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Kristin Heggen [10]K. Heggen [3]
  1.  17
    Rethinking Bias and Truth in Evidence-Based Health Care.Sietse Wieringa, Eivind Engebretsen, Kristin Heggen & Trish Greenhalgh - 2018 - Journal of Evaluation in Clinical Practice 24 (5):930-938.
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  2.  26
    Uncertainty and Objectivity in Clinical Decision Making: A Clinical Case in Emergency Medicine.Eivind Engebretsen, Kristin Heggen, Sietse Wieringa & Trisha Greenhalgh - 2016 - Medicine, Health Care and Philosophy 19 (4):595-603.
    The evidence-based practice and evidence-based medicine movements have promoted standardization through guideline development methodologies based on systematic reviews and meta-analyses of best available research. EBM has challenged clinicians to question their reliance on practical reasoning and clinical judgement. In this paper, we argue that the protagonists of EBM position their mission as reducing uncertainty through the use of standardized methods for knowledge evaluation and use. With this drive towards uniformity, standardization and control comes a suspicion towards intuition, creativity and uncertainty (...)
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  3.  63
    Protecting Vulnerable Research Participants: A Foucault-Inspired Analysis of Ethics Committees.T. I. Juritzen, H. Grimen & K. Heggen - 2011 - Nursing Ethics 18 (5):640-650.
    History has demonstrated the necessity of protecting research participants. Research ethics are based on a concept of asymmetry of power, viewing the researcher as powerful and potentially dangerous and establishing ethics committees as external agencies in the field of research. We argue in favour of expanding this perspective on relationships of power to encompass the ethics committees as one among several actors that exert power and that act in a relational interplay with researchers and participants. We employ Michel Foucault’s ideas (...)
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  4.  15
    Unpacking the Process of Interpretation in Evidence-Based Decision Making.Eivind Engebretsen, Nina Køpke Vøllestad, Astrid Klopstad Wahl, Hilde Stendal Robinson & Kristin Heggen - 2015 - Journal of Evaluation in Clinical Practice 21 (3):529-531.
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  5.  5
    Has Evidence-Based Medicine Ever Been Modern? A Latour-Inspired Understanding of a Changing EBM.Sietse Wieringa, Eivind Engebretsen, Kristin Heggen & Trish Greenhalgh - 2017 - Journal of Evaluation in Clinical Practice 23 (5):964-970.
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  6.  42
    The Significance of Lifeworld and the Case of Hospice.Lisbeth Thoresen, Trygve Wyller & Kristin Heggen - 2011 - Medicine, Health Care and Philosophy 14 (3):257-263.
    Questions on what it means to live and die well are raised and discussed in the hospice movement. A phenomenological lifeworld perspective may help professionals to be aware of meaningful and important dimensions in the lives of persons close to death. Lifeworld is not an abstract philosophical term, but rather the opposite. Lifeworld is about everyday, common life in all its aspects. In the writings of Cicely Saunders, known as the founder of the modern hospice movement, facets of lifeworld are (...)
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  7.  29
    Creating Trust in an Acute Psychiatric Ward.Marit Helene Hem, Kristin Heggen & Knut W. Ruyter - 2008 - Nursing Ethics 15 (6):777-788.
    The ideal of trust pervades nursing. This article uses empirical material from acute psychiatry that reveals that it is distrust rather than trust that is prevalent in this field. Our data analyses show how distrust is expressed in the therapeutic environment and in the relationship between nurse and patient. We point out how trust can nonetheless be created in an environment that is characterized by distrust. Both trust and distrust are exposed as `fragile' phenomena that can easily `tip over' towards (...)
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  8.  23
    Questionable Requirement for Consent in Observational Research in Psychiatry.Marit Helene Hem, Kristin Heggen & Knut W. Ruyter - 2007 - Nursing Ethics 14 (1):41-53.
    Informed consent represents a cornerstone of the endeavours to make health care research ethically acceptable. Based on experience of qualitative research on power dynamics in nursing care in acute psychiatry, we show that the requirement for informed consent may be practised in formalistic ways that legitimize the researcher's activities without taking the patient's changing perception of the situation sufficiently into account. The presentation of three patient case studies illustrates a diversity of issues that the researcher must consider in each situation. (...)
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  9. Nurses' Perceptions of Patient Participation in Hemodialysis Treatment.E. M. Aasen, M. Kvangarsnes & K. Heggen - 2012 - Nursing Ethics 19 (3):419-430.
    The aim of this study is to explore how nurses perceive patient participations of patients over 75 years old undergoing hemodialysis treatment in dialysis units, and of their next of kin. Ten nurses told stories about what happened in the dialysis units. These stories were analyzed with critical discourse analysis. Three discursive practices are found: (1) the nurses’ power and control; (2) sharing power with the patient; and (3) transferring power to the next of kin. The first and the predominant (...)
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  10.  20
    Rapport and Respect: Negotiating Ethical Relations Between Researcher and Participant. [REVIEW]Marilys Guillemin & Kristin Heggen - 2009 - Medicine, Health Care and Philosophy 12 (3):291-299.
    Qualitative research is largely dependent on building good interpersonal relations between researcher and participant. This is necessary for generating rich data, while at the same time ensuring respect is maintained between researcher and participant. We argue for a better understanding of researcher–participant relations in research practice. Codes of ethics, although important, do not address these kinds of ethical challenges. Negotiating the ethical relations between researcher and participant is paramount in maintaining ethical rigour in qualitative research. In this paper we propose (...)
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  11.  22
    Subject to Empowerment: The Constitution of Power in an Educational Program for Health Professionals.Truls I. Juritzen, Eivind Engebretsen & Kristin Heggen - 2013 - Medicine, Health Care and Philosophy 16 (3):443-455.
    Empowerment and user participation represents an ideal of power with a strong position in the health sector. In this article we use text analysis to investigate notions of power in a program plan for health workers focusing on empowerment. Issues addressed include: How are relationships of power between users and helpers described in the program plan? Which notions of user participation are embedded in the plan? The analysis is based on Foucault’s idea that power which is made subject to attempts (...)
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  12. Evidence-Based Practice, Risk and Reconstructions of Responsibilities in Nursing.S. Wellard & K. Heggen - 2011 - In Ciaran Sugrue & Tone Solbrekke (eds.), Professional Responsibility: New Horizons of Praxis. Routledge. pp. 144--158.
     
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