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- Johansson, Gerd, et al.
(författare)
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Working and living with home care - a workplace for one, a home for the other
- 2015
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Ingår i: [Host publication title missing].
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Konferensbidrag (refereegranskat)abstract
- As home care increases and care is moving from nursing homes and hospitals into people’s homes, there are problem areas that need to be addressed and solved in a better way than today. Nurses and other home care workers are exposed to serval risks when the patients’ home environment becomes their workplace. There are also serval risks for the patients when their homes are transferred into “small hospitals”. This paper presents the initial results from a study to identify the need for improvements in the physical environment in home care, from the perspective of both employees and patients, and to generate useful and attractive solutions. Interviews and observations were carried out, where staff members from three different healthcare teams in one municipality in Sweden were observed during their care giving shift in patients’ homes. The results indicate that care is often provided in a specific place in the home. Inadequate resources for hygiene, working surfaces or lighting result in non-ergonomic work postures, eye strain, and other risks for the practitioner and the patient. Many situations and activities are not performed in a standardized manner but open to individual differences. The interviews turned out to be the wrong approach for identifying the need for improvements, while observations through shadowing proved to be more suitable. Practitioner Summary: The amount of advanced care and technology being moved into ordinary homes is increasing. This creates the need for a physical design of the interior of the home environment which decreases the risks for both staff and patients, and creates a pleasant home environment. This study identified various objects and work situations that need improvement. Many of the homes visited lacked support for ergonomic work postures, hygienic work surfaces, adequate lighting and appropriate places to store materials.
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- Schneidler‐Larsson, Angelica, et al.
(författare)
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Libris som lokal OPAC : en kartläggande studie om förutsättningar och lösningsmodeller. Projektrapport
- 2010
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- In February 2009 the Royal Library (the National Library of Sweden) announced funding for the development area “LIBRIS as a local OPAC”. The university libraries in Gothenburg, Lund, Uppsala and Växjö jointly applied for the project. The aim of the project was to investigate possibilities, problems and expectations concerning the concept of using the national union catalog LIBRIS as a local OPAC (hereafter L‐OPAC), including access to local circulation information and services. The goal has been to provide a decision‐making basis for the Royal Library regarding possible further development. The needs of both end‐users and libraries have been taken into consideration in the analysis. [Adapted from summary.]
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| 6. |
- Tell, Johanna, 1973-
(författare)
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Implementation and use of Web-based National Guidelines in Child Healthcare
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In Sweden, child healthcare (CHC) is an important health promotion setting, providing universal and targeted interventions. High demands on child healthcare and the competences of CHC nurses, highlight the importance of access to supportive web-based guidelines in everyday work. The implementation of web-based guidelines is affected by various factors and can be challenging. The Swedish Rikshandbokenis national guidelines for CHC that are in the process of being implemented. The overall aim of this thesis was to investigate the CHC provided in Sweden before the implementation of the national CHC programme, and the implementation and usage of web-based national guidelines for CHC. Study Iaimed to investigate whether the Swedish CHC programme was equal and which methods for health surveillance the county councils offered. A web-survey distributed to CHC coordinators was used, and the data were analyzed with descriptive statistics. Study IIaimed to investigate how nurses in CHC use Rikshandboken and factors affecting its use. A web survey was used and analysed using descriptive and analytical statistics. Study IIIaimed to investigate CHC coordinators´ experiences of being a facilitator in the implementation of a new national CHC programme in the form of a web-based guide. Focus group interviews via Skype for Business were conducted and analyzed using qualitative content analysis. Study IVaimed to examine CHC nurses´ use and ways of understanding the national web-based guidelines, Rikshandboken. A mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistics followed by telephone interviews with phenomenographic analysis. Study Vaimed to investigate the usage of the national web-based guidelines, Rikshandboken. The data were collected from Google Analytics, and analyzed using descriptive statistics. The results of the studies show that Rikshandbokenis widely used and that its usage has increased. CHC nurses are generally satisfied with the website and emphasizes the importance of national guidelines for CHC. Factors needed to be developed to improve Rikshandbokenwere suggested as well as prerequisites that are needed in the local context to use Rikshandbokenfully. It must be reliable, useful and relevant why the end users need to be involved in the development. With the right conditions, Rikshandbokencould be a resource for learning and a tool in everyday work for CHC nurses. The result also shows that the CHC is provided unequally, and that the CHC programme is challenging to implement in the local context. The CHC coordinators´ task is to facilitate the implementation of the web-based national guidelines; however, this responsibility is complex. Changing the content, structure and access to Rikshandbokenis not sufficient, in the local context, prerequisites for the use of these web-based national guidelines must exist, and only then can Rikshandbokenbe a contributing determinant to an equal CHC.
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| 7. |
- Tell, Johanna, et al.
(författare)
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Implementation of a web-based national child health-care programme in a local context : A complex facilitator role
- 2018
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 46:Suppl 20, s. 80-86
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context.
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| 8. |
- Tell, Johanna, 1973-, et al.
(författare)
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Nurses' use and ways of understanding web-based national guidelines for child healthcare
- 2020
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Ingår i: Computers, Informatics, Nursing. - : Wolters Kluwer. - 1538-2931 .- 1538-9774. ; 38:2, s. 62-70
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Tidskriftsartikel (refereegranskat)abstract
- The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care. Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users
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| 9. |
- Tell, Johanna, et al.
(författare)
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Nurses’ Use of a Web-Based National Guide for Child Health Care
- 2016
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Ingår i: Computers, Informatics, Nursing. - : Lippincott Williams & Wilkins. - 1538-2931 .- 1538-9774. ; 34:5, s. 197-205
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Tidskriftsartikel (refereegranskat)abstract
- Rikshandboken i Barnhälsovård is a Swedish Web-based guide for child healthcare, providing quality-ensured guidelines and support contributing to equality in child healthcare among all children. In 2015, a new child healthcare program was implemented and made available in this Web-based guide. The aim of this study was to investigate how child healthcare nurses use Rikshandboken i Barnhälsovård and factors affecting its use. The study was a comprehensive Web survey of 2376 child healthcare nurses in Sweden answered by 1309. Statistical processing was performed using descriptive and analytical methods. Rikshandboken i Barnhälsovård was widely used by the respondents, but regional differences and number of years in the profession affected the use. Almost all nurses were satisfied with the usability, content, and design and felt that a national guide for child healthcare is important. This indicates that an established Web-based national guide is an appropriate setting when a new national program is implemented. In order to achieve an equal and equitable child healthcare, it is essential that all nurses use the national guide to provide evidence-based practice. The value of main child healthcare units as regional facilitators in the innovation process of Rikshandboken i Barnhälsovård should not be underestimated.
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| 10. |
- Tell, Johanna, 1973-, et al.
(författare)
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The usage of web-based national guidelines for child healthcare : A web analytic study
- 2018
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- The development and dissemination of information- and communication technologies in healthcare is rapid. The purpose of web-based national guidelines is to support professionals in everyday work providing equivalent, safe and qualitative healthcare. Web-based national guidelines are often not implemented effectively in healthcare why studies reflecting different aspects of use and implementation is needed. The aim of this study was to investigate the usage of web-based national guidelines for child healthcare, Rikshandboken i barnhälsovård. In this case study with cross-sectional design, usage pattern of the web-based guidelineswas studied for one year using the web analytic tool, Google Analytics. The usage data were analysed with descriptive statistics. The study showed the general usage pattern of RHB, changes in usage through the year and various usage pattern in different user groups. The usage of RHB had increased, the web-based guidelines was used in all county councils/regions and the most common visited web-page was the new national child healthcare programme. This tendency suggests a positive direction towards the RHB aim to contribute to equal , equitable and high-qualitative CHC.The result also showed the importance to study different user groups as the usage pattern differs. This provide valuable knowledge in the development of web-based national guidelines making them useful and relevant for all its users.
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