Background and objectiveThe Individual Care Plan (ICP) was introduced in Norway to meet new statutory requirements for user participation in health care planning, incorporating multidisciplinary and cross-sector collaboration. A web-based solution (electronic ICP [e-ICP]) was used to support the planning and documentation. The aim of this study was to investigate how web-based collaboration challenged user and professional roles.MethodsData were obtained from 15 semistructured interviews with users and eight with care professionals, and from two focus-group interviews with eight care professionals in total. The data were analyzed using systematic text condensation in a stepwise analysis model.ResultsUsers and care professionals took either a proactive or a reluctant role in e-ICP collaboration. Where both user and care professionals were proactive, the pairing helped to ensure that the planning worked well; so did pairings of proactive care professionals and reluctant users. Proactive users paired with reluctant care professionals also made care planning work, thanks to the availability of information and the users’ own capacity or willingness to conduct the planning. Where both parties were reluctant, no planning activities occurred.ConclusionUse of the e-ICP challenged the user–professional relationship. In some cases, a power transition took place in the care process, which led to patient empowerment. This knowledge might be used to develop a new understanding of how role function can be challenged when users and care professionals have equal access to health care documentation and planning tools.

Prosjektet var en oppfølging av en større studie. Funnene viser at disse brukerne opplevde opplaeringen som framtidsrettet, og at de utviklet en kyndighet som også skapte myndige brukere. Noen brukere fungerte også som sine egne koordinatorer. Gjennom dette ble planen både lik og annerledes enn det forskriftene for individuell plan tilsier. Forskjellen var at planen inneholdt en type selvrefleksjon som var relatert til brukernes individualterapi, men også en form for egenterapi knyttet til vanskelige følelser og opplevelser. Dette skapte kontinuitet i terapien, og ble en prosess preget av «self-empowerment». Materialet er lite, og det anbefales oppfølging av disse funnene gjennom en større studie.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.