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  • 1.
    Barbabella, Francesco
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Italian Natl Inst Hlth & Sci Ageing, Italy.
    Poli, Arianna
    Italian Natl Inst Hlth & Sci Ageing, Italy;Linköping University.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Swedish Family Care Competence Centre;Eurocarers, Berlin, Germany..
    Andréasson, Frida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Swedish Family Care Competence Centre.
    Salzmann, Benjamin
    Italian Natl Inst Hlth & Sci Ageing, Italy;Wir Pflegen eV, Germany.
    Doehner, Hanneli
    Eurocarers, Germany;Wir Pflegen eV, Germany.
    Papa, Roberta
    Italian Natl Inst Hlth & Sci Ageing, Italy.
    Efthymiou, Areti
    Eurocarers, Germany;Cyprus Univ Technol, Cyprus.
    Valenza, Silvia
    Italian Natl Inst Hlth & Sci Ageing, Italy.
    Pelliccioni, Giuseppe
    Italian Natl Inst Hlth & Sci Ageing, Italy.
    Lamura, Giovanni
    Italian Natl Inst Hlth & Sci Ageing, Italy.
    Usage and Usability of a Web-based Program for Family Caregivers of Older People in Three European Countries: A Mixed-Methods Evaluation2018In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 36, no 5, p. 232-241Article in journal (Refereed)
    Abstract [en]

    InformCare is a European Web platform that supports informal caregivers of older people by providing access to online information and professional and peer support. The aim of this study was to assess the usage and usability of a psychosocial Web-based program carried out in three European countries (Italy, Sweden, and Germany). A mixed-methods sequential explanatory design was adopted, comprising baseline and postintervention assessments, as well as combined thematic content analysis of results and focus group findings. A convenience sample of 118 caregivers was enrolled, of whom 94 used the services offered by the program at least once. The subsamples in the three countries used the platform in different ways, with a predominance of passive strategies (eg, seeking information and reading other people's comments) for Italian caregivers, and more active usage by Swedish and German caregivers. The usability assessment showed that the platform was perceived well by Italian and German caregivers, whereas technical problems affected the Swedish sample's experiences. Focus group data highlighted user satisfaction with the online support and reliability of the environment. Recommendations for practitioners are to ensure digital training for caregivers who have lower confidence in use of the Internet, to involve different healthcare professionals in the provision of professional support, and to adequately manage online community building.

  • 2.
    Christiansen, Line
    et al.
    Blekinge Institute of Technology.
    Fagerström, Cecilia
    Blekinge Institute of Technology;Blekinge Centre of Competence.
    Nilsson, Lina
    Blekinge Institute of Technology;Blekinge Centre of Competence.
    Nurses' use and perception of an information and communication technology system for improving coordination during hospital discharges: a survey in Swedish primary healthcare2017In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 35, no 7, p. 358-363Article in journal (Refereed)
    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.

  • 3.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Healthcare managers’ experiences of leading the implementation of video conferencing in discharge planning sessions: an interview study2016In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 3, p. 108-115Article in journal (Refereed)
    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.

  • 4.
    Klompstra, Leonie
    et al.
    Linköping University, Sweden.
    Johansson Östbring, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Jaarsma, Tiny
    Linköping University, Sweden.
    Ågren, Susanna
    Linköping University, Sweden.
    Fridlund, Bengt
    Jönköping University, Sweden.
    Hjelm, Carina
    Linköping University, Sweden.
    Hjelmfors, Lisa
    Linköping University, Sweden.
    Ingadottir, Brynja
    University of Iceland, Iceland.
    Liljeroos, Maria
    Linköping University, Sweden;Sörmland County Council, Sweden.
    Lundgren, Johan
    Linköping University, Sweden.
    Mårtensson, Jan
    Jönköping University, Sweden.
    Mourad, Ghassan
    Linköping University, Sweden.
    Thylen, Ingela
    Linköping University, Sweden.
    Walfridsson, Ulla
    Linköping University, Sweden.
    Strömberg, Anna
    Linköping University, Sweden.
    The Appropriateness and Presentation of Commonly Available Cardiovascular Web Pages Providing Information About Cardiovascular Diseases2019In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 37, no 10, p. 493-497Article in journal (Refereed)
  • 5.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Blekinge Institute of Technology.
    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.
    Varsi, Cecilie
    et al.
    Oslo University Hospital, Norway;University of Oslo, Norway.
    Ekstedt, Mirjam
    Oslo University Hospital, Norway;KTH Royal Institute of Technology.
    Gammon, Deede
    Oslo University Hospital, Norway;University Hospital in North Norway, Norway.
    Børøsund, Elin
    Oslo University Hospital, Norway;University of Oslo, Norway.
    Ruland, Cornelia M.
    Oslo University Hospital, Norway;University of Oslo, Norway.
    Middle managers' experiences and role in implementing an interactive tailored patient assessment eHealth intervention in clinical practice2015In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 33, no 6, p. 249-257Article in journal (Refereed)
    Abstract [en]

    The role of nurse and physician managers is considered crucial for implementing eHealth interventions inclinical practice, but fewstudieshaveexplored this. The aim of the current study was to examine the perceptions of nurse and physicianmanagers regarding facilitators, barriers, management role, responsibility, and action taken in the implementation of an eHealth intervention called Choice into clinical practice. Individual qualitative interviews were conducted with six nurses and three physicians in management positions at five hospital units. The findings revealed that nurse managers reported conscientiously supporting the implementation, but workloads prevented them from participating in the process as closely as they wanted. Physicianmanagers reported less contribution. The implementation process was influenced by facilitating factors such as perceptions of benefits from Choice and use of implementation strategies, along with barriers such as physician resistance, contextual factors and difficulties for front-line providers in learning a new way of communicating with the patients. The findings suggest that role descriptions for both nurse and physician managers should include implementation knowledge and implementation skills. Managers could benefit from an implementation toolkit. Implementation management should be included in management education for healthcare managers to prepare them for the constant need for implementation and improvement in clinical practice.

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