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1.
  • Engström, Maria, 1966- (författare)
  • A Caregiver Perspective on Incorporating IT Support into Dementia Care
  • 2006
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Aim: The overall aim of the present thesis was to describe and evaluate IT support in dementia care from the perspectives of staff and relatives. More specifically, it was to examine staff members’ satisfaction with work, life satisfaction and sense of coherence before and after increased IT support, to describe staff members’ opinions and perceptions of IT support during the process of implementation, to describe relatives’ opinions of IT support and to compare relatives’ perceptions of their irritations with care and life satisfaction before and after increased IT support. In addition, three questionnaires were further developed and tested among staff working in elderly care, and then used in the staff evaluation. Methods: A quasi-experimental design with baseline assessments and follow-ups and experimental and control groups was used in two studies to investigate the outcomes of IT support. A descriptive design was used to study staff views on IT support, and a correlative design was used in the methodological study. Participants were 33 staff members and 22 relatives in the evaluation, 14 staff members in the descriptive study and 299 staff members in the methodological study. Data collection methods were questionnaires and group interviews. The IT support consisted of passive passage alarms, fall detectors, sensor-activated night-time illumination of the lavatory, movement detectors, email communication, an Internet website and additional computers. Findings and conclusions: Staff job satisfaction and perceived quality of care increased in the experimental group. The relatives were generally positive about the IT support, and the experimental group showed a decrease in practical/logistical irritations. Staff described ‘moving from fear of losing control to perceived increase in control and security’ and ‘constant struggling with insufficient/deficient systems’. Conclusions are that IT support can be a resource in dementia care as perceived by caregivers if IT support is incorporated into the care system.
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2.
  • 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. - : Mary Ann Liebert Inc. - 1530-5627 .- 1556-3669. ; 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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3.
  • 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. - : SAGE Publications. - 1357-633X .- 1758-1109. ; 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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4.
  • 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. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 17:7, s. 781-789
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM The 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. BACKGROUND ICT in dementia care will likely increase in the future. The diffusion of new innovations can be better understood through diffusion research. METHODS Fourteen 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. RESULTS The results showed two themes 'Moving from fear of losing control to perceived increase in control and security' and 'Struggling with insufficient/deficient systems'. CONCLUSIONS Staff 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 MANAGEMENT Functioning 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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5.
  • 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: Journal of Telemedicine and Telecare. - : SAGE Publications. - 1357-633X .- 1758-1109. ; 11:6, s. 304-309
  • Tidskriftsartikel (refereegranskat)abstract
    • We measured staff members' satisfaction with their work beforeand after increased information technology (IT) support in dementiacare. Comparisons were also performed of perceived life satisfactionand sense of coherence. Data were collected before, and 6 and12 months after implementation of the first part of an IT supportproject. 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 forpersons with dementia. The participants were 33 staff members.The IT technology included general and individualized passagealarms, sensor-activated night-time illumination, fall detectorsand Internet communication. Results showed that staff members'job satisfaction and perceived quality of care improved in comparisonwith the control group. Personal development, workload, expectationsand demands, internal motivation and documentation, as wellas the total scores for 'psychosocial aspects of job satisfaction'and 'quality of care aspects', increased in the experimentalgroup. There were significant interaction effects for the factorsfamily relation, close friend relation (LSQ), the total SOCscale and the meaningfulness subscale. The study showed thatIT support in dementia care increased staff members' satisfactionwith their work in several ways.
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6.
  • 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. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 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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