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  • 1.
    Broberg Danielsson, Hanna
    et al.
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Fossdal Finnas, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. eHälsoinstitutet.
    Nilsson, Lina
    Blekinge Tekniska Högskola ; Landstinget i Blekinge.
    Professionernas behov av kompetens inom eHälsa: Både befintlig och blivande personal inom hälsa, vård och omsorg2016Report (Other (popular science, discussion, etc.))
  • 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.
    Ekstedt, Mirjam
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Schildmeijer, Kristina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wennerberg, Carolina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council, Sweden.
    Nilsson, Lina
    Linnaeus University, Faculty of Technology, Department of Informatics. Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Wannheden, Carolina
    Karolinska Institutet, Sweden.
    Hellström, Amanda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Enhanced patient activation in cancer care transitions: protocol for a randomized controlled trial of a tailored eectronic health intervention for men with prostate cancer2019In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 3, p. 1-13, article id e11625Article in journal (Refereed)
    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.

  • 4.
    Eriksén, Sara
    et al.
    Blekinge Institute of Technology.
    Georgsson, Mattias
    Blekinge Institute of Technology.
    Hofflander, Malin
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Lundberg, Jenny
    Lund University.
    Health in Hand: Putting mHealth Design in Context2014In: 2014 IEEE 2nd International Workshop on Usability and Accessibility focused Requirements Engineering (UsARE): Proceedings / [ed] Shah Rukh Humayoun, Norbert Seyff, Nauman A. Qureshi, Anna Perini, Achim Ebert, David Callele, and Simone D. J. Barbosa, IEEE conference proceedings, 2014, p. 36-39Conference paper (Refereed)
    Abstract [en]

    Wireless technologies, cloud computing and connectivity have enabled mobile services that extend the coverage of health services, resulting in a branch of eHealth now commonly referred to as mHealth. However, at least in Sweden, where the healthcare sector is heavily institutionalized and regulated, mHealth has so far mainly evolved in the form of applications for support of healthy life-style and self-management of chronic diseases, implemented outside of the firewalls of traditional healthcare delivery environments. In this paper we present an on-going Indo-Swedish research and development project in which we are putting mHealth design into context both from a patient's perspective and from the perspective of a healthcare team working within a professional healthcare organization. Our research approach is inspired by the Scandinavian tradition of Participatory Design of ICT and informed by studies of how to measure usability, user experience and impact of mHealth interventions. The involved research teams are multi-disciplinary, including researchers from engineering, computing and health sciences. The project includes, on the Swedish side, a partner from the public healthcare sector, three SME:s and an industrial partner who is currently providing Electronic Patient Record and other healthcare information system solutions and who is interested in developing mobile solutions for healthcare professionals. We are currently in the process of collaborative articulation and specification of problems, goals and requirements within the framework of the first Swedish case study of the project, focused on mobile support for patients with diabetes type 2 and their healthcare teams.

  • 5. Eriksén, Sara
    et al.
    Hofflander, Malin
    Nilsson, Lina
    Borg, Christel
    Georgsson, Mattias
    Blekinge Tekniska Högskola.
    Lundberg, Jenny
    Blekinge Tekniska Högskola.
    Transforming healthcare delivery: ICT design for self-care of type 2 diabetes2014Conference paper (Refereed)
  • 6.
    Fagerström, Cecilia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge kompetenscentrum.
    Eriksen, Sara
    Blekinge Tekniska högskola.
    Nilsson, Lina
    Linnaeus University, Faculty of Technology, Department of Informatics.
    The Implementation of a Decision Support Tool in Home Healthcare: Nurses’ Experiences of Professional Adaptation when Healthcare is in Transformation2017Conference paper (Refereed)
  • 7.
    Fagerström, Cecilia
    et al.
    Blekinge Institute of Technology.
    Tuvesson, Hanna
    Blekinge Institute of Technology.
    Axelsson, Lisa
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    The role of ICT in nursing practice: An integrative literature review of the Swedish context2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 3, p. 434-448Article, review/survey (Refereed)
    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.

  • 8.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Borg, Christel
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Video Conference as a Tool to Enable Participation in Discharge Planning: Experiences From Implementers about the Implementation Process2014In: Proceedings of the 47th Annual Hawaii International Conference on System Sciences / [ed] Ralph H. Sprague, Jr., IEEE, 2014Conference 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.

  • 9.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Blekinge Institute of Technology.
    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.

  • 10.
    Hofflander, Malin
    et al.
    Blekinge Institute of Technology.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Blekinge Institute of Technology.
    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 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.

  • 11.
    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.

  • 12.
    Nilsson, Lina
    Blekinge Institute of Technology.
    Social challenges when implementing Information Systems in a Swedish healthcare organization2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    When the Swedish National IT Strategy for Health and Social Care was introduced in 2006, intensive work started in implementing Information Systems (IS) in Swedish healthcare organizations. To follow up on the requests for more research with a combined socio-technical focus on challenges, the overall aim of this thesis was to identify social challenges when implementing IS in a Swedish healthcare organization. Furthermore, the aim was to understand the impact of identified social challenges when implementing IS in this context by putting them in an interdisciplinary Applied Health Technology theoretical framework. Institutional ethnography and phenomenological hermeneutics influenced the study design. Study 1 aimed to investigate different meanings of accessibility when implementing Health Information Technology in everyday work practice. The results indicate that accessibility depends on working routines, social structures and patient relationship. When an IT strategy and interaction in everyday work use the same word in different ways there will be consequences. Study 2 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. It was found that there is a need for improvement in communication and understanding between nursing staff at the hospital and in primary healthcare. The aim of study 3 was to explore social challenges when implementing IS in everyday work in a nursing context. Power (changing the existing hierarchy, alienation), Professional identity (calling on hold, expert becomes novice, changed routines), and Encounter (ignorant introductions, preconceived notions) were categories presented in the findings. The aim of study 4 was to explore and obtain a deeper understanding of how identified social challenges have an influence on the implementation process of IS, based on healthcare staff’s experiences on micro, meso and macro levels of Swedish Healthcare organizations. It was found that the challenges were related to the steps of putting into practice, making IS a part of everyday work routine and establishing an identity in the implementation process. In the thesis’s discussion, social challenges when implementing IS in Swedish healthcare organizations and how they might be met and dealt with constructively are further reflected upon in relation to the interdisciplinary theoretical framework and as possible consequences of the modernity-era. This thesis contributes to the starting up of a discussion of how ingrained professional characteristics are important to feel secure of being part of an established profession. If the characteristics are questioned, the whole professional performance is threatened. One consequence of this insight is the reinforcement of the realization that a basic understanding of IS and IS implementation processes in healthcare organizations needs to be integrated in to the construction of professional identity of nurses already from the start in nursing education.

  • 13.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology.
    Eriksen, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    The influence of social challenges when implementing information systems in a Swedish health-care organisation2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 6, p. 789-797Article in journal (Refereed)
    Abstract [en]

    Aim

    To describe and obtain a deeper understanding of social challenges and their influence on the implementation process when implementing Information systems in a Swedish health-care organisation.

    Background

    Despite positive effects when implementing Information systems in health-care organisations, there are difficulties in the implementation process. Nurses' experiences of being neglected have been dismissed as reasons for setbacks in implementation.

    Methods

    An Institutional Ethnography design was used. A deductive content analysis was made influenced by empirically identified social challenges of power, professional identity and encounters. An abstraction was made of the analysis.

    Results

    Nineteen nurses at macro, meso and micro levels were interviewed in focus groups. Organisational levels are lost in different ways in how to control the reformation, how to introduce Information systems as reformation strategies and in how to translate new tools and assumptions that do not fit traditional ways of working in shaping professional identities.

    Conclusion and implication for nurse management

    Different focus may affect the reformation of health-care organisations and implementation and knowledge processes. An implementation climate is needed where the system standards fit the values of the users. Nursing management needs to be visionary, engaged and work with risk factors in order to reform the hierarchical health-care organisation.

  • 14.
    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.

  • 15.
    Nilsson, Lina
    et al.
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Fagerström, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge County Council.
    Decision-makers and mediators in a home healthcare digitisation process: nurses' experiences of implementation and use of a decision support system2018In: 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)
    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.

  • 16.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology, Sweden.
    Hofflander, Malin
    Blekinge Institute of Technology, Sweden.
    Borg, Christel
    Blekinge Institute of Technology, Sweden.
    Eriksén, Sara
    Blekinge Institute of Technology, Sweden.
    PD 3.1 to the rescue: challenges for participatory design in a health care context2010In: PDC '10 Proceedings of the 11th Biennial Participatory Design Conference, 2010, p. 269-270Conference paper (Refereed)
    Abstract [en]

    A National Strategy for E-health has been introduced in Swedish county councils. The strategy indicates that health care needs to become more accessible. To generate usable and sustainable e- Health solutions in Swedish health care, Participatory Design (PD) was introduced as a working method in an e-Health project in the south of Sweden. The project has met with opposition; e-health solutions are not exactly what Swedish health care wanted at the same time as different arenas within the health care organization have difficulties understanding each other. The aim of this study is to find work methods that result in applicable, usable, and sustainable ICT- solutions in every day work within Swedish health care. The study suggests that a modification of third generation of PD may be one way to the challenges PD has come across in the health care context.

  • 17. Nilsson, Lina
    et al.
    Hofflander, Malin
    Eriksén, Sara
    Borg, Christel
    From Twitter to data based patient record: Newly graduated nurses´experiences on IT in a traditional profession2010In: IRIS33, Information System Research Seminar in Scandinavia, 2010Conference paper (Refereed)
  • 18.
    Nilsson, Lina
    et al.
    Blekinge Institute of Technology.
    Hofflander, Malin
    Blekinge Institute of Technology.
    Eriksén, Sara
    Blekinge Institute of Technology.
    Borg, Christel
    Blekinge Institute of Technology.
    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.

  • 19.
    Schildmeijer, Kristina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wannheden, Carolina
    Karolinska Institutet.
    Nilsson, Lina
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Frykholm, Oscar
    Karolinska Institutet.
    Hellström, Amanda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Flink, Maria
    Karolinska Institutet.
    Ekstedt, Mirjam
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    Developing an eHealth Tool to Support Patient Empowerment at Home2018In: 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 (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.

  • 20.
    Zetterholm, My
    et al.
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Jokela, Päivi
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Nilsson, Lina
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Technology Mediated Nudging in a mobile Health Context2018Conference 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.

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