| 1. |
- Engström, Maria, 1966-, et al.
(författare)
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Evaluation of OLD@HOME virtual health record : staff opinions of the system and satisfaction with work
- 2009
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Ingår i: Telemedicine journal and e-health. - 1530-5627. ; 15:1, s. 53-61
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present research was to study outcomes of use of the OLD@HOME Virtual Health Record with regard to staff opinions about information, communication technology, and satisfaction with work. A quasi-experimental design was used. Staff opinions about the information and communication technology were assessed using a study-specific questionnaire at the test site (n =22) and at other settings in the municipality (n =172). Staff (n =22) job satisfaction, perceived quality of care, and psychosomatic health were assessed using the Satisfaction with Work Questionnaires before and after a 5-month period of testing the technology in an intervention and a comparison group. Staff opinions about the information and communication technology were significantly more positive at the test site compared to other settings in the municipality. For the total scale of quality of care and the factor documentation, there were significant differences in change scores between intervention and comparison groups, with improvements for the comparison group. For job satisfaction and psychosomatic health, there were no differences in change scores between the groups. Participatory design enhances staff opinions about information and communication technology. However, a 5-month test period showed no benefits regarding staff satisfaction with work when compared to a comparison group. On the contrary, the comparison group improved in documentation, and for the intervention group, there was a trend toward deterioration, which may be due to their knowing how to document, but not having time when using both paper-based and electronic systems.
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| 2. |
- Engström, Maria, et al.
(författare)
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Staff members' perceptions of a ICT support package in dementia care during the process of implementation
- 2009
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Ingår i: Journal of Nursing Management. - 0966-0429. ; 17:7, s. 781-789
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Tidskriftsartikel (refereegranskat)abstract
- AIMThe aim of the present study was to describe staff members' perceptions of an information and communication technology (ICT) support package during the process of implementation.BACKGROUNDICT in dementia care will likely increase in the future. The diffusion of new innovations can be better understood through diffusion research.METHODSFourteen staff members in dementia care were interviewed, in groups, once before the new ICT, twice during its implementation and once after. Data were analysed using qualitative content analyses. The ICT included monitors/alarms: passage alarms, fall detectors, sensor-activated night-time illumination of the lavatory, and communication technology: Internet communication and additional computers.RESULTSThe results showed two themes 'Moving from fear of losing control to perceived increase in control and security' and 'Struggling with insufficient/deficient systems'.CONCLUSIONSStaff perceptions of ICT were diverse and changed during the implementation. Benefits were more pronounced than disadvantages, and improvements were described both in care and in staff job situation.IMPLICATIONS FOR NURSING MANAGEMENTFunctioning and use of ICT may relate to design as well as by application and the surrounding structure, and the whole system: the organizational structure, the employers and the new product needs to be taken into consideration when implementing new technology.
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