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Margrethe Aase Schaufels bilde

Margrethe Aase Schaufel

Førsteamanuensis
  • E-postmargrethe.schaufel@uib.no
  • Telefon+4745292977
  • Besøksadresse
    Department of Thoracic Medicine
    Haukeland University Hospital
    5042 Bergen
  • Postadresse
    Postboks 7804
    5020 Bergen

Medical doctor with a PhD exploring existential challenges in clinical practice. Specialist in internal medicine, cardiology and thoracic medicine. Expertise in qualitative research methods and communication research, with a special interest in palliative care, clinical ethics and medical education. Consultant at the Department of Thoracic Medicine, Haukeland University Hospital.

Vitenskapelig artikkel
  • Vis forfatter(e) (2023). “The challenge is the complexity” – A qualitative study about decision-making in advanced lung cancer treatment. Lung Cancer.
  • Vis forfatter(e) (2022). Etiske dilemmaer for sykehjemsleger under covid-19-pandemien. Tidsskrift for Den norske legeforening. 1-9.
  • Vis forfatter(e) (2021). Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway. Nursing Ethics. 66-81.
  • Vis forfatter(e) (2020). Feasibility and acceptability of introducing advance care planning on a thoracic medicine inpatient ward: an exploratory mixed method study. BMJ Open Respiratory Research. 1-10.
  • Vis forfatter(e) (2020). Factors affecting quality of end-of-life hospital care - a qualitative analysis of free text comments from the i-CODE survey in Norway. BMC Palliative Care. 1-9.
  • Vis forfatter(e) (2020). Baseline frailty status and outcomes important for shared decision‑making in older adults receiving transcatheter aortic valve implantation, a prospective observational study. Aging Clinical and Experimental Research. 1-8.
  • Vis forfatter(e) (2019). Preventing Suicide among Psychiatric Inpatients with Psychotic Depression. Psychiatric quarterly. 14 sider.
  • Vis forfatter(e) (2019). Medisinstudenters holdninger og forventninger til fremtidige arbeidsvilkår. Tidsskrift for Den norske legeforening. 1660-1664.
  • Vis forfatter(e) (2019). A novel Geriatric Assessment frailty score predicts 2-year mortality after Transcatheter Aortic Valve implantation. European Heart Journal - Quality of Care and Clinical Outcomes. 153-160.
  • Vis forfatter(e) (2018). Advance care planning in life-threatening pulmonary disease: a focus group study. European Respiratory Journal Open Research (ERJ Open Research). 9 sider.
  • Vis forfatter(e) (2017). Psychotic depression and suicidal behavior. Psychiatry. 17-29.
  • Vis forfatter(e) (2017). Nursing home physicians’ assessments of barriers and strategies for end-of-life care in Norway and the Netherlands. Journal of the American Medical Directors Association. 713-718.
  • Vis forfatter(e) (2017). Doctors’ learning experiences in end-of-life care – a focus group study from nursing homes. BMC Medical Education. 1-8.
  • Vis forfatter(e) (2017). Conditions for autonomous choice: a qualitative study of older adults’ experience of decision-making in TAVR. Journal of Geriatric Cardiology. 42-48.
  • Vis forfatter(e) (2016). The impact of existential vulnerability for nursing home doctors in end-of-life care: A focus group study. Patient Education and Counseling. 2043-2048.
  • Vis forfatter(e) (2016). Patients' goals, resources, and barriers to future change: A qualitative study of patient reflections at hospital discharge after myocardial infarction. European Journal of Cardiovascular Nursing. 495-503.
  • Vis forfatter(e) (2014). Implementation of transcatheter aortic valve insertion (TAVI) in clinical practice: An ethical analysis. Clinical Ethics. 96-103.
  • Vis forfatter(e) (2014). End-of-life expectations and experiences among nursing home patients and their relatives — a synthesis of qualitative studies. Patient Education and Counseling. 3-9.
  • Vis forfatter(e) (2014). Drug treatment at the end of life: An epidemiologic study in nursing homes. Scandinavian Journal of Primary Health Care. 187-192.
  • Vis forfatter(e) (2011). Hope in action - facing cardiac death: A qualitative study of patients with life-threatening disease. International Journal of Qualitative Studies on Health and Well-being.
  • Vis forfatter(e) (2009). "So you think I'll survive?": a qualitative study about doctor-patient dialogues preceding high-risk cardiac surgery or intervention. Heart. 1245-1249.
  • Vis forfatter(e) (2008). "If you cannot tolerate that risk, you should never become a physician": a qualitative study about existential experiences among physicians. Journal of Medical Ethics. 767-771.
  • Vis forfatter(e) (2001). Skjebnezapping - medisinsk grunnopplæring, legestudenters dannelse og den etiske fordring. Tidsskrift for Den norske legeforening. 1618-1621.
Vitenskapelig foredrag
  • Vis forfatter(e) (2022). To ukers elektivt fordypningskurs i palliativ medisin ved medisinstudiet i Bergen: opplegg og utbytte.
  • Vis forfatter(e) (2019). Healthcare professionals’ views on implementation of Advance Care Planning for patients with advanced pulmonary disease – a pilot study. .
  • Vis forfatter(e) (2019). Advance Care Planning with patients having advanced pulmonary disease – A qualitative study in a hospital setting in Western Norway.
  • Vis forfatter(e) (2018). Introduksjon av forhåndssamtaler for pasienter med livstruende lungesykdom.
  • Vis forfatter(e) (2017). Barriers and strategies for end-of-life care in nursing homes in Norway and the Netherlands.
  • Vis forfatter(e) (2016). Palliative drug treatment in life last days – prevalence and evidence base.
  • Vis forfatter(e) (2016). How do young doctors' clinical experiences from nursing homes provide access to situated learning about dying? A focus group study.
  • Vis forfatter(e) (2016). Doctors working with dying nursing home patients meet their own existential vulnerability.
  • Vis forfatter(e) (2014). Patients’ and relatives’ expectations and experiences regarding end-of-life in nursing homes – A meta-ethnography.
  • Vis forfatter(e) (2014). Døden i sykehjem – pasienters og pårørendes tanker og forventninger.
  • Vis forfatter(e) (2014). Drug prescribing for nursing home patients in their last days of life.
  • Vis forfatter(e) (2014). . End-of-life expectations and experiences among patients in long-term care institutions and their relatives. A synthesis of qualitative studies.
  • Vis forfatter(e) (2013). Patients' and relatives' thoughts about death.
  • Vis forfatter(e) (2013). Drug prescribing as part of end-of-life care.
Leserinnlegg
  • Vis forfatter(e) (2015). Vil beholde LCP for døende. Dagens medisin.
Brev til redaktøren
  • Vis forfatter(e) (2022). Leserbrief zu “New status report from Norway: Implementation of patient involvement in Norwegian health care” (ZEFQ) 171 (2022) 105–112 von J. Kasper et al. Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 119-120.
Doktorgradsavhandling
  • Vis forfatter(e) (2018). Livets slutt i sykehjem. Pasientens ønsker og legens rolle.
  • Vis forfatter(e) (2017). End of life care in nursing homes. Palliative drug prescribing and doctors’ existential vulnerability.
  • Vis forfatter(e) (2010). Å dele uvissa og ansvaret. Ein kvalitativ studie av livets grunnvilkår i medisinsk praksis.
Sammendrag/abstract
  • Vis forfatter(e) (2019). Healthcare professionals' views on implementation of Advance Care Planning for patients with advanced pulmonary diseases - a pilot study. Palliative Medicine. 68-69.
  • Vis forfatter(e) (2018). Introducing advance care planning for patients with life-threatening pulmonary disease in the hospital setting – what do patients talk about? . Palliative Medicine. 278-278.
  • Vis forfatter(e) (2015). «It is difficult to talk about, but I think it can help me» - A qualitative study about Advance Care Planning for patients with life-threatening pulmonary disease. Abstract P1-158. European Journal of Palliative Care. 102-102.
Poster
  • Vis forfatter(e) (2022). A two-week student-selected component in palliative medicine for undergraduate medical students: design and outcomes. .
  • Vis forfatter(e) (2021). "Det var 15 minutter uten smerter" - en pilotstudie om implementering av musikkterapi for mennesker med uhelbredelig lungesykdom.
  • Vis forfatter(e) (2019). Factors affecting quality of end-of-life care - a qualitative analysis of free text comments from the i-CODE survey in Norway.
  • Vis forfatter(e) (2017). Geriatric Assessment and Frailty score predicts clinical outcome of Transcatheter Aortic Valve Implantation.
  • Vis forfatter(e) (2016). Nursing home doctors’ assessments of barriers and strategies for end-of-life care in Norway and the Netherlands.
  • Vis forfatter(e) (2015). «It is difficult to talk about, but I think it can help me» - A qualitative study about Advance Care Planning for patients with life-threatening pulmonary disease.
  • Vis forfatter(e) (2015). It wasn’t as hard as I thought –a focus group study about newly qualified doctors’ learning experiences with end-of-life care.
  • Vis forfatter(e) (2015). How do young doctors' clinical experiences from nursing homes provide access to situated learning about death and dying? A focus group study.
  • Vis forfatter(e) (2015). Doctors working with dying nursing home patients meet their own existential vulnerability.
Vitenskapelig oversiktsartikkel/review
  • Vis forfatter(e) (2016). Drug utilization and medication costs at the end of life. Expert review of pharmacoeconomics & outcomes research. 237-243.

Se fullstendig oversikt over publikasjoner i CRIStin.

Miljeteig I, Forthun I, Hufthammer KO, Engelund IE, Schanche E, Schaufel MA, Onarheim KH. Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway. Nurs Ethics. 2021 Feb;28(1):66-81. doi: 10.1177/0969733020981748. Epub 2021 Jan 12.

Hansen MIT, Haugen DF, Sigurdardottir KR, Kvikstad A, Mayland CR, Schaufel MA; ERANet-LAC CODE project group. Factors affecting quality of end-of-life hospital care - a qualitative analysis of free text comments from the i-CODE survey in Norway. BMC Palliat Care. 2020 Jul 7;19(1):98. doi: 10.1186/s12904-020-00609-x.

Skaar E, Øksnes A, Eide LSP, Norekvål TM, Ranhoff AH, Nordrehaug JE, Forman DE, Schoenenberger AW, Hufthammer KO, Kuiper KK, Bleie Ø, Packer EJS, Langørgen J, Haaverstad R, Schaufel MA. Baseline frailty status and outcomes important for shared decision-making in older adults receiving transcatheter aortic valve implantation, a prospective observational study. Aging Clin Exp Res. 2020 Mar 19. doi: 10.1007/s40520-020-01525-z. Online ahead of print.

Hjorth NE, Schaufel MA, Sigurdardottir KR, Haugen DRF. Feasibility and acceptability of introducing advance care planning on a thoracic medicine inpatient ward: an exploratory mixed method study. BMJ Open Respir Res. 2020 Feb;7(1):e000485. doi: 10.1136/bmjresp-2019-000485.

Fredriksen KJ, Schaufel MA, Johannessen JO, Walby FA, Davidson L, Schoeyen HK.
Preventing Suicide among Psychiatric Inpatients with Psychotic Depression. Psychiatr Q. 2020 Mar;91(1):223-236. doi: 10.1007/s11126-019-09677-6.

Fimland SK, Kjenås AS, Rø KI, Schaufel MA. Medical students' attitudes and expectations for future working conditions. Tidsskr Nor Laegeforen. 2019 Nov 18;139(17). doi: 10.4045/tidsskr.19.0185. Print 2019 Nov 19.

Skaar E, Eide LSP, Norekvål TM, Ranhoff AH, Nordrehaug JE, Forman DE, Schoenenberger AW, Ove Hufthammer K, Kuiper KK, Bleie Ø, Langørgen J, Haaverstad R, Schaufel MA. A novel Geriatric Assessment frailty score predicts two-year mortality after Transcatheter Aortic Valve implantation. Eur Heart J Qual Care Clin Outcomes. 2019 Apr 1;5(2):153-160. doi: 10.1093/ehjqcco/qcy044.

Hjorth NE, Haugen DF, Schaufel MA.. Advance care planning in life-threatening pulmonary disease: a focus group study.   ERJ Open Res. 2018 May 18;4(2). pii: 00101-2017.

Fosse A, Zuidema S, Boersma F, Malterud K, Schaufel MA, Ruths S. Nursing Home Physicians' Assessments of Barriers and Strategies for End-of-Life Care in Norway and The Netherlands. J Am Med Dir Assoc. 2017 Aug 1;18(8):713-718. doi: 10.1016/j.jamda.2017.03.005. Epub 2017 Apr 29.

Fredriksen KJ, Schoeyen HK, Johannessen JO, Walby FA, Davidson L, Schaufel MA. Psychotic Depression and Suicidal Behavior. Psychiatry. 2017 Spring;80(1):17-29. doi: 10.1080/00332747.2016.1208002.

Skaar E, Ranhoff AH, Nordrehaug JE, Forman DE, Schaufel MA. Conditions for autonomous choice: a qualitative study of older adults' experience of decision-making in TAVR. J Geriatr Cardiol. 2017 Jan;14(1):42-48. doi: 10.11909/j.issn.1671-5411.2017.01.007.

Fosse A, Ruths S, Malterud K, Schaufel MA. Doctors' learning experiences in end-of-life care - a focus group study from nursing homes. BMC Med Educ. 2017 Jan 31;17(1):27. doi: 10.1186/s12909-017-0865-8.

Pont L, Jansen K, Schaufel MA, Haugen DF, Ruths S. Drug utilization and medication costs at the end of life. Expert Rev Pharmacoecon Outcomes Res. 2016;16(2):237-43. doi: 10.1586/14737167.2016.1158106.

Jansen K, Ruths S, Malterud K, Schaufel MA. The impact of existential vulnerability for nursing home doctors in end-of-life care: A focus group study. Patient Educ Couns. 2016 Jul 12. pii: S0738-3991(16)30311-1. doi: 10.1016/j.pec.2016.07.016. [Epub ahead of print]

Falun N, Fridlund B, Schaufel MA, Schei E, Norekval TM.Patients’ goals, resources and perceived hindrances for future change – a qualitative study of patient reflections at hospital discharge after myocardial infarction. Eur J Cardiovasc Nurs. 2015 Oct 27. pii: 1474515115614712. [Epub ahead of print]

Jansen K, Schaufel MA, Ruths S. Drug treatment at the end of life – an epidemiologic study in nursing homes. Scand J Prim Health Care. 2014 Dec;32(4):187-92. doi: 10.3109/02813432.2014.972068. Epub 2014 Nov 3.

Fosse A, Schaufel MA, Ruths S, Malterud K. End-of-life expectations and experiences among nursing home patients and their relatives – a synthesis of qualitative studies. Patient Educ Couns. 2014 Jun 12. pii: S0738-3991(14)00230-4. doi: 10.1016/j.pec.2014.05.025. [Epub ahead of print]

Ohldieck A, Nordrehaug JE, Vandvik PO, Schaufel MA, Norheim OF. Transcatheter Aortic Valve Insertion (TAVI) implementation in clinical practice: an ethical analysis. Clinical Ethics, published online 13 August 2014. DOI: 10.1177/1477750914546761

Schaufel MA, Skodvin B. Kollegastøtte for sykehusleger. [Peer support for hospital physicians] (Norwegian.) Tidsskr Nor Laegeforen. 2012 Feb 7;132(3):271. doi: 10.4045/tidsskr.11.1024.

Schaufel MA, Nordrehaug JE, Malterud K. Hope in action - facing cardiac death: A qualitative study of patients with life-threatening disease. Int J Qual Stud Health Well-being. 2011 Mar 18;6(1). doi: 10.3402/qhw.v6i1.5917.

Schaufel MA, Nordrehaug JE, Malterud K. “So you think I`ll survive?”: a qualitative study about doctor-patient dialogues preceding high-risk cardiac surgery or intervention. Heart 2009 Aug; 95(15):1245-9. Epub 2009 Apr 29.

Aase M, Nordrehaug JE, Malterud K. “If you cannot tolerate that risk, you should never become a physician” – a qualitative study about existential experiences among physicians. J Med Ethics 2008; 34: 767-771

Aase M. Interviewing colleagues - ethical and methodological challenges. Center for kvalitativ metodeudvikling. 2006;41:48-54.

http://www.psy.au.dk/fileadmin/site_files/filer_psykologi/dokumenter/CKM/NB41/aase.pdf

Johansson KA, Ohldieck C, Aase M, Schei E. Skjebnezapping – medisinsk grunnopplæring, legestudenters dannelse og den etiske fordring. [Destiny-zapping – medical education, students` world view and the ethical challenge] (Norwegian.) Tidsskr Nor Laegeforen 2001; 121: 1618-21