Cristin-prosjekt-ID: 576931
Sist endret: 2. mars 2018 12:52
Cristin-prosjekt-ID: 576931
Sist endret: 2. mars 2018 12:52

Knowledge in transition: How are interprofessional information and tasks about patients transformed between hospital- and municipal health care?


Marte Feiring
ved Institutt for fysioterapi ved OsloMet - storbyuniversitetet

prosjekteier / koordinerende forskningsansvarlig enhet

  • OsloMet - storbyuniversitetet


  • Egen institusjon





Kunnskap • Profesjon • Identitet og kunnskap • Samarbeid • Rehabilitering • Tverrfaglighet



  • Anvendt forskning


Start: 1. januar 2017 Slutt: 31. desember 2019

Beskrivelse Beskrivelse


Knowledge in transition: How are interprofessional information and tasks about patients transformed between hospital- and municipal health care?

Vitenskapelig sammendrag

Professional practices rests on institutionalized, formal as well as less formal ways of doing certain types of work (Abbott, 1988, Nerland & Jensen, 2010). Knowledge sharing is a central part of inter-professional practice (Falk, Hopwood, Dahlgren 2017). Sharing of knowledge is particularly relevant during the discharge of patients from hospitals to community care where increased use of electronic communication offers opportunities as well as challenges for interprofessional and interorganizational cooperation.

Rehabilitation of brain-injured patients is an interprofessional task where different professionals’ jurisdictions are continuously negotiated (Abbott, 1988). Professionals conduct both caring and therapeutic tasks in rehabilitation.  In a Norwegian context nurses usually work in a more ‘comprehensive’ way compared to other professionals like physiotherapists and occupational therapists who have more specialized, therapeutic approaches towards patients. Earlier studies have indicated that nurses may have difficulty describing their tasks in interdisciplinary rehabilitation (e.g. Portillo & Cowley 2011,Dahl, Romsland, & Slettebø, 2014; Christiansen & Feiring, 2016). Studies also indicate that Danish nurses within the field of rehabilitation play a more marginal role compared to other occupations such as physiotherapists and occupational therapists, whereas the number of Danish nurses employed in institutions offering medical treatment are increasing (Sandholm Larsen 2010, Sandholm Larsen & Hjort 2009, Sandholm Larsen & Larsen 2008).

Based on case studies of the discharge of brain-injured patients between to levels of health care, this study seeks to discuss distinctive features and differences in jurisdiction among Norwegian and Danish nurses and therapists. How do the professionals’ jurisdiction coincide with the transfer of work tasks and available municipal health services within rehabilitation in Norway and Denmark?

The health care system in the two countries involves cooperation and coordination between professionals within specialist- and community care when patients discharge from one level to another. However, in a Norwegian context there are challenges concerning the mediating structures between the two levels (Romøren, Torjesen & Landmark, 2011). In a Norwegian study Slomic et al. (2017) found a need for both technological solutions and opportunities for direct personal contact between professionals during the transfer of TBI patients (Traumatic Brain Injury) from specialized to municipal health care. There was a lack of knowledge exchange during transitions of TBI patients between the two levels of health care. Findings by Brattheim, Hellesø & Melby (2016) show that even though nurses considered electronic messaging to be a useful tool for communication and collaboration in patient transitions, it had to be supplemented with oral communication.  

Shared professional knowledge is not stable but increasingly challenged and subjected to continual transformations (Fenwich, Nerland & Jensen 2012). Knowledge transitions among the health professionals are important to investigate in order to highlight whether the patients achieve continuity and quality in professional services when discharged from specialized to community health care. Based on the following research questions, a qualitative study is conducted in Norway and Denmark:  

(1) What characterizes the descriptions of patient's health care needs and professional tasks in electronic and paper based communication tools at discharge from specialist – to community health care?

(2) How do professionals at both levels of health care perceive the quality and relevance of this information?

(3) How do they access additional information?


Study design and methods

The data consists of empirical textual electronic and paper based messengers and information (PLO-messengers in Norway) related to about 20 brain injured patients discharged from hospital to municipal rehabilitation in Norway and Denmark. In addition we will conduct interviews with key professionals, representing nurses, occupational therapists and physiotherapists in specialist- and community health care services who are responsible for the communication of patient's health care needs and professional tasks across two levels of health care. The data will be analyzed using a thematic text approach.



Marte Feiring

  • Tilknyttet:
    ved Institutt for fysioterapi ved OsloMet - storbyuniversitetet

Bjørg Christiansen

  • Tilknyttet:
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet
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Resultater Resultater

Challenges in the nurse's role in rehabilitation contexts.

Christiansen, Bjørg; Feiring, Marte. 2017, Journal of Clinical Nursing. OSLOMETVitenskapelig artikkel

Danish and Norwegian hospital social workers’ cross-institutional work amidst inter-sectoral restructuring of health and social welfare.

Harsløf, Ivan; Søbjerg Nielsen, Ulla; Feiring, Marte. 2017, European Journal of Social Work. PHMETROPOL, OSLOMETVitenskapelig artikkel
1 - 2 av 2