Nurses' experiences of person‐centred care planning using video‐conferencing

Hedqvist, Ann-Therese; Svensson, Ann; Larsson, Lena G

doi:10.1002/nop2.1452

Cited by 3 publications

(1 citation statement)

References 58 publications

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“…Studies have shown that nurses perceive that digital tools make their work more efficient and that patients become more involved in their care (Huter et al , 2020; Schoultz et al , 2022), so they are often positive about the use of digital tools. However, it is also apparent that interactions between the healthcare professionals and patients become challenging when communicating via digital tools (Hedqvist et al , 2022). Moreover, new digital tools initially contribute to increased work intensity (Gough et al , 2014).…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment

Svensson

Gustavsson

Svenningsson

et al. 2023

JWL

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Purpose This paper presents findings from a qualitative study of healthcare professionals’ practice, where learning is taking place when a digital artefact is implemented for identification of patients’ cognitive impairment. The use of digital artefacts is increasing in various workplaces, to include professionals in healthcare. This paper aims to explore the following research question: How is the professional learning unfolding in patient-based work when a digital artefact transforms the practice? Design/methodology/approach Various data collection methods are used for this study, consisting of dialogue meetings, interviews and a reference-group meeting. Thematic analysis is used to inductively bring forth the themes of the collected data. Findings Professionals’ knowledge and experience are of vital importance in learning and changing work practices. Together with their ability to reflect on changes, their knowledge and experience constitute the prefiguration when the introduction of a digital application brings about indeterminacy in the work practice. Originality/value This paper makes a contribution to practice-based research as it consolidates previous research and identifies professionals knowledge and learning in a healthcare context. This can be used to further explore and advance the field, as well as to establish the evidence-based importance of transforming practices based on implementation of digital artefacts.

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Section: Introductionmentioning

confidence: 99%

Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment

Svensson

Gustavsson

Svenningsson

et al. 2023

JWL

Self Cite

View full text Add to dashboard Cite

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Nurses' experiences of person‐centred care planning using video‐conferencing

2022

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Frail older persons are recognized as an especially vulnerable patient group. They are dependent on coordinated and integrated healthcare efforts, provided by healthcare professionals from hospitals, primary care and municipal care. The increasing number of older persons with complex illnesses, and shorter inpatient care, calls for provision of care closer to home and emphasizes the need for collaboration between healthcare providers (Dahl et al., 2014), especially in connection with discharge from inpatient care, which is regulated by law in Sweden (SFS 2017:612).Discharge from hospital implies a transition of care from one site to another. Such a transition can make the transferred persons extra vulnerable, especially frail older persons with multiple health problems, and can result in fragmented care, medication errors, medical complications and dissatisfaction among professionals, patients or their relatives (Elliott et al., 2018;Newnham et al., 2017).Therefore, a coordinated individual care plan (CIP) is utilized to plan

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Negotiating care in organizational borderlands: a grounded theory of inter-organizational collaboration in coordination of care

Hedqvist,

Lindberg,

Hagerman

et al. 2024

BMC Health Serv Res

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Background Although coordination of care and integrated care models aim to enhance patient satisfaction and perceived care quality, evidence regarding their practical implementation remains scarce. Understanding the nuances of collaboration across care providers to achieve effective coordination of care is imperative for seamless care integration. The aim of this study was to construct a grounded theory of how inter-organizational collaboration is performed to support coordination of care for patients with complex care needs. Methods A qualitative design with a constructivist grounded theory approach was applied. In total, 86 participants with diverse backgrounds were recruited across multiple care settings, including hospitals, ambulance services, primary care centers, municipal home healthcare and home care services. The grounded theory was developed iteratively, based on a combination of observations and interviews, and using constant comparative analysis. Results Coordination of care, a complex process that occurs across interconnected healthcare organizations, is manifested as “Negotiating care in organizational borderlands.” Care coordination evolves through a spectrum of inter-organizational collaboration, ranging from “Dividing care by disease-specific expertise” to “Establishing paths for collaboration” and ultimately “Co-constructing a comprehensive whole.” These categories highlight the challenges of coordinating care across both professional and organizational boundaries. In the multifaceted healthcare landscape, effective care coordination occurs when healthcare professionals actively bridge the divides, leveraging their collective expertise. Importantly, organizational boundaries may serve a purpose and should not be dissolved to facilitate effective care coordination. Conclusions The key to effective care coordination lies in robust inter-organizational collaboration. Even when patients receive integrated care, healthcare professionals may have fragmented roles. This research emphasizes the importance of clearly defined lines of accountability, reinforcing mutual responsibility and facilitating bridging of professional and organizational boundaries. Healthcare professionals and policymakers can use these insights to effectively utilize inter-organizational collaboration in supporting care coordination for patients with complex care needs.

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Nurses' experiences of person‐centred care planning using video‐conferencing

Cited by 3 publications

References 58 publications

Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment

Healthcare professionals learning when implementing a digital artefact identifying patients’ cognitive impairment

Nurses' experiences of person‐centred care planning using video‐conferencing

Negotiating care in organizational borderlands: a grounded theory of inter-organizational collaboration in coordination of care

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