literature review. I Cepin, Marko & Bris, Radim (Red.), Safety & Reliability, Theory and Applications. CRC Press. ISSN 978-1138629370. s. 241–250. Vis sammendrag

  ABSTRACT: Patient safety is directly impacted by teamwork. Team training is associated with improved non-technical skills (NTS) and has showed improved patient results, and decreasing error rates. Much of the current research on team training has exclusively focused on acute care and emergency environments. We aimed to conduct a literature review of interprofessional team training in the context of hospital wards. Out of 446 papers, 16 were included. Results showed that most participants liked the training and found it feasible and relevant. 13 studies measured self-reported or observed teamwork and the majority of the studies found improved teamwork. Seven studies evaluated organizational or patient outcome, which is the outcome that is associated with patient safety and patient safety culture.

• Ballangrud, Randi; Husebø, Sissel Iren Eikeland; Aase, Karina; Aaberg, Oddveig Reiersdal; Vifladt, Anne & Berg, Geir Vegard [Vis alle 7 forfattere av denne artikkelen] (2017). “Teamwork in hospitals”: a quasi-experimental study protocol applying a human factors approach. BMC Nursing. ISSN 1472-6955. 16(1). doi: 10.1186/s12912-017-0229-z. Fulltekst i vitenarkiv

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• Aaberg, Oddveig Reiersdal (2022). Teamarbeid og pasientsikkerhet i kirurgisk poliklinikk.
• Aaberg, Oddveig Reiersdal (2022). Interprofessional teamwork in hospital .
• Aaberg, Oddveig Reiersdal; Hall Lord, Marie Louise; Husebø, Sissel Iren Eikeland & Ballangrud, Randi (2022). Interproffessional teamwork in hospital.
• Aaberg, Oddveig Reiersdal; Husebø, Sissel Iren Eikeland; Hall-Lord, Marie Louise & Ballangrud, Randi (2021). TeamSTEPPS® and the impact on Patient Safety Culture in a Surgical Ward - a controlled quasi-experimental study.
• Aaberg, Oddveig Reiersdal; Husebø, Sissel Iren Eikeland; Hall-Lord, Marie Louise & Ballangrud, Randi (2021). TeamSTEPPS® and the Impact on Patient Safety Culture in a Surgical Ward - a Controlled Study. (Virtual poster with oral presntation video). .
• Ballangrud, Randi; Karlsen, Tore; Hall-Lord, Marie Louise & Aaberg, Oddveig Reiersdal (2021). TeamSTEPPS i Norge. I Husebø, Sissel Iren Eikeland & Ballangrud, Randi (Red.), Teamarbeid i helsetjenesten : Fra et kvalitets- og pasientsikkerhetsperspektiv . Universitetsforlaget. ISSN 9788215035932. s. 258–282.
• Ballangrud, Randi & Aaberg, Oddveig Reiersdal (2021). Medisinske og kirurgiske sengeposter. I Husebø, Sissel Iren Eikeland & Ballangrud, Randi (Red.), Teamarbeid i helsetjenesten : Fra et kvalitets- og pasientsikkerhetsperspektiv . Universitetsforlaget. ISSN 9788215035932. s. 126–140.
• Ballangrud, Randi; Aaberg, Oddveig Reiersdal & Karlsen, Tore (2020). TeamSTEPPS Train the Trainer - Masterkurs - for helsepersonell i Norge.
• Ehrmantraut, Ross; Lealand, Farrah; Sherman, Megan; Carranza, Leslie; Huang, Yue Ming & Steadman, Randolph [Vis alle 7 forfattere av denne artikkelen] (2019). No Manikin Required - Team Training and Low Tech/High Fidelity Simulation (Workshop). Vis sammendrag

  Work shop #SIMULATION #TeamSTEPPS #InterprofessionalEducation University Of Washington Medicine UCLA UIA

• Aaberg, Oddveig Reiersdal; Ballangrud, Randi & Moger, Thomas (2019). TeamSTEPPS® en Human Factors tilnærming til pasientsikkerhet.
• Aaberg, Oddveig Reiersdal; Moger, Thomas & Ballangrud, Randi (2019). TeamSTEPPS® - en Human Factors tilnærming til pasientsikkerhet.
• Aaberg, Oddveig Reiersdal; Ballangrud, Randi; Karlsen, Tore; Røise, Olav; MOGER, THOMAS A WAKSVIK & Bergestuen, Linda [Vis alle 7 forfattere av denne artikkelen] (2019). Utdannet til pasientsikkehet og forbedring-pasientsikkerhet et teamansvar!
• Ballangrud, Randi; Karlsen, Tore; Aaberg, Oddveig Reiersdal & Hall-Lord, Marie Louise (2019). Teamarbeid skal gi færre pasientskader. Oppland arbeiderblad. ISSN 0805-5076.
• Ballangrud, Randi; Karlsen, Tore; Aaberg, Oddveig Reiersdal & Hall-Lord, Marie Louise (2019). Bedre dialog gir færre uønskede hendelser. Dagens medisin. ISSN 1501-4290.
• Huang, Yue-Ming; Steadman, Randolph; Carranza, Leslie & Aaberg, Oddveig Reiersdal (2018). TeamSTEPPS master course forThe Betty Irene Moore Women's Hospital, UCSF. San Fransisco.
• Ballangrud, Randi; Husebø, Sissel I.E.; Aase, Karina; Aaberg, Oddveig Reiersdal; Vifladt, Anne & Berg, Geir Vegard [Vis alle 7 forfattere av denne artikkelen] (2018). Teamarbeid i sykehus, en kvasi-eksperimentell studieprotokoll med en human factor tilnærming.
• Grimsrud, Mari Einemo; Linda, Bergestuen & Aaberg, Oddveig Reiersdal (2017). Simulering og implementering av teamverktøy og teamstrategier for sykepleiere, leger og helsefagarbeidere. Erfaringer fra en kirurgisk sengepost.
• Aaberg, Oddveig Reiersdal (2017). TeamSTEPPS - Speed date presentasjon med roll-up. .
• Aaberg, Oddveig Reiersdal & Ballangrud, Randi (2017). Teamarbeid for å fremme pasientsikkerhet. .
• Aaberg, Oddveig Reiersdal; Ballangrud, Randi & Karlsen, Tore (2017). TeamSTEPPS Pocketguide.
• Aaberg, Oddveig Reiersdal & Ballangrud, Randi (2017). A one-day off-site classroom and simulation team training for interprofessional surgical ward teams. Vis sammendrag

  Introduction & Aim: Despite a growing awareness of the importance of interprofessional teamwork and collaboration, many hospital wards lack effective teamwork, with negative consequences for patient safety. Team training has been identified as a key strategy for enhancing the quality of teamwork in healthcare, and is associated with improved team competencies, patient safety culture and decreased adverse events. Most of the current research on team training has exclusively focused on teamwork in the dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams, and less in the context of hospital wards. The aim of the study was to evaluate a team training program and the participants` self-reported learning outcomes. Methods: The study was based on a questionnaire evaluation design. All healthcare personnel (n=45) (nurses, surgeons and assistant nurses) from a urological/gastroenterological surgery ward, attended a one-day (6 hours) TeamSTEPPS training program, with high-fidelity simulation in combination with lectures, videos, role-plays and discussions. The training took place at the “Center of simulation and patient safety” at the university campus. After completing the training, which focused on team structure and team competences (communication, leadership, situation monitoring and mutual support), the healthcare personnel responded to a modified TeamSTEPPS Course Evaluation Questionnaire. Results: A total of 39 healthcare personnel (87%) completed the questionnaire (24 nurses, 10 physicians, 4 assistant nurses). The results showed high learning scores in teamwork competencies, with the highest score on the mutual support tool “two-challenge-rule” (89%). The majority of healthcare personnel (68%) scored positively according to use the team program in their daily practice. Most of the physicians (80%) and the nurses (92%) were satisfied with the simulation sessions.

• Aaberg, Oddveig Reiersdal (2016). Interprofessional Teamwork and Patient Safety in Hospital Wards.
• Aaberg, Oddveig Reiersdal & Ballangrud, Randi (2016). Teamarbeid ut fra "Human factor"-perspektiv.
• Aaberg, Oddveig Reiersdal; Hall-Lord, Marie Louise; Husebø, Sissel Iren Eikeland & Ballangrud, Randi (2016). Teambasert klinisk beslutningstaking i sykehus.
• Aaberg, Oddveig Reiersdal; Ballangrud, Randi; Hall-Lord, Marie Louise & Husebø, Sissel Iren Eikeland (2016). Management issues: Interprofessional teamwork and patient safety in surgical wards.
• Aaberg, Oddveig Reiersdal (2015). Interprofesjonell team trening .
• Reiersdal, Oddveig; Rohde, Gudrun-Elin & Pripp, Are Hugo (2015). "Emphasizing multiprofessional collaboration to meet the ICU patients nutrient needs". Vis sammendrag

  Introduction: Many studies have shown that the standard of the nutrition of ICU-patients influence the patient results, measured by ICU-LOS (length of stay), hospital-LOS and mortality. The energy deficit accumulating during the first days of the ICU stay may play an important role for the patient results. After implementation of a multi-professional CU nutrition protocol, including a broadly teaching/information phase for both nurses and anesthesiologists, we conducted a retrospective study. Aim: The aim of the study was to evaluate the implementation of the ICU nutrition guidelines measured by prescribed and given kcal/kg/day, and to investigate the physicians’ and nurses’ compliance to the new guideline. The intervention: The nurses should drive the nutrition protocol, which means that they should assess the infusion rates, to reach the target of the kcal prescription. Methods: We conducted a retrospective study, with pre and post measures due to the implementation. Sample: Randomly selected patients in a 5-bed ICU with mixed surgical and medical patients at a medium-sized hospital in Norway. Inclusion criteria: Random adults ICU patients (over 18 years) on invasive ventilation support for minimum two days. We ended up with 665 days, which were the days of 45 patients. 364 days (of 25 patients) before the implementation and 301 days (of 20 patients) after the implementation. The average age in both groups were 65 years, and 49% woman and 51% men. The average ICU stay was 8 days, ranging from 2 to 25 days. Results: There was no significant difference from day 7-25, but from day 1-5 there were significant better results in nutrition of the patients measured in minimum kcal/day that was set to 25 kcal/kg/day (p < 0.001). Mean difference was 4.5 kcal/kg/day. The patients in the intervention group received mean 25/kg/day and the number for the control group was 20 kcal/kg/day. No significant differences in LOS, ventilator days or mortality. We found no significant findings between the intervention group and the control group, when it came to deficit between what prescribed by the physicians and what was actually given by the nurses. After the implementation all the nurses were supposed to register and document the deficit every morning, but that was only performed in 30% of the 301 days. As other intensive care unit (ICU) therapies, nutritional support has become more complex requiring tight supervision and monitoring. It has repeatedly been shown that despite awareness of guidelines and prescription of the recommended amounts of energy (25 kcal/kg), both overfeeding and underfeeding still remains a problem in ICU. Research have shown that implementation of new guidelines has many barriers. Effective nurse physician collaboration may enhance the success of the compliance to the guidelines. Shared guidelines for nurses and physicians may lead to less complex decision-making of the patient care and enhanced quality of care.

• Aaberg, Oddveig Reiersdal & Dolonen, Kari Anne (2013). Er sykepleiere fra Venus.... ....og leger fra Mars? Sykepleien.no. Tidsskriftet sykepleien. ISSN 0806-7511.
• Reiersdal, Oddveig (2013). Et godt sykepleier-lege samarbeid: et suksesskriterium ved Magnet sykehus.
• Aaberg, Oddveig Reiersdal (2011). Utfører sykepleiere på intensiv- og postoperativ avdeling smertebehandling ved hjelp av smertescore? Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. s. 13–16.
• Reiersdal, Oddveig (2011). Samarbeid mellom lege og sykepleier på intensiv - med fokus på den kliniske beslutningsprosess.
• Aaberg, Oddveig Reiersdal; Breland, Hilde Pettersen & Elin Skretting, Helland (2009). Sykepleiere bruker ikke smerteskala. Intensivsykepleiere bruker ikke smertescore for å finne ut hvordan pasienten oppfatter egne smerter. Tidsskriftet sykepleien. ISSN 0806-7511. 95(7), s. 50–52. doi: 10.4220/sykepleiens.2007.0044.
• Aaberg, Oddveig Reiersdal (2022). Interprofessional Teamwork in Hospital Units A human factors approach to patient safety. Universitetet i Stavanger. ISSN 9788284391076. Vis sammendrag

  Introduction Human factors, such as teamwork and communication, have an important impact on patient safety in hospitals. Aim The overall aim of the thesis is to gain knowledge about teamwork in hospital units and to evaluate and explore the impact of an interprofessional team training intervention regarding teamwork and patient safety culture in a surgical ward. Methods Study I (paper 1) had a cross-sectional design. The Collaboration and Satisfaction About Care Decisions in teams (CSACD-T) questionnaire was used for the survey conducted among healthcare professionals across multiple hospital units (hospital A and B). Study II (paper 2) used a pre-post design with re-measurement (hospital C), with surveys (CSACD-T, TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), and Hospital Survey of Patient Safety Culture (HSOPS)) distributed to healthcare professionals in the intervention ward at baseline and after 6 and 12 months. Study II (paper 3) used a controlled quasi-experimental design, with surveys (CSACD-T, T-TPQ, HSOPS, and TeamSTEPPS Teamwork Attitude Questionnaire (T-TAQ)) distributed to all healthcare professionals in the intervention ward and control ward (hospitals C and D) at baseline and after 12 months. The intervention was a 6-hour TeamSTEPPS interprofessional team training included simulation training, followed by implementation of teamwork tools and strategies in the ward over 12 months (hospital C). The implementation followed Kotter’s eight steps for leading change. The human factors systems engineering initiative for patient safety (SEIPS) model was used as a theoretical perspective. Results The CSACD-T questionnaire showed promising psychometric properties in terms of construct validity and internal consistency. The scores of collaboration and satisfaction with care decisions in teams varied among unit types and were highest among the healthcare professionals in the wards, with a significant difference between the maternity ward and emergency room (paper I). The outcomes from the intervention study showed significant changes in organizational outcomes after six months, and were in the following areas of patient safety culture: “Organizational Learning and Continuous Improvement” and “Communication Openness” (paper 2). After 12 months, significant changes were found in professional outcomes within the intervention ward, which were in three perceptions of teamwork dimensions: “Situation Monitoring,” “Mutual Support,” and “Communication”, in addition to organizational outcomes, which were in three patient safety culture dimensions: “Communication Openness,” “Teamwork Within Unit,” and “Manager’s Expectations & Actions Promoting Patient Safety” (papers 2 and 3). The improved teamwork dimension “Mutual Support” was found to be a predictor of “Patient Safety Grade” (paper 2). The controlled results revealed significant differences favoring the intervention ward in three patient safety culture measures: “Teamwork Within Unit,” “Overall Perceptions of Patient Safety” and “Patient Safety Grade” (paper 3). Conclusion This thesis presents new insights into team decision-making in diverse hospital units, as reported by healthcare professionals from multiple healthcare professions. The thesis also presents new insights into the impact of an interprofessional TeamSTEPPS intervention in a surgical ward in Norway. The outcomes are promising, indicating that TeamSTEPPS intervention improves teamwork and patient safety culture in a surgical ward. The causal relationships among inputs, processes, and outcomes are, however, not certain, and further studies are required to confirm the outcomes of this comprehensive and well-described interprofessional team-training intervention. Nevertheless, the knowledge from this thesis adds to the vast field of teamwork and patient safety research internationally.

• Aaberg, Oddveig Reiersdal (2010). Er sykepleiere fra Venus og leger fra mars? EN STUDIE AV SAMARBEID MELLOM SYKEPLEIERE OG LEGER PÅ INTENSIV – MED FOKUS PÅ DEN KLINISKE BESLUTNINGSPROSESS. OsloMet - storbyuniversitetet.
• Aaberg, Oddveig Reiersdal; Aasen, Bodel; Oddvinn, Gutvik & Aas-Lyngby, Lillian (1996). Fikk deltakerne i familieprogrammet: “EN BEDRE HVERDAG?” En undersøkelse av opplevelse og effekt for brukere av familieprogrammet ved A-klinikken i Kristiansand. A-klinikkens forskningsserie, nr 17. A-klinikken. ISSN 82-91191-09-3..

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