| 1. |
- Angenete, Eva, 1972, et al.
(författare)
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Physical activity before radical prostatectomy reduces sick leave after surgery : results from a prospective, non-randomized controlled clinical trial (LAPPRO)
- 2016
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Ingår i: BMC Urology. - : Springer Science and Business Media LLC. - 1471-2490. ; 16:1, s. 50-
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Studies have reported that early physical rehabilitation after surgical procedures is associated with improved outcome measured as shorter hospital stay and enhanced recovery. The aim of this study was to explore the relationship between the preoperative physical activity level and subsequent postoperative complications, sick-leave and hospital stay after radical prostatectomy for prostate cancer in the setting of the LAPPRO trial (LAParoscopic Prostatectomy Robot Open). METHODS: LAPPRO is a prospective controlled trial, comparing robot-assisted laparoscopic and open surgery for localized prostate cancer between 2008 and 2011. 1569 patients aged 64 or less with an occupation were included in this sub-study. The Gleason score was <7 in 52 % of the patients. Demographics and the level of self-assessed preoperative physical activity, length of hospital stay, complications, quality of life, recovery and sick-leave were extracted from clinical record forms and questionnaires. Multivariable logistic regression, with log-link and logit-link functions, was used to adjust for potential confounding variables. RESULTS: The patients were divided into four groups based on their level of activity. As the group with lowest engagement of physical activity was found to be significantly different in base line characteristics from the other groups they were excluded from further analysis. Among patients that were physically active preoperativelly (n = 1467) there was no significant difference between the physical activity-groups regarding hospital stay, recovery or complications. However, in the group with the highest self-assessed level of physical activity, 5-7 times per week, 13 % required no sick leave, compared to 6.3 % in the group with a physical activity level of 1-2 times per week only (p < 0.0001). CONCLUSIONS: In our study of med operated with radical prostatectomy, a high level of physical activity preoperatively was associated with reduced need for sick leave after radical prostatectomy compared to men with lower physical activity. TRIAL REGISTRATION: The trial is registered at the ISCRTN register. ISRCTN06393679 .
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| 2. |
- Cerna, Katerina, 1986, et al.
(författare)
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Decision-support System for Cancer Rehabilitation : Designing for Incorporating of Quantified Data into an Existing Practice
- 2018
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Ingår i: Proceedings of the 10th Nordic Conference on Human-Computer Interaction. - New York, NY, USA : ACM Publications. - 9781450364379 ; , s. 747-753
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Recent development in self-monitoring devices indicates that using quantified data in clinical practicesupporting chronic diseases management holds a big potential. However, exploration of this design space also suggests that some unattended challenges still exist, such as a low adoption rate of self-monitoring tools in existing clinical practice. In this text, wetherefore focus on the ways healthcare professionalsuse quantified data in their practice. We draw onempirical data from an ethnographic study of a cancer rehabilitation center. Our preliminary findings suggestthat the self-monitoring tool supported the nurses'work because it became a functional complement totheir work by allowing them to appropriate the deviceto their and the patients' needs.
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| 3. |
- Cerna, Katarina, et al.
(författare)
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Nurses' work practices in design : managing the complexity of pain
- 2020
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Ingår i: Journal of Workplace Learning. - : Emerald Group Publishing Limited. - 1366-5626 .- 1758-7859. ; 32:2, s. 135-146
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study is to understand the activities in nurses' work practices in relation to the design process of a self-monitoring application. Design/methodology/approach: A design ethnographic approach was applied in this study. Findings: To solve the problem of translating highly qualitative phenomena, such as pain, into the particular abstract features of a self-monitoring application, design participants had to balance these two aspects by managing complexity. In turn, the nurses'€™ work practices have changed because it now involves a new activity based on a different logic than the nurses’ traditional work practices. Originality/value: This study describes a new activity included in nurses’ work practices when the nurses became part of a design process. This study introduces a novel way on how to gain a deeper understanding of existing professional practice through a detailed study of activities taking place in a design process. This study explores the possible implications for nurses’ professional practices when they participate in a self-monitoring application design process. Â2020, Emerald Publishing Limited.
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| 4. |
- Islind, Anna Sigridur, 1985-, et al.
(författare)
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Co-Designing a Digital Platform with Boundary Objects : Bringing Together Heterogeneous Users in Healthcare
- 2019
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Ingår i: Health and Technology. - : Springer Science and Business Media LLC. - 2190-7188 .- 2190-7196. ; 9:4, s. 425-438
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare is increasingly permeated with digital platforms supporting cooperative care involving different professional groups and also patients. New mobile technologies allow for patients to continuously monitor and document their symptoms to support better healthcare, as well as self-care. The successful design of such multi-user platforms calls for new design approaches involving heterogeneous conditions and goals. This paper analyzes theuse of boundary objects in design as a mediator for different users' needs and conditions. Our research is conducted at a clinic supporting cancer survivors in their struggles with treatment induced illnesses, a treatment heavily dependent on new medical research as well as on patient involvement. The data is collected ethnographically over two years following a design project that developed a digital platform to support the care provided by the clinic. We describe how useful boundary objects transform over time, from rich narratives, to conceptual formulations and finally into concrete prototypes of the platform. We argue that understanding such a transformation can inform the design of healthcare platforms and guide future design processes, where co-designing with boundary objects can be especially useful as a design approach when doing design complex settings, such as healthcare settings.
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| 5. |
- Islind, Anna Sigridur, 1985-, et al.
(författare)
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Shift in translations : Data work with patient-generated health data in clinical practice
- 2019
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Ingår i: Health Informatics Journal. - : SAGE Publications. - 1460-4582 .- 1741-2811. ; 25:3, s. 577-586
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Tidskriftsartikel (refereegranskat)abstract
- This article reports on how the introduction of patient-generated health data affects the nurses’ and patients’ data work and unpacks how new forms of data collection trigger shifts in the work with data through translation work. The article is based on a 2.5-year case study examining data work of nurses and patients at a cancer rehabilitation clinic at a Swedish Hospital in which patient-generated health data are gathered by patients and then used outside and within clinical practice for decision-making. The article reports on how data are prepared and translated, that is, made useful by the nurses and patients. Using patient-generated health data alters the data work and how the translation of data is performed. The shift in work has three components: (1) a shift in question tactics, (2) a shift in decision-making, and (3) a shift in distribution. The data become mobile, and the data work becomes distributed when using patient-generated health data as an active part of care
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| 6. |
- Islind, Anna Sigridur, 1985-, et al.
(författare)
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The Virtual Clinic : Two-sided Affordances in Consultation Practice
- 2019
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Ingår i: Computer Supported Cooperative Work. - : Springer Science and Business Media LLC. - 0925-9724 .- 1573-7551. ; 28:3-4, s. 435-468
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Tidskriftsartikel (refereegranskat)abstract
- Telecare has the potential to increase the quality of care while also decreasing costs. However, despite great potential, efficiency in care practices and cost reduction remain hypothetical. Within computer supported cooperative work (CSCW), one focus of telecare research has been on awareness support in distributed real-time communication in comparison to physical meetings since face-to-face consultations have been known as the “gold standard” of conducting care. Research has shown that it is hard to maintain qualities such as awareness through video-mediated meetings. In this research, the goal has not been to mimic the qualities of face-to-face consultations but rather to document the qualities of three types of patient meetings (consultations) and to understand in what kinds of situations each consultation type is a viable option. In this paper, we focus on the essential qualities of i) face-to-face consultations, ii) video-based consultations, and iii) telephone consultations and shed light on their affordances. The research contribution includes an extension of the affordance lens to incorporate socio-technical, two-sided affordances, that constitute important aspects for understanding complexity when heterogeneous actors co-existing in a practice, where affordances can differ for different “sides” in the complex practice—a view that is fruitful when dealing with heterogeneous actors and a set of analog and digital tools in a practice.
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| 7. |
- Lindroth, Tomas, 1976-, et al.
(författare)
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Data Supported Practice for Co-Creation of Value in Healthcare
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The prevalence of information systems in healthcare enables the use of health data for purposes related to data-driven decision-making. The technology "promise" is to make healthcare organizations more efficient. Despite the increased interest in health data in general and patient generated data in particular, there is a need for additional research on how data support health practices. This paper therefore conducts a case study of a nurse-led clinic for cancer rehabilitation to examine how a data-supported practice achieves value. By breaking down the data-gathering process, with a focus on value, we show how value is co-created by a range of different actors, including patients, nurses and researchers. In this case, the value co-creation consist of two parallel processes. A knowledge process revolving around a research practice with the aim to produce new knowledge. It is a process which provide a foundation and structure for the clinical practice. The interactional process work in parallel and describes the interaction with and about data between the different actors and how the interaction is an essential resource to achieve data value.
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| 8. |
- Lindroth, Tomas, 1976-, et al.
(författare)
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From narratives to numbers : Data work and patient-generated health data in consultations
- 2018
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Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 9781614998518 ; , s. 491-495:247, s. 491-495
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Konferensbidrag (refereegranskat)abstract
- This article presents preliminary findings on how the introduction of patient-generated health data (PGHD) triggers changes during patient-nurse consultations. This article builds on a two-year case study, examining the work practice at a cancer rehabilitation clinic at a Swedish Hospital using PGHD. The study focuses on how nurses’ use data, gathered by patients with a mobile phone app, during consultations. The use of PGHD introduce a change in the translation work, the work of turning rich patient descriptions and transform them into data, during the consultation for documentation and clinical decision-making. This change affects precision, questions asked and the use of visualizations as well as the patient-nurse decision making. © 2018 European Federation for Medical Informatics (EFMI) and IOS Press.
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