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Utne I.B.,Norwegian University of Science and Technology | Brurok T.,Norwegian Marine Technology Research Institute | Larsen S.,NTNU Social Research AS
Process Safety Progress | Year: 2011

Monitoring the mechanical integrity (MI) of offshore oil and gas facilities is important. It enables early fault detection of emerging failure conditions and allows more time for planning and preparing remedial actions, which reduces revenue losses resulting from unnecessary and poorly coordinated maintenance actions. Static equipment, such as heat exchangers, constitutes crucial parts of offshore processing facilities. Heat exchangers are challenging to maintain, especially in ageing facilities, and major maintenance problems are the result of (a) poor designs, (b) poor utilization of process information, © poor interpretation of results, and (d) poor development and management of high-quality maintenance and MI programs. This article addresses the most important technological, human and organizational challenges concerning monitoring of MI of shell and tube heat exchangers, and discusses recommendations for future improvements. A good MI program benefits the operation and maintenance of heat exchangers, and will lead to improved safety and reduced costs. © 2011 American Institute of Chemical Engineers (AIChE). Source

Gudde C.B.,Norwegian University of Science and Technology | Gudde C.B.,Health Management Technology | Olso T.M.,NTNU Social Research AS | Antonsen D.O.,Resource Center for Service User Experience and Service Development Mid Norway | And 4 more authors.
Scandinavian Journal of Public Health | Year: 2013

Aims: To examine the experiences of and preferences for helpful care in situations of mental crisis from the perspective of people with major mental disorders. Methods: Qualitative individual interviews with 19 users with major mental disorder, 13 men and six women, aged 22-60 years. Analysis was conducted with systematic text condensation. Results: The main tendencies among a majority of the users are a clear understanding of their own problems and ways of handling these, and the desire for early help from providers whom they know well and who are open to dialogue and reflection. A clear majority perceived a high threshold for contacting the mental health system due to negative experiences and lack of user involvement in treatment planning and implementation. Conclusion: The findings challenge traditional views of professionalism and describe important implications for mental health services from the user's perspective. Our study provides a clear indication of the importance of becoming an active participant in one's own life, and the need for deeper understanding among the professionals in relation to user experiences and preferences for helpful care in periods of mental health crisis in order to optimize the care. © 2013 the Nordic Societies of Public Health. Source

Storkersen K.V.,NTNU Social Research AS
Safety Science | Year: 2012

Aquaculture is the most accident exposed industry in Norway, after fisheries.Interviews and observations of 55 persons in twelve aquaculture companies indicate that management rely on operating workers to make all safety-decisions in the operations, for both their biological product and themselves. Still, there is no published research about aquaculture decision-making.Given the reliance in decisions on the net cages, and the industry's accident rate, it seems important to investigate how and why safety-related decisions are made. This paper explores criteria and constraints for decision-making in sharp end operations at fish farms. Two common situations with risk of loss are described and analyzed according to relevant research:. •Net cage damage discovered during feeding. How to manage both planned tasks and necessary modifications?•The well boat crew must get the fish to the harvesting plant, but the weather is bad. How to handle tasks, time pressure and unstable conditions?The findings show that decision-makers often neglect personnel safety on behalf of product safety. Even though criteria and constraints largely coincide with theory and are similar in the two example operations, the personnel safety outcome is different. In daily operations there is major risk for the operating personnel, while in the rare well boat operations the conditions best for the fish also prevent personnel harm.When dealing with a biological production process ordinary safety measures are inadequate - because when activities need to be done at the exact right time for the product to be profitable, personnel safety comes second. © 2011 Elsevier Ltd. Source

Olso T.M.,NTNU Social Research AS | Gudde C.B.,Norwegian University of Science and Technology | Wullum E.,Norwegian University of Science and Technology | Linaker O.M.,Norwegian University of Science and Technology
Mental Health and Substance Use: Dual Diagnosis | Year: 2013

The aims of the study are to examine the differences in symptoms, functioning and self-reported motives for drinking alcohol among seriously mentally ill patients with and without alcohol problems. The subjects (n = 69) were included from a patient register. They completed the Short Michigan Alcoholism Test (SMAST 13) and the drinking motives measure (DMM). Their psychiatrists completed the Health of the Nation Outcome Scales for severe mental illness (HoNOS-SMI) and the clinical alcohol use scale (CAUS). We found differences between the group without alcohol problems and the alcohol-problem group in the HoNos-SMI items: Depressed mood (t = -2.5, df = 67, p < 0.05) and the HoNos-SMI subscore behaviour (t = -3.2, df = 67, p < 0.05). We also found differences in many DMM items and subscores. The magnitudes of the differences in the two study groups were large for the following items: because it is what most of your friends do when you get together (eta squared = 0.24), to forget your worries (eta squared = 0.19), because it helps when you feel depressed or nervous (eta squared = 0.28), because you like the feeling (eta squared = 0.16), and the DMM subscores for coping motives (eta squared = 0.22) and enhancement motives (eta squared = 0.16). In conclusion, we found few differences in symptoms and functioning and several differences in drinking motives between the groups with and without alcohol problems. © 2013 Copyright Taylor and Francis Group, LLC. Source

Gudde C.B.,Center for Research and Education in Forensic Psychiatry | Gudde C.B.,Norwegian University of Science and Technology | Olso T.M.,NTNU Social Research AS | Whittington R.,Center for Research and Education in Forensic Psychiatry | And 3 more authors.
Journal of Multidisciplinary Healthcare | Year: 2015

Background: Aggressive situations occurring within mental health services can harm service users, staff, and the therapeutic environment. There is a consensus that the aggression phenomenon is multidimensional, but the picture is still unclear concerning the complex interplay of causal variables and their respective impact. To date, only a small number of empirical studies include users’ views of relevant factors. The main objective of this review is to identify and synthesize evidence relating to service users’ experiences and views of aggressive situations in mental health settings. Methods: We included qualitative studies of any design reporting on service users’ own experiences of conditions contributing to aggressive situations in mental health care and their views on preventative strategies. Eligible articles were identified through an electronic database search (PsycINFO, PubMed, Ovid Nursing Database, Embase, and CINAHL), hand search, and cross-referencing. Extracted data were combined and interpreted using aspects of thematic synthesis. Results: We reviewed 5,566 records and included 13 studies (ten qualitative and three mixed methods). Service users recognized that both their own mental state and negative aspects of the treatment environment affected the development of aggressive situations. Themes were derived from experiential knowledge and included calls to be involved in questions regarding how to define aggression and relevant triggers, and how to prevent aggressive encounters effectively. The findings suggest that incidents are triggered when users experience staff behavior as custodial rather than caring and when they feel ignored. Conclusion: The findings highlight the importance of staffs’ knowledge and skills in communication for developing relationships based on sensitivity, respect, and collaboration with service users in order to prevent aggressive situations. An important factor is a treatment environment with opportunities for meaningful activities and a preponderance of trained staff who work continuously on the development of conditions and skills for collaborative interaction with users. © 2015 Gudde et al. Source

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