Disputas Master i sosiologi Helle Krone-Hjertstrøm

Avhandlingen er tilgjengelig her

The doctoral thesis

Disputasen vil bli strømmet her

Opptak av disputasen vil være tilgjengelig i et døgn.

The defense will be streamed here

A recording of the disputation will be available for 24 hours.

Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted:

"Translasjon av helsereformer; hvordan kan vi forstå forholdet mellom reform og klinisk praksis gjennom ny-institusjonell teori og praksisteori"

Prøveforelesningen vil også bli strømmet/the trail lecture will also be streamed

Populærvitenskapelig sammendrag av avhandlingen:

This study examines how national health policy aims are turned into practical healthcare services in rural areas. Based on ethnographic fieldwork at an intermunicipal emergency clinic in northern Norway, the study shows how the introduction of municipal acute inpatient care (MipAC) relied heavily on nurses’ everyday work to make the service function in practice.

In a context characterised by long distances, fragmented services and limited medical presence, nurses had to continuously coordinate tasks, adapt guidelines, clarify responsibilities and maintain continuity across services.

The study shows that this organising work was not optional, but necessary. When national health policy aims were delegated to municipalities without clear organisational frameworks, responsibilities and support systems, key issues had to be resolved in everyday practice. Nurses became central in this work not because they actively sought this responsibility, but because their continuous presence and position within the service placed them where gaps, uncertainty and coordination needs emerged.

The findings provide new insight into how health policy is made workable in everyday practice, and how rural conditions can intensify organisational demands in healthcare services. The study contributes to a better understanding of what is required for new services to function over time, particularly in areas characterised by limited resources and long geographical distances.

Hovedveileder

Professor Aud Obstfelder, NTNU

Bi-veileder:

Dosent Bente Norbye, Institutt for helse og omsorgsfag, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Professor Birgit Abelsen, Nasjonalt senter for distriktsmedisin NSDM, Institutt for samfunnsmedisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Bedømmelseskomité

Professor Bjørn Erik Mørk BI – 1. opponent

 Marie Häggström, Mittuniversitetet, Sverige – 2. opponent

Førsteamanuensis Marianne Eliassen, Institutt for helse og omsorgsfag, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Disputasleder: Professor Bodil H. Blix, Institutt for helse og omsorgsfag, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet