Swedish primary healthcare nurses’ perceptions of using digital eHealth services in support of patient self‐management

Abstract

The results of this study provide insight into a number of concerns that stand in the way of success when it comes to the implementation and use of digital technology. If nurses are to adapt to the new policies and practices that accompany the current digitalised development in Swedish primary health care, the concept of a nurse's traditional work role needs to be amended in terms of the scope of work tasks and established views of traditional nursing. The study also highlights the need for more research to enable eHealth systems/services to be designed to fulfil multiple requirements. The digitised systems should be a tool for achieving good quality self-management support as well as giving the primary healthcare nurses adequate resources to support patients' self-management while still maintaining the values associated with person-centred care.

The influence of an eHealth intervention for adults with type 2 diabetes on the patient–nurse relationship: a qualitative study

“…Our findings may advocate for leaders and researchers to put in order more systematic ‘communication in writing’ training options for RNs as part of the continuous professional development strategy in the clinic. These recommendations build on earlier research addressing the importance of delivering proper, purposeful and needs‐oriented training in using eHealth to HCP . These are important implications for institutions educating HCP, as well as healthcare institutions implementing eHealth and expecting their employees to master it.…”

Identifying the Roles of Healthcare Leaders in HIT Implementation: A Scoping Review of the Quantitative and Qualitative Evidence

“…HIT implementation, in turn, is understood as a wide-ranging process that includes planning of the service and implementation; HIT adoption by healthcare consumers and professionals; and establishment of the service and monitoring [5]. Thus, implemented HITs may include, for example, electronic medical or health records (EMR/EHR) [27,28] and services for self-treatment and digital value [29].…”

mHealth Tools for the Self-Management of Patients With Multimorbidity in Primary Care Settings: Pilot Study to Explore User Experience

“…From the perspective of providers, improving the tool’s alignment with current workflow (such as the incorporation of the SMART goals approach) and integration with electronic health records were key aspects of suggested improvements, indicating the need for proactive consideration of organizational context and provider workflow when developing and implementing mHealth tools [ 16 , 53 , 57 , 58 ]. In addition, ensuring that providers have adequate time to acquire training on the tool’s functions [ 59 , 60 ], minimizing clinical and workflow redesign [ 30 , 60 ], and financial compensation for the extra time and effort required of providers to incorporate mHealth tools into standard practice are key considerations in improving uptake and acceptance among providers [ 60 , 61 ]. Furthermore, although providers suggested linkages with electronic medical records to improve the tool’s functionality, issues pertaining to breaches of privacy, secure transmission of data, devices getting lost or stolen, and user data being accessed in an unauthorized or unsecure manner must also be considered [ 62 , 63 ].…”