The role of ICT in nursing practice: an integrative literature review of the Swedish context

Fagerström, Cecilia; Tuvesson, Hanna; Axelsson, Lisa; Nilsson, Lina

doi:10.1111/scs.12370

Cited by 61 publications

(59 citation statements)

References 58 publications

(188 reference statements)

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“…Done properly, this would help the DNs to see eHealth as a help rather than a hindrance. This finding is consistent with another Swedish review which also shows that the digitalisation of health care can be perceived as both supporting and inhibiting and arouses ambivalence among caregivers. Related to this, it is important that we come to a better understanding of healthcare processes so that new systems can be designed accordingly.…”

Section: Discussionsupporting

confidence: 91%

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

Öberg

Orre

Isaksson

et al. 2017

Scandinavian Caring Sciences

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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.

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Section: Discussionsupporting

confidence: 91%

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

Öberg

Orre

Isaksson

et al. 2017

Scandinavian Caring Sciences

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show abstract

“…This in contrast to a study by Gautun et al, [37] where only a few informal caregivers indicated worsened health resulting from caregiving duties. Fagerstrom et al [38] argued that the use of ICT in health service settings can allow patients and their informal caregivers to communicate with their care manger when face-to face contact is not possible. However, they noted that the ICT cannot replace personal attendance.…”

Section: Discussion Of the Findingsmentioning

confidence: 99%

Informal caregivers who are interested and do make use of information and communication technologies

Lindqvist

Hanson

2018

CNS

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Objective: The aim of the study was to highlight informal caregivers' interest in using the Information and Communication Technology (ICT)-based ACTION service (Assisting Carers using Telematics Interventions to meet Older People's Needs) and their ideas for how to further develop and extend the service. The use of ICT is constantly increasing worldwide. Europe has the highest old age dependency ratio, but other parts of the world are also experiencing a dramatic ageing of their population. The demands for care are increasing, and resources are shrinking. One way to support informal caregivers is through ICT. Methods: The study employed a qualitative design. Focus group interviews were carried out with informal caregivers in Sweden. The interviews were analysed using a latent content analysis method. Results: The analysis yielded a major theme, striving to feel confident, with four categories: informal caregivers' reflections and ideas about ICT; promoting their own health process; increasing their knowledge bank and informal caregivers' rights; and striving for inclusiveness. Conclusions: The present study highlights the challenges that informal caregivers face in their daily life as well as their resources to devise possible solutions that could improve their situation. To preserve their health, a carer support plan including regular health checks could be helpful. ICT-based support (such as the ACTION service) could act as a way forward for supporting informal caregivers in their striving to feel confident. The study highlighted that ICT-based support has the potential to act as a direct benefit for informal caregivers.

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“…When health IT is operating as a tool that aids cooperation between healthcare organisations, staff need to feel that they can trust the tools and the information they comprise (Lluch, 2011). In many instances, new ways of working have not been harmonised with organisational cultures, the values of the work context and routines (Fagerstrom, Tuvesson, Axelsson, & Nilsson, 2016). According to Fagerstrom et al (2016), nursing practice is influenced by the role of digitised tools, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…In many instances, new ways of working have not been harmonised with organisational cultures, the values of the work context and routines (Fagerstrom, Tuvesson, Axelsson, & Nilsson, 2016). According to Fagerstrom et al (2016), nursing practice is influenced by the role of digitised tools, i.e. information and communication technology in patient care, working conditions, and nurses' professional identity and continuous professional development.…”

Section: Introductionmentioning

confidence: 99%

Decision-makers and mediators in a home healthcare digitisation process: nurses’ experiences of implementation and use of a decision support system

Nilsson

Fagerström

2018

Contemporary Nurse

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Background: This study focuses on a decision support system (DSS) for home healthcare and the implementation of it. Aim: To describe home healthcare nurses' experiences of the implementation and use of a new DSS, with a focus on how it influences decision making in everyday work practice. Design: A qualitative research design. Methods: Data was collected through three focus group interviews with six home healthcare nurses.The data analysis was drawn from Burnard's method for content analysis. Results: The DSS was experienced as bringing support to decisions, but sometimes incompatible with home healthcare nurses' work practice. Professional understanding and the DSS were sometimes experienced as parallel support systems not assisting work across healthcare organisations. Conclusion: When a DSS is used to transform work of healthcare organisations several aspects should be highlighted. If the organisation does not consider these aspects, nurses may adopt a role as mediator in the implementation process.

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The role of ICT in nursing practice: an integrative literature review of the Swedish context

Cited by 61 publications

References 58 publications

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

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

Informal caregivers who are interested and do make use of information and communication technologies

Decision-makers and mediators in a home healthcare digitisation process: nurses’ experiences of implementation and use of a decision support system

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