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Hofflander, Malin
Publications (10 of 10) Show all publications
Hofflander, M., Nilsson, L., Eriksén, S. & Borg, C. (2016). Framing the Implementation Process of Video Conferencing in Discharge Planning: According to Staff Experience. Informatics for Health and Social Care, 41(2), 192-209
Open this publication in new window or tab >>Framing the Implementation Process of Video Conferencing in Discharge Planning: According to Staff Experience
2016 (English)In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 41, no 2, p. 192-209Article in journal (Refereed) Published
Abstract [en]

Challenges of improving discharge planning have been an area of concern for many years, including problems related to lack of time for professionals to participate. In a county in South East Sweden, video conferencing was implemented in discharge planning sessions to enable distance participation of the professionals. To examine the implementation process, interviews were conducted with the implementers, who were project leaders, discharge planning coordinators in the hospital, and in home-care. The interviews were analysed qualitatively, using directed content analysis with a deductive approach to a theoretical framework that was composed from theories about implementation processes to be suitable for the healthcare sector, consisting of the factors: implementation objects; implementation actions; actors; users; inner context and outer context. The results of this study are consistent with the framework but with the addition of a new dimension – time, i.e. time to prepare; time to understand; time to run through and time to reflect. It is suggested that implementation frameworks are useful when IT is introduced in healthcare. Framing the implementation process supports the exposure of factors and highlights relationships and states of dependence between those factors which may affect implementation.

Place, publisher, year, edition, pages
Informa Healthcare, 2016
Keywords
Discharge planning, Implementation process, Qualitative study, Video conferencing
National Category
Medical Laboratory and Measurements Technologies
Identifiers
urn:nbn:se:bth-6405 (URN)10.3109/17538157.2015.1008484 (DOI)000371873100007 ()
Available from: 2015-03-03 Created: 2015-03-03 Last updated: 2017-12-04Bibliographically approved
Hofflander, M., Nilsson, L., Eriksén, S. & Borg, C. (2016). Healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions: An interview study. Computers, Informatics, Nursing, 34(3), 108-115
Open this publication in new window or tab >>Healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions: An interview study
2016 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 3, p. 108-115Article in journal (Refereed) Published
Abstract [en]

This article describes healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions as a new tool in everyday practice. Data collection took place through individual interviews and the interviews were analyzed using qualitative content analysis with an inductive approach. The results indicate that managers identified two distinct leadership perspectives when they reflected on the implementation process. They described a desired way of leading the implementation and communicating about the upcoming change, understanding and securing support for decisions, as well as ensuring that sufficient time is available throughout the change process. They also, however, described how they perceived that the implementation process was actually taking place, highlighting the lack of planning and preparation as well as the need for support and to be supportive, and having the courage to adopt and lead the implementation. It is suggested thatmanagers at all levels require more information and training in how to encourage staff to become involved in designing their everyday work and in the implementation process. Managers, too, need ongoing organizational support for good leadership throughout the implementation of video conferencing in discharge planning sessions, including planning, start-up, implementation, and evaluation. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2016
Keywords
content analysis; courage; doctor patient relation; hospital discharge; human; interview; leadership; manager; staff; videoconferencing
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
urn:nbn:se:bth-11866 (URN)10.1097/CIN.0000000000000217 (DOI)000376461700002 ()2-s2.0-84955615698 (Scopus ID)
Available from: 2016-05-03 Created: 2016-05-02 Last updated: 2017-11-30Bibliographically approved
Nilsson, L. & Hofflander, M. (2016). What if it was like a departure lounge at an airport?: eHealth for healthcare staff in a Swedish healthcare organization, a participatory design study. In: Studies in Health Technology and Informatics: . Paper presented at 13th International Conference on Nursing Informatics, NI 2016; Geneva (pp. 923-924). IOS Press, 225
Open this publication in new window or tab >>What if it was like a departure lounge at an airport?: eHealth for healthcare staff in a Swedish healthcare organization, a participatory design study
2016 (English)In: Studies in Health Technology and Informatics, IOS Press, 2016, Vol. 225, p. 923-924Conference paper, Published paper (Refereed)
Abstract [en]

EHealth is implemented in everyday work practice as a tool to improve accessibility and patient participation as well as healthcare efficiency. The aim of this study was to explore healthcare staff’s experiences and ideas about how eHealth ought to be designed to be a useful tool in everyday work practice in a Swedish healthcare organization. Healthcare staff (n= 7) at the micro level in a Swedish healthcare organization, participated in four Participatory Design workshops about eHealth design. eHealth could be a more useful and efficient tool in everyday work practice if it were designed more purposefully for its local setting and intended users, like the information system in ’a departure lounge of an airport’. Including healthcare staff in design discussions concerning eHealth tools for everyday work practice may improve the efficiency of eHealth as an everyday tool and support for healthcare staff.

Place, publisher, year, edition, pages
IOS Press, 2016
Series
Studies in Health Technology and Informatics, ISSN 0926-9630
Keywords
airport; clinical article; doctor patient relation; health care organization; human; information system; telehealth
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-13207 (URN)10.3233/978-1-61499-658-3-923 (DOI)000385238600252 ()2-s2.0-84978745423 (Scopus ID)9781614996576 (ISBN)
Conference
13th International Conference on Nursing Informatics, NI 2016; Geneva
Note

Conference of 13th International Conference on Nursing Informatics, NI 2016 ; Conference Date: 25 June 2016 Through 29 June 2016; Conference Code:122431

Available from: 2016-10-03 Created: 2016-10-03 Last updated: 2017-06-19Bibliographically approved
Hofflander, M. (2015). Implementing video conferencing in discharge planning sessions: leadership and organizational culture when designing IT support for everyday work in nursing practice. (Doctoral dissertation). Karlskrona: Blekinge Tekniska Högskola
Open this publication in new window or tab >>Implementing video conferencing in discharge planning sessions: leadership and organizational culture when designing IT support for everyday work in nursing practice
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis has been to study the implementation process concerning the use of video conferencing in discharge planning, during and after a development project in a region in southeast Sweden. The research approach has been developed within a new interdisciplinary research area, Applied Health Technology. The main focus of the research has been on how the new IT solution has affected everyday work, and in what ways management supported staff during the implementation process. The study design has a qualitative approach. Phenomenological hermeneutics, content analysis and Participatory Action Research (PAR) have been used in the analysis process. Study I aimed to describe  primary healthcare nursing staff’s experiences of discharge planning, along with their concerns about using video conferencing in discharge planning sessions. It was found that there is need for improvement in communication and understanding between nursing staff working in hospitals and in primary healthcare, and need for nursing staff to obtain more information about how IT solutions could support their work. The aim of Study II was to examine the implementation process of using video conferencing in discharge planning, according to a theoretical framework composed from theories about implementation processes. It was found that implementation frameworks can be useful, and that framing the implementation process supports the exposure of factors and highlights relationships and states of dependency between those factors which may affect implementation. Study III set out to describe managers’ reflections about leading the implementation process of using video conferencing in the discharge planning session. The results indicate that managers experienced two leadership perspectives when they reflected on the implementation process. On one hand, they described a desired way of leading implementation, on the other hand they described an actual way of leading implementation. The aim of Study IV was to describe the reflections of professionals about what is needed in order to create what should become a new best practice using videoconferencing in the discharge planning sessions. The results indicate that the professionals experienced lack of knowledge and understanding about each other’s everyday work and that the absence of well-functioning common routines obstructed the process. The results also indicate that there is a lack of common arenas to enable discussions, negotiations and agreements about adopting new routines as the discharge planning process changes over time. This thesis contributes to the much-needed discussions about how to manage the many ongoing IT implementation processes in Swedish healthcare organizations, by highlighting challenges and difficulties that both healthcare professionals and managers have experienced during an implementation process. The results indicate that implementation frameworks can be useful when new IT solutions are introduced in healthcare, and that there is a need for dedicating time, space and support for involved professionals in designing their everyday work.

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2015. p. 87
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 7
Keywords
Applied health technology, Discharge planning, Healthcare, Implementation, IT solutions, Video conferencing, Qualitative research
National Category
Other Health Sciences
Identifiers
urn:nbn:se:bth-774 (URN)978-91-7295-304-8 (ISBN)
Public defence
2015-06-05, J1610, Campus Gräsvik, Karlskrona, 13:15
Opponent
Supervisors
Available from: 2015-06-04 Created: 2015-06-04 Last updated: 2015-08-03Bibliographically approved
Eriksen, S., Georgsson, M., Hofflander, M., Nilsson, L. & Lundberg, J. (2014). Health in Hand: Putting mHealth Design in Context. In: 2014 IEEE 2ND INTERNATIONAL WORKSHOP ON USABILITY AND ACCESSIBILITY FOCUSED REQUIREMENTS ENGINEERING (USARE): . Paper presented at 2nd IEEE International Workshop on Usability and Accessibility Focused Requirements Engineering (UsARE), 2014, SWEDEN (pp. 36-39).
Open this publication in new window or tab >>Health in Hand: Putting mHealth Design in Context
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2014 (English)In: 2014 IEEE 2ND INTERNATIONAL WORKSHOP ON USABILITY AND ACCESSIBILITY FOCUSED REQUIREMENTS ENGINEERING (USARE), 2014, p. 36-39Conference paper, Published paper (Refereed)
Abstract [en]

Wireless technologies, cloud computing and connectivity have enabled mobile services that extend the coverage of health services, resulting in a branch of eHealth now commonly referred to as mHealth. However, at least in Sweden, where the healthcare sector is heavily institutionalized and regulated, mHealth has so far mainly evolved in the form of applications for support of healthy life-style and self-management of chronic diseases, implemented outside of the firewalls of traditional healthcare delivery environments. In this paper we present an on-going Indo-Swedish research and development project in which we are putting mHealth design into context both from a patient's perspective and from the perspective of a healthcare team working within a professional healthcare organization. Our research approach is inspired by the Scandinavian tradition of Participatory Design of ICT and informed by studies of how to measure usability, user experience and impact of mHealth interventions. The involved research teams are multi-disciplinary, including researchers from engineering, computing and health sciences. The project includes, on the Swedish side, a partner from the public healthcare sector, three SME:s and an industrial partner who is currently providing Electronic Patient Record and other healthcare information system solutions and who is interested in developing mobile solutions for healthcare professionals. We are currently in the process of collaborative articulation and specification of problems, goals and requirements within the framework of the first Swedish case study of the project, focused on mobile support for patients with diabetes type 2 and their healthcare teams.

Series
International Workshop on Usability and Accessibility Focused Requirements Engineering, ISSN 2334-3109
Keywords
Interaction design, mHealth, usability, accessibility, participatory design
National Category
Human Computer Interaction Health Sciences
Identifiers
urn:nbn:se:bth-10858 (URN)000360826800007 ()978-1-4799-6352-2 (ISBN)
Conference
2nd IEEE International Workshop on Usability and Accessibility Focused Requirements Engineering (UsARE), 2014, SWEDEN
Available from: 2015-10-20 Created: 2015-10-20 Last updated: 2018-01-11Bibliographically approved
Eriksén, S., Lundberg, J., Georgsson, M., Nilsson, L., Hofflander, M. & Borg, C. (2014). Transforming Healthcare Delivery: ICT Design for Self-Care of Type 2 Diabetes. In: : . Paper presented at Nordic Conference on Human-Computer Interaction (NordiCHI). Helsinki: ACM
Open this publication in new window or tab >>Transforming Healthcare Delivery: ICT Design for Self-Care of Type 2 Diabetes
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2014 (English)Conference paper, Published paper (Refereed)
Abstract [en]

In this position paper we present an on-going case study where the aim is to design and implement mobile technologies for self-care for patients with type 2 diabetes. The main issue we are addressing in this paper is how to bridge clinical and non-clinical settings when designing self-care technologies. Usability, User Experience and Participatory Design are central aspects of our research approach. For designing with and for patients in home settings and everyday life situations, this approach has so far not been problematic. However, when it comes to designing with and for user groups located within a large healthcare organization, in a highly institutionalized clinical setting, the situation is different. We have recently introduced the Health Usability Maturity Model (UMM) to our project partners as a potential tool for bringing usability and participa-tory design issues to the fore as strategic assets for transforming healthcare delivery with ICT.

Place, publisher, year, edition, pages
Helsinki: ACM, 2014
National Category
Medical Laboratory and Measurements Technologies
Identifiers
urn:nbn:se:bth-6577 (URN)oai:bth.se:forskinfoEA3E2153964225F5C1257D5E00456FFD (Local ID)oai:bth.se:forskinfoEA3E2153964225F5C1257D5E00456FFD (Archive number)oai:bth.se:forskinfoEA3E2153964225F5C1257D5E00456FFD (OAI)
Conference
Nordic Conference on Human-Computer Interaction (NordiCHI)
Available from: 2014-11-11 Created: 2014-09-25 Last updated: 2017-01-13Bibliographically approved
Hofflander, M., Nilsson, L., Borg, C. & Eriksén, S. (2014). Video Conference as a Tool to Enable Participation in Discharge Planning – Experiences From Implementers about the Implementation Process. In: : . Paper presented at HICSS47, Waikoloa, Hawaii. IEEE
Open this publication in new window or tab >>Video Conference as a Tool to Enable Participation in Discharge Planning – Experiences From Implementers about the Implementation Process
2014 (English)Conference paper, Published paper (Refereed)
Abstract [en]

The problems and challenges that arise in the task of improving discharge planning have been an area of concern for many years, including problems related to the lack of time for professionals to participate. In a county council area in South East Sweden, video conferencing was implemented in discharge planning sessions to enable distance participation. As part of a larger research study of the implementation process, interviews were conducted with two of the implementers. The interviews were analysed qualitatively, using directed content analysis with a deductive approach to considering a framework developed by Nilsen et al. The results of this study are consistent with the actual framework but with the addition of time, i.e. time to prepare, time to understand, time to run through and time to reflect. Further research is proposed to focus more on leadership during the implementation process and its influence on the meaning of time.

Place, publisher, year, edition, pages
IEEE, 2014
National Category
Medical Laboratory and Measurements Technologies
Identifiers
urn:nbn:se:bth-6445 (URN)10.1109/HICSS.2014.332 (DOI)000343806602095 ()9781479925049 (ISBN)
Conference
HICSS47, Waikoloa, Hawaii
Available from: 2015-01-02 Created: 2014-09-25 Last updated: 2017-03-14Bibliographically approved
Hofflander, M., Lina, N., Sara, E. & Christel, B. (2013). Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study. Journal of Nursing Education and Practice, 3(1), 88-98
Open this publication in new window or tab >>Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study
2013 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 1, p. 88-98Article in journal (Refereed) Published
Abstract [en]

Background/Objective: This paper sets out to describe experience-based reflections on discharge planning as narrated by nursing staff in primary healthcare, along with their concerns about how the introduction of video conferencing might influence the discharge planning situation. Methods: Interviews were conducted with nursing staff working at a primary healthcare centre in South East Sweden. Each interview took place was conducted on a one-to-one basis in dialogue form, using open questions and supported by an interview guide. It was then analysed using a phenomenological hermeneutic method. Participants were eligible for the study if they had given their informed consent and if they worked with discharge planning and home-based healthcare provision. In total, 10 of the 30 persons working at the primary healthcare centre participated in the study. Results: It was found that nursing staff in primary healthcare regarded the planning session as stressful, time-consuming and characterised by a lack of respect between nursing staff at the hospital and nursing staff in primary healthcare. They also described uncertainty and hesitation about using video conferences where patients might probably be the losers and nursing staff the winners. Conclusions: It is suggested that there is a need for improvement in communication and understanding between nursing staff at the hospital and nursing staff in primary healthcare in order to develop discharge planning. There is also a need for the nursing staff in primary healthcare to obtain more information about how Information Technology (IT) solutions could support their work and help them to find ways to collaborate.

Place, publisher, year, edition, pages
Sciedu Press, 2013
Keywords
Discharge planning, Healthcare, Information technology (IT), Nursing staff, Phenomenological hermeneutical, Video
National Category
Computer Sciences Nursing
Identifiers
urn:nbn:se:bth-7073 (URN)oai:bth.se:forskinfo39A917A3F639D3F6C1257AD30049414C (Local ID)oai:bth.se:forskinfo39A917A3F639D3F6C1257AD30049414C (Archive number)oai:bth.se:forskinfo39A917A3F639D3F6C1257AD30049414C (OAI)
Note

Open Access Journal

Available from: 2012-12-17 Created: 2012-12-13 Last updated: 2018-01-11Bibliographically approved
Nilsson, L., Hofflander, M., Eriksén, S. & Borg, C. (2012). The importance of interaction in the implementation of information technology in health care: A symbolic interactionism study on the meaning of accessibility. Informatics for Health and Social Care, 37(4), 277-290
Open this publication in new window or tab >>The importance of interaction in the implementation of information technology in health care: A symbolic interactionism study on the meaning of accessibility
2012 (English)In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 37, no 4, p. 277-290Article in journal (Refereed) Published
Abstract [en]

A challenge when groups from different disciplines work together in implementing health information technology (HIT) in a health-care context is that words often have different meanings depending upon work practices, and definition of situations. Accessibility is a word commonly associated with HIT implementation. This study aimed to investigate different meanings of accessibility when implementing HIT in everyday work practice in a health-care context. It focused on the perspective of nurses to highlight another view of the complex relationship between HIT and information in a health-care context. This is a qualitative study influenced by institutional ethnographic. District nurses and student nurses were interviewed. The results indicate that when implementing HIT accessibility depends on working routines, social structures and patient relationship. The findings of the study suggest that interaction needs to take on a more important role when implementing HIT because people act upon words from the interpreted meaning of them. Symbolic interactionism is proposed as a way to set a mutual stage to facilitate an overall understanding of the importance of the meaning of words. There is a need for making place and space for negotiation of the meaning of words when implementing HIT in everyday work practice.

Place, publisher, year, edition, pages
London : Informa Healthcare, 2012
Keywords
co-constructed meaning of words, everyday work practice, health information technology, institutional ethnography, symbolic interactionism
National Category
Computer Sciences Nursing Sociology
Identifiers
urn:nbn:se:bth-7012 (URN)10.3109/17538157.2012.710683 (DOI)000311838500007 ()oai:bth.se:forskinfo94BD858638C427F0C1257AD30048DA2B (Local ID)oai:bth.se:forskinfo94BD858638C427F0C1257AD30048DA2B (Archive number)oai:bth.se:forskinfo94BD858638C427F0C1257AD30048DA2B (OAI)
Available from: 2013-03-07 Created: 2012-12-13 Last updated: 2018-01-11Bibliographically approved
Nilsson, L., Borg, C., Hofflander, M. & Eriksén, S. (2010). PD 3.1 to the rescue: Challenges for Participatory Design in a health care context. Paper presented at 11th Biennial Participatory Design Conference. Paper presented at 11th Biennial Participatory Design Conference. Sydney: ACM
Open this publication in new window or tab >>PD 3.1 to the rescue: Challenges for Participatory Design in a health care context
2010 (English)Conference paper, Published paper (Refereed) Published
Abstract [en]

A National Strategy for E-health has been introduced in Swedish county councils. The strategy indicates that health care needs to become more accessible. To generate usable and sustainable e- Health solutions in Swedish health care, Participatory Design (PD) was introduced as a working method in an e-Health project in the south of Sweden. The project has met with opposition; e-health solutions are not exactly what Swedish health care wanted at the same time as different arenas within the health care organization have difficulties understanding each other. The aim of this study is to find work methods that result in applicable, usable, and sustainable ICT- solutions in every day work within Swedish health care. The study suggests that a modification of third generation of PD may be one way to the challenges PD has come across in the health care context.

Place, publisher, year, edition, pages
Sydney: ACM, 2010
Keywords
E-Health, Methodology, Participatory design
National Category
Computer Sciences
Identifiers
urn:nbn:se:bth-7499 (URN)10.1145/1900441.1900501 (DOI)oai:bth.se:forskinfoFFE112E06CB9A909C12578BE0030AA04 (Local ID)978-145030131-2 (ISBN)oai:bth.se:forskinfoFFE112E06CB9A909C12578BE0030AA04 (Archive number)oai:bth.se:forskinfoFFE112E06CB9A909C12578BE0030AA04 (OAI)
Conference
11th Biennial Participatory Design Conference
Available from: 2012-09-18 Created: 2011-06-29 Last updated: 2018-01-11Bibliographically approved
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