| 1. |
|
|
| 2. |
|
|
| 3. |
- Chang, Fangyuan, et al.
(författare)
-
Discrepancies Between Expected and Actual Implementation: the Process Evaluation of PERS Integration in Nursing Homes
- 2020
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1660-4601. ; 17:4245
-
Tidskriftsartikel (refereegranskat)abstract
- Recent studies prove that when implementing new technology technology-driven and one-size-fits-all approaches are problematic. This study focuses on the process of implementing personal emergency response system (PERS) at nursing homes. The aim is to understand why the implementation of PERS has not met initial expectations. Multiple methods were used in two Swedish nursing homes, including document analysis, questionnaires (n = 42), participant observation (67 h), and individual interviews (n = 12). A logic model was used to ascertain the discrepancies that emerged between expected and actual implementation, and the domestication theory was used to discuss the underlying meanings of the discrepancies. The discrepancies primarily focused on staff competence, system readiness, work routines, and implementation duration. Corresponding reasons were largely relevant to management issues regarding training, the procurement systems, individual and collective responsibilities as well as invisible work. The uptake of technology in daily practice is far more nuanced than a technology implementation plan might imply. We point out the importance of preparing for implementation, adjusting to new practices, and leaving space and time for facilitating implementation. The findings will be of use to implementers, service providers, and organizational managers to evaluate various measures in the implementation process, enabling them to perform technology implementation faster and more efficiently.
|
|
| 4. |
- Chang, Fangyuan
(författare)
-
Socio-technical Transformations in Care Practices : Investigating the Implementation of Social Alarm Systems in Nursing Homes
- 2021
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The worldwide shortage of qualified care workers along with the increasing need for elderly care services has restrained the capacity of nursing homes to offer their residents high-quality care services. Along with digitalization, policymakers believe that technological advancements can improve the efficiency of care and streamline care work, thus helping to alleviate the challenge above. These investments include the creation of new care services by adopting innovations such as social robots, and the update of existing care services by replacing analogue technologies with digital versions, such as social alarm systems. While numerous studies have discussed the implementation of new digital technologies, the digitalization of existing care services has received less attention.This dissertation conducts empirical investigations on the digitalization of social alarm systems in four Swedish nursing homes. By applying theories of social shaping of technology with a focus on socio-technical transformations in care practices, it asks how implementation of the new social alarm systems is socially shaped in care practices. The social alarm system is an established technology that aims to enable users to call for help in emergencies. Based on a literature review of the central theme (Paper I), the dissertation examines discrepancies between planned and actual implementation outcomes (Paper II), differences within a team during project executing (Paper III), and the relationship between individuals’ actual use of technology and the assumptions inscribed in the system and the diverse care concepts in nursing homes (Paper IV). The methodological basis of the dissertation comprises analysis of implementation documents, observations of healthcare professionals’ daily work, interviews with employees of both technology companies and nursing homes, questionnaires completed by healthcare professionals, and a literature review.The results reveal that technology implementation is far from predictable outside the care context. During the implementation process, people from different groups have distinct goals, focus on different facets, and develop diverse approaches for integrating the system into daily work. Frontline professionals determine their ways of using the new social alarm system based on their personal and situational understanding of technology scripts and care concepts under given contexts. The results contribute to theoretical clarifications as well as practical possibilities and limitations to guide the implementation of social alarm systems in nursing homes. The findings indicate that the introduction of a digital social alarm system brings various changes. The digitalization of social alarm services in nursing homes can benefit from a clear positioning of the new system, a common ground for sufficient communication between actors involved, and an in-depth interpretation of local environments, as well as flexible and continuous implementation strategies.
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
|
|
| 8. |
- Eriksson, Andrea, 1977-, et al.
(författare)
-
How Conditions and Resources Connected to Digital Management Systems and Remote Work Are Associated with Sustainable Work
- 2022
-
Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 19:23
-
Tidskriftsartikel (refereegranskat)abstract
- The current state of work–life transformation will see more white-collar work being performed remotely using digital management systems. There is, however, a lack of research on factors and resources contributing to sustainable work when working remotely using digital management systems. The aim of this study was to study the conditions and resources connected to digital management systems and remote work, and their associations with sustainable work, in terms of process quality, trust, and sense of coherence, when working remotely during the COVID-19 pandemic. An analytical cross-sectional study was performed. Questionnaire data from white-collar employees (n = 484) in two private companies were analyzed with regression models, focusing on the importance of the conditions and resources connected to digital management systems and remote work, stratified by working from home or at the office. The results showed digital conditions and resources being associated with indicators of sustainable work. Furthermore, the results showed that social work relations were additional important explanatory factors for sustainable remote work. This study contributes to the development of a new post-pandemic work–life balance by concluding that sustainable remote work needs to be ensured by functional digital management systems and adequate leadership supporting the development of a positive team and learning climate. © 2022 by the authors.
|
|
| 9. |
- Eriksson, Andrea, 1977-, et al.
(författare)
-
Hur olika orsaker påverkar undersköterskor och sjuksköterskor val att sluta vid vårdavdelningar
- 2020
-
Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 97:1, s. 103-116
-
Tidskriftsartikel (refereegranskat)abstract
- Syftet var att studera de främsta orsakerna till varför under- och sjuksköterskor slutade vid vårdavdelningar vid ett svenskt sjukhus och få en förståelse för hur specifika händelser inklusive samspel mellan olika orsaker påverkat val att sluta. Studien bygger på mixed method inklusive enkäter till och intervjuer med undersköterskor och sjuksköterskor som slutat vid fyra avdelningar vid ett svenskt sjukhus mellan åren 2012-2019. De främsta orsakerna till att sluta var personliga skäl, bristande arbetsförutsättningar, bristande möjligheter till återhämtning, lön, möjlighet till utveckling, ledningsbrister samt krav i arbetet. De kvalitativa analyserna i studien visade dock hur de personliga skälen samspelade med organisatoriska krav och förutsättningar. Resultaten pekar på vikten av att utveckla goda arbetsförhållanden för minskad intention att sluta och att ett viktigt led i att förebygga personalomsättning är att ledningen i större utsträckning tar hänsyn till under- och sjuksköterskors åsikter vid förändringsarbete.
|
|
| 10. |
- Eriksson, Andrea, 1977-, et al.
(författare)
-
Job demands and functional resources moderating assistant and Registered Nurses' intention to leave
- 2021
-
Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 8:2, s. 870-881
-
Tidskriftsartikel (refereegranskat)abstract
- Aims To investigate how job demands and resources interact with each other to predict intention to leave among assistant nurses and Registered Nurses. Design Longitudinal study. Methods Questionnaire data were collected yearly during three years (October 2012-December 2014) from Registered Nurses (RN) and assistant nurses (N = 840) employed in Swedish hospitals. Associations and interaction effects of demands and resources were assessed with correlation analyses and regression models. Results Job demands predicted assistant nurses' intentions to leave, while resources predicted RNs' intention to leave. For RNs, several resources were functional in moderating the associations between demands and intention to leave: social support, vertical trust, and humanity moderated work pace and workflow moderated emotional demands. For assistant nurses, organizational clarity and interprofessional collaboration moderated emotional demands. None of the resources had a moderating effect on the associations between quantitative demands or illegitimate tasks and intention to leave.
|
|
