| 1. |
- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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Effects of patient accessible electronic health records on nurses' work environment : a survey study on expectations in Sweden
- 2022
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:11
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The introduction of information and communication technology influences the work environment of large groups of employees in healthcare. In Sweden, a national healthcare service providing patient accessible electronic health records (PAEHR) has been deployed, and this paper investigates nurses' expected effects of this implementation.SETTING: Nurses associated with the Swedish Association of Health Professionals working in healthcare such as primary care, hospitals and midwives in Sweden. Before a full-scale national implementation of PAEHR, a web survey study was distributed nationally. The respondents represented all 21 Swedish regions. Questions included five-point Likert scale questions and open questions.PARTICIPANTS: A survey link was distributed via email to 8460 registered nurses, midwives and union representatives in Sweden. The response rate was 35.4% (2867 respondents: registered nurses 84%; midwives 6%; chief position 5%; in projects 2% and other 3%). Three reminders were sent out, all of them increasing the response rate. A majority of the respondents were female (89.9%), 8.4% male, whereas 1.7% did not indicate their gender. 31.4% were under 40 years old, 53.8% 40-59 and 13.7% over 60.RESULTS: Data were analysed using exploratory factor analysis with principal component analysis as the extraction method. The analysis revealed three distinct factors related to nurses' expectations of PAEHR: (1) PAEHR improves the quality of care, (2) PAEHR improves the quality of the work environment and (3) risk and fears concerning patients' well-being. Some interesting results include that more experienced nurses are more favourable to PAEHR. Our analysis also shows that the view of the nurse-patient relationship is an essential underlying factor related to positive or negative expectations.CONCLUSIONS: Results show that the expectations and perceptions of PAEHR vary depending on the nurse's view of who the electronic record belongs to. Younger nurses are somewhat more negative towards PAEHR than older nurses.
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| 2. |
- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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Experiences of Extensive User Involvement through Vision Seminars in a Large IT Project
- 2023
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Ingår i: Interacting with computers. - : Oxford University Press. - 0953-5438 .- 1873-7951. ; 35:4, s. 543-552
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Tidskriftsartikel (refereegranskat)abstract
- As the complexity of IT systems increases, the demand for methods taking the whole work situation into account grows. The Vision Seminar (VS) process addresses the future usage of technologies in complex digital work environments. This paper describes the experiences of conducting the VS process in the context of a large IT project to improve study-administrative work. The participants and stakeholders' experiences of participating in VS workshops were studied as the effect the participants and stakeholders believed the vision might have. Data were gathered through interviews and a survey. The participants were confident that the time spent on workshops was worthwhile and that achieving the future described in the resulting vision was feasible. The stakeholders perceived the VS process as rigorous. They were happily surprised by the positive spirit and engagement displayed by the participants. The utility of the resulting vision not being obvious was the most notable weakness mentioned.
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| 3. |
- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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Walking in the Jungle with a Machete : ICT Leaders' Perspectives on User-Centred Systems Design
- 2022
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Ingår i: Behavior and Information Technology. - : John Wiley & Sons. - 0144-929X .- 1362-3001. ; 41:6, s. 1230-1244
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Tidskriftsartikel (refereegranskat)abstract
- Previous research has established that leaders in information and communication technology (ICT) are crucial for establishing a user-centred systems design perspective in ICT for work-related tasks. This paper therefore describes the perspectives of 18 ICT leaders in three kinds of leadership roles (managers, project leaders and specialists) in order to understand their views of user-centred systems design concerning ICT. It uses the concept of technological frames of reference to analyse three domains: technology-in-use, technology strategy and nature of technology. The results show that many specialists see user involvement as a critical factor in successfully establishing new information and communication technologies, but that these systems are currently built around the needs of management rather than end users. Looking forward, all three relevant social groups are optimistic about how ICT will become more user-centred and more strategically aligned in the future. However, changes in ICT are described as extremely energy-consuming and difficult – akin to ‘walking in the jungle with a machete’. Finally, we discuss the relevance of technological frames and present some implications for the successful establishment of user-centred system design as a perspective in organisations.
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| 4. |
- Carlson, Sara, et al.
(författare)
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Using Cognitive Work Analysis to Model the Impact of Digitalization on Intensive Care Nursing
- 2024
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Ingår i: Journal of Cognitive Engineering and Decision Making. - London : Sage Publications. - 1555-3434 .- 2169-5032.
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Tidskriftsartikel (refereegranskat)abstract
- The continuous development of health IT fuels a process of ongoing digitalization that affects the work of hospital staff. A Cognitive Work Analysis methodology was used to investigate the impact of digitalization through a Clinical Information System (CIS), an addition to the basic Electronic Medical Record, on one intensive care unit (ICU). Both observations and semi-structured interviews were performed. The replacement of a paper charting system with a digital CIS that meant some of the administrative tasks could be automated and other tasks being performed on a computer screen instead of using paper. The nurses’ work domain was modeled and compared to a study performed prior to the implementation of the CIS. The study demonstrates the potential utility of the Cognitive Work Analysis approach (when applied both pre and post-implementation) to evaluate the impact of a CIS on ICU nurses.
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| 5. |
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| 6. |
- Grünloh, Christiane, et al.
(författare)
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Using Critical Incidents in Workshops to Inform eHealth Design
- 2017
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Ingår i: Human-Computer Interaction - INTERACT 2017. - Cham : Springer. - 9783319677439 - 9783319677446 ; , s. 364-373
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Konferensbidrag (refereegranskat)abstract
- Demands for technological solutions to address the variety of problems in healthcare have increased. The design of eHealth is challenging due to e.g. the complexity of the domain and the multitude of stakeholders involved. We describe a workshop method based on Critical Incidents that can be used to reflect on, and critically analyze, different experiences and practices in healthcare. We propose the workshop format, which was used during a conference and found very helpful by the participants to identify possible implications for eHealth design, that can be applied in future projects. This new format shows promise to evaluate eHealth designs, to learn from patients’ real stories and case studies through retrospective meta-analyses, and to inform design through joint reflection of understandings about users’ needs and issues for designers.
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| 7. |
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| 8. |
- Löscher, Ida, et al.
(författare)
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Cognitive Work Analysis to support development of health IT in a complex organization
- 2024
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Ingår i: Applied Ergonomics. - Amsterdam : Elsevier. - 0003-6870 .- 1872-9126.
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Tidskriftsartikel (refereegranskat)abstract
- The continuous development of health IT fuels a process of ongoing digitalization that can affect the work of hospital staff negatively with respect to the poor integration of IT systems. One aim is to understand challenges associated with the work of implementing health IT systems within a complex organization. Another aim is to explore how an abstraction hierarchy, a modeling tool from the cognitive work analysis framework, can be used for development of health IT by visualizing how IT systems’ functions overlap, interfere with or depend on each other. We interviewed decision makers holding different positions at a large university hospital in Sweden and the possible use of the abstraction hierarchy was evaluated during a workshop. Multiple challenges are associated with the development of health IT systems, including difficulties in usability work, various work roles and use cases, the complexity of the organization, external development and technical and legal barriers to system integration. The abstraction hierarchy could indicate the need for further investigation of functionality overlap and reveal collaboration needs between development projects.
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| 9. |
- Löscher, Ida, et al.
(författare)
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Visualizing Purpose and Functionality Overlaps of Health IT Systems using an Abstraction Hierarchy
- 2019
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Ingår i: Proceedings of the Human Factors and Ergonomics Society Annual Meeting. - Newbury Park, California : Sage Publications. - 2169-5067 .- 1071-1813. ; , s. 317-321
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Konferensbidrag (refereegranskat)abstract
- The development of health IT fuels a digitalization process that affects the work of hospital staff negatively in the case of poor integration of IT systems. A challenge lies in keeping track of the existing IT systems and possible overlapping functions. The Abstraction Hierarchy model from the Cognitive Work Analysis framework describes how parts of a complex system relate to the over-arching goals of the system, which could work as an overview of the IT systems. In this study, we explore how an Abstraction Hierarchy can be used to visualize how IT systems’ functions overlap, interfere with, or depend on each other. The Abstraction Hierarchy was developed based on documentation, interviews, and a study visit at a hospital ward. The overlaps in functionality visualized in the Abstraction Hierarchy could serve as indicators for the need for further investigation of effects on the hospital staff’s work.
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| 10. |
- Sandblad, Bengt, et al.
(författare)
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Why Digital Systems Do Not Reach Their Full Potential in Organizations
- 2019
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Ingår i: XRDS: Crossroads, The ACM Magazine for Students. - : Association for Computing Machinery (ACM). - 1528-4972 .- 1528-4980. ; 25:2, s. 32-27
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The continuous evolution of digital systems shaping the workplace and the optimizing of work processes is revolutionary. But despite decades of accumulated experience, there are still plenty of projects that fail completely or deliver unexpected and unacceptable results. This article discusses why problems with the digitalization of working life persist.
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