| 1. |
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| 2. |
- Ahmad, Awais, et al.
(författare)
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Designing for Human Well-Being : A Case Study with Informal Caregivers of Individuals with Cancer
- 2022
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Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 294, s. 214-218
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Tidskriftsartikel (refereegranskat)abstract
- Informal Caregivers such as a spouse, other close relatives or friends of cancer patients can play an essential role in home-based treatment and care. However, the informal caregivers might not be prepared for this responsibility, and they might have several unmet requirements for taking care of patients in the home environment. The informal caregivers’ physical, social and psychological health is also profoundly affected due to the health conditions of their relatives. We propose a User-centred Positive Design as a hybrid framework by merging the traditional User-cantered design and positive design frameworks to enhance the informal caregivers’ subjective well-being. Our ongoing project (Carer-eSupport) will be used as a case study, and its main objective is to co-create and evaluate a web-based support system for informal caregivers of people with cancer. The proposed framework can be used for the design and development of health information systems with a special focus on users’ wellbeing and positive emotions.
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| 3. |
- Ahmad, Awais, et al.
(författare)
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Designing for Human Well-Being: A Case Study with Informal Caregivers of Individuals with Cancer.
- 2022
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Ingår i: Studies in health technology and informatics. - 1879-8365.
-
Konferensbidrag (refereegranskat)abstract
- Informal Caregivers such as a spouse, other close relatives or friends of cancer patients can play an essential role in home-based treatment and care. However, the informal caregivers might not be prepared for this responsibility, and they might have several unmet requirements for taking care of patients in the home environment. The informal caregivers' physical, social and psychological health is also profoundly affected due to the health conditions of their relatives. We propose a User-centred Positive Design as a hybrid framework by merging the traditional User-cantered design and positive design frameworks to enhance the informal caregivers' subjective well-being. Our ongoing project (Carer-eSupport) will be used as a case study, and its main objective is to co-create and evaluate a web-based support system for informal caregivers of people with cancer. The proposed framework can be used for the design and development of health information systems with a special focus on users' wellbeing and positive emotions.
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| 4. |
- Ahmad, Awais, et al.
(författare)
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Improving Remote Examination Formats : Addressing Challenges and Providing Recommendations for University Educators in the Age of ChatGPT
- 2024
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Konferensbidrag (refereegranskat)abstract
- The availability of Large Language Models (LLM), such as the widely accessible ChatGPT, has raised concerns regarding the reliability of assessment formats in university education. This presentation sheds light on the potential impact of ChatGPT on existing remote examination formats and offers recommendations to overcome associated challenges. Through interviews with three computer science educators and an analysis of insights from blog posts, social media platforms, and academic forums, we gathered diverse opinions and experiences related to ChatGPT's impact on university assessment formats. Our findings reveal challenges, particularly in cheating prevention, prompting the need for educators to adapt their teaching methods to this evolving landscape. While GPT performs well in answering open-ended questions, it struggles with calculations and problem-solving, with multiple-choice questions posing additional challenges. Incorporating interactive activities and oral examinations should be prioritized in this context. As ChatGPT gains traction, institutions must address concerns to maintain academic integrity.
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| 5. |
- Ahmad, Awais, et al.
(författare)
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Positive Design Framework for Carer-eSupport : A Qualitative Study to Support Informal Caregivers of Patients with Head and Neck Cancer in Sweden
- 2023
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Ingår i: JMIR Cancer. - : JMIR Publications. - 2369-1999. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Background: Informal caregivers of patients with head and neck cancer (HNC), such as the patient’s spouse, other close relatives, or friends, can play an important role in home-based treatment and health care. Research shows that informal caregivers are usually unprepared for this responsibility and need support with taking care of patients and other daily life activities. These circumstances place them in a vulnerable position, and their well-being may be compromised. This study is part of our ongoing project Carer eSupport, which aims to develop a web-based intervention to facilitate informal caregivers in the home environment. Objective: This study aimed to explore the situation and context of informal caregivers of patients with HNC and their needs for designing and developing a web-based intervention (Carer eSupport). In addition, we proposed a novel framework for the development of a web-based intervention aimed at promoting the well-being of informal caregivers. Methods: Focus groups were conducted with 15 informal caregivers and 13 healthcare professionals. Both informal caregivers and healthcare professionals were recruited from 3 university hospitals in Sweden. We adopted a thematic data analysis process to analyze the data.Results: We investigated informal caregivers’ needs, critical factors for adoption, and desired functionalities of Carer eSupport.A total of 4 major themes, including information, web-based forum, virtual meeting place, and chatbot, emerged and were discussed by informal caregivers and health care professionals for Carer eSupport. However, most study participants did not like the idea of a chatbot for asking questions and retrieving information and expressed their concerns such as a lack of trust in robotic technologies and missing human contact while communicating with chatbots. The results from the focus groups were discussed through the lens of positive design research approaches.Conclusions: This study provided an in-depth understanding of informal caregivers’ contexts and their preferred functions for a web-based intervention (Carer eSupport). Using the theoretical foundation of designing for well-being and positive design in the informal caregiving context, we proposed a positive design framework to support informal caregivers’ well-being. Our proposed framework might be helpful for human-computer interaction and user experience researchers to design meaningful health interventions with a clear focus on users’ well-being and positive emotions, especially for informal caregivers of patients with HNC.
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| 6. |
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| 7. |
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| 8. |
- Bärkås, Annika, et al.
(författare)
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Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients : Results from a Nationwide Survey in Sweden
- 2023
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Ingår i: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 25
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel worried or offended by the content of the notes. Moreover, existing research has focused on specific mental health diagnoses, excluding the larger PAEHR userbase with experience in MHC. OBJECTIVE: The objective of this study is to establish if and how the experiences of patients with and those without MHC differ in using their PAEHRs by (1) comparing patient characteristics and differences in using the national patient portal between the 2 groups and (2) establishing group differences in the prevalence of negative experiences, for example, rates of errors, omissions, and offenses between the 2 groups. METHODS: Our analysis was performed on data from an online patient survey distributed through the Swedish national patient portal as part of our international research project, NORDeHEALTH. The respondents were patient users of the national patient portal 1177, aged 15 years or older, and categorized either as those with MHC experience or with any other health care experience (nonmental health care [non-MHC]). Patient characteristics such as gender, age, education, employment, and health status were gathered. Portal use characteristics included frequency of access, encouragement to read the record, and instances of positive and negative experiences. Negative experiences were further explored through rates of error, omission, and offense. The data were summarized through descriptive statistics. Group differences were analyzed through Pearson chi-square. RESULTS: Of the total sample (N=12,334), MHC respondents (n=3131) experienced errors (1586/3131, 50.65%, and non-MHC 3311/9203, 35.98%), omissions (1089/3131, 34.78%, and non-MHC 2427/9203, 26.37%) and offenses (1183/3131, 37.78%, and non-MHC 1616/9203, 17.56%) in the electronic health record at a higher rate than non-MHC respondents (n=9203). Respondents reported that the identified error (MHC 795/3131, 50.13%, and non-MHC 1366/9203, 41.26%) and omission (MHC 622/3131, 57.12%, and non-MHC 1329/9203, 54.76%) were "very important," but most did nothing to correct them (MHC 792/3131, 41.29%, and non-MHC 1838/9203, 42.17%). Most of the respondents identified as women in both groups. CONCLUSIONS: About 1 in 2 MHC patients identified an error in the record, and about 1 in 3 identified an omission, both at a much higher rate than in the non-MHC group. Patients with MHC also felt offended by the content of the notes more commonly (1 in 3 vs 1 in 6). These findings validate some of the worries expressed by health care professionals about providing patients with MHC with PAEHRs and highlight challenges with the documentation quality in the records.
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| 9. |
- Bärkås, Annika
(författare)
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Patients’ Access to Their Mental Health Records : Understanding Policy, Access, and Patient Experiences
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- ORA is the concept of patients' access to clinical information, which has become more widespread worldwide. When patients are provided online record access (ORA) to their health records, concerns have been raised by healthcare professionals, especially when it comes to patients with mental health diagnoses. In the general population, positive aspects appear to outweigh the negative, yet limited research has so far explored the impact of ORA in mental healthcare. The overall aim of this thesis was to explore how patients experience ORA in mental healthcare through four studies: 1) a literature review aimed to explore the current literature on the experiences of ORA among mental healthcare patients, care partners, and healthcare professionals, 2) a document analysis combined with key stakeholder email interviews that aimed to explore to what extent ORA in mental healthcare has been implemented in Sweden including national and local policy regulations, 3) an online patient survey study aimed to understand mental healthcare patients' experiences with ORA in Sweden, Estonia, Finland, and Norway, and 4) an online patient survey study aimed to understand if and how patients with mental health conditions experiences of ORA differs from patients in other healthcare settings. More patients reported positive experiences with ORA in mental healthcare than negative experiences. Common benefits of ORA included, among others, a greater sense of control over their care, improved understanding of their mental health diagnosis, and better adherence to appointments. Despite patients' predominant positive experiences, only 17 out of 21 regions in Sweden offered ORA in mental healthcare in 2021. Additionally, many patients experienced errors and omissions and felt offended by the content of their health records. Mental healthcare patients experienced this at a higher rate than patients in other healthcare settings.In conclusion, mental healthcare patients have higher rates of negative experiences of ORA compared to patients in other healthcare settings. However, patients' experiences of ORA are still predominantly positive among both patient groups. Yet, in 2021, only 17 regions offered patients ORA in mental healthcare. Denying mental healthcare patients ORA to protect them from negative experiences could instead increase stigma in this patient group.
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| 10. |
- Bärkås, Annika, et al.
(författare)
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Patients’ access to their psychiatric notes : Current policies and practices in Sweden
- 2021
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 18:17
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Tidskriftsartikel (refereegranskat)abstract
- Patients’ access to electronic health records (EHRs) is debated worldwide, and access to psychiatry records is even more criticized. There is a nationwide service in Sweden which offers all citizens the opportunity to read their EHR, including clinical notes. This study aims to explore Swedish national and local policy regulations regarding patients’ access to their psychiatric notes and describe to what extent patients currently are offered access to them. The rationale behind the study is that current policies and current practices may differ between the 21 self-governing regions, although there is a national regulation. We gathered web-based information from policy documents and regulations from each region’s website. We also conducted key stakeholder interviews with respondents from the regions and cross-regional private care providers, using a qualitative approach. The results show that 17 of 21 regions share psychiatric notes with patients, where forensic psychiatric care was the most excluded psychiatric care setting. All private care providers reported that they mainly follow the regions’ guidelines. Our findings show that regional differences concerning sharing psychiatric notes persist, despite Swedish regulations and a national policy that stipulates equal care for everyone. The differences, however, appear to have decreased over time, and we report evidence that the regions are moving toward increased transparency for psychiatry patients.
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| 11. |
- Bärkås, Annika, et al.
(författare)
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Patients' Access to Their Psychiatric Records : A Comparison of Four Countries
- 2022
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Ingår i: Challenges of Trustable AI and Added-Value on Health. - Amsterdam; Berlin; Washington, DC : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 510-514
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Konferensbidrag (refereegranskat)abstract
- Several Nordic and Baltic countries are forerunners in the digitalization of patient ehealth services and have since long implemented psychiatric records as parts of the ehealth services. There are country-specific differences in what clinical information is offered to patients concerning their online patient accessible psychiatric records. This study explores national differences in Sweden, Norway, Finland, and Estonia in patient access to their psychiatric records. Data was collected through a socio-technical data collection template developed during a workshop series and then analyzed in a cross-country comparison focusing on items related to psychiatry records online. The results show that psychiatric records online are offered to patients in all four countries, and provide the same functionality and similar psychiatry information. Overall, the conclusion is that experiences of various functionalities should be scrutinized to promote transparency of psychiatric records as part of the national eHealth services to increase equality of care and patient empowerment.
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| 12. |
- Cajander, Åsa, et al.
(författare)
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Användbara IT-stöd : En utvärdering av ett forskningsprojekt vid CSN, Centrala studiestödsnämnden
- 2008
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Utvecklingsrådet för den statliga sektorn har tagit ett initiativ för att stödja myndigheternas arbete med att förbättra arbetsmiljön och sänka sjukfrånvaron. Därför startades programmet Satsa friskt. Programmet ger stöd i form av ekonomiskt bidrag och experthjälp till olika projekt inom statliga myndigheter. Ett av Satsa Friskts insatsområden är Människa IT . Inom detta område har det sedan 2004 bedrivits ett antal olika projekt vid flera statliga verk. Vi har från MDI (avdelningen för människa-datorinteraktion, institutionen för informationsteknologi) vid Uppsala universitet varit mer omfattande inblandad i tre olika sådana projekt: vid CSN, Migrationsverket och SMHI. Syftet och innehållet har varierat en del mellan de olika projekten, men ett huvudsakligt fokus har varit hur man kan se till att de framtida IT-stödda arbetena inom myndigheterna blir effektivare och arbetsmiljön bättre. Genom att bättre beakta användbarhets- och arbetsmiljöaspekter vid kravställande, utveckling och införande av IT-stöd kan man stödja en positiv utveckling av verksamheten som sådan liksom av arbetsinnehåll och arbetsmiljö för den enskilde individen. Resultatet kan då bli effektivare verksamhet, bättre service till kunder och ett hälsosammare och hållbarare arbete för de anställda. Denna rapport beskriver det arbete som under åren 2005-2007 genomförts i samverkan mellan CSN, Centrala studiestödsnämnden, och MDI, Uppsala universitet. Förutom en kort beskrivning av innehållet i det arbete som gjorts inom projektet redovisar denna rapport en utvärdering av resultatet, de lärdomar som vi gjort från projektet, de råd vi kan ge till andra som vill ta del av dessa lärdomar samt en förteckning av de rapporter av olika slag som producerats.
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| 13. |
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| 14. |
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| 15. |
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| 16. |
- Cajander, Åsa, et al.
(författare)
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Automation and E-government Services : A Widened Perspective
- 2007
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Ingår i: The 1st International Workshop on Design & Evaluation of e-Government Applications and Services. ; , s. 3-6
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This short paper questions the focus on automation of egovernment processes, and efficiency in e-government, which is prevalent in both research and in practice in Swedish governments. We argue that this focus on automation and efficiency might cause unhealthy workfor civil servants, and services that do not meet the demands or needs of the citizens. Hence, the role of the civil servant must be reconsidered, from a mere “overseer” of an automated process, to a highly skilled worker that provides complex services and works efficiently with information. Moreover, research on egovernment should elaborate more on the changes that needs to be done in the services provided, as well as which services that are suitable for the Internet and other media.
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| 17. |
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| 18. |
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| 19. |
- Cajander, Åsa
(författare)
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Complex systems for society
- 2018
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Ingår i: XRDS. - : Association for Computing Machinery (ACM). - 1528-4972. ; 25:1, s. 63-63
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Tidskriftsartikel (refereegranskat)
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| 20. |
- Cajander, Åsa, et al.
(författare)
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Contextual personas as a method for understanding digital work environments
- 2015
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Ingår i: 4th IFIP 13.6 Working Conference on Human Work Interaction Design, HWID 2015. - Cham : Springer. - 9783319270470 - 9783319270487 ; , s. 141-152
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Konferensbidrag (refereegranskat)abstract
- The role of IT at the workplace has changed dramatically from being a tool within the work environment to include all aspects of social and private life. New workplaces emerge where IT becomes more and more divergent, embedded and pervasive. These new aspects of IT at work need to be addressed with new or adapted human centred activities. This paper present and discuss a modified version of personas called contextual personas developed to better address the new working life. The contextual personas were developed using contextual inquiry, and focus groups as well as argumentative design. From the process of developing the contextual personas we learned that they are indeed a promising tool to understand the new work situations, and especially the holistic view of IT at work as they bring the whole working-life of the personas into focus. Finally, we discuss in what way the contextual personas could give developers extended understanding of the users’ future office work environment.
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| 21. |
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| 22. |
- Cajander, Åsa, et al.
(författare)
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Designing eHealth Services for Patients and Relatives : Critical Incidents and Lessons to Learn
- 2016
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Ingår i: PROCEEDINGS OF THE NORDICHI '16. - New York, NY, USA : Association for Computing Machinery (ACM). - 9781450347631
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Konferensbidrag (refereegranskat)abstract
- The number of eHealth services for patients and relatives is rapidly increasing as many countries are launching such services as a means to manage an ageing population, to increase efficiency in healthcare, and to empower patients. However, design and deployment of eHealth services for patients is challenging due to the complex setting and the multitude of affected stakeholders, which in turn make the task of eliciting and managing the needs and requirements equally challenging. Hence, this workshop(1) aims to make use of critical incident analysis as a method for collecting and jointly reflecting on practices, assumptions, and experiences in relation to the design, deployment, and use of eHealth services for patients and relatives. The goal of the workshop is to engage in joint reflection, and to find potential ways forward in relation to critical incidents as well as supporting the shaping and reshaping of eHealth design and development. This full day workshop invites researchers and practitioners to apply/provide their critical reflection in order to derive changed practices and theories about practice. We also especially invite the patients' perspective as this is crucial to achieve successful eHealth services. This workshop provides a venue for challenging the process of eHealth service design and development and is built around a concept of active participation, where the workshop participants will analyse and discuss the critical incidents together.
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| 23. |
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| 24. |
- Cajander, Åsa, et al.
(författare)
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Digital arbetsmiljö och projektet Nära vård online
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport innehåller en kartläggning av 1177-personalens digitala arbetsmiljö vid arbete med den chattfunktion till patienter som användes under ett pilotprojekt hösten 2019. Rapporten är skriven med utgångspunkt från att läsaren har inblick i personalen på 1177s arbete, och har kunskap kring de IT-system som används. Kartläggningen genomfördes som ett samarbete mellan forskningsprojektet Systemutvecklingsmetoder för digital arbetsmiljö som leds av Uppsala Universitet och Region Uppsalas projekt Nära Vård Online under hösten och vintern 2019/2020. Kontextuella intervjuer genomfördes på plats under cirka fem timmar. Dessutom genomfördes nio semistrukturerade intervjuer med sjuksköterskorna och åtta med läkare. Intervjufrågorna grupperades i fyra teman: intervjupersonens bakgrund; arbetsmiljö relaterat till pilotprojektet; arbetsmiljö relaterat till det äldre sättet att arbeta och några avslutande frågor. Alla intervjuer transkriberades och tematisk analys gjordes. Inom temat upplevelse av krav visar intervjuerna att det som är mest stressande, och som nästan stressar alla, är köbildningen i chattsystemet. Det som stressar är otillräcklig information om vilka samtal som väntar, och att man inte kan veta när personen man chattar med svarar. Dessutom påpekar några att man inte heller kan se vilka patienter som behöver snabb hjälp och vilka som kan vänta. Inom temat stöd kan man konstatera att alla upplever systemen som stabila, och har god inblick i vad man kan göra om systemen inte fungerar. Många tycker att systemen fungerar mycket bra. Några påpekar att samarbetet och stödet från kollegor som jobbar hemifrån inte fungerar lika bra som att arbeta på samma plats. Inom området upplevelse av kontroll finns det förbättringsområden vad det gäller vilka frågor som patienten svarat på, och sjuksköterskor påpekade att systemet delvis är designat för läkare och inte för sjuksköterskors arbete. Många upplevde att de kunde vara med och påverka i förändringsarbetet, och att de i mycket stor utsträckning varit delaktig. Rapporten innehåller också några rekommendationer kring design och implementering av liknande tjänster ur ett arbetsmiljöperspektiv. Slutligen finns lästips för den intresserade läsaren.
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| 25. |
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| 26. |
- 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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| 27. |
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| 28. |
- Cajander, Åsa, Professor, et al.
(författare)
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Electronic Health Records Are More Than a Work Tool : Conflicting Needs of Direct and Indirect Stakeholders
- 2019
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Ingår i: Proc. 37th CHI Conference on Human Factors in Computing Systems. - New York, NY, USA : ACM Publications. - 9781450359702
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Konferensbidrag (refereegranskat)abstract
- Stakeholder relationships can be complex and include conflicting needs and values, especially in a changing society. However, little is known about details of contradictory perspectives of stakeholders. More discussions are needed in HCI about complex human-centred systems development. In this paper we study the different perspectives of patients and physicians related to Patient Accessible Electronic Health Records (PAEHR) in Sweden. We used themes from interviews with physicians as a lens to analyse survey data from patients. The results show that the needs and wishes of patients conflict with the physicians’ preconceptions of patients’ needs. Moreover, the needs of patients stand in tension with the physicians’ work related preferences. Our paper highlights the necessity to consider the accuracy of stakeholders’ perspectives about other stakeholder groups. We also discuss the implications of the results in relation to design, methods and tools in HCI, and reorientation of work.
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| 29. |
- Cajander, Åsa, et al.
(författare)
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Evaluating Procurement, Usability and Off-the-Shelf Office Software
- 2007
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Ingår i: COST294-MAUSE Workshop Downstream Utility. - 9782917490013 ; , s. 25-29
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Konferensbidrag (refereegranskat)abstract
- Off-the-shelf office software has lately been receivingincreasing attention in Sweden. This experience reportillustrate different perspectives on a usability evaluation ofthe procurement process and the off-the-shelf softwaresystem. This study was part of a long-term action researchproject in a large government organization. Data wascollected through documents, interviews, and participatoryobservations. This paper describes how the usabilityevaluation was carried out, how the context of the usabilityevaluation changed during these weeks and finally discussand interpret why the stakeholders experienced theevaluation as useful. The usability evaluation was found tobe very useful by stakeholders from the organization,whereas the usability expert as well as our research grouphad difficulties in seeing the usefulness. Findings indicatean agenda that was revealed late in the project as one of themain reason for the importance of the evaluation. Also atrue belief in the perfection of the off-the-shelf officesoftware and a somewhat different view of what usability ismight explain the downstream utility.
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| 30. |
- Cajander, Åsa, et al.
(författare)
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Existing but not explicit - The user perspective in scrum projects in practice
- 2013
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Ingår i: Human-Computer Interaction – INTERACT 2013. - Berlin, Heidelberg : Springer. - 9783642404764 ; , s. 762-779
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Konferensbidrag (refereegranskat)abstract
- Agile software development processes are becoming more common, but this does not mean that the user perspective in the development is catered for. It has its challenges to integrate the users' aspects in Scrum projects in practice. In order to better understand these challenges we have interviewed IT professionals using Scrum focusing on four different areas: responsibility for the user perspective, emphasis on usability and user experience through documentation, usability activities with users and the organisational and contextual settings for emphasizing the user perspective. Results show that the responsibility for the user perspective is unclear in Scrum projects, and that often the user perspective is neither discussed nor described in the projects. However, the user perspective is often present through informal feedback used to understand the context of use and inform design for example. Finally the paper presents implications for working with the user perspective in Scrum projects.
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| 31. |
- 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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| 32. |
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| 33. |
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| 34. |
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| 35. |
- Cajander, Åsa, et al.
(författare)
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Management perspectives on usability in a public authority: a case study
- 2006
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Ingår i: Proceedings of the 4th Nordic conference on Human-computer interaction: changing roles. - New York, NY, USA : ACM New York. - 1595933255 ; , s. 38-47
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Konferensbidrag (refereegranskat)abstract
- In trying to understand the problem of poor usability in computer-supported work, this article looks at management and their perspective on usability in a public authority. What are their underlying basic values, assumptions and attitudes? Why do managers interpret usability as they do, and what are the consequences for the organization and for usability? The empirical basis is an interpretive case study where 19 semi-structured interviews were conducted. Results indicate that usability is interpreted differently, depending on the formal roles of informants. Furthermore, a majority of the informants express personal, but limited, responsibility for usability. Moreover, we found that basic values are based on an instrumental view of work where efficiency and economy are important constituents. We identified that even though users participate in IT development, they have no formal responsibility or authority. They have become IT workers in that they perform highly technical tasks such as integral testing.
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| 36. |
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| 37. |
- Cajander, Åsa, et al.
(författare)
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Medical records online for patients and effects on the work environment of nurses
- 2018
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Ingår i: Building Continents of Knowledge in Oceans of Data. - Amsterdam, The Netherlands : IOS Press. - 9781614998518 ; , s. 271-275
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Konferensbidrag (refereegranskat)abstract
- In 2012 Patients Accessible Electronic Health Records (PAEHR) was introduced in Region Uppsala, Sweden. When PAEHR was introduced heath care professionals were very concerned especially in relation to potential negative effects on their work environment. However, few studies exist that investigate in what way work environments have been affected, and no studies have focused on the nurses' working in primary care. Hence, the purpose of this study was to fill this gap through seven interviews with primary care nurses that were transcribed and thematically analysed. The study shows that the nurses' experiences an altered contact as patients accessing PAEHR came prepared to meetings with more informed questions. They also experienced that the service had increased their work load and that it creates uncertainty for nurses who do not know when to inform the patient about test results etc. Finally, some implications are discussed in relation to the patients' role in shared decision making.
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| 38. |
- Cajander, Åsa, et al.
(författare)
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On the establishment of user-centred perspectives
- 2014
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Ingår i: Proceedings of the NordiCHI 2014. - New York, NY, USA : ACM. - 1595930361 - 9781450325424 ; , s. 103-112
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Konferensbidrag (refereegranskat)abstract
- This paper examines the obstacles for and discusses possible solutions to successfully establishing a User Centred Perspective (UCP) in organisations. The analysis is made with the use of the theory Communities of Practice (CoP). The analysis is based on a cross case study based on two longitudinal action research projects. In these studies we identified four CoP considered important; users, core business managers, IT coordinators and system developers. The analysis shows in what ways the communities contribute to the difficulties for a successful establishment of UCP. One example is marginalising the IT coordinator community, and another is imperialism of the system developer community as well as the lack of boundary spanning skills. The results indicate that we need to influence all levels in organisations, with a focus on boundaries between communities, in order to successfully introduce a UCP. Boundary spanning objects need to be identified and knowledge sharing needs to be enhanced.
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| 39. |
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| 40. |
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| 41. |
- Cajander, Åsa, et al.
(författare)
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Peer reflection on inclusive supervision - a study circle as a space for collegial learning
- 2016
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Ingår i: Utbildning och Lärande / Education and Learning. - Skövde : Högskolan i Skövde. - 2001-4554. ; 10:1, s. 54-69
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Tidskriftsartikel (refereegranskat)abstract
- Forskarhandledare har en viktig roll för att öka genusmedvetenheten inom akademin, särskilt bland unga forskare, och för att stödja en inkluderande och genusvänlig arbetsmiljö för doktorander. Trots detta ges det sällan utrymme för en kontinuerlig reflektion kring inkluderande forskarhandledning. I artikeln beskrivs hur kollegial reflektion kring inkluderande forskarhandledning har möjliggjorts genom en studiecirkel som har arrangerats inom ramen för det europeiska jämställdhetsprojektet FESTA (Female Empowerment in Science and Technology Academia) vid Uppsala universitet. Artikelförfattarna har deltagit i studiecirkeln i rollerna som cirkelledare och kursdeltagare, och artikeln är skriven utifrån dessa perspektiv. I artikeln presenteras studiecirkelns upplägg och pedagogiska struktur samt författarnas reflektioner utifrån deras två olika perspektiv. Både våra egna reflektioner och kursvärderingen pekar på att studiecirkeln har lämpat sig väl som arena för kollegial reflektion. Artikeln avslutas med några råd för de som vill arrangera liknande studiecirklar kring inkluderande handledning.
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| 42. |
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| 43. |
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| 44. |
- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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Professional decision making with digitalisation of patient contacts in a medical advice setting : a qualitative study of a pilot project with a chat programme in Sweden
- 2021
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:12
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Patient e-services are increasingly launched globally to make healthcare more efficient and digitalised. One area that is digitalised is medical advice, where patients asynchronously chat with nurses and physicians, with patients having filled in a form with predefined questions before the chat. This study aimed to explore how occupational professionalism and the possibility of professional judgement are affected when clinical patient contact is digitalised. The study’s overall question concerns whether and how the scope of the healthcare staff’s professional judgement and occupational professionalism are affected by digitalisation.Design and setting: A qualitative study of healthcare professionals working in a pilot project with a chat programme for patients in a medical advice setting in Sweden.Participants and analysis: Contextual inquiries and 17 interviews with nurses (n=9) and physicians (n=8). The interviews were thematically analysed. The analysis was inductive and based on theories of decision making.Results: Three themes emerged: (1) Predefined questions to patients not tailored for healthcare professionals’ work, (2) reduced trust in written communication and (3) reduced opportunity to obtain information through chat communication.Conclusions: The results indicate that asynchronous chat with patients might reduce the opportunity for nurses and physicians to obtain and use professional knowledge and discretionary decision making. Furthermore, the system’s design increases uncertainty in assessments and decision making, which reduces the range of occupational professionalism.
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| 45. |
- Cajander, Åsa, et al.
(författare)
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Professionella kompetenser i projektkurser
- 2012
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Ingår i: Proc. 3:e Utvecklingskonferensen för Sveriges ingenjörsutbildningar. - : Linköping University Electronic Press. ; , s. 123-128
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Konferensbidrag (refereegranskat)
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| 46. |
- Cajander, Åsa
(författare)
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Software engineering with conflicting user needs : Patient accessible electronic patient records
- 2018
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Ingår i: Proceedings of the International Workshop on Software Engineering in Healthcare Systems. - New York, NY, USA : IEEE. - 9781450357340 ; , s. 1-1
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Konferensbidrag (refereegranskat)abstract
- With roots in Human Centred Software Engineering, and in User Centred Systems Design Asa Cajander has lead research on Patient Accessible Electronic Health Records (PAEHR) for six years. This experience has made her revisit the core values of user centeredness, as the different user groups of PAEHR indeed describe conflicting user needs. In this key note she will present the patients' perspective of the system, and contrast that with the perspectives of physicians and nurses. The conflicting needs of the different user groups will be illustrated by a small role play, and she will relate and discuss the findings in relation to the design and development of eHealth systems.
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| 47. |
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| 48. |
- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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The effects of automation of a patient‑centric service in primary care on the work engagement and exhaustion of nurses
- 2020
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Ingår i: Quality and User Experience. - 2366-0139 .- 2366-0147. ; 5:9
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Tidskriftsartikel (refereegranskat)abstract
- Digitalising patient-centric services to address society’s challenges with an ageing population and healthcare provision is by many seen as important. Studying the effects of the digitalisation on the work engagement of the users of the new systems is vital in this context, especially since previous research has established that the work engagement at work in healthcare is problematic. Work engagement is defined as a positive, fulfilling, affective-motivational state of work related well being, as is closely connected to the experience of resources and demands in the work context. These resources can be for example digital support, experienced demands or empowerment whereas exhaustion is connected to work demand in a workplace. This study contributes to knowledge about the effects of digitalisation on work engagement and exhaustion in the context of patient-centred services and eHealth. Contextual interviews were conducted on site for 5 h with nurses using a new chat function and using telephone for medical advice to patients. Additionally, semi-structured interviews were conducted with all the nurses participating in this digitalisation project to gather more insights into their work engagement in the two work situations. Results were analysed in different themes of areas affected by the digitalisation in the two overarching themes: job demands and job resources. The results show that the change to a chat function when communicating with advice seekers had connection to work engagement in several ways. The nurses experienced less time pressure and emotional pressure, but also a loss of job control and feedback from colleagues working from home.
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| 49. |
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| 50. |
- Cajander, Åsa, et al.
(författare)
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Towards a usability coaching method for institutionalizing usability in organisations
- 2010
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Ingår i: Human-computer interaction. - New York : Springer. - 9783642152306 ; , s. 86-97
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Konferensbidrag (refereegranskat)abstract
- The ideas related to user centred systems design are difficult to implement in organisations and usability is given low priority in in-house systemsdevelopment. This problem is multifaceted and complex and needs to be addressed with a method capable of adapting to situations, people and context. Inthis paper we outline a new method – usability coaching – that has the capability for dealing with the situated problems of introducing user centred systemsdevelopment in an organisations. The method is the results of a larger action research case study in which 9 individuals in an organization received usabilitycoaching. Our study indicates that the coaching program made coachees workmore actively with usability activities; hence the coaching program had a substantial effect on their actions and contributed to the organizational change.
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