| 1. |
- Elf, Lena Marie, 1962, et al.
(författare)
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A dynamic conceptual model of care planning
- 2007
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Ingår i: SCANDINAVIAN JOURNAL OF CARING SCIENCES. - : Wiley. - 0283-9318 .- 1471-6712. ; 21:4, s. 530-538
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Tidskriftsartikel (refereegranskat)abstract
- This article presents a conceptual model of the care planning process developed to identify the hypothetical links between structural, process and outcome factors important to the quality of the process. Based on existing literature, it was hypothesized that a thorough assessment of patients' health needs is an important prerequisite when making a rigorous diagnosis and preparing plans for various care interventions. Other important variables that are assumed to influence the quality of the process are the care culture and professional knowledge. The conceptual model was developed as a system dynamics causal loop diagram as a first essential step towards a computed model. System dynamics offers the potential to describe processes in a nonlinear, dynamic way and is suitable for exploring, comprehending, learning and communicating complex ideas about care processes.
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| 2. |
- Elf, Lena Marie, 1962, et al.
(författare)
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An audit of the content and quality in briefs for Swedish healthcare spaces
- 2009
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Ingår i: Journal of Facilities Management. - : Emerald. - 1741-0983 .- 1472-5967. ; 7:3, s. 198-211
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Initial briefs (programs) were examined in order to obtain an overview of current practice in documenting the briefing process for new health care buildings in Sweden. Methodology: An audit instrument was developed and used to examine briefs for the content and quality of information and to determine whether and to what extent the information was comprehensive and patient oriented. Findings: The results indicate that few strategic briefs make use of evidence to support their statements. Moreover, few briefs had an explicitly patient-focused goal for the project or measurable outcomes. Implication for practice: This new audit approach can be applied in various organisations and over time to improve the briefing process and create clearer goals and guidelines. Originality/value: The present study contributes with an audit of written briefs. The question of whether the use of briefing and a systematic brief make a significant contribution to the high quality of design solutions remains unanswered, as is also the case of whether the brief, in general, reflects the briefing process. Despite the recent focus on improving the quality of the briefing process, there is a lack of knowledge concerning the documentation resulting from the briefing process. Studies are needed that employ different approaches in order to accept or reject the assumption that the briefs are an accurate reflection of the briefing process.
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| 3. |
- Elf, Lena Marie, 1962, et al.
(författare)
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Developing a model of a Stroke Care Process
- 2009
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Ingår i: Online Journal of Nursing Informatics. - 1089-9758. ; 13:3, s. 1-34
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Tidskriftsartikel (refereegranskat)abstract
- Aim. The paper presents the development and structure of a generic stroke care simulation model, used in designing of a stroke unit in Sweden. Background and rationale. Designing new health care spaces is a multifaceted process; requiring multi-professional (nurses, other healthcare professionals, building planners and architects) involvement. To secure that the patients’ interest are in focus the different stakeholders need to analyze and develop a common understanding of the care processes that are to take place in the new space. Modeling and simulation is one significant method, making it possible to depict the dynamic structure of the system and experiment with the model, asking “what – ifs” questions. Methods. System dynamics, a modeling method was used to develop the model. The iterative and group-modeling process included development of a quantified model (with a multi-professional design team, based on evidence from the literature, and a survey from stroke care experts), and validation of the model. Results. The dynamic care model developed included variables that are essential in modern care, such as patient-participation, care-planning, and teamwork. Conclusion. The presented generic model provides a framework for exploring, comprehending, and communicating complex ideas about stroke care.
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| 4. |
- Elf, Lena Marie, 1962
(författare)
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Modelling of Care Processes. The use of Simulation Models for the Design of Health Care Environments
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The necessity to improve the building design process is stressed in many studies. Communication in the early stages of the process is particularly important and it is suggested that this influences the quality of the whole process. In recent times, the construction sector has become more customer-oriented and is making use of the organisation and its main process as a basis for design decisions and as an important complement to construction issues. Participants in the building design process need tolls to indentify the requirements of the organisation for a building project. The overall aim of this thesis was to explore modelling and simulations (system dynamics) as at tool in facilitating collaboration between participants in the early stages in the design process for new health care environments. Two models were developed: a conceptual model for care planning and a simulation model of a stroke care process with a patient-centred focus. The thesis also investigated whether system dynamics with group modelling facilitates collaboration between participants in the design process. A case study approach was adopted to gain a detailed understanding of the activities during the group modelling project. Data was collected through literature, interviews and observations of the group modelling sessions. The results showed that group modelling with system dynamics facilitated the design work. The method allows the participants to visualise and understand the relationships between important factors in the stroke care process and brings system thinking into the stroke care process. The findings from the thesis have implications for managing the requirements of the buildings in the early stages of the design process.
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| 5. |
- Elf, Marie, 1962, et al.
(författare)
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Designing Sustainable Health Care Spaces
- 2008
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Ingår i: The Natural Step´s Sustainability Leadership Challenge - conference in Stockholm. - Stockholm.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 6. |
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| 7. |
- Holmström, Paul, 1948, et al.
(författare)
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Scoping group interventions for suitability in participatory modeling
- 2009
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Ingår i: OR (Operational Research) 51 Annual Conference. - University of Warwick.
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Konferensbidrag (refereegranskat)abstract
- Over the past two decades System Dynamics (SD) modeling has been used in strategic thinking, policy testing, and quality improvement work. Many modelers have used SD in participatory group-modeling situations both as a method for fact elicitation and for group learning of the system. Several authors have stated that the modelling process is problematic and especially modelling with multi-professional groups. We conducted a scoping review of the literature on methods for group process work to identify methods that can be useful for the SD field. The article includes a description of several well-accepted methods from other fields for the briefing process at the early stages of a participatory modeling process.
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