Marie Dahlen Granrud

• Bonsaksen, Tore; Steigen, Anne Mari; Granrud, Marie Dahlen; Dangmann, Cecilie Ruud & Stea, Tonje Holte (2024). Sexual harassment exposure among junior high school students in Norway: prevalence and associated factors. Frontiers in Public Health. ISSN 2296-2565. 12. doi: 10.3389/fpubh.2024.1307605. Fulltekst i vitenarkiv
• Granrud, Marie Dahlen; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Bååth, Carina Barbro; Olsson, Cecilia & Tillfors, Maria [Vis alle 11 forfattere av denne artikkelen] (2023). Health Care Personnel’s Perspectives on Quality of Palliative Care During the COVID-19 Pandemic – A Cross-Sectional Study. Journal of Multidisciplinary Healthcare. ISSN 1178-2390. 16, s. 2893–2903. doi: 10.2147/JMDH.S419442. Fulltekst i vitenarkiv
• Stea, Tonje Holte; Steigen, Anne Mari; Dangmann, Cecilie Ruud; Granrud, Marie Dahlen & Bonsaksen, Tore (2023). Associations between exposure to sexual abuse, substance use, adverse health outcomes, and use of youth health services among Norwegian adolescents. BMC Public Health. ISSN 1471-2458. 23(1). doi: 10.1186/s12889-023-16261-y. Fulltekst i vitenarkiv Vis sammendrag

  Background A strong association between sexual abuse and adverse health outcomes has been reported among adolescents. The present study aimed to provide more information about adverse health outcomes associated with sexual abuse and substance use, and to examine the use of youth health services among Norwegian adolescents. Methods National representative cross-sectional study among 16–19-year-old Norwegian adolescents (n = 9784). Multivariable regression analyses, adjusted for socioeconomic status and age, were used to examine the association between exposure to sexual abuse, substance use and health risk factors, and the use of youth health services. Results Adolescents exposed to sexual abuse had higher odds of depressive symptoms (males: OR:3.8; 95% CI:2.5–5.8, females: 2.9;2.4–3.5), daily headache (males: 5.3;2.8–10.1, females:1.9; 1.5–2.4), high medication use (males: 3.2;1.7-6.0, females: 2.0;1.6–2.6), self-harm (males: 3.8;2.4-6.0, females:3.2; 2.6–3.9), suicidal thoughts (males: 3.3; 2.2-5.0, females:3.0; 2.5–3.6) and suicide attempts (males: 9.5;5.6–16.0, females:3.6;2.7–4.9). Furthermore, exposure to sexual abuse was associated with higher odds of using school health services (males: 3.9;2.6–5.9, females: 1.6;1.3–1.9) and health services for youth (males: 4.8;3.1–7.6, females: 2.1;1.7–2.5). In general, substance use was associated with increased odds of adverse health related outcomes and use of youth health services, but the strength of the relationships varied according to sex. Finally, results indicated a significant interaction between sexual abuse and smoking that was associated with increased odds of having suicidal thoughts for males (2.6;1.1–6.5) but a decreased odds of having suicidal thoughts and have conducted suicide attempts once or more for females (0.6;0.4-1.0 and 0.5;0.3–0.9, respectively). Conclusions The present study confirmed a strong relationship between exposure to sexual abuse and health risks, especially among males. Moreover, males exposed to sexual abuse were much more likely to use youth health services compared to sexually abused females. Substance use was also associated with adverse health outcomes and use of youth health services, and interactions between sexual abuse and smoking seemed to influence risk of suicidal thoughts and attempts differently according to sex. Results from this study increase knowledge about possible health related effects of sexual abuse which should be used to identify victims and provide targeted treatment by youth health services.

• Granrud, Marie Dahlen; Sandsdalen, Tuva; Anderzén-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2022). Public health nurses’ experiences working with children who are next of kin: a qualitative study. BMC Health Services Research. ISSN 1472-6963. 22:1427, s. 1–10. doi: 10.1186/s12913-022-08841-2. Fulltekst i vitenarkiv Vis sammendrag

  Background There are a substantial number of children who are the next of kin of parents suffering from illness or substance abuse. These children can experience emotional and behavioral problems and may need support from professionals. In Norway, the specialist health service in hospitals is required to have a designated practitioner in each department to ensure support for and follow up of children who are next of kin; however, this is not regulated by law in the health care in the municipalities. The aim of this study was to explore public health nurse’s experiences working with children who are next of kin. Methods Qualitative interviews were conducted with 10 public health nurses working in the child health clinic and the school health service in four municipalities. Data were analysed using content analysis. Reporting of this study is conducted in accordance to COREQ’s checklist. Results The analysis resulted in one main theme: ‘Lack of guidelines and routines among public health nurses working with children who are next of kin’. The main theme consisted of four categories: (1) identifying children who are next of kin are incidental; (2) public health nurses must be observant and willing to act; (3) communication is an important tool; and (4) follow up over time is not always provided. Conclusion The public health nurses experienced uncertainty concerning how to identify and follow up children who are next of kin but were vigilant and willing to act in the children’s best interest. Doing so necessitated collaboration with other professionals. The need for guidelines around the role and responsibilities for the public health nurse were emphasized. The knowledge provided by the current study offers valuable insight into strengths and limitations in the support of children who are next of kin and can inform stakeholders in organizing sustainable support for this group.

• Leonhardt, Marja; Granrud, Marie Dahlen; Bonsaksen, Tore & Lien, Lars (2022). Associations between Mental Health, Lifestyle Factors and Worries about Climate Change in Norwegian Adolescents. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 19(19). doi: 10.3390/ijerph191912826. Fulltekst i vitenarkiv Vis sammendrag

  Climate change is a serious global health threat that has an impact on young people’s lives and may influence their mental health. Since the global climate strike movement, many adolescents have expressed worries about climate change. Thus, the aim of this study is to examine the prevalence of worries about climate change, and factors associated with worries about climate change, in a representative sample of Norwegian adolescents. Data were retrieved from Ungdata, an annual nationwide online youth survey. Adolescents (n = 128,484) from lower and upper secondary school participated in the study. Data were analysed descriptively and with logistic regression. Most of the adolescents were not worried or a little worried about climate change. Girls, pupils who had at least one parent with higher education and pupils from urban areas were more inclined to worry about the climate. Adolescents who worried about the climate had more symptoms of depression than those who were less worried. While worry about climate change may constitute an additional burden for adolescents experiencing depressive symptoms, such worry can also be seen to reflect climate-friendly values.

• Granrud, Marie Dahlen & Leonhardt, Marja (2021). Covid-19: Kontakt med helsesykepleier i skolehelsetjenesten under første nedstengning – en tverrsnittsstudie. Sykepleien Forskning. ISSN 1890-2936. 16, s. 1–25. doi: 10.4220/Sykepleienf.2021.87252. Fulltekst i vitenarkiv Vis sammendrag

  Sammendrag Bakgrunn: Covid-19-pandemien, som også rammet Norge, påvirket ungdom i stor grad. Skolene stengte, og strenge restriksjoner ble innført. Ungdommene rapporterte om lavere livstilfredsstillelse, de følte seg ensomme og mindre glade. Samtidig med at skolene stengte, skjedde det endringer i skolehelsetjenestene. Flere av helsesykepleierne ble omdisponert til andre oppgaver, noe som førte til et redusert tilbud til ungdommen. Hensikt: Vi ønsket i denne undersøkelsen å se på hvordan ungdommenes bekymringer og utfordringer under første nedstengning påvirket bruken av helsesykepleier i skolehelsetjenesten. Vi så også på i hvilken grad gutter og jenter tok kontakt med en helsesykepleier, og hvorvidt de hadde fått informasjon om hvordan de kunne komme i kontakt med en helsesykepleier da skolen var stengt. Metode: Tverrsnittsstudien ble gjennomført i Innlandet og Viken i mai 2020. Vi samlet inn data med elektroniske spørreskjemaer. Totalt 3347 ungdommer fra 8.–10. klasse deltok. Vi utførte deskriptive analyser og logistisk regresjonsanalyse. Resultat: Pandemien har påvirket flere av ungdommene i en positiv retning (74,9 prosent) enn i en negativ retning(68 prosent). Av jentene var 49,5 prosent bekymret for å bli smittet av covid-19, mens bare 30 prosent av guttene var det. Under halvparten av ungdommene tok kontakt med hjelpetelefon eller chat, og flere jenter enn gutter vurderte det. Det var 41 prosent som hadde fått informasjon om hvordan de kunne komme i kontakt med en helsesykepleier mens skolene var stengt, mens 36 prosent svarte at de ikke hadde fått det. Den logistiske regresjonsanalysen viste at det var mer sannsynlig at jenter tok kontakt med helsesykepleier under første nedstenging enn gutter. Konklusjon: Undersøkelsen viser at første nedstengning påvirket ungdommene både positivt og negativt. Et fåtall hadde fått informasjon om at de kan ta kontakt med en helsesykepleier i skolehelsetjenesten i denne perioden. I slikke situasjoner er det viktig med god informasjon om hvordan helsesykepleieren kan nås, og at helsesykepleieren er tilgjengelig for ungdommen.

• Granrud, Marie Dahlen; Bisholt, Birgitta; Anderzèn-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2020). Overcoming barriers to reach for a helping hand: adolescent boys’ experience of visiting the public health nurse for mental health problems. International Journal of Adolescence and Youth. ISSN 0267-3843. 25(1), s. 649–660. doi: 10.1080/02673843.2020.1711529. Fulltekst i vitenarkiv Vis sammendrag

  Mental health problems among adolescents have become a public health issue in Norway. However, few adolescent boys seek help for their mental health problems. This study focus on adolescent boys’ experiences related to visiting the public health nurse for mental health problems. Twelve adolescent boys were interviewed and qualitative content analysis was used to analyse the data. The theme identified from the data was: overcoming barriers to reach for a helping hand. The theme consisted of four categories: the public health nurse must be accessible; breaking the norm is a prerequisite for the adolescent boys to talk about mental health problems; ensuring that confidentiality is respected; and the public health nurse is a trustworthy person who can open up for new perspectives. The adolescent boys experienced barriers to visiting the public health nurse. When they had crossed these barriers, the visit was experienced as positive.

• Granrud, Marie Dahlen; Anderzèn-Carlsson, Agneta; Bisholt, Birgitta & Steffenak, Anne Kjersti Myhrene (2019). Public Health Nurses’ perceptions of interprofessional collaboration related to adolescents’ mental health problems in secondary schools: a phenomenographic study. Journal of Clinical Nursing (JCN). ISSN 0962-1067. doi: 10.1111/jocn.14881. Vis sammendrag

  Aims and objectives To describe the variation in public health nurses' perceptions of interprofessional collaboration related to adolescents' mental health problems in secondary schools in Norway. Background Mental health problems among adolescents account for a large portion of the global burden of disease and affect 10%–20% of adolescents worldwide. Public health nurses in school health services play an important role in disease prevention and promotion of physical and mental health. In order to serve adolescents with regard to mental health problems, public health nurses are dependent on collaboration with other professionals in schools. Design Qualitative interviews were conducted with 18 public health nurses working in the school health services. Method A phenomenographic approach was used for interviewing and for analysing the qualitative interviews. This study is presented in line with COREQ's checklist. Result The analysis resulted in three descriptive categories based on eight identified conceptions. The categories are as follows: “The formal structure has an impact on interprofessional collaboration”; “The public health nurse is an important, but not always self‐evident, partner in interprofessional collaboration”; and “The primary players are the teachers in collaboration.” Conclusion The public health nurses describe that they had limited impact on collaboration and were dependent on both the school principal and the teachers for achieving good collaboration. Teachers have the power to decide whether to collaborate with the public health nurse, and public health nurses regard teachers as the most important collaborative partners. The public health nurses need to make themselves and their competence visible. Relevance to clinical practice The findings demonstrated that public health nurses are important collaborators, but are not always included in interprofessional collaboration. This knowledge is essential to strengthen public health nurses' roles and presence in schools, which could most certainly benefit adolescents with mental health problems in secondary school.

• Granrud, Marie Dahlen; Theander, Kersti; Anderzén-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2019). Experiences of interprofessional collaboration in a special school programme for adolescents who struggle with school life: an explorative study. Journal of Interprofessional Care. ISSN 1356-1820. doi: 10.1080/13561820.2019.1565755. Vis sammendrag

  A growing proportion of adolescents struggle with school life and could benefit from special school programmes. School could be an arena for supporting such adolescents and, to meet these challenges, interprofessional collaboration (IPC) has been recommended for better health. The aim of the present study was to explore the experience of IPC in a special school programme offered to adolescents who struggle with school life – from the perspective of the professionals involved. Focus group interviews were carried out with four groups and fourteen participants, and the focus groups included two to five participants each. The focus group interviews were analysed using qualitative content analysis. The analyses from this study resulted in a main theme: IPC in the special school programme is unpredictable. Five categories emerged from the data, including: variations in initiative, significance of individual characteristics, informal and formal contact, lack of criteria and goals, and different obligations. The participants described IPC as differing from case to case, with a lack of criteria and goals for adolescents in the special school programme. They experienced the random nature of whoever took the initiative to collaborate, and that confidentiality and the different documentation requirements could affect IPC.

• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene & Theander, Kersti (2017). Gender differences in symptoms of depression among adolescents in Eastern Norway: Results from a cross-sectional study. Scandinavian Journal of Public Health. ISSN 1403-4948. 47(2), s. 157–165. doi: 10.1177/1403494817715379. Vis sammendrag

  Aim: The aim of this study was to compare and describe gender differences and the associations between symptoms of depression and family conflict and economics, lifestyle habits, school satisfaction and the use of health-care services among adolescents. Methods: Data were retrieved from Ungdata which is a cross-sectional study. Adolescents (n=8052) from secondary school grades 8, 9 and 10 (age 13–16 years) participated in the study from 41 municipal schools in four counties. Results: Girls reported a higher prevalence of symptoms of depression than boys. Gender differences were seen on all items related to symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and health-care services. Multiple regressions showed that family conflicts and economics contributed to 19.2% of the variance in symptoms of depression in girls and 12.4% in boys. School satisfaction made a strong contribution: 21.5% in girls and 15.4% in boys. The total model explained 49% of the total variance in symptoms of depression in girls and 32.5% in boys. Conclusions: Gender demonstrated a pattern through a higher proportion of girls reporting symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and use of health-care services. Even though the adolescents reported symptoms of depression, few used the school health-care services and public health nurses. This indicates that they need a person-centered approach for symptoms of depression. The findings may have important implications for planning for adolescents in school health services.

• Granrud, Marie Dalen; Ludvigsen, Elin & Andershed, Birgitta (2014). Parents' experiences of their premature infants’ transportation from a university hospital NICU to NICU at two local hospitals. Journal of Pediatric Nursing : Nursing Care of Children and Families. ISSN 0882-5963. 29(4), s. e11–e18. doi: 10.1016/j.pedn.2014.01.014. Vis sammendrag

  The aim of this study was to describe how the parents of premature infants experience the transportation of their baby from the neonatal intensive care unit at a university hospital (NICU-U) to such a unit at a local hospital (NICU-L). This descriptive qualitative study comprises interviews with nine sets of parents and two mothers. The qualitative content analysis resulted in one theme: Living in uncertainty about whether the baby will survive, and three categories: Being distanced from the baby; Fearing that something would happen to the baby during transportation; and Experiencing closeness to the baby. The results also revealed that the parents experienced developmental, situational and health-illness transitions.

Se alle arbeider i Cristin

• Larsson, Maria; Tillfors, Maria; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Bååth, Carina Barbro & Olsson, Cecilia [Vis alle 12 forfattere av denne artikkelen] (2023). Sömn hos vårdpersonal på sjukhus och särskilda boenden under Covid-19 pandemin - en svensk-norsk tvärrsnittstudie.
• Melin-Johansson, Christina; Olsson, Cecilia; Larsson, Maria; Tillfors, Maria; Granrud, Marie Dahlen & Grøndahl, Vigdis Abrahamsen [Vis alle 10 forfattere av denne artikkelen] (2023). Palliative care in Sweden and Norway during the COVID-19 pandemic - a combination of a inductive and deductive content analysis.
• Melin-Johansson, Christina; Olsson, Cecilia; Larsson, Maria; Tillfors, Maria; Granrud, Marie Dahlen & Grøndahl, Vigdis Abrahamsen [Vis alle 10 forfattere av denne artikkelen] (2023). Palliativ vård i Sverige och Norge under Covid-19-pandemin - en kombination av en induktiv och deduktiv innehållsanalys .
• Steigen, Anne Mari; Bonsaksen, Tore; Granrud, Marie Dahlen; Dangmann, Cecilie Ruud & Stea, Tonje Holte (2023). Time trends in sexual harassment exposure among adolescents in Norway between 2017 and 2021.
• Olsson, Cecilia; Granrud, Marie Dahlen; Tillfors, Maria; Bååth, Carina Barbro; Grøndahl, Vigdis Abrahamsen & Helgesen, Ann Karin [Vis alle 11 forfattere av denne artikkelen] (2022). Sjuksköterskor som vårdar patienter i livets slutskede rapporterar att deras psykosociala arbetsmiljö påverkades när de omplacerades under Covid-19-pandemin - en tvärsnittsstudie. Cancervården.
• Leonhardt, Marja; Granrud, Marie Dahlen; Bonsaksen, Tore & Lien, Lars (2022). Worries about climate change in Norwegian adolescents.
• Granrud, Marie Dahlen; Sandsdalen, Tuva; Anderzèn-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2022). Working with children who are next of kin – public health nurse’s experiences. A qualitative study.
• Granrud, Marie Dahlen; Sandsdalen, Tuva; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Bååth, Carina Barbro & Olsson, Cecilia [Vis alle 12 forfattere av denne artikkelen] (2022). Helsepersonells erfaringer med kvalitet i palliativ behandling og omsorg under covid-19 pandemien – en tverrsnittstudie.
• Granrud, Marie Dahlen & Leonhardt, Marja (2022). Ungdommers bekymringer og bruk av skolehelsetjenesten under pandemien.
• Olsson, Cecilia; Granrud, Marie Dahlen; Tillfors, Maria; Bååth, Carina Barbro; Grøndahl, Vigdis Abrahamsen & Helgesen, Ann Karin [Vis alle 11 forfattere av denne artikkelen] (2022). Nurses caring for patients at the end of life report affected psychosocial work environment when relocated during the Covid-19 pandemic - A cross sectional study.
• Olsson, Cecilia; Granrud, Marie Dahlen; Tillfors, Maria; Bååth, Carina; Grøndahl, Vigdis Abrahamsen & Helgesen, Ann Karin [Vis alle 10 forfattere av denne artikkelen] (2022). CN26 Nurses caring for patients at the end of life report affected psychosocial work environment when relocated during the COVID-19 pandemic: A cross-sectional study. Annals of Oncology. ISSN 0923-7534. doi: 10.1016/j.annonc.2022.07.338.
• Granrud, Marie Dahlen; Sandsdalen, Tuva; Anderzén-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2022). Helsesykepleieres erfaringer med barn som pårørende - en kvalitativ studie.
• Larsson, Maria; Sandsdalen, Tuva; Grøndahl, Vigdis Abrahamsen; Helgesen, Ann Karin; Granrud, Marie Dahlen & Österlind, Jane [Vis alle 10 forfattere av denne artikkelen] (2022). Palliativ vård under Covid 19-pandemin – Arbetsmiljö, vårdkvalitet och vårdpersonalens hälsa.
• Granrud, Marie Dahlen (2021). Barrierer gutter opplever for å oppsøke helsesykepleier.
• Granrud, Marie Dahlen (2021). Psykiske problemer hos ungdom og helsesykepleiers tverrfaglige samarbeid i skolehelsetjenesten.
• Granrud, Marie Dahlen (2020). Skolsköterskor: Viktig funktion för ungdomar med psykiska hälsoproblem. Skolhälsan. ISSN 0284-284X. s. 26–27.
• Skogvang, Hanne Linn & Granrud, Marie Dahlen (2020). Gutter bruker skolehelsetjenesten mindre enn jenter. Kilden kjønnsforskning.
• Granrud, Marie Dahlen & Gravdal, Lena Gundersby (2019). Gutter oppsøker ikke helsesykepleier. Magasinet Velferd.
• Granrud, Marie Dahlen; Anderzèn-Carlsson, Agneta; Bisholt, Birgitta & Steffenak, Anne Kjersti Myhrene (2019). Public Health Nurses’ perceptions of interprofessional collaboration related to adolescents’ mental health problems in secondary schools .
• Granrud, Marie Dahlen & Møystad, Cathrine Loraas (2019). Gutter i 16 - 21 års alderen om det å snakke om psykiske plager: -Det er lite macho.
• Granrud, Marie Dahlen; Bisholt, Birgitta; Anderzèn-Carlsson, Agneta & Steffenak, Anne Kjersti Myhrene (2019). Hvordan opplever gutter å besøke helsesykepleier?
• Granrud, Marie Dahlen & Groseth, Julie (2019). Gutta skammer seg over å gå til helsesykepleier.
• Granrud, Marie Dahlen & Moe, Erlend (2019). Gutta skammer seg over å gå til helsesykepleier. Forskning.no. ISSN 1891-635X.
• Granrud, Marie Dahlen (2018). Fenomenografi som forskningsmetode.
• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene; Bisholt, Birgitta & Anderzén-Carlsson, Agneta (2018). Helsesøsters tverrprofesjonelle samarbeid relatert til psykiske problemer hos ungdom.
• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene; Bisholt, Birgitta & Anderzén-Carlsson, Agneta (2018). Ungdom med psykiske problemer: Store variasjoner i helsesøstrenes oppfatning av det tverrprofesjonelle samarbeidet.
• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene; Anderzén-Carlsson, Agneta & Bisholt, Birgitta (2018). Helsesøstres oppfatning av det tverrprofesjonelle samarbeidet relatert til psykiske plager hos ungdom.
• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene & Theander, Kersti (2017). Depresjon blant ungdom. Er det forskjell på gutter og jenter?
• Granrud, Marie Dahlen; Steffenak, Anne Kjersti Myhrene & Theander, Kersti (2017). Analyse av UNG-data- Symptomer på depresjon og sosiale faktorer. Forskjellen mellom jenter og gutter.
• Granrud, Marie Dahlen (2016). Kjønnsforskjeller i selvorapporterte symptomer på depresjon blant ungdom og sammenhengen mellom familiekonflikt og økonomi, livsstilsfaktorer, skoletrivsel og helsetjenesten – en tverrsnitt studie.
• Granrud, Marie Dahlen (2015). Foreldrenes opplevelse av sitt premature barns overgang fra universitetssykehus til lokalsykehus.
• Granrud, Marie Dahlen & Ludvigsen, Elin (2013). Foreldrenes opplevelse av sitt premature barns overgang fra universitetssykehus til lokalsykehus .
• Granrud, Marie Dahlen (2019). Mental health problems among adolescents - Public health nurses' work and interprofessional collaboration within the school health service. Karlstad University Studies. ISSN 978-91-7867-048-2.

Se alle arbeider i Cristin