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1.
  • Engström, Maria, 1966-, et al. (författare)
  • Evaluation of OLD@HOME virtual health record staff opinions of the system and satisfaction with work
  • 2009
  • Ingår i: Telemedicine journal and e-health. - 1530-5627. ; 15:1, s. 53-61
  • 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)
  • Relatives' opinions of IT support, perceptions of irritations and life satisfaction in dementia care
  • 2006
  • Ingår i: Journal of Telemedicine and Telecare. - 1357-633X. ; 12:5, s. 246-250
  • Tidskriftsartikel (refereegranskat)abstract
    • We studied relatives' opinions of IT support at a residential home for persons with dementia. We also investigated the relatives' perceptions of irritations and life satisfaction before and after increased IT support. This was accomplished using an experimental group (n = 14) and a control group (n = 8) of subjects in dementia care. The design was quasi-experimental with baseline assessments and three follow-ups. Data were collected using two questionnaires measuring opinions of the IT support: irritations in care (the Nursing Home Hassles Scale) and life satisfaction (the Life Satisfaction Questionnaire). Results showed that relatives' opinions of IT support were generally positive. In the experimental group, relatives' perceptions of practical/logistical irritations decreased between baseline and 12-month follow-up. In the control group, there was an increase in the total Nursing Home Hassles score between baseline and three-month follow-up. This difference did not persist at seven- and 12-month follow-ups. No significant differences were found for life satisfaction. We conclude that relatives had positive opinions of IT support, and their perceptions of practical/logistical irritations decreased after implementation of the IT support package.
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3.
  • Engström, Maria, et al. (författare)
  • Staff members' perceptions of a ICT support package in dementia care during the process of implementation
  • 2009
  • Ingår i: Journal of Nursing Management. - 0966-0429. ; 17:7, s. 781-789
  • 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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4.
  • Engström, Maria, et al. (författare)
  • Staff perceptions of job satisfaction and life situation before and 6 and 12 months after increased information technology support in dementia care.
  • 2005
  • Ingår i: J Telemed Telecare. - 1357-633X. ; 11:6, s. 304-9
  • Tidskriftsartikel (refereegranskat)abstract
    • We measured staff members' satisfaction with their work before and after increased information technology (IT) support in dementia care. Comparisons were also performed of perceived life satisfaction and sense of coherence. Data were collected before, and 6 and 12 months after implementation of the first part of an IT support project. Instruments used were the Satisfaction with Work Questionnaires, the Life Satisfaction Questionnaire (LSQ) and the Sense of Coherence (SOC) scale. The study was performed in a residential home for persons with dementia. The participants were 33 staff members. The IT technology included general and individualized passage alarms, sensor-activated night-time illumination, fall detectors and Internet communication. Results showed that staff members' job satisfaction and perceived quality of care improved in comparison with the control group. Personal development, workload, expectations and demands, internal motivation and documentation, as well as the total scores for 'psychosocial aspects of job satisfaction' and 'quality of care aspects', increased in the experimental group. There were significant interaction effects for the factors family relation, close friend relation (LSQ), the total SOC scale and the meaningfulness subscale. The study showed that IT support in dementia care increased staff members' satisfaction with their work in several ways.
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5.
  • Engström, Maria, et al. (författare)
  • Staff satisfaction with work, perceived quality of care and stress in elderly care : psychometric assessments and associations
  • 2006
  • Ingår i: Journal of Nursing Management. - 0966-0429. ; 14:4, s. 318-328
  • Tidskriftsartikel (refereegranskat)abstract
    • AIMS: To evaluate validity and reliability of three questionnaires measuring 'work satisfaction', 'patient care' and 'staff health' for staff in elderly care and to study the relationship between staff members' satisfaction with work and perceived stress.BACKGROUND: Increased workload, difficulties in recruiting and retaining nurses are reported in elderly care. Valid and reliable instruments measuring staffs' perceptions of work are needed.METHODS: A convenience sample of 299 staff answered the questionnaires.RESULTS: Factor analysis of 'work satisfaction' gave eight factors, 'patient care' four factors and 'staff health' two factors, explaining 52.2%, 56.4% and 56.8% of the variance. Internal consistency was mostly satisfactory. Multiple regression analysis revealed a model that explained 41% of the variance in perceived stress symptoms.CONCLUSIONS: There was support for the instruments' validity and reliability. Older age, higher scores/satisfaction with workload, cooperation, expectations and demands, personal development and lower scores on internal motivation contributed to less stress.
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7.
  • Skytt, Bernice, et al. (författare)
  • Psychometric testing of the Leadership and Management Inventory : a tool to measure the skills and abilities of first-line nurse managers
  • 2008
  • Ingår i: Journal of Nursing Management. - 0966-0429. ; 16:7, s. 784-794
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim? To estimate the validity and reliability of the Leadership and Management Inventory, a tool to measure the skills and abilities of first-line nurse managers.Background? The decision to develop an inventory reflects the need for an instrument that can measure the various skills and abilities first-line nurse managers should possess.Method? Factor analysis was conducted and internal consistency initially estimated on data from 149 registered nurses; a second sample of 197 health care personnel was used to test these results.Results? Principal component analysis of the first sample resulted in a preferred three-factor solution that explained 65.8% of the variance; Cronbach's alpha coefficient varied between 0.90 and 0.95. Analysis of the second sample also resulted in a three-factor solution that explained 64.2% of the variance; Cronbach's alpha coefficient varied from 0.88 to 0.96. For both samples, the factors were labelled `interpersonal skills and group management', `achievement orientation' and `overall organizational view and political savvy'.Conclusion? Results indicate that estimates of validity and reliability for the Leadership and Management Inventory can be considered acceptable. Implications for nursing management?The Leadership and Management Inventory can be used when first-line nurse managers' leadership and management skills and abilities are to be measured.
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8.
  • Skytt, Bernice, et al. (författare)
  • Reasons to leave: : the motives of first-line nurse managers for leaving their posts
  • 2007
  • Ingår i: Journal of Nursing Management. - 0966-0429. ; 15:7, s. 294-302
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective To study the reasons for first-line nurse managers to resign, their perceptions of difficult situations, experience of support and satisfaction with work.Background The intentions of first-line nurse managers' to stay at their posts varied between 45% and 75% in different studies.Methods Data were collected by questionnaire and letters from 32 first-line nurse managers who had left their posts. Qualitative content analysis was used to analyse the letters.Results Eleven first-line nurse managers resigned due to reorganization or other changes and 19 due to their own accord. Reasons to leave were personal, organizational, as well as lack of support from and relations to the head of department. Difficult situations were unclear conditions, lack of support from supervisors and, implementation of changes, staff matters and economy. Important support was personal, organizational, practical and to have opportunities for development and education. The perception of work satisfaction was higher after resignation.Conclusions The dominant reason to leave was reorganization and other changes. The relation to the head of department influenced the first-line nurse managers' overall work situation.
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9.
  • Skytt, Bernice, et al. (författare)
  • The roles of the first-line nurse manager : Perceptions from four perspectives
  • 2008
  • Ingår i: Journal of Nursing Management. - 0966-0429. ; 16:8, s. 1012-1020
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim  To study the perception of the first-line nurse managers (FLNMs), registered nurses (RNs), assistant nurses (ANs) and head of departments (HDs) on the FLNM's current and desired roles. Background  In the process of decentralization, the role of FLNM has changed from having overall responsibility for patients to having responsibility for the management of the ward. Method  Interviews with five FLNMs, five RNs, five ANs, and one HD were used. Qualitative content analysis was used to analyse the transcribed text. Results  When describing the current roles, the FLNMs, RNs and ANs focused on the coordination of activities that contributed to a well-functioning service and care of patients as well as on the recruitment of, support to and development of the personnel. The HD focused on the FLNM's responsibilities towards the personnel, especially regarding empowerment and staff well-being. When describing desired roles, the FLNMs, RNs and ANs emphasized service on the ward while the HD underlined the development of services and co-operation with other nurse managers. Conclusion  The perception of the current and desired roles of the FLNM varied among the groups. The FLNMs, RNs and ANs reported a similar understanding which in turn differed from that of the HD who described fewer roles and focused on other areas.
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  • Resultat 1-9 av 9
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Engström, Maria, (6)
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Skytt, Bernice, (4)
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