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The usage of web-based national guidelines for child healthcare: A web analytic study
Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.ORCID-id: 0000-0001-9870-8477
Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.ORCID-id: 0000-0003-4312-2246
2018 (Engelska)Ingår i: Artikel i tidskrift (Refereegranskat) Submitted
Abstract [en]

The development and dissemination of information- and communication technologies in healthcare is rapid. The purpose of web-based national guidelines is to support professionals in everyday work providing equivalent, safe and qualitative healthcare. Web-based national guidelines are often not implemented effectively in healthcare why studies reflecting different aspects of use and implementation is needed. The aim of this study was to investigate the usage of web-based national guidelines for child healthcare, Rikshandboken i barnhälsovård. In this case study with cross-sectional design, usage pattern of the web-based guidelineswas studied for one year using the web analytic tool, Google Analytics. The usage data were analysed with descriptive statistics. The study showed the general usage pattern of RHB, changes in usage through the year and various usage pattern in different user groups. The usage of RHB had increased, the web-based guidelines was used in all county councils/regions and the most common visited web-page was the new national child healthcare programme. This tendency suggests a positive direction towards the RHB aim to contribute to equal , equitable and high-qualitative CHC.The result also showed the importance to study different user groups as the usage pattern differs. This provide valuable knowledge in the development of web-based national guidelines making them useful and relevant for all its users. 

Ort, förlag, år, upplaga, sidor
2018.
Nyckelord [en]
National guidelines, information and communication technology, child healthcare, user experiences, user engagement, Google Analytics
Nationell ämneskategori
Teknik och teknologier Omvårdnad
Identifikatorer
URN: urn:nbn:se:bth-17323OAI: oai:DiVA.org:bth-17323DiVA, id: diva2:1264558
Tillgänglig från: 2018-11-20 Skapad: 2018-11-20 Senast uppdaterad: 2018-12-13Bibliografiskt granskad
Ingår i avhandling
1. Implementation and use of Web-based National Guidelines in Child Healthcare
Öppna denna publikation i ny flik eller fönster >>Implementation and use of Web-based National Guidelines in Child Healthcare
2019 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

In Sweden, child healthcare (CHC) is an important health promotion setting, providing universal and targeted interventions. High demands on child healthcare and the competences of CHC nurses, highlight the importance of access to supportive web-based guidelines in everyday work. The implementation of web-based guidelines is affected by various factors and can be challenging. The Swedish Rikshandbokenis national guidelines for CHC that are in the process of being implemented. The overall aim of this thesis was to investigate the CHC provided in Sweden before the implementation of the national CHC programme, and the implementation and usage of web-based national guidelines for CHC. Study Iaimed to investigate whether the Swedish CHC programme was equal and which methods for health surveillance the county councils offered. A web-survey distributed to CHC coordinators was used, and the data were analyzed with descriptive statistics. Study IIaimed to investigate how nurses in CHC use Rikshandboken and factors affecting its use. A web survey was used and analysed using descriptive and analytical statistics. Study IIIaimed to investigate CHC coordinators´ experiences of being a facilitator in the implementation of a new national CHC programme in the form of a web-based guide. Focus group interviews via Skype for Business were conducted and analyzed using qualitative content analysis. Study IVaimed to examine CHC nurses´ use and ways of understanding the national web-based guidelines, Rikshandboken. A mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistics followed by telephone interviews with phenomenographic analysis. Study Vaimed to investigate the usage of the national web-based guidelines, Rikshandboken. The data were collected from Google Analytics, and analyzed using descriptive statistics. The results of the studies show that Rikshandbokenis widely used and that its usage has increased. CHC nurses are generally satisfied with the website and emphasizes the importance of national guidelines for CHC. Factors needed to be developed to improve Rikshandbokenwere suggested as well as prerequisites that are needed in the local context to use Rikshandbokenfully. It must be reliable, useful and relevant why the end users need to be involved in the development. With the right conditions, Rikshandbokencould be a resource for learning and a tool in everyday work for CHC nurses. The result also shows that the CHC is provided unequally, and that the CHC programme is challenging to implement in the local context. The CHC coordinators´ task is to facilitate the implementation of the web-based national guidelines; however, this responsibility is complex. Changing the content, structure and access to Rikshandbokenis not sufficient, in the local context, prerequisites for the use of these web-based national guidelines must exist, and only then can Rikshandbokenbe a contributing determinant to an equal CHC.

Ort, förlag, år, upplaga, sidor
Karlskrona: Blekinge Tekniska Högskola, 2019. s. 77
Serie
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 3
Nyckelord
Child healthcare, nurses, health promotion, information and communication technology, implementation, applied health technology
Nationell ämneskategori
Teknik och teknologier
Identifikatorer
urn:nbn:se:bth-17329 (URN)978-91-7295-363-5 (ISBN)
Disputation
2019-01-18, sal G340, Blekinge Tekniska Högskola, 371 79, Karlskrona, 14:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2018-11-22 Skapad: 2018-11-22 Senast uppdaterad: 2019-04-02Bibliografiskt granskad

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Tell, JohannaAnderberg, PeterOlander, EwySanmartin Berglund, Johan

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