| 1. |
- Sandberg, Åke, et al.
(författare)
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Prioritera forskning om att organisera för hälsa i arbetet
- 2016
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Ingår i: Universitetsläraren. - 0282-4973.
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Organisationsforskning om och för bra arbetsplatser faller mellan stolarna. Det hävdar sex forskare inom olika ämnen, som nu föreslår en rad övergripande förändringar. Bland annat ett eget forskningsråd för arbetslivsforskning.
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| 2. |
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| 3. |
- Cöster, Mathias, et al.
(författare)
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Usability and strategic logic in information systems : Supporting insight and action in IT-enabled change
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Information systems (IS) are increasingly viewed as key enablers in organisations’ quest for distinctive work practices and uniqueness. To increase the likelihood of success in this, we expect that organisation leaders increasingly will want to develop and use such systems in conjunction with the strategic logic that they intend to pursue: how users of IS (employees, customers, and business partners) should process and utilise information.Definitions of IS usability already imply this in talking not only of user satisfaction but also efficiency and effectiveness. However, “effectiveness… in a specified context of use” (ISO, 1998) must be judged with reference to the intended logic for such a context. This makes it imperative to link strategy and estimates of usability in changing IS, and to include in such systems relevant parts of the work practices supported by the technology in question.We relate this need to the four dimensions suggested by Iveroth (2011) in handling IT change, which we interpret as insight and action inertia due to established systems and routines (cf. Hedberg 1976). Eliciting employee views and involving stakeholders by visualising the logic behind possible changes in IS and how they are used should reduce the risk of incoherent, misinformed and ultimately unsuccessful projects.The article reports on experiences from testing a new approach where two proven tools were combined to achieve this: user questionnaires and strategy maps. Two Swedish organisations, a transport company and a regional administration, considered developing their intranets. To support their discussions about benefits from this, these methods were used interactively to increase understanding of potential effects of the intranets on organisational objectives. The methods were accepted and appreciated and enabled a time-effective discussion on how to develop the IS, i.e. the intranets. Both organisations concluded that their paths towards more effective use of intranets mainly depends on changing behaviours and competencies. This suggests that a crucial next step for them is to address the inertias that have to be managed in IT-enabled change.
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| 5. |
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| 6. |
- Falk, Thomas, et al.
(författare)
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Illustrating an Organisation’s Strategy as a Map
- 2020
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Ingår i: Strategic Management Control. - Cham : Springer Nature. ; , s. 9-30
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Business strategies need to be communicated and internalized by employees to make a difference. In this chapter we explore how balanced scorecards and strategy maps can facilitate such communication and dialogue among employees. We build on references from the field of strategic management control and a well-grounded overview of the concept of storytelling from the field of cinema studies. In addition to this, we offer an in-depth case description of how the Swedish €100+ million amusement park group, Parks and Resorts Scandinavia, has deigned their strategy map visually, to engage their employees in talking about the strategy and measuring its execution. Our recommendation is that designers of scorecards and strategy maps should take the learnings from motion-picture storytellers into account and apply these experiences in their effort to make the strategy everyone’s job. We especially highlight the two concepts (1) simple design that creates intense content, and (2) “suspension of disbelief”, i.e. how the designer of the strategy map can strike a deal with the viewers (the employees in the organisation) such that they interpret and trust the content in the strategy map.
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| 7. |
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| 8. |
- Frykholm, Oscar, et al.
(författare)
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Medicine meets engineering in cooperative design of collaborative decision-supportive system
- 2010
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Ingår i: IEEE 23rd International Symposium on Computer-Based Medical Systems (CBMS). - Perth, WA : IEEE conference proceedings. ; , s. 116-121
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Konferensbidrag (refereegranskat)abstract
- Researchers in Human-Computer Interaction have worked together with physicians to specify and create prototypes of a system to be used primarily during multi-disciplinary team meetings. Physicians will use the system to aggregate and present relevant patient information during discussions on diagnosis and treatment, and also to coordinate the cases during the patient care pathway. In this paper we present the cooperative design process and activities conducted within the project. The results are two-fold; we report on the progress of creating the decision-supportive system, and describe how the physicians experience the design process. The design activities have made the physicians reflect on: the lack or loss of patient information, how patient information can be improved, break-downs in their work process, how they learn from each other, and the design methodology itself.
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| 9. |
- Grünloh, Christiane
(författare)
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Harmful or Empowering? : Stakeholders’ Expectations and Experiences of Patient Accessible Electronic Health Records
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Healthcare systems worldwide face organisational and financial challenges due to increasing number of people with chronic conditions, increasing costs, and an ageing population. eHealth services have the potential to address some of these challenges, for example, by supporting patients who are engaged in self-care, improving quality of care, and reducing medical costs.In 2012, Region Uppsala in Sweden launched an eHealth service that enabled patients to access their electronic health records through the Internet. The launch of the service was accompanied by strong criticism from healthcare professionals (HCPs) and was heavily debated in the media. Patients on the other hand were very positive towards the service.Albeit promising, the potential of Patient Accessible Electronic Health Records (PAEHRs) cannot be realised if HCPs still have reservations towards the service and their concerns are not fully understood. The purpose of this research is therefore to enhance our understanding of how physicians view PAEHR in relation to both their work environment and the level of patient participation. Furthermore, the aim is to shed light on whether their concerns related to patients’ well-being have materialised in practice and how patients view and make use of the service. Finally, this thesis identifies implicated human values and value tensions related to PAEHR.To enhance our understanding of the physicians’ perspective, semi-structured interviews with 12 physicians in Uppsala were thematically analysed. A national patient survey was conducted to investigate patients’ use of and their experiences with PAEHR. Furthermore, empirical and conceptual investigations were carried out to identify human values and value tensions.The results of this research show that the physicians’ assumptions and views of PAEHR and its consequences for patients were different from the views and actual experiences of patients using the PAEHR system. The physicians were mainly concerned about potential increase in their workload and that it could be harmful for patients to access their Electronic Health Record (EHR), for example, as it might evoke anxiety or worry. The vast majority of patients appreciated timely access to their results, felt more involved in their care, and read their records to become more involved. The investigation of human values associated with PAEHR identified values such as Ownership & Property, Professional Autonomy, Responsibility, Human Well-Being, Accountability & Transparency, and Trust. Furthermore, value tensions were identified that may occur between direct and indirect stakeholders (here: patients and physicians), or are related to an interpretation of PAEHR.This thesis contributes to current research on eHealth in Human-Computer Interaction (HCI) by instigating a critical discussion of values associated with eHealth technologies that might be perceived as conflicting given a stakeholder’s framing of the technology. For example, tensions that emerge between values that prioritise placing the responsibility on a physician for their patients versus a value system that prioritises patient autonomy. The findings of this thesis suggest that while policymakers and government agencies adhere to a system of values that place a premium on patient empowerment, paternalistic tendencies are still present among physicians. However, an eHealth service like PAEHR is an important first step towards patient participation. The results of this thesis suggest that the support of patient participation in their own care through PAEHR outweighs the potential harm.
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| 10. |
- Grünloh, Christiane
(författare)
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To Share or Not to Share? : Expectations of and Experiences with eHealth Services that Allow Users Access to their Health Information
- 2016
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis investigates expectations of and experiences with eHealth services that allow users access to their health information. Although eHealth services are endorsed by many politicians and patients, they are met with strong resistance by health care professionals. Lacking this support hinders the uptake of the full potential of the service, especially with relation to patient participation and empowerment.This research investigates the frames of reference that are constructed by stakeholders in relation to eHealth services, such as direct-to-consumer genetic testing and electronic health records. The results are based on empirical data gathered during an experiment with media informatics students in Germany, and from interviews with physicians in Uppsala, Sweden.The eHealth services in question were framed by the participants of the conducted studies as potentially harmful for its users. The negative expectations were based mainly on a generalized view of patients as not sufficiently knowledgable and hence unable to understand the health information provided by the service. The participants in the reported studies (physicians and students in their role as designers) felt a responsibility to prevent any potential harm for the users of the eHealth service. Due to the framing based on assumed negative consequences for a supposedly vulnerable user group, the participants preferred to advocate against access rather than for patient empowerment and participation. Accessing health information was associated as holding little value for the users.This research enhances the understanding of the elements underlying this skepticism and concern. It shows that a specific view of patients and/or prospective users of an eHealth system can result in incongruent technological frames and value attribution. In line with participatory and value-sensitive design approaches as well as the aim to increase technology acceptance, patients and health care professionals should not only be included in the design process but also engage in joint activities in order to enable reframing.
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