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Decision-makers and mediators in a home healthcare digitisation process: nurses' experiences of implementation and use of a decision support system
Linnéuniversitetet, Fakulteten för teknik (FTK), Institutionen för informatik (IK).ORCID-id: 0000-0003-2074-3584
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Blekinge County Council.
2018 (engelsk)Inngår i: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 54, nr 4-5, s. 511-521Artikkel i tidsskrift (Fagfellevurdert) 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.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2018. Vol. 54, nr 4-5, s. 511-521
Emneord [en]
decision support system, health care services, home care services, implementation, nursing care
HSV kategori
Forskningsprogram
Hälsovetenskap, Hälsoinformatik
Identifikatorer
URN: urn:nbn:se:lnu:diva-79190DOI: 10.1080/10376178.2018.1507676ISI: 000451525700014PubMedID: 30099935Scopus ID: 2-s2.0-85052123529OAI: oai:DiVA.org:lnu-79190DiVA, id: diva2:1270483
Tilgjengelig fra: 2018-12-13 Laget: 2018-12-13 Sist oppdatert: 2019-08-29bibliografisk kontrollert

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