The Application of Salutogenesis in Hospitals

Dietscher, Christina; Winter, Ulrike

doi:10.1007/978-3-030-79515-3_37

Cited by 3 publications

(3 citation statements)

References 153 publications

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“…The assumption in using this approach is that a reduction in environmental stressors for an individual patient is core to a favorable personal health care experience. Indeed, research on the application of salutogenic orientation in hospitals identifies that interventions improving the hospital design and processes can have an impact on physical health [26]. This is further supported by evidence from psychoneuroimmunology research linking stress and physical health [29].…”

Section: Experience and The Soc Conceptmentioning

confidence: 92%

“…The notion of creating an environment for a patient that is supportive of the broader idea of patient health and well-being, balancing both experience and satisfaction, is an important consequence of using a salutogenic approach and its concept of SOC [25]. Indeed, in response to the conclusions of Dietscher et al [26], this research focuses on the impact of a more patient-centric approach, using IT to improve hospital processes and functioning. It is this broader characterization of experience, as viewed through SOC, which forms the ongoing definition of experience in this paper.…”

Section: The Integrated Design Of Patient Experience and Satisfactionmentioning

confidence: 99%

See 1 more Smart Citation

A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research (Preprint)

Williams¹,

Lovelock²,

Cabarrus³

2022

Preprint

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BACKGROUND The ways in which healthcare’s physical and social environments interact with an individual, patient or care provider, is a primary driver of their experience within that organisation. Healthcare provider organisations are complex and dynamic environments. Increasingly, the capabilities required to successfully interact with their constituents are critically dependent on the information infrastructure they have in place that enables people, both patients and staff, to optimally work together in the delivery of their clinical and operational objectives. OBJECTIVE The challenge is how to assemble the information systems in healthcare to support and potentially innovate patients' experience through connecting and orchestrating the synergy between people, processes, and systems. METHODS It is necessary to understand the needs of healthcare providers and patients to address this challenge at a level that is relevant to information process design and technology development. This paper describes the design science research that combines the Sense of Coherence theory with established information infrastructure maturity, demonstrating the coalescence of two distinct conceptual frameworks. This research provides a method to define a positive and supportive experience and link this to the support of an information technology environment. RESULTS This research results in a methodology for describing patient experience in a form that is relevant to information infrastructure design, articulating a pathway from information infrastructure to patient experience. It proposes that patient experience can be pragmatically viewed in terms of the established Sense of Coherence theory with its ability to identify and guide resources to modulate a patient’s environmental stressors. The research establishes a framework for determining and optimizing the capability of a facility’s information infrastructure to support the Sense of Coherence defined experiences of its patients. CONCLUSIONS This research provides a method for healthcare provider organisations to better understand and assess the ability of their current information infrastructure to support and improve the patient experience. The tool assists providers to define their technology dependent operational goals around patient experience and consequently identify the information capabilities needed and the associated systems to support this. This paper details an approach to describing information infrastructure within an experience-oriented framework that enables the impact of technology on experience to be explicitly designed. The contribution to knowledge is a new perspective on modelling how information infrastructure can contribute to supportive health-promoting environments.

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Section: Experience and The Soc Conceptmentioning

confidence: 92%

Section: The Integrated Design Of Patient Experience and Satisfactionmentioning

confidence: 99%

A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research (Preprint)

Williams¹,

Lovelock²,

Cabarrus³

2022

Preprint

View full text Add to dashboard Cite

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“…El uso del SOC en los estudios fue en gran medida de tipo cuantitativo, poco más de la mitad de las investigaciones utilizaron el Cuestionario de Antonovsky en su versión de 13 ítems (52.4 %) en comparación con el de 29 ítems (23.8 %), uno (4.7 %) utilizó ambas escalas y cuatro (19.0 %) utilizaron el SOC como referencia teórica para el análisis de la investigación cualitativa. Los hallazgos de esta revisión coinciden con estudios que abordan el concepto de SOC en pacientes hospitalizados, se identificaron pocos estudios con enfoque cualitativo, los cuales analizan el SOC y sus dimensiones en comparación con una mayoría que utiliza el Cuestionario de Antonovsky de 29 y 13 ítems como medición cuantitativa y análisis del SOC 27 .…”

Section: Enfoques Para El Uso Del Socunclassified

Sentido de coherencia en las enfermedades crónicas: una revisión integradora

Costa,

Mantovani,

Miranda

et al. 2021

Enferm. univ.

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Introducción: El sentido de coherencia (SOC por sus siglas en inglés) es un componente de la Teoría Salutogénica que permite entender cómo las personas perciben su vida y la forma en que responden a situaciones estresantes, por ejemplo, a una enfermedad crónica. Conocer el SOC y cómo afecta la calidad de vida puede ayudar a planificar los cuidados.Objetivo: Analizar la aplicabilidad del constructo SOC como herramienta de cuidado de enfermería en adultos con enfermedades crónicas no transmisibles.Método: Revisión integradora, la búsqueda bibliográfica se realizó en septiembre de 2019 con las estrategias sense of coherence AND nursing AND “chronic disease”. Las bases de datos consultadas fueron: BVS, CINAHL, PubMed y Scopus. Se incluyeron artículos publicados, desde 2014 hasta 2019, clasificados según el nivel de evidencia del Oxford Center for Evidence-Based Medicine.Resultados: Se identificaron 325 artículos; 21 cumplían los criterios de inclusión, con predominio del enfoque cuantitativo y el uso del Cuestionario de Antonovsky en la versión de 13 ítems. Los estudios demostraron que un SOC elevado puede mejorar la sintomatología y la calidad de vida de los enfermos crónicos.Discusión: El constructo SOC es central para el mantenimiento de la salud, en conjunto con la educación y, a través de la gestión de la enfermedad, contribuye al alivio de la sintomatología y el significado de la enfermedad crónica.Conclusión: El SOC está directamente relacionado con la búsqueda y el mantenimiento de la salud, su uso puede ser una herramienta importante para los cuidados de enfermería.

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A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research

2022

View full text Add to dashboard Cite

Background Health care provider organizations are complex and dynamic environments. Consequently, how the physical and social environment of such organizations interact with an individual is a primary driver of an individual’s experience. Increasingly, the capabilities required for them to successfully interact with those within their care are critically dependent on the information infrastructure they have in place, which enables people, both patients and staff, to work optimally together to deliver their clinical and operational objectives. Objective This study aims to design a framework to address the challenge of how to assemble information systems in health care to support an improved sense of coherence for patients, as well as potentially innovate patients’ experiences, by connecting and orchestrating the synergy among people, processes, and systems. Methods It is necessary to understand the needs of health care providers and patients to address this challenge at a level relevant to information process design and technology development. This paper describes the design science research method used to combine the sense of coherence, which is a core concept within the Antonosky salutogenic approach to health and well-being, with an established information infrastructure maturity framework, demonstrating the coalescence of 2 distinct conceptual perspectives on care delivery. This paper provides an approach to defining a positive and supportive health care experience and linking this to the capabilities of an information- and technology-enabled environment. Results This research delivers a methodology for describing the patient experience in a form relevant to information infrastructure design, articulating a pathway from information infrastructure to patient experience. It proposes that patient experience can be viewed pragmatically in terms of the established sense of coherence concept, with its ability to identify and guide resources to modulate a patient’s environmental stressors. This research establishes a framework for determining and optimizing the capability of a facility’s information infrastructure to support the sense of coherence defined by the experiences of its patients. Conclusions This groundbreaking research provides a framework for health care provider organizations to understand and assess the ability of their information infrastructure to support and improve the patient experience. The tool assists providers in defining their technology-dependent operational goals around patient experience and, consequently, in identifying the information capabilities needed to support these goals. The results demonstrate how a fundamental shift in thinking about the use of information infrastructure can transform the patient experience. This study details an approach to describing information infrastructure within an experience-oriented framework that enables the impact of technology on experience to be designed explicitly. The contribution to knowledge is a new perspective on modeling how information infrastructure can contribute to supportive health-promoting environments. Furthermore, it may significantly affect the design and deployment of future digital infrastructures in health care.

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The Application of Salutogenesis in Hospitals

Cited by 3 publications

References 153 publications

A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research (Preprint)

A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research (Preprint)

Sentido de coherencia en las enfermedades crónicas: una revisión integradora

A Sense of Coherence Approach to Improving Patient Experience Using Information Infrastructure Modeling: Design Science Research

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