lnu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 20) Show all publications
Ekstedt, M., Schildmeijer, K., Wennerberg, C., Nilsson, L., Wannheden, C. & Hellström, A. (2019). Enhanced patient activation in cancer care transitions: protocol for a randomized controlled trial of a tailored eectronic health intervention for men with prostate cancer. JMIR Research Protocols, 8(3), 1-13, Article ID e11625.
Open this publication in new window or tab >>Enhanced patient activation in cancer care transitions: protocol for a randomized controlled trial of a tailored eectronic health intervention for men with prostate cancer
Show others...
2019 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 3, p. 1-13, article id e11625Article in journal (Refereed) Published
Abstract [en]

Background: Prostate cancer has increased in incidence worldwide and is the leading cause of cancer death in 24 countries. The most common treatment is radical prostatectomy. However, surgery is associated with postoperative complications such as urinary incontinence and sexual dysfunction, causing decreased quality of life. If survivors are encouraged to be more active in self-care management, the symptom burden may decrease and quality of life may improve. An electronic health (eHealth) intervention based on motivational behavioral theory has been developed for this purpose.

Objective: This study aimed to compare the effectiveness of standard care in combination with a tailored eHealth and mobile health self-management support system, electronic Patient Activation in Treatment at Home (ePATH), with standard care of adverse effects of prostate cancer treatment (urinary incontinence and sexual functioning) in men undergoing radical prostatectomy. The secondary aim was to test the effect on patient activation, motivation, overall well-being, and health literacy over time in and between groups.

Methods: A pragmatic multicenter, block-randomized controlled trial with 2 study arms, standard care (control) and eHealth-assisted standard care (intervention), for patients undergoing radical prostatectomy. For 80% power, a sample of 242 men will need to be recruited.

Results: Recruitment started in January 2018 and is expected to be completed by August 2019. Data collection will be completed in August 2020. The first cross-sectional results from this trial are anticipated to be published in January 2020.

Conclusions: With the increasing number of prostate cancer survivors, attention should be paid to rehabilitation, psychosocial care, and support for endurance of self-care to reduce suffering from adverse treatment effects, poor quality of life, and depression because of postoperative complications. This project may increase knowledge of how patients can be supported to feel involved in their care and returning to as normal a life as possible. The anticipated effects of ePATH could improve health outcomes for individuals and facilitate follow-up for health care professionals.

Place, publisher, year, edition, pages
JMIR Publications, 2019
Keywords
medical informatics, eHealth, mHealth, motivation, patient activation, prostate cancer, self-management
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
urn:nbn:se:lnu:diva-81619 (URN)10.2196/11625 (DOI)000462890300001 ()30900999 (PubMedID)2-s2.0-85067901358 (Scopus ID)
Funder
The Kamprad Family Foundation, 2015-0067Swedish Cancer Society, CAN 2017/748Medical Research Council of Southeast Sweden (FORSS), FORSS-657211;FORSS-760131
Available from: 2019-04-03 Created: 2019-04-03 Last updated: 2019-08-29Bibliographically approved
Nilsson, L. & Fagerström, C. (2018). Decision-makers and mediators in a home healthcare digitisation process: nurses' experiences of implementation and use of a decision support system. Contemporary Nurse: health care across the lifespan, 54(4-5), 511-521
Open this publication in new window or tab >>Decision-makers and mediators in a home healthcare digitisation process: nurses' experiences of implementation and use of a decision support system
2018 (English)In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, no 4-5, p. 511-521Article in journal (Refereed) Published
Abstract [en]

Background: This study focuses on a decision support system (DSS) for home healthcare and the implementation of it.Aim: To describe home healthcare nurses' experiences of the implementation and use of a new DSS, with a focus on how it influences decision making in everyday work practice.Design: A qualitative research design.Methods: Data was collected through three focus group interviews with six home healthcare nurses.The data analysis was drawn from Burnard's method for content analysis.Results: The DSS was experienced as bringing support to decisions, but sometimes incompatible with home healthcare nurses' work practice. Professional understanding and the DSS were sometimes experienced as parallel support systems not assisting work across healthcare organisations.Conclusion: When a DSS is used to transform work of healthcare organisations several aspects should be highlighted. If the organisation does not consider these aspects, nurses may adopt a role as mediator in the implementation process.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
decision support system, health care services, home care services, implementation, nursing care
National Category
Nursing Computer and Information Sciences
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
urn:nbn:se:lnu:diva-79190 (URN)10.1080/10376178.2018.1507676 (DOI)000451525700014 ()30099935 (PubMedID)2-s2.0-85052123529 (Scopus ID)
Available from: 2018-12-13 Created: 2018-12-13 Last updated: 2019-08-29Bibliographically approved
Schildmeijer, K., Wannheden, C., Nilsson, L., Frykholm, O., Hellström, A., Flink, M. & Ekstedt, M. (2018). Developing an eHealth Tool to Support Patient Empowerment at Home. In: Adrien Ugon, Daniel Karlsson, Gunnar O. Klein & Anne Moen (Ed.), Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth. Paper presented at MIE2018, Gothenburg, Sweden, April 24-26, 2018 (pp. 925-929). IOS Press, 247
Open this publication in new window or tab >>Developing an eHealth Tool to Support Patient Empowerment at Home
Show others...
2018 (English)In: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein & Anne Moen, IOS Press, 2018, Vol. 247, p. 925-929Conference paper, Published paper (Refereed)
Abstract [en]

In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH. The system is deployed as a web application with secure login for patients. In this article, we describe the main content and functionality of the system that makes it possible for a patient to manage symptoms development in relation to treatment progression Interactive functionality, e.g., reminders and social support, is included to make the ePATH a useful and informative bridge between patients, next-of-kin and different caregivers. One lesson learned is that it is necessary to incorporate motivational components in the development of an eHealth tool to successfully overcome the "intention-behavior" gap. The self-determination theory of motivation can be used to ensure that important aspects are not missed.

Place, publisher, year, edition, pages
IOS Press, 2018
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 247
Keywords
eHealth, patient participation, personalized care, transitions in care, user-centered design
National Category
Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-75584 (URN)10.3233/978-1-61499-852-5-925 (DOI)29678096 (PubMedID)2-s2.0-85046550034 (Scopus ID)9781614998518 (ISBN)9781614998525 (ISBN)
Conference
MIE2018, Gothenburg, Sweden, April 24-26, 2018
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-4948
Available from: 2018-07-11 Created: 2018-07-11 Last updated: 2019-08-29Bibliographically approved
Zetterholm, M., Jokela, P. & Nilsson, L. (2018). Technology Mediated Nudging in a mobile Health Context. In: : . Paper presented at 7'th International UBT Conference 2018 - Computer Science and Communication Engineering, Pristnia, Kosovo, October 26-28, 2018. UBT – Higher Education Institution
Open this publication in new window or tab >>Technology Mediated Nudging in a mobile Health Context
2018 (English)Conference paper, Published paper (Refereed)
Abstract [en]

According to a vision for eHealth launched in 2016 by the Swedish Government, Sweden will be leading the way in using the potential of digitalization and eHealth to help people achieve a good and equal health. To achieve this vision, we argue that initiatives in eHealth need to augment a health promotion perspective. This implies a more preventive approach that transforms the health concept to a continuous participative process over the life course. A stronger emphasis on consumer technologies is needed to understand how interaction with web based and mobile systems may affect health related choices, and how to empower people to pursue a healthy lifestyle. A topic of particular significance is how mobile applications may utilize the theoretical principles for behavior change. In this context, it is relevant to analyze how nudges can be implemented in a mobile context. We propose that more research is needed in this area.

Place, publisher, year, edition, pages
UBT – Higher Education Institution, 2018
Keywords
eHealth, mobile health, nudging, preventive paradigm
National Category
Information Systems
Research subject
Computer and Information Sciences Computer Science, Information Systems
Identifiers
urn:nbn:se:lnu:diva-85297 (URN)
Conference
7'th International UBT Conference 2018 - Computer Science and Communication Engineering, Pristnia, Kosovo, October 26-28, 2018
Note

Ej belagd 20190618

Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-06-17
Christiansen, L., Fagerström, C. & Nilsson, L. (2017). Nurses' use and perception of an information and communication technology system for improving coordination during hospital discharges: a survey in Swedish primary healthcare. Computers, Informatics, Nursing, 35(7), 358-363
Open this publication in new window or tab >>Nurses' use and perception of an information and communication technology system for improving coordination during hospital discharges: a survey in Swedish primary healthcare
2017 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 35, no 7, p. 358-363Article in journal (Refereed) Published
Abstract [en]

To facilitate communications between care levels and improve coordination during hospital discharges, there is great potential in using information and communication technology systems, because they can significantly help to deter unnecessary readmissions. However, there is still a lack of knowledge about how often nurses use information and communication technology and the indicators related to its use. The aims of this study were to describe the indicators related to nurses' use of an information and communication technology system for collaboration between care levels and to estimate whether the level of use can be related to nurses' perceptions of the information and communication technology system's contribution to improve coordination during hospital discharges. A quantitative survey of 37 nurses from 11 primary healthcare centers was performed in a county in southern Sweden. The data were analyzed using descriptive and comparative analyses. The results showed that perceptions concerning the information and communication technology system's usability and time consumption differed between nurses who used the system and those who did not. Simultaneously, the nurses were rather unaware of the ability of the information and communication technology system to improve coordination during patient discharges.

Place, publisher, year, edition, pages
Wolters Kluwer, 2017
Keywords
ICT, Information, Nursing, Primary healthcare, Usability
National Category
Nursing
Identifiers
urn:nbn:se:lnu:diva-71943 (URN)10.1097/CIN.0000000000000335 (DOI)000405288100007 ()28679125 (PubMedID)
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-02-27Bibliographically approved
Fagerström, C., Eriksen, S. & Nilsson, L. (2017). The Implementation of a Decision Support Tool in Home Healthcare: Nurses’ Experiences of Professional Adaptation when Healthcare is in Transformation. In: : . Paper presented at Scandinavian Congress on Health Informatics SHI2017 29-30 Aug 2017 Kristiansand Norway.
Open this publication in new window or tab >>The Implementation of a Decision Support Tool in Home Healthcare: Nurses’ Experiences of Professional Adaptation when Healthcare is in Transformation
2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Information Systems, Social aspects
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-72106 (URN)
Conference
Scandinavian Congress on Health Informatics SHI2017 29-30 Aug 2017 Kristiansand Norway
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-02-27Bibliographically approved
Fagerström, C., Tuvesson, H., Axelsson, L. & Nilsson, L. (2017). The role of ICT in nursing practice: An integrative literature review of the Swedish context. Scandinavian Journal of Caring Sciences, 31(3), 434-448
Open this publication in new window or tab >>The role of ICT in nursing practice: An integrative literature review of the Swedish context
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 434-448Article, review/survey (Refereed) Published
Abstract [en]

Background: The Swedish healthcare system employs information and communication technologies (ICT) in nursing practice to meet quality-, security- and efficiency-related demands. Although ICT is integrated with nursing practices, nurses do not always feel that they are convenient to use it. We need to improve our knowledge of the role of ICT in healthcare environments and so we decided to complement existing experience of how ICT influences nursing practice. Aim: This study aimed to review and synthesise the available literature on the role of ICT in nursing practice in Swedish healthcare settings. Method: To consolidate previous studies based on diverse methodologies, an integrative literature review was carried out. Three databases were used to search for literature, 20 articles met the inclusion criteria. Results: The literature review indicates that ICT integration into nursing practice is a complex process that impacts nurses’ communication and relationships in patient care, working conditions, and professional identities and development. Nurses are found to express ambiguous views on ICT as a usable service in their everyday practice since it impacts both positively and negatively. Discussion and conclusion: Although ICT cannot replace physical presence, it can be considered a complementary service that gives rise to improved patient care. However, nonverbal communication cues may be missed when ICT is used as mediating tool and ICT can be limiting because it is not always designed to meet nurse and patient needs. The meaning of an encounter appears to change when ICT is used in nursing practice, not only for patient relationships but also for interpersonal communication.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2017
Keywords
data base; doctor patient relation; human; human experiment; identity; nonverbal communication; nursing practice; patient care; work environment
National Category
Nursing Information Systems
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-68198 (URN)10.1111/scs.12370 (DOI)2-s2.0-84992489225 (Scopus ID)
Available from: 2016-11-11 Created: 2017-10-04 Last updated: 2019-02-27Bibliographically approved
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 the 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 analyzed 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
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
urn:nbn:se:lnu:diva-41021 (URN)10.3109/17538157.2015.1008484 (DOI)
Available from: 2015-03-19 Created: 2015-03-19 Last updated: 2019-02-27Bibliographically 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 that managers 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.

Place, publisher, year, edition, pages
Wolters Kluwer, 2016
Keywords
Omvårdnad, Informatik
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Health Informatics; Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-52139 (URN)10.1097/CIN.0000000000000217 (DOI)000376461700002 ()26825031 (PubMedID)2-s2.0-84955615698 (Scopus ID)
Available from: 2016-04-19 Created: 2016-04-19 Last updated: 2019-02-27Bibliographically approved
Broberg Danielsson, H., Fossdal Finnas, L. & Nilsson, L. (2016). Professionernas behov av kompetens inom eHälsa: Både befintlig och blivande personal inom hälsa, vård och omsorg. Linnéuniversitetet
Open this publication in new window or tab >>Professionernas behov av kompetens inom eHälsa: Både befintlig och blivande personal inom hälsa, vård och omsorg
2016 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Linnéuniversitetet, 2016. p. 6
Keywords
eHälsa, Hälsoinformatik, Profession, VITALIS
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Computer and Information Sciences Computer Science, Information Systems
Identifiers
urn:nbn:se:lnu:diva-55726 (URN)
External cooperation:
Note

Rapport från Workshop Vitalis, 5-6 april, 2016, Göteborg

Available from: 2016-08-24 Created: 2016-08-24 Last updated: 2019-02-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2074-3584

Search in DiVA

Show all publications