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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
Linnaeus University, Faculty of Technology, Department of Informatics.ORCID iD: 0000-0003-2074-3584
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge County Council.
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. Vol. 54, no 4-5, p. 511-521
Keywords [en]
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: urn:nbn:se:lnu:diva-79190DOI: 10.1080/10376178.2018.1507676ISI: 000451525700014PubMedID: 30099935OAI: oai:DiVA.org:lnu-79190DiVA, id: diva2:1270483
Available from: 2018-12-13 Created: 2018-12-13 Last updated: 2019-02-27Bibliographically approved

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Nilsson, LinaFagerström, Cecilia

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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