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- Eggeling, Jakob, et al.
(författare)
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The usability of ClimApp : A personalized thermal stress warning tool
- 2022
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Ingår i: Climate Services. - : Elsevier BV. - 2405-8807. ; 27
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Tidskriftsartikel (refereegranskat)abstract
- ClimApp was developed to assist individuals in reducing the risk of exposure to thermal stress and to supply the user with individualized advice and recommendations. The tool integrates several human thermal models and heat indices with the local weather forecast and goes on to provide users with a prediction of their thermal stress based on their activity level, clothing level, and heat acclimatization input. Despite its innovative and interactive functionality, ClimApp's utility and ease of use should be considered to increase its usability. The usability of ClimApp was evaluated over two iterations: one usability lab test (n = 10) and one field test (n = 38) where first-time users completed tasks in ClimApp related to navigation, perceived ease of use, and perceived usefulness. Activity theory guided the analysis, and a directed qualitative content analysis was applied to evaluate the usability of ClimApp. The results suggest that there is room for improvement when assessing the universal design aspects, navigation, and information complexity, yet the participants perceived the tool as useful in the situated context.
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- Eggeling, Jakob, et al.
(författare)
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Validating an advanced smartphone application for thermal advising in cold environments
- 2023
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Ingår i: International Journal of Biometeorology. - 1432-1254. ; 67:12, s. 1957-1964
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Tidskriftsartikel (refereegranskat)abstract
- The ClimApp smartphone application was developed to merge meteorological forecast data with personal information for individualized and improved thermal warning during heat and cold stress and for indoor comfort in buildings. For cold environments, ClimApp predicts the personal thermal stress and strain by the use of the Insulation REQuired model that combines weather and personal physiological data with additional consideration of the Wind Chill index based on the local weather forecast. In this study, we validated the individualized ClimApp index relative to measurements and compared it with the Universal Temperature Climate Index (UTCI). To this aim, 55 participants (27 females) were exposed to at least 1 h in an outdoor environment of 10 °C or below (average 1.4 °C air temperature, 74.9% relative humidity, and 4.7 m/s air velocity) inputting their activity level and clothing insulation as instructed by ClimApp. The UTCI and ClimApp indices were calculated and compared to the participants' perceived thermal sensation. The ClimApp index root mean square deviation (RMSD) was below the standard deviation of the perceived thermal sensation which indicates a valid prediction and the UTCI RMSD was higher than the standard deviation which indicates an invalid prediction. The correlation of ClimApp and UTCI to the perceived thermal sensation was statistically significant for both models.
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- Erlingsdóttir, Gudbjörg, et al.
(författare)
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Conceptual design of E-health services by, and for support of, home care staff
- 2018
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Ingår i: Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume VII : Ergonomics in Design, Design for All, Activity Theories for Work Analysis and Design, Affective Design - Ergonomics in Design, Design for All, Activity Theories for Work Analysis and Design, Affective Design. - Cham : Springer International Publishing. - 2194-5357. - 9783319960708 ; 824, s. 793-799
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Konferensbidrag (refereegranskat)abstract
- Together with staff from home care from four municipalities we investigated how e-health services can improve the work environment. In a series of four workshops we coached the participants in (1) describing their work process and pinpointing the problematic situations in the process, (2) formulating their wishes for an ideal work process, (3) conceptualizing how e-health solutions can be used to obtain the ideal work process and describing scenarios (4) illustrating the scenarios and the design process on storyboards. The storyboards describe, amongst other, how support through e-health systems may be used to: gain access to adequate information; get in touch with other professionals as doctors or other colleagues; prevent medication errors, and to transfer images or physiological data to an expert who can directly provide personal support.
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- Erlingsdottir, Gudbjörg, et al.
(författare)
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Driving for successful change processes in healthcare by putting staff at the wheel
- 2018
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Ingår i: Journal of Health Organization and Management. - 1477-7266. ; 32:1, s. 69-84
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this paper is to describe five salient factors that emerge in two successful change processes in healthcare. Organizational changes in healthcare are often characterized by problems and solutions that have been formulated by higher levels of management. This top-down management approach has not been well received by the professional community. As a result, improvement processes are frequently abandoned, resulting in disrupted and dysfunctional organizations. This paper presents two successful change processes where managerial leadership was used to coach the change processes by distributing mandates and resources. After being managerially initiated, both processes were driven by local agency, decisions, planning and engagement. Design/methodology/approach – The data in the paper derive from two qualitative case studies. Data were collected through in-depth interviews, observations and document studies. The cases are presented as process descriptions covering the different phases of the change processes. The focus in the studies is on the roles and interactions of the actors involved, the type of leadership and the distribution of agency. Findings – Five factors emerged as paramount to the successful change processes in the two cases: local ownership of problems; a coached process where management initiates the change process and the problem recognition, and then lets the staff define the problems, formulate solutions and drive necessary changes; distributed leadership directed at enabling and supporting the staff's intentions and long-term self-leadership; mutually formulated norms and values that serve as a unifying force for the staff; and generous time allocation and planning, which allows the process to take time, and creates room for reevaluation. The authors also noted that in both cases, reorganization into multi-professional teams lent stability and endurance to the completed changes. Originality/value – The research shows how management can initiate and support successful change processes that are staff driven and characterized by local agency, decisions, planning and engagement. Empirical descriptions of successful change processes are rare, which is why the description of such processes in this research increases the value of the paper.
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- Erlingsdottir, Gudbjörg, et al.
(författare)
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Förbättrade arbets- och patientflöden i primärvården med digitalt Flow : slutrapport
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I projektet studeras det digitala verktyget Flow och dess inverkan på personalens arbetsmiljö samt på kostnadseffektiviteten i svensk primärvårdskontext. Flow ger patienten möjlighet till digital kontakt och kommunikation med vårdcentralen samt möjlighet till digital kommunikation mellan olika personalgrupper inom vårdcentralen. Implementeringen av Flow har studerats på tre vårdcentraler: A, B och C. På vårdcentral A har implementeringen gått smidigt och haft en positiv effekt medan den gått mindre bra och inte fått lika positiv effekt på vårdcentral B och C. Detta trots att alla verkar överens om att själva plattformen är lätt att arbete i så kan den således få olika effekt på arbetsbelastningen. För att få en positiv effekt behövs det en rad åtgärder vid införandet och vid själva användandet: en gemensam bild hos både ledning och personal om varför plattformen ska införas att involvera och förankra idén om plattformen hos vårdpersonal redan innan implementeringen; att utbilda all personal i plattformen men också utbilda superanvändare som är villiga att driva implementeringen och villiga att kontinuerligt stötta kollegor i förändringsarbetet; att avsätta tid i schemat för vårdpersonal att utforska, lära sig och använda plattformen; att marknadsföra plattformen gentemot patienterna; att ha regelbundna återkopplingsmöten, i vilka vårdpersonal kan diskutera och ventilera farhågor och förväntningar samt uppmuntra kontinuerlig användning. Vad gäller kostnadsanalysen så förefaller Flow leda till besparingar för vårdgivaren. Vi har också jämfört Flow med två andra digitala system inom vården som vi studerat tidigare. Jämförelserna visar bland annat att även om ett digitalt system upplevs som positivt så skapar det oftast något slags kringarbete för vårdpersonalen när systemet eller data det innehåller ska tas hand om. Vidare kan vi konstatera att digitaliseringen inte ersätter de befintliga arbetsrutinerna helt utan skapar ett parallellt arbetsflöde.
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- Erlingsdottir, Gudbjörg, et al.
(författare)
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Hur tvärprofessionellt arbete kan leda till förflyttning av läkares lojalitet
- 2016
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Konferensbidrag (refereegranskat)abstract
- Data från en empirinära studie av tvärprofessionellt teamarbete på en intensivvårdsavdelning (IVA) visade att läkarnas huvudsakliga lojalitet flyttats från den egna professionen till teamen och avdelningen. Data insamlades med djupintervjuer, observationer och samtalsgrupper. I papret kommer vi att beskriva den bakomliggande förändringsprocess som genomförts på avdelningen. I förändringsprocessen arbetade man medvetet med att ta fram gemensamma värderingar för alla professioner på avdelningen, flyttade fokus från den enskilda individen och professionen till teamet, och införde en organisation där ledarskapet delades av alla professionskategorier. Traditionellt beskrivs basen för lojalitet och identitet som primärt tillhörande den egna professionen. Vi kommer således att diskutera den förflyttning av tillhörighet som verkar kunna uppstå när läkare ingår i engagerat flerprofessionellt teamarbete. Bland annat verkar ökad tillit till medarbetarna vara en av de avgörande faktorerna för denna förflyttning till teamidentitet och lojalitet.
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