• Creating chronicity 

      Kirkengen, Anna Luise (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-27)
      An authentic sickness history is the vantage point for juxtaposing a biomedical and a biographical‐ phenomenological reading. What, in a biomedical framework, appears to be a longstanding state of comorbidity of different and unrelated types of diseases is rendered transparent in a biographical reading. <br>This particular reading, evidencing the shortcomings of a biomedical framework regarding ...
    • From wholes to fragments to wholes—what gets lost in translation? 

      Kirkengen, Anna Luise (Journal article; Tidsskriftartikkel, 2018-05-31)
      The highly demanding and, in a certain sense, unique, working conditions of general practitioners (GPs) are characterized by two phenomena: First, they involve an increasing familiarity with individual patients over time, which promotes a deepening of insight. Second, they enable the GP to encounter all kinds of health problems, which in turn facilitates pattern recognition, at both individual and ...
    • “I base my life on sadness”: Apparently paradoxical sources of resilience among young Haitians 

      Andreassen, Kristine Elvevold; Kirkengen, Anna Luise; Johansen, May Lill (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-27)
      Haitian expressions of resilience also hold deep knowledge of human vulnerability. This longitudinal, qualitative study with young Haitians from urban shantytowns combines ethnographic and participatory methods to explore the complexities behind such idioms. Artistic and creative products made by or with the youth facilitated interviews, focus group discussions, and workshops. Through the life ...
    • Knowing patients as persons: Senior and Junior GPs explore a professional resource 

      Mjølstad, Bente Prytz; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-09-29)
      As part of a research project exploring inter-professional communication in Norwegian healthcare, junior and senior general practitioners (GPs) participated in focus group interviews regarding the medical relevance of acquiring and sharing knowledge about their patients as persons. The transcripts were interpreted using phenomenological- hermeneutical and discourse analysis. Both GP groups expressed ...
    • Krisebevissthet og medisinsk leseevne 

      Eriksen, Thor Eirik; Ekeland, Tor Johan; Getz, Linn Okkenhaug; Sørbø, Jan Inge; Ulvestad, Elling; Vetlesen, Arne Johan; Kirkengen, Anna Luise (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-14)
      Faget medisin har gradvis blitt mer avhengig av teknologi på måter som forsterker objektiveringen av mennesket. For pasienten handler dette i økende grad om å bli isolert fra en større kontekst og delt i fragmenter. Vi påpeker at denne utviklingen er beslektet med en distansering til, og tingliggjøring av, naturen. Denne utviklingens etiske implikasjoner fordrer på begge områder besinnelse, tenksomhet, ...
    • Leadership practice as interaction in primary care emergency team training 

      Brandstorp, Helen; Kirkengen, Anna Luise; Sterud, Birgitte; Haugland, Bjørgun; Halvorsen, Peder Andreas (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-03)
      The present study, framed as critical action research, aimed at contributing to the improvement of training emergency teams in primary care. The first author was a participating observer in local simulation sessions performed by 10 different teams. Leadership practice as interaction was analysed in three types of communicative spaces: in the review and debriefing sessions; in the author group; and ...
    • Primary care emergency team training in situ means learning in real context 

      Brandstorp, Helen; Halvorsen, Peder Andreas; Sterud, Birgitte; Haugland, Bjørgun; Kirkengen, Anna Luise (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-07-21)
      <b>Objective:</b> The purpose of our study was to explore the local learning processes and to improve in situ team training in the primary care emergency teams with a focus on interaction.<br> <b>Design, setting and subjects:</b> As participating observers, we investigated locally organised trainings of teams constituted ad hoc, involving nurses, paramedics and general practitioners, in rural Norway. ...
    • Self Reported Childhood Difficulties, Adult Multimorbidity and Allostatic Load. A Cross-Sectional Analysis of the Norwegian HUNT Study 

      Tomasdottir, Margret Olafia; Sigurdsson, Johann Agust; Petursson, Halfdan; Kirkengen, Anna Luise; Krokstad, Steinar; McEwen, Bruce; Hetlevik, Irene; Getz, Linn (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06-18)
      Background: Multimorbidity receives increasing scientific attention. So does the detrimental health impact of adverse childhood experiences (ACE). Aetiological pathways from ACE to complex disease burdens are under investigation. In this context, the concept of allostatic overload is relevant, denoting the link between chronic detrimental stress, widespread biological perturbations and disease ...
    • Standardization meets stories: contrasting perspectives on the needs of frail individuals at a rehabilitation unit 

      Mjølstad, Bente Prytz; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Background: Repeated encounters over time enable general practitioners (GPs) to accumulate biomedical and biographical knowledge about their patients. A growing body of evidence documenting the medical relevance of lifetime experiences indicates that health personnel ought to appraise this type of knowledge and consider how to incorporate it into their treatment of patients. In order to explore ...
    • What Do GPs Actually Know About Their Patients As Persons? 

      Mjølstad, Bente Prytz; Kirkengen, Anna Luise; Getz, Linn; Hetlevik, Irene (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-09-29)
      Background and Aims: Life experience and existential circumstances have an impact on health. Within medicine, however, the significance to patient care of person-related, biographical knowledge receives only rudimentary emphasis and its substantial theoretical underpinnings are inadequately understood and infrequently applied. This study explores the types and extent of some Norwegian general ...