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  • 1.
    Eriksén, Sara
    et al.
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Lundberg, Jenny
    Blekinge Institute of Technology, Faculty of Engineering, Department of Applied Signal Processing.
    Georgsson, Mattias
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Nilsson, Lina
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Hofflander, Malin
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Borg, Christel
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Transforming Healthcare Delivery: ICT Design for Self-Care of Type 2 Diabetes2014Conference 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.

  • 2.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Lina, Nilsson
    Blekinge Institute of Technology, School of Health Science.
    Sara, Eriksén
    Blekinge Institute of Technology, School of Computing.
    Christel, Borg
    Blekinge Institute of Technology, School of Health Science.
    Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 1, p. 88-98Article in journal (Refereed)
    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.

  • 3.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Nilsson, Lina
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Borg, Christel
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Eriksén, Sara
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Video Conference as a Tool to Enable Participation in Discharge Planning – Experiences From Implementers about the Implementation Process2014Conference 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.

  • 4.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Nilsson, Lina
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Eriksén, Sara
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Borg, Christel
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Framing the Implementation Process of Video Conferencing in Discharge Planning: According to Staff Experience2016In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 41, no 2, p. 192-209Article in journal (Refereed)
    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.

  • 5.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Eriksén, Sara
    Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
    Borg, Christel
    Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
    Social Challenges When Implementing Information Systems in Everyday Work in a Nursing Context2014In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 32, no 9, p. 442-450Article in journal (Refereed)
    Abstract [en]

    Implementation of information systems in healthcare has become a lengthy process where healthcare staff (eg, nurses) are expected to put information into systems without getting the overall picture of the potential usefulness for their own work. The aim of this study was to explore social challenges when implementing information systems in everyday work in a nursing context. Moreover, this study aimed at putting perceived social challenges in a theoretical framework to address them more constructively when implementing information systems in healthcare. Influenced by institutional ethnography, the findings are based on interviews, observations, and written reflections. Power (changing the existing hierarchy, alienation), professional identity (calling on hold, expert becomes novice, changed routines), and encounter (ignorant introductions, preconceived notions) were categories (subcategories) presented in the findings. Social Cognitive Theory, Diffusion of Innovations, organizational culture, and dramaturgical analysis are proposed to set up a theoretical framework. If social challenges are not considered and addressed in the implementation process, it will be affected by nurses’ solidarity to existing power structures and their own professional identity. Thus, implementation of information systems affects more aspects in the organization than might have been intended. These aspects need to be taken in to account in the implementation process.

  • 6.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Hofflander, Malin
    Blekinge Institute of Technology, School of Health Science.
    Eriksén, Sara
    Blekinge Institute of Technology, School of Computing.
    Borg, Christel
    Blekinge Institute of Technology, School of Health Science.
    The importance of interaction in the implementation of information technology in health care: A symbolic interactionism study on the meaning of accessibility2012In: Informatics for Health and Social Care, ISSN 1753-8157, E-ISSN 1753-8165, Vol. 37, no 4, p. 277-290Article in journal (Refereed)
    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.

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