Our Projects

Current projects at Karolinska Institutet and Stockholm County Council

Employability survey

Aim and Scope

The aim of the project is to develop a process and tool for a mandatory employability survey to be used by all study programs on undergraduate level at Karolinska Institutet. The survey should investigate whether the study programs correspond to employer demands and how employable students are after graduation.

Funder and/or Steering Group

The Board of Education

Project Management Team

Anna Bonnevier, Anna Josephson and Terese Stenfors-Hayes (KI)

Evaluation of a student-led primary health care center

Aim and Scope

The aim of the project is to evaluate the student-led primary care clinic in Gustavsberg as well as explore the patients’ roles in student learning and development. Data is gathered from patients, students and staff.

Funder and/or Steering Group

ALF (education)

Project Management Team

Terese Stenfors-Hayes, Sandra Astnell, Maria Fröberg, Charlotte Leanderson, Kersti Ejeby, Erik Hedman, Ulrica Gillblad, Annika Pettersson, Birgitta Fläckman and Gunnar Nilsson (KI&SLL)

Follow-up on patient-safety education

Aim and Scope

The aim of the project is to evaluate the effects of patient safety training in terms of safety culture, improvements and reported deviations. The project will identify good practice for training implementation in organizations to reach maximum effects.

Project Management Team

Karin Pukk Härenstam, Terese Stenfors-Hayes och Linda Sturesson (KI)

Maintenance, development and data management of first cycle and second cycle courses at Karolinska Institutet (from spring semester 2016 and ongoing) 

Aim and Scope

It will be mandatory, from the spring semester 2016, for all the courses to use the same five questions in their course questionnaires (the five questions are specified in the Action plan for quality evaluation of first cycle and second cycle education at Karolinska Institutet). This is an ongoing project that includes maintaining and manage data from all first cycle and second cycle course evaluations. Analyses of the data will be presented internally and externally.  

Funder and/or Steering Group

The Board of Higher Education at Karolinska Institutet 

Project Management Team

Aleksandra Sjöström Bujasz, Louise Bergman, Terese Stenfors-Hayes, Anna Bonnevier, Linda Sturesson 

Pilot study: New course evaluation system for post graduate education courses (autumn 2015)

Aim and Scope

The aim of the pilot study was to set up and to ensure a process of course and activity evaluation. The Evaluation Unit has from the spring semester 2016 the assignment to run course and activity evaluations for post graduate education. This includes sending out the questionnaires; assist with consultations regarding possible additional questions; compiling the answers to reports that will be used for feedback to participants and course organizers, linked in the course catalogue and sent to central administrative officers for quality assurance.  

Funder and/or Steering Group

The Board of Research Education (KI)

Project Management Team, pilot study

Linda Sturesson, Aleksandra Sjöström Bujacz, Per Palmgren

Project Management Team, course and evaluation assignment (from 1th of February 2016)

Per Palmgren 

Testing of an instrument for assessing profession focus in examinations

Aim and Scope

The aim of the project is to explore the degree to which assessments in medical education have a focus on the future profession. We have constructed an instrument, Evaluation Structure with Questions for Alignment of Profession and Education (ESQAPE), designed to evaluate the profession focus in medical education. This project will evaluate the instrument.

Funder and/or Steering Group

Rosanders Stiftelse

Project Management Team

Daniel Gustavsson, Anna Josephson and Terese Stenfors-Hayes (KI)

Current National and International projects

Assessment of Infant Cardio Pulmonary Resuscitation (CRP) technical skills performance and motivation for deliberate practice: A pilot study

Aim and Scope

This pilot study will use a prospective randomised mixed methods design to explore the effectiveness of self-motivated infant CPR performance training.

Funder and/or Steering Group

Royal Manchester Children’s Hospital, Stanley Foulds Fund

Project Management Team

Ralph MacKinnon (Royal Manchester Children’s Hospital, UK), Rachel Stoeter, (Stepping Hill Hospital, UK), Terese Stenfors-Hayes (KI) and Todd Chang (Children’s Hospital Los Angeles USA)

Publications and Presentations

Presentation at International Pediatric Simulation Society Meeting, Vancouver 2015

Development of a global CPR life skill’s initiative for high school students

Aim and Scope

The aim is to determine differences in voluntary usage patterns for CPR skills practice, and differences in chest compression performance over time, in the presence of a leaderboard in schools. 

The project further aim to measure social engagement with both healthcare and other schools in the project. This will involve surveying participants and school careers teachers/tutors at the end of the project to determine motivations and future aspirations and then as the project grows with more schools participating over time, mapping students that have entered healthcare education or employment. 

Funder and/or Steering Group

Health Education England

Project Management Team

Ralph MacKinnon (Royal Manchester Children’s Hospital, UK), Rachel Stoeter, (Stepping Hill Hospital, UK), Terese Stenfors-Hayes (KI) and Todd Chang (Children’s Hospital Los Angeles USA)

Evaluation of improvements supported by quality-registers

Aim and Scope

The aim is to evaluate a program for clinicians aiming to increase the use of quality registry data in continuous improvement processes. Data is gathered using observations, document analysis, interviews and questionnaires.

Funder and/or Steering Group

Styrgruppen för Nationella Kvalitetsregister

Project Management Team

Terese Stenfors-Hayes, Helena Hvitfeldt Forsberg and Johan Thor (KI)

Publications and Presentations

Coaching Data-Driven Healthcare Improvement: Microsystemfestivalen, februari 2014

Att mäta och förbättra vårdens kvalitet med hjälp av kvalitetsregister – framgångar, utmaningar och möjligheter, Nationella kvalitetsregisterkonferensen januari 2015

Facilitating learning and conveying information: Does it matter if the learner is a patient of a trainee?

Aim and Scope

The aim of the project is to explore how physicians conceptualize key aspects of teaching patients and teaching trainees.

Thirty physicians from four specialties (Internal Medicine, Surgery, Pediatrics, and Psychiatry) and Family Medicine will be interviewed and the data analyzed using a phenomenographic approach. By defining commonalities, as well as differences between the ways in which the two domains are conceptualized and enacted, we intend to begin the work of a program of research intended to enhance the instruction and assessment of the CanMEDS scholar role and the communicator role and thereby open up new avenues for improving the training.

Funder and/or Steering Group

CanMEDS Research and Development Grant, Royal College of Physicians and Surgeons of Canada

Project Management Team

Terese Stenfors-Hayes, Ian Scott (University of British Columbia (UBC)), Laura Nimmon (UBC), Ravi Sidhu (UBC), Paris-Ann Ingledew (UBC), Summer Telio (UBC) and Joanna Bates (UBC)

Publications and Presentations

Nimmon, L., Stenfors-Hayes, T. The “Handling” of Power in the Physician-patient Encounter: Perceptions from Experienced Physicians. Submitted

Stenfors-Hayes, T, Scott, I., Bates, J. Separate Domains or Common Concepts: Physicians’ Ways of Understanding Teaching Patients and Trainees. Submitted

Stenfors-Hayes, T., Scott, I., Iqbal, I., Bates, J. Family medicine preceptors’ ways of conceptualizing patient counseling. Oral presentation. Ottawa Conference on Assessment and Evaluation, Ottawa, 2014

Stenfors-Hayes, T, Scott, I. Bates, J. (2013) Doctors Teaching Patients and Trainees: finding common ground, AMEE, Prague.

Residents’ experiences with research during their post-graduate training

Aim and Scope

The aim of the project is to explore residents’ experiences as participants in medical education research studies.

Interviews with residents will be conducted and the findings used to develop a survey. The study is conducted at the University of Toronto and will involve residents in the core Internal Medicine, Pediatrics and General Surgery programs (n=310).

Funder and/or Steering Group

Royal College of Canada

Project Management Team

Luke A. Devine (University of Toronto (UofT)), Shiphra Ginsburg (UofT), Terese Stenfors-Hayes, Tulin Cil (UofT), Catharine M. Walsh (UofT), Heather McDonald-Blumer (UofT), and Lynfa Stroud (UofT)

Through the eyes of the beholder: Understanding physicians’ conceptions of childhood obesity to support continuous professional development

Aim and Scope

The aim of the project is to provide a knowledge base that will support the development of effective continuing education for Canadian pediatricians with obese patients.

The study is a phenomenographic exploration of the different ways in which physicians in Toronto understand childhood obesity. Data collection is aimed at identifying paediatricians’ constructions of the etiology of obesity, how obesity impacts their practice and their views on the treatment and management of patients with obesity.

Funder and/or Steering Group

Continuing Education Research and Development Awards, University of Toronto

Project Management Team

Nicole Woods (UofT), Maria Mylopoulos (UofT), Stephanie Lapinsky (UofT), and Terese Stenfors-Hayes

Publications and Presentations

Through the eyes of the beholder: Understanding physicians’ conceptions of childhood obesity, Canadian, Conference on Medical Education, Vancouver, April 2015.

PhD projects

An exploration of the use of a health care advocacy tool and cognitive aid implementation to improve the care of traumatically injured children (PhD project)

Aim and Scope

The aim of this project is to explore across all potential team members three significant clinical problems in the care of traumatically injured children: a) the absence of self-reflection leading to change in practice, b) the lack of sustained learning and c) performance of key management issues.

This project explores the use and evaluation of a healthcare advocacy tool designed to develop health system readiness to improve and sustain team performance and introduce change to healthcare systems.

Funder and/or Steering Group

Health Education England Fore-runner Grant

Project Management Team

Ralph MacKinnon (Royal Manchester Children’s Hospital, UK), Chris Kennedy (Mercy Children’s Kansas City, USA), Dr Michael Shepherd (Starship Children's NZ), Joanne Cole (Starship Children's NZ), Marc Auerbach (Yale Children's USA), Todd Chang (Children's Hospital Los Angeles USA) & Vinay Nadkarni (Children's Hospital of Philadelphia USA), Karin Pukk Härenstam, Ulrica von Thiele Schwarz and Terese Stenfors-Hayes

Patients’ perceptions of care and measures of safety in a multidisciplinary person-centered clinic (PhD project)

Aim and Scope

The aim of the project is to explore the care provided at a new integrated outpatient clinic (for persons with Patents with concomitant cardiovascular disease, renal dysfunction and diabetes) using a framework of person centered care and to furthermore evaluate the clinic from a patient safety perspective.

This PhD project represents one of the research projects that are part of this larger study.

Project Management Team

Gudrun Evén (Danderyds Sjukhus (DS)), Magnus von Arbin (DS), Terese Stenfors-Hayes, Åsa Franzén-Dahlin (DS), Jonas Spaak (DS)

Understanding, valuing and enhancing the role of clinicians who teach (PhD project)

Aim and Scope

This multi-centre study aims to explore experienced clinicians’ views on their role as educators:  how these roles are (and could be) supported, valued and enhanced by those responsible for postgraduate training within medical schools.

Funder and/or Steering Group

NHS Education for Scotland

Project Management Team

Drs Michael Ross (Edinburgh University), Terese Stenfors-Hayes (KI) and Lindsey Pope (University of Glasgow)

Master’s projects

Clinical supervisors’ experiences of trust (Master’s project)

Aim and Scope

The aim with the study is to explore different perspectives on trust and entrustable activities among

clinical supervisors at a Swedish acute hospital. Even though clinical supervisors are well aware of the importance of challenging their students as a way to stimulate learning there is a large variation among clinical supervisors regarding the reasons why and when they let the students perform patient interventions. Interviews with clinical supervisors will be conducted. A corresponding project has been conducted in California.

Project Management Team

Pernilla Lundh and Terese Stenfors-Hayes (KI&SLL)

Publications and Presentations

Karen E. Hauer (University of California, San Fransisco (UCSF),Sandra K. Oza(UCSF), Jennifer R. Kogan (UCSF), Corrie A. Stankiewicz (UCSF), Stenfors-Hayes, T., ten Cate, O. (UCSF), Batt, J., O’Sullivan, P (UCSF). How clinical supervisors form trust in their trainees: a qualitative study. In Press.

Medical students’ feedback regarding their clinical learning environment in primary health care (Master’s project)

Aim and Scope

The aim of the project is to explore medical students’ perceptions of the clinical learning environment in primary health care, and how their perceptions vary at different stages of the education.

Free text comments from course evaluations (using the Clinical Learning Environment and Supervision instrument) are being analyzed using qualitative content analysis.

Project Management Team

Helena Salminen and Terese Stenfors-Hayes (KI)

Publications and Presentations

Salminen, H., Stenfors-Hayes, T. (2015) Medical students’ perceptions of their clinical learning environment in primary healthcare at different stages of the education. Conference abstract AMEE

Completed projects

Evaluation of the project Future education leaders (autumn 2015)

Aim and Scope

To evaluate the one year project Future education leader, a program for teachers and researchers at Karolinska Institutet with leading rolls and different responsibilities in the first cycle and second cycle education. The overall objective for the program was to ensure the future supply of scientifically qualified educational leaders in order to achieve high quality. 

Funder and/or Steering Group

The Board of Higher Education at Karolinska Institutet 

Project Manager

Linda Sturesson

Evaluation of progress tests used in the general practice specialty training

Aim and Scope

The aim of the project is to evaluate the attitudes towards progress testing during the general practice specialty training.

Residents are introduced to the concept of progress testing and are asked to fill out a questionnaire Results will be analyzed regarding the motivation to learn, reactions to being tested by using progress testing and the feeling of usefulness in self-directing the specialty training. 

Project Management Team

Remy Waardenburg, Aleksandra Bujacz and Terese Stenfors-Hayes (KI&SLL)

Quality assurance and evaluation plan for post graduate education

Aim and Scope

The aim of the project was to develop a process for evaluation and quality assurance of the graduate education programs at Karolinska Institutet.

Funder and/or Steering Group

The Board of Research Education

Project Management Team

Terese Stenfors-Hayes and Linda Sturesson (KI)

Working with health promotion using Lean

Aim and Scope

The aim of the project was to examine the effects of the integration of health promotion, occupational health work and Kaizen.

The various units at a county hospital were matched based on type of unit (e.g. opening hours, acute or non-acute care), size and working processes involving Kaizen. The intervention units were then randomly chosen from the matched pairs. The project used multi method approach, whereby different types of data are collected through interviews, questionnaires and observations. The project’s effects on health, work environment, productivity and efficiency were studied using validated questionnaires. In addition, the Kaizen notes from 2009 and forward from all departments were analysed.

Funder and/or Steering Group

AFA Trygghetsförsäkring

Project Management Team

Terese Stenfors-Hayes, Hanna Augustsson, Henna Hasson, Monica Nyström, Ulrica von Thiele Schwarz (KI)

Publications and Presentations

Astnell, S., von Thiele Schwarz, U., Augustsson, H., Hasson, H., Stenfors-Hayes, T. Integrating health promotion with quality improvement in a Swedish hospital. Health promotion International. Minor Revisions

von Thiele Schwarz, U., Augustsson, H,. Hasson, H., Stenfors-Hayes T. (2015) Promoting employee health by integrating health protection, health promotion and continuous improvements- A longitudinal quasi-experimental intervention study. Journal of Occupational and Environmental Medicine 57(2):217-25.

Augustsson, H., von Thiele Schwarz, U., Stenfors-Hayes, T., Hasson, H. (2013) Investigating Variations in Implementation Fidelity of an Organizational-Level Occupational Health Intervention International Journal of Behavioural Medicine, online ahead of print

Stenfors-Hayes, T., Hasson, H., Augustsson, H., Hvitfeldt Forsberg,H., von Thiele Schwarz, U. (2013). Merging occupational health, safety and health promotion with Lean: an integrated systems approach (the LeanHealth project). In Biron, C., Burke, R., Cooper, C. (Eds.) Creating Healthy Workplaces: Stress Reduction, Improved Well-being, and Organizational Effectiveness. Gower Series on Psychological and Behavioural Aspects of Risk.

von Thiele Schwarz, U., Stenfors-Hayes, T., Augustsson, H., Hasson, H. (2013) Lean som utgångspunkt för hälsofrämjande arbete. In Sederblad, P. (ed.) Japanska produktionssystem och Lean production Liber Förlag.

A quality assurance plan for first- and second-cycle courses and study programs

Aim and Scope

The aim of the project was to develop a plan for quality assurance of first- and second-cycle courses and study programs at Karolinska Institutet. This plan provides regulations for quality assurance procedures, functions as a guideline for boards or departments and supports teachers during quality enhancement activities.

Funder and/or Steering Group

The Board of Education

Project Management Team

Terese Stenfors-Hayes, Anna Bonnevier, Aleksandra Bujacz and Linda Sturesson (KI)

Publications and Presentations

Handlingsplan för kvalitetsutvärdering på grundnivå och avancerad nivå

Development and validation of a mandatory course evaluation questionnaire

Aim and Scope

The aim of the project was to develop, implement and validate a mandatory course experience questionnaire to be used by all first- and second cycle courses at Karolinska Institutet. The content of the questionnaire should address important strategic areas and the tool provide opportunities for comparisons between and within courses. 

Funder and/or Steering Group

The Board of Education

Project Management Team

Terese Stenfors-Hayes, Anna Bonnevier, Aleksandra Bujacz and Linda Sturesson (KI)

Publications and Presentations

Handlingsplan för kvalitetsutvärdering på grundnivå och avancerad nivå

Employees’ experiences of how work environment and patient care were influences by changes in scheduling of physicians

Aim and Scope

The aim of the project was to investigate how employees at the Orthopedic Clinic experienced their work environment and care of patients as influenced by changes in the orthopedic doctors working schedule.

Interviews were conducted with staff members at the clinic and based on the findings, a questionnaire was developed and distributed to all staff members.

Funder and/or Steering Group

Sari Ponzer, Operations Manager of the Orthopedic Clinic at Södersjukhuset

Project Management Team

Terese Stenfors-Hayes and Anna Bonnevier (KI)

Publications and Presentations

Report 2014

An exploratory study of a multidisciplinary chronic kidney disease clinic

Aim and Scope

The aim of the project was to expand the understanding of multidisciplinary care in chronic disease management and systems flow.

In this study the day-to-day activities of the clinic was observed, focusing on how health care professionals interacted with one another, patients, families and caregivers in order to understand clinical relationships emerge in this setting.

Funder and/or Steering Group

SFU’s Community Trust Endowment Fund.

Steering group: LiVWELL Research Group, which is an interdisciplinary chronic disease research team bridging researchers with diverse backgrounds and disciplinary skill sets, ranging from Health Sciences, Kinesiology and Gerontology to Sociology and Geography.

Project Management Team

Terese Stenfors-Hayes and Helen Kang (Simon Fraser University, Canada)

Publications and Presentations

Kang, H., Stenfors-Hayes, T. Feeling Well and Having Good Numbers: Renal patients' encounter with clinical uncertainties and the responsibility to "live well". In press

Stenfors-Hayes, T., Kang, H. (2014) Boundaries, Gaps and Overlaps: Defining roles in a multidisciplinary nephrology clinic. Journal of Multidisciplinary Healthcare 2014:7 471–477

Distance course format and campus course format in specialist training of nurses: What are the differences and similarities?

Aim and Scope

The aim of the project was to compare differences and similarities between a course given in two different formats: as a distance part-time course and as a regular campus based full-time course. The quality of the course was measured in reference to the expectations and regulations of the National Agency for Higher Education.

Funder and/or Steering Group

The Specialist Nursing Study Program

Project Management Team

Anna Bonnevier and Hans Hindbeck (KI)

Publications and Presentations

Please contact Anna Bonnevier for a copy of the report.

Evaluation of a mentorship program for dental students

Aim and Scope

The aim of the project was to evaluate the mentor program, a part of the undergraduate dentist program. The evaluation included both student and mentor perspective.

Project Management Team

Terese Stenfors-Hayes, Lars-Erik Lindgren Lena Boman and Sofia Traneaus (KI)

Publications and Presentations

Stenfors-Hayes, T., Lindgren, L-E., Traneaus, S. (2011) Perspectives on being a mentor for undergraduate Dental students. European Journal of Dental Education 15(3):153-158.

Assessment criteria for the examination of manual skills

Aim and Scope

The aim of the project was to develop assessment criteria to be used in examination and training. Interviews were conducted with students and faculty in dentistry.

Funder and/or Steering Group

KI pedagogiska projektmedel 2010

Project Management Team

Anna Hartman and Terese Stenfors-Hayes (KI)

Longitudinal Clinical Medical Education (Samläk)

Aim and Scope

The aim of the project was to investigate aspects of a longitudinal clinical medical education as an arena for medical education.

Funder and/or Steering Group

ALF funding/Samläk-project steering committee, Karolinska Institutet, Södersjukhuset

Project Management Team

Sari Ponzer, Margaretha Forsberg Larm, Uffe Hylin, Susanne Kalén, Anna Bonnevier, Terese Stenfors-Hayes and Hans Hindbeck (KI&SLL)

Publications and Presentations

Samläk: Sammanhållen klinisk läkarutbildning vid KI SÖS Projektrapport 2009

Evaluation