Research & Collaboration in LLiHCC

Our research in Lifelong Learning in Health Care Contexts seeks to increase our common understanding of how the complex phenomenon of learning takes place and how it can best be supported at all levels, from the individual student, teacher or patient to the organisation or larger educational context.

Our topics of interest can be grouped into four main areas based on four different types of agents:

  • Students
  • Health care professionals (including clinical teachers)
  • Patients
  • Organisations (including quality improvement)

Find out more about the members in our group, PhD projects or see a selection of recent publications .

Student Learning and Teaching

Research in student learning may include the exploration of questions regarding student understanding and experiences; assessment; learning environments; and curriculum development. Our current projects within this field are listed below.

Students' perception and experience of their clinical learning environment, health-related quality of life and stress - a multidisciplinary study

This project aims at identifying factors that are central to a favourable clinical learning environment for physicians, speech therapists, physiotherapists and nursing students. The students' perception of the clinical learning environment will be examined in particular in relation to inter-professional collaboration, clinical supervision and experience of life quality and stress. The project is cross-sectional, combining quantitative and qualitative methods.

Stockholm County Council (ALF project).

Project team:
Per Palmgren, Terese Stenfors, Riitta Möller, Malin Sellberg, Malin Nygren-Bonnier, Per Östberg and Sari Ponzer (all Karolinska Institutet)

Course evaluations

Course evaluation surveys are an integral part of the improvement of higher education, and thus, it is of outmost importance to make sure that instruments are of high quality, reliable and valid.

Within this project we set out to investigate the validity of course evaluation surveys by using multilevel modelling, analysis of response rates and response rate biases as well as analysing open comments with statistical methods.

Project team:
Louise Bergman, Aleksandra Bujacz, Zoe Säflund (all Karolinska Institutet).

Focusing on contents - Threshold concepts as a strategy to support teaching and learning during vocational training

The aim of the project is to improve the quality of teaching and learning during vocational education in medicine and speech therapy by identifying and exploring knowledge, skills and approaches that are crucial to the clinical practice of the medical doctor and/or the speech therapist, but that are difficult for students to develop a deep understanding of and/or difficult for students to transfer from theoretical education to practical work in health care. These key or threshold concepts must be given particular attention in teaching, supervision and examination, both at university and during clinical training.

Stockholm County Council (ALF project).

Project team:
Anna Bonnevier, Peter Henriksson, Charlotte Leanderson, Riitta Möller, Terese Stenfors, Per Östberg (Karolinska Institutet and Stockholm County Council).

Call the on call – an ethnographic study of students’ experiences of a new learning activity at an interprofessional training ward

This project explores what happened when a new learning activity was introduced in which medical students left the interprofessional team to be on call in the evening. Using an ethnographic design employing participant observation, a researcher took field notes and interviewed several of the students as well as staff over the course of four weeks. Survey data as well as reflective notes were collected and analysed.

Project team:
Josefin Ivarsson, Lana Zelic, Eva Samnegård, Anders Sonden, Klara Bolander Laksov (all Karolinska Institutet).

The patient - a resource and collaborator in medical student’s professional development

This project aims to explore how patients can be more actively involved in medical students’ education, in order to facilitate students’ communication skills and patient centeredness. In the project, a survey instrument for patient feedback will be developed; the project will also gather data through interviews.

Stockholm County Council (ALF project).

Project team:
Karin Björklund, Charlotte Leanderson, Gunnar Nilsson and Terese Stenfors (all Karolinska Institutet)

The learning environment, student learning and the supervisors’ role on a student unit on an acute ward

The study aims to explore and describe what characterises the learning that takes place on a student unit in an acute healthcare setting, with a focus on student nurses. The project uses a mixed methods approach with observations, interviews and survey.

Stockholm County Council (ALF project).

Project team:
Anna Dyar, Anna Kiessling, Hanna Lachmann and Terese Stenfors (all Karolinska Institutet)

Cross-cultural comparison on doctoral experience

The research project aims to gain a better understanding of the successful doctoral journey by carrying out an international comparison. The focus is on exploring the doctoral experience, and in identifying core regulators of doctoral studies, including risk factors/buffers for attrition and prolonged studies. Both promoting and hindering factors within the doctoral journey will be explored. The KI data set comprises the answers to the Doctoral Experience Survey (Pyhältö, et al., 2012) from 690 doctoral students.

Project team:
Aleksandra Sjöström-Bujacz, Terese Stenfors, Juha Nieminen, and Cormac McGrath (all Karolinska Institutet)

The study is part of a larger project led by Kirsi Pyhältö, University of Helsinki

Lifelong Learning of Health Care Professionals

The research field of lifelong learning and continuous professional development for health care professionals may include research regarding teaching and learning methods (simulation, web-based learning, reflection groups), learning in a particular content area (for example patient safety), leadership, and inter-professionalism.

Some of our current projects are listed below; see the PhD projects page for additional projects.

Understanding, valuing and enhancing the role of clinicians who teach

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 undergraduate education within medical schools.

Scottish Medical Education Research Consortium

Project Team:
Claire MacRae (Edinburgh University) Derek Jones (Edinburgh University), Terese Stenfors (Karolinska Institutet) and Lindsey Pope (University of Glasgow)

Expectations, perceptions and experiences of video-mediated visits in outpatient care

The aim of the study is to understand and identify patients´ and care professionals´ approaches, needs and requirements regarding video-mediated visits for further development of this type of health care consultation. Two clinics at Karolinska University Hospital form the research arena.

Project team:
Linda Sturesson and Kristina Groth (both Karolinska Institutet)

Article about the project: Videobesök ett nytt sätt att möta patienten (Karolina 2016:3)

Care to translate – language barriers at a Swedish emergency department: An Intervention Study

Care to Translate (CTT) is an application developed to tackle language barriers in the health care context; this study aims to explore the possible psychosocial effects of implementing CTT in the routines of an emergency department in Stockholm, Sweden.

This project is part of a larger evaluation study partly funded by KI Innovations

Project Team:
Sivan Menczel and Terese Stenfors (Karolinska Institutet)

Residents’ experiences with research during their post-graduate training

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.

Royal College of Canada

Project team:
Luke A. Devine, Shiphra Ginsburg Tulin Cil, Catharine M. Walsh, Heather McDonald-Blumer, and Lynfa Stroud (all University of Toronto) and Terese Stenfors (Karolinska Institutet).

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

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.

Continuing Education Research and Development Awards, University of Toronto

Project Team:
Nicole Woods (University of Toronto), Maria Mylopoulos (University of Toronto) and Terese Stenfors (Karolinska Institutet)

Development of a Doctoral Supervision Perspectives Questionnaire, DoSPeQ

The aim of this project is to explore how we can better understand the roles taken in doctoral supervision. The development of the Doctoral Supervision Perspectives Questionnaire enables doctoral supervisors to map their perspectives on supervision and reflect upon this perspective.

Project team:
Klara Bolander Laksov, Juha Nieminen (both Karolinska Institutet) and Maria Weurlander (KTH Royal Institute of Technology)

Patient Learning

The research field of patient learning may include research regarding patients’ perceptions, patients’ learning regarding a certain condition or disease, or patient learning via e-tools. Some of our current projects are listed below; further projects are available among the PhD projects.

Patients’ perceptions of care and measures of safety in a multidisciplinary person-centered clinic

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

Stockholm County Council (ALF project), Emil and Wera Cornells Foundation, Signe and Olof Wallenius Foundation and Kamprad Foundation.

Project team:
Gudrun Evén, Magnus von Arbin, Åsa Franzén-Dahlin, Jonas Spaak (all Danderyd Hospital) and Terese Stenfors (Karolinska Institutet)

This PhD project represents one of the research projects that are part of a larger study led by Dr Jonas Spaak.

Organisational Learning

The field of organisational learning includes research on leadership as well as the impact of different parts of the health care organization on learning from a systems perspective. Some of our current projects are listed below; additional projects are listed among the PhD projects.

Taking a systems perspective on clinical supervision and feedback

The aim of the project is to develop clinical supervision of physiotherapy students by taking a systems perspective on clinical supervision. Through a survey to all physiotherapists at one clinic, four enhancement areas were identified. These were targeted through the development of learning materials on feedback, supervisory teams, introductions to new supervisors, and leadership teams. The project is evaluated through focus group interviews with members of staff.

Project team:
Malin Sellberg, Alexandra Halvarsson (both SLL), Agnes Elmberger and Klara Bolander Laksov (both Karolinska Institutet)

Learning analytics

The field of learning analytics utilises medium and large size data sets to study the effects of different educational interventions. Studies may be conducted using randomised controlled trials in digital learning environments to test different approaches to learning. Studies include Modelling feedback in virtual patients, as well as the study of MOOC learners' engagement. Work also includes the design of educational interventions for use in digital contents.

Project team:
Cormac McGrath and Natalia Stathakrou (both Karolinska Institutet), Christian Stöhr (Chalmers), Linda Barman (KTH).