• Adapting and Going the Extra Mile: A Qualitative Study of Palliative Care in Rural Northern Norway From the Perspective of Healthcare Providers 

      Ervik, Bente; Brøndbo, Birgit; Johansen, May-Lill (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-03-24)
      Background - Despite significant developments in palliative care in recent decades, we still find important differences in access to and delivery of care in rural Norway.<p> <p>Objective - The aim of this study was to explore what healthcare professionals consider necessary to provide equality in care for palliative patients in rural areas.<p> <p>Methods - A qualitative approach with focus ...
    • Agenda navigation in consultations covering multiple topics. A qualitative case study from general practice 

      Guassora, Ann Dorrit; Johansen, May-Lill; Malterud, Kirsti (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-26)
      Objective - To explore how agenda navigation may be accomplished underway in consultations covering multiple topics, we identified and analyzed one GP’s communicative strategies.<p> <p>Design, setting, and subjects - A qualitative observational case study with linguistic microanalysis of an exemplary consultation between a female patient with diabetes and her male GP. We used speech act theory ...
    • Agenda navigation in consultations covering multiple topics. A qualitative case study from general practice 

      Guassora, Ann Dorrit; Johansen, May-Lill; Malterud, Kirsti (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-26)
      Objective - To explore how agenda navigation may be accomplished underway in consultations covering multiple topics, we identified and analyzed one GP’s communicative strategies.<p> <p>Design, setting, and subjects - A qualitative observational case study with linguistic microanalysis of an exemplary consultation between a female patient with diabetes and her male GP. We used speech act theory ...
    • A doctor close at hand : a qualitative analysis of GPs' work in cancer care 

      Johansen, May-Lill (Doctoral thesis; Doktorgradsavhandling, 2012-08-31)
      Summary of thesis The core of medicine, even specialized and high-tech medicine, is a meeting, a consultation, between a human being asking for advice and another human being, whose knowledge and experience is expected to be helpful. This thesis explores how the suspicion of cancer can arise in such a consultation, how general practitioners (GPs) can contribute to cancer care and how GPs might ...
    • Experience-based learning: Junior medical students’ reflections on end-of-life care 

      Wilson, Hamish; Warmington, Sally; Johansen, May-Lill (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-05-20)
      <i>Context</i> - Experience‐based learning may contribute to confidence, competence and professional identity; early experiences may be particularly formative. This study explored how pre‐clinical students make sense of their participation in the provision of end‐of‐life care within community settings.<p> <p><i>Methods</i> - We performed dialogic narrative analysis on essays written by junior ...
    • General practitioners' participation in cancer treatment in Norway 

      Holtedahl, Knut Arne; Scheel, Benedicte; Johansen, May-Lill (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-05-23)
      <p><i>Introduction</i>: General practitioners (GPs) participate in a patient’s cancer care to different extents at different times, from prevention and diagnosis to treatment and end-of-life care. Traditionally, the GP has had a minor role in cancer treatment. However, oncological and surgical services frequently delegate limited cancer treatment tasks to GPs, especially in rural areas far from ...
    • Identity construction in medical student stories about experiences of disgust in early nursing home placements: A dialogical narrative analysis 

      Warmington, Sally; Johansen, May-Lill; Wilson, Hamish (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-17)
      Objectives To explore medical students’ reflective essays about encounters with residents during preclinical nursing home placements.<p> <p>Design Dialogical narrative analysis aiming at how students characterise residents and construct identities in relation to them. <p>Setting Medical students’ professional identity construction through storytelling has been demonstrated in contexts including ...
    • Motivasjon for internettbasert kognitiv atferdsterapi ved hjelp av konsultasjonsstøtte: en kvalitativ studie 

      Wilhelmsen, Maja; Lillevoll, Kjersti; Risør, Mette Bech; Høifødt, Ragnhild Sørensen; Johansen, May-Lill; Waterloo, Knut; Eisemann, Martin; Kolstrup, Nils (Journal article; Tidsskriftartikkel, 2014)
    • Motivation to persist with internet-based cognitive behavioural treatment using blended care: a qualitative study. 

      Wilhelmsen, Maja; Lillevoll, Kjersti; Risør, Mette Bech; Høifødt, Ragnhild Sørensen; Johansen, May-Lill; Waterloo, Knut; Eisemann, Martin; Kolstrup, nils (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      The prevalence of depression is high and results in huge costs for society. Internet-based cognitive behavioural treatment (ICBT) has been suggested for use in primary care and has been shown to be more effective when combined with human support. However, non-completion rates remain a challenge. Current recommendations state that steps to improve persistence with ICBT should be determined and the ...
    • Personal continuity of GP care and outpatient specialist visits in people with type 2 diabetes: A cross-sectional survey 

      Hansen, Anne Helen; Johansen, May-Lill (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-10-25)
      Background - Continuity of care is particularly important for patients with chronic conditions, such as type 2 diabetes (T2D). Continuity is shown to reduce overall health service utilization among people with diabetes, however, evidence about how it relates to the utilization of outpatient specialist services in Norway is lacking. The aim of this study was to investigate continuity of GP care for ...
    • Talking together in rural palliative care: a qualitative study of interprofessional collaboration in Norway 

      Johansen, May-Lill; Ervik, Bente (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-07)
      Background - Caring for people with palliative care needs in their homes requires close collaboration within and between primary and hospital care. However, such close collaboration is often lacking. Transitions of care are potentially unsafe and distressing points in a patient trajectory. Few studies have explored the experiences of healthcare professionals in the community who receive patients ...
    • Teamwork in primary palliative care: general practitioners’ and specialised oncology nurses’ complementary competencies 

      Johansen, May-Lill; Ervik, Bente (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-02-21)
      <p><i>Background</i>: Generalists such as general practitioners and district nurses have been the main actors in community palliative care in Norway. Specialised oncology nurses with postgraduate palliative training are increasingly becoming involved. There is little research on their contribution. This study explores how general practitioners (GPs) and oncology nurses (ONs) experience their ...
    • Variation in suspected cancer referral pathways in primary care: comparative analysis across the International Benchmarking Cancer Partnership 

      Lynch, Charlotte; Harrison, Samantha; Emery, Jon; Clelland, Cathy; Dorman, Laurence; Collins, Claire; Johansen, May-Lill; Lawrenson, Ross; Surgey, Alun; Weller, David; Jarbøl, Dorte Ejg; Balasubramaniam, Kirubakaran; Nicholson, Brian (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-21)
      Background International variations in cancer outcomes persist and may be influenced by differences in the accessibility and organisation of cancer patient pathways. More evidence is needed to understand to what extent variations in the structure of primary care referral pathways for cancer investigation contribute to differences in the timeliness of diagnoses and cancer outcomes in different ...
    • What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies 

      Johansen, May-Lill; Risør, Mette Bech (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-21)
      Objective To gain a deeper understanding of challenges faced by GPs when managing patients with MUS. Methods We used meta-ethnography to synthesize qualitative studies on GPs’ perception and management of MUS. Results The problem with MUS for GPs is the epistemological incongruence between dominant disease models and the reality of meeting patients suffering from persistent illness. ...
    • Why do we read illness stories? Paul Kalanithi’s When Breath Becomes Air (2016) read in the light of Rita Felski 

      Nesby, Linda Hamrin; Johansen, May-Lill (Tidsskriftartikkel; Peer reviewed, 2019)
      Why do we read pathographies and why have they become so popular? These are the key questions in our paper. In answering these, we will introduce and discuss Rita Felski’s The Uses of Literature (2008) in connection to the American bestseller and Pulitzer prize finalist pathography When Breath Becomes Air (2016) by Paul Kalanithi. We chose Kalanithi’s book because we consider it in many ways typical ...