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Forskning Nytter Forskning nytter FORSKNINGSRAPPORT FOR 2015 Innhold Forskning nytter for Nordlandssykehuset! 2 Organisering av forskningen 4 Avdeling for forskning og pasientsikkerhet 4 Seksjon for forskning 4 Forskningslaboratoriet – teknologisk kjernefasilitet for forskning i regionen 5 Forskningsstrategi for 2015–2025 – ambisiøse mål! 6 Finansiering av forskning 7 Vitenskapelig publisering i perioden 2011–2015 x Formidling er helt sentralt i formidling av forskningens nytte! 8 Forskningsprosjekter 9 Naturalistisk kontrollert forsøk med utprøving av Individuell Jobbstøtte (IPS) i Bodø 10 Fysisk aktivitet og overvekt blant videregående elever i Tromsø – Fit Futures studien 12 Ny behandling av kirurgisk sepsis – unikt forskningsprosjekt med stor nytteverdi for klinisk praksis 14 Hva påvirker netthinnen og kan netthinnen fortelle oss noe om hjernen? 16 Pågående forskningsprosjekter 18 Pågående ph.d.-prosjekter 20 Hilde Karen Ofte: Misalignment in cluster headache 20 Bjørg Eva Skogøy: Barn som pårørende til foreldre med psykiske sykdom, rusmisbruk og alvorlig somatisk sykdom: En studie av helseforetakenes implementering av lovendringen 20 Kristin Stavnes: Children of patients with severe illness or substance abuse: Mental health and services received 21 Stig Haugset Nymo: Mediators of endothelial activation in sepsis 22 Forskerprofiler 24 Karl Bjørnar Alstadhaug: Internasjonalt samarbeid – en nøkkel til bedre pasientbehandling i norske kliniske miljøer 24 Gunilla Klensmeden: Nyskapende opplæringsprogram ved Salten DPS med utgangspunkt i forskning og internasjonalt samarbeid 26 Disputaser i 2015 28 Torunn Nestvold 28 Stine Andreasen 28 Eirik Hugaas Ofstad 29 Oversikt over vitenskapelige publikasjoner i 2015 29 b Forskningsrapport for 2015 Forskningsrapport for 2015 1 FORORD Forskning nytter for Nordlandssykehuset! Tittelen på forskningsrap­ som både utvikler egne ansatte Årets forskningsrapport fokuserer på nytte porten for 2015 er «Forskning og tiltrekker seg høykompe­ – en vinkling som ikke er tilfeldig valgt. Vi nytter!» og viser til vårt mål tent arbeidskraft utenfra. Den som jobber med forskning til daglig ser hele om at forskningen skal være fo r ventede og ønskede nytten tiden gode eksempler på hvor relevant og relevant for ut viklingen av av forskning for foretaket viktig forskningsaktiviteten i foretaket er tilbudet til våre pasienter. ligger altså på mange ulike for det kliniske tilbudet. Gjennom ulike nivåer. vinklinger ønsker vi å synliggjøre noen gode Nordlandssykehusets resultater eksempler på hvordan forskningen er nyttig Jan Terje Henriksen Petter R. Øien innen forsk ning fra 2014 var gode, og Foretakets forskningsstrategi peker for foretaket og på ulike måter bidrar til å den gode utviklingen fortsatte i 2015. Antallet på en rekke områder som ønskes styrket. videreutvikle behandlingstilbudet. Samtidig publikasjoner og forfatter bidrag har fortsatt Felles for alle disse er at de på ulike nivåer er et viktig formål med rapporten å vise å øke, med siste år som et foreløpig toppår rep resenterer nytte for utviklingen av fore­ frem omfanget av forskning ved NLSH og alle for foretaket. Samtidig har vi rundt regnet taket. En bredere bevissthet rundt forsknin­ de ulike fagområdene forskningsaktiviteten 25 ansatte i doktorgrads løp og over 50 gens plass og rolle i hele foretaket vil derfor omfatter. På denne måten skal rapporten ansatte med doktorgrad – også dette de fortsatt være en av de viktige utfordringene også bidra til at bevisstheten og kunnskapen høyeste tallene noen sinne. i tiden som kommer. Internt i foretaket jobbes om hvilken forskning som foregår i ulike det strukturert og målrettet med å følge fagmiljøer ved NLSH øker – både internt Den positive utviklingen er i henhold til dette opp for å sikre ønsket utvikling. og eksternt! både plan og forventning. I 2015 vedtok foretaksstyret en svært ambi siøs forsknings­ Forskning skal være en faktor som i økende Vi er stolte av utviklingen vi ser for forskning strategi for perioden 2015–2025. Ikke bare grad preger sykehuset og utvikler det i ved Nordlandssykehuset, og håper denne skal forsk ningen være nyttig i forhold til positiv retning! ­ kvalitet i pasienttilbudet på både kort og hetene og nytten av å drive med forskning. rapporten bidrar til at enda flere ser mulig lang sikt – strategien legger også viktige premisser som må være på plass for at foretaket skal være i stand til å fremstå Paul Martin Strand Jan Terje Henriksen Petter Román Øien som en enda mer attraktiv arbeidsplass Administrerende direktør Avdelingsleder Seksjonsleder 2 Forskningsrapport for 2015 Forskningsrapport for 2015 3 ORGANISERING Organisering av forskningen Seksjon for Forsknings­ Avdeling for forskning og pasientsikkerhet forskning laboratoriet består av tre seksjoner: Seksjon for fagstøtte og analyse, Seksjon for pasientsikkerhet og kvalitet samt Seksjon for forskning med eget forskningslaboratorium, som vist i Fagsjef figuren til venstre. Seksjon Admini­ Medisinsk for fagstøtte strerende direktør og analyse direktør Avdeling for forskning og pasient­ sikkerhet Seksjon for pasient­ sikkerhet Avdeling for forskning og pasient sikkerhet Av de mer sentrale oppgaver kan nevnes: Seksjonens medarbeidere ved forsknings­­- Forskningslaboratoriet – teknologisk kjerne­ Avdeling for forskning og pasientsikkerhet rap­ • Sekretariat for forskningsutvalget laboratoriet i 2015: fasilitet for forskning i regionen porterer sammen med fagsjef til medisinsk direktør • Oppfølging av forskningsstrategi • Leder/fagleder (cand. scient) Hilde Fure Forskningslaboratoriet utgjør en sentral del av og administrerende direktør. Avdelingen skal være • Oppfølging av rutiner relatert til helse­ • Spesialbioingeniør Grethe Bergseth infrastrukturen for forskning ved Nordlands­ foretakets kompetanse innenfor områdene forskning, forskningsloven • Overingeniør (cand. scient) Anne Landsem sykehuset. Laboratoriet har regionfunksjoner pasientsikkerhet og medisinsk dokumentasjon/ • • Forsker I, molekylærbiolog (ph.d.) Corinna Lau koding. I dette ligger både å være en serviceenhet (herunder hjelp til søknader, søkerseminarer • Bioingeniør Judith Anita Krey Ludviksen driver også egen forskning. I tillegg tilbyr labora­ Bistand i forbindelse med ekstern finansiering med spisskompetanse innen spesifikke metoder og ovenfor klinikkene innenfor disse fagområdene og orientering om forskningsutlysninger) • Bioingeniør Monica Dammen Mathisen toriet tjenester til alle som er interessert i å benytte samtidig som avdelingen skal legge til rette for at • Vitenskapelig publisering, herunder oppfølging dets metoder og kompetanse. Dette gjelder alle foretaket opererer i henhold til lover, regler og av Cristin I tillegg hadde følgende forskere et ansettelses forhold avdelinger ved helseforetaket, men også øvrige pålegg. Seksjonene i avdelingen har viktige faglige • Oppfølging av ph.d.­studenter, herunder i Seksjon for forskning: sykehus i Helse Nord. Laboratoriets sterke fagmiljø støttefunksjoner og skal være proaktive overfor avvikling av disputaser • Førsteamanuensis Karl Bjørnar Alstahaug (50%) og gode resultater innen forskning har resultert i klinikkene og den faglige virksomheten i disse. • Diverse ressurser for forskere (SPSS) • Ph.d.­student Ellinor Christin Haukland (50%) status som teknologisk kjernefasilitet i regionen. • Forskningsformidling • Førsteamanuensis Anders Wilhelm Hovland (50%) Videre samarbeider de ansatte med forsknings­ • Rapportering av forskningsaktivitet • Professor Gunilla Klensmeden (10%) grupper både nasjonalt og internasjonalt. De siste Seksjon for forskning • Professor Tom Eirik Mollnes (100%) årene har også forskningslaboratoriet fått et spesielt Seksjon for forskning har en rekke ulike oppgaver, Seksjonens administrative medarbeidere i 2015: • Ph.d.­student Kristin Stavnes (100%) ansvar for de medisinerstudentene fra Universitetet funksjoner og ansvarsområder knyttet til forskning. • Seksjonsleder Petter Román Øien • Ph.d.­student Hilde Thørnquist (100%) i Tromsø som kommer til Nordlandssykehuset for å For ledelsen ved Nordlandssykehuset HF skal se k­ • Forskningsrådgiver Sandy Goldbeck­Wood • Postdoc Bård Ove Karlsen (50%) utføre de siste to årene av studiene sine. Disse gis sjonen ivareta forskning som område ved sykehuset (til og med august 2015) • Ph.d.­student Kjersti Mevik (80%) høy prioritet da man anser det som meget viktig og være et strategisk verktøy for sykehusets ledelse • Forskningssekretær Marianne Elvik • Ph.d. Lars H. Ryther Myklebust (50%) for disse å bli tilbudt et forskermiljø og videre i saker som angår forskning. Seksjon for forskning • Forskningssekretær Lill Magna Lekanger • Professor Bjørn Reigstad (15%) mulighet til en akademisk karriere. skal gjennom de tjenestene som tilbys legge til rette • Forskningsrådgiver Knut W. Sørgaard • Ph.d.­student Bjørg Eva Skogøy (100%) for, stimulere til og bidra til økt forskningsaktivitet. • Ph.d.­student Elin Storjord (50%) Forskingsaktiviteten i 2015 har vært høy. Mange Dette inkluderer praktisk bistand til den enkelte • Ph.d.­student Anne Landsem (100%) interne avdelinger ved foretaket har benyttet seg forsker og forskergruppe. av laboratoriets tjenester, herunder medisinsk 4 Forskningsrapport for 2015 Forskningsrapport for 2015 5 ORGANISERING ORGANISERING Forskningsstrategi for 2015–2025 – ambisiøse mål Finansiering av forskning omsorgsdepartementet/underliggende etater, Arbeidet med Nordlandssykehusets forskningsstrategi EU, stiftelser og andre helseforetak. I perioden ble påbegynt høsten 2014. Foretakets forskningsut­ Nordlandssykehuset mottar finansiering
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