Understanding attitudes toward information and communication technology in home-care: Information and communication technology as a market good within Norwegian welfare services

Øyen, Karianne Røssummoen; Sunde, Olivia Sissil; Solheim, Marit; Moricz, Sara; Ytrehus, Siri

doi:10.1080/17538157.2017.1297814

Cited by 21 publications

(18 citation statements)

References 30 publications

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“…This was partly due to the learning strategies they applied, such as self-training and gaining experience from using the system over time. Personal knowledge and skills from using smart phones in their private lives probably further contributed to the rapid and successful uptake of smart phones and applications [64], since 95% of the Norwegian population (aged 9-79) have access to a smart phone [65].…”

Section: Rapid Competence Buildingmentioning

confidence: 99%

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Dugstad

Sundling

Nilsen

et al. 2020

BMC Health Serv Res

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Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n = 98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation.Results: More facilitators (n = 22) than barriers (n = 6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety, and the normative belief of unit managers. During the implementation process, 87% became familiar with the systems, and 86 and 90%, respectively regarded themselves and their colleagues as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge and that they found the WNCS difficult to learn. No features of the technology were identified as barriers.Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

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Section: Rapid Competence Buildingmentioning

confidence: 99%

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Dugstad

Sundling

Nilsen

et al. 2020

BMC Health Serv Res

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“…Til tross for liten direkte bruk av IKT løsninger, var deltakerne positive med tanke på å skulle bruke løsningene i arbeidet sitt. Hovedparten av deltakerne hadde imidlertid ikke fått tilbud om noen form for kursing eller opplaering i bruken av IKT hjelpemidler (Øyen, Sunde, Solheim, Moricz & Ytrehus, 2017). Annen forskning peker i retning av at manglende informasjon og erfaring ved bruk av velfersteknologiske løsninger gir negative forventninger og motstand mot bruken (de Veer & Francke, 2010; Hofmann, 2010; Powell, Gunn, Lowe, Sheehan, Griffiths & Clarke, 2010).…”

Section: Hva Har Forskning Avdekket?unclassified

“…Mange ansatte i helsevesenet i dag har personlig erfaring med bruk av internett og sosiale medier, som kan bidra til å «ufarliggjøre» tanken på kommunikative løsninger for eldre hjemmeboende brukere. Yngre ansatte var også mer positiv til bruk av IKT enn de eldre ansatte (Øyen, Sunde, Solheim, Moricz & Ytrehus, 2017).…”

Section: Hva Har Forskning Avdekket?unclassified

“…Forskning etterlyser mer trygghet og løsninger tilpasset de som skal bruke dem i forståelse og samarbeid. Flere eldre og ansatte i helsevesenet er positive til bruken av velferdsteknologi, men som et supplement, ikke som eneste løsning (de Veer & Francke, 2010;Hofmann, 2010;Powell, Gunn, Lowe, Sheehan, Griffiths & Clarke, 2010;Mort et al, 2013;Øyen, Sunde, Solheim, Moricz & Ytrehus, 2017). Man kan ikke fase ut de varme hendene, og erstatte de med kun kald teknologi, og man kan ikke yte omsorg uten relasjoner og moral.…”

Section: Omsorg Velferdsteknologi Og Brukermedvirkningunclassified

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Velferdsteknologi – fremtidens helsevesen med eller uten omsorg?

Hauvik

Vatne

2020

NorTidHelse

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Welfare technology - healthcare in the future with or without care? In the future, it will be a challenge to maintain today’s quality of care. Welfare technology may be a solution to reduce the expected care crisis. The public healthcare system is influenced by New Public Management ideals as” what can we afford? rather than “what are the patients` need”. Questions concerning patients’ rights and healthcare providers’ moral obligation seem to be less important. In the discussion Martinsen criticizes that caring has become a secondary term where patients` have less power. To increase the patient’s user involvement, Habermas suggests communicative discourse as a solution to the discrepancy between the public healthcare systems focus on earnings, and the patients’ need for care.

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“…This was partly due to the learning strategies they applied, such as self-training and gaining experience from using the system over time. Personal knowledge and skills from using smart phones in their private lives probably further contributed to the rapid and successful uptake of smart phones and applications (57), since 95% of the Norwegian population (aged 9-79) have access to a smart phone (58).…”

Section: Rapid Competence Buildingmentioning

confidence: 99%

Nursing staff´s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

Dugstad

Sundling

Nilsen

et al. 2019

Preprint

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Background Nurse call systems (NCS) encompass all patients and nursing staff in healthcare facilities. Wireless NCSs offer increased mobility for all users and new affordances to patients unable to actively interact with such systems. Integrated technology potentially decrease response times and prevent alarm-fatigue, and thus increase patient safety and enhance nursing workflow. This study aimed to explore facilitators and barriers for implementation of wireless NCSs in residential care facilities. Methods The study had a cross-sectional descriptive design. Using a questionnaire, we collected data from care providers (n=98) based on the Measurement Instrument for Determinants of Innovations (MIDI) in five Norwegian residential care facilities during the first year of implementation of wireless NCSs. Descriptive statistics were used to explore participant characteristics and MIDI scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation. Results More facilitators (n=23) than barriers (n=6) were identified. No features of the technology itself were found to impede the implementation. The most salient barriers, reported by 37% of the care providers, were their lack of prior knowledge and that they found the wireless NCS difficult to learn. However, 87% became familiar with the systems during implementation. Respectively, 86% and 90% regarded themselves and their colleagues as competent users after the implementation. The greatest facilitators, reported by 98%, were firstly the normative belief of unit managers and secondly the expected outcomes of the NCSs: the importance and probability of achieving prompt call responses and increased safety. Conclusions The wireless NCSs were well received and the implementations were satisfactory executed. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. Wireless NCSs offer a range of advanced applications and services, and further research is needed as more wireless NCS functionalities are implemented into residential care services.

show abstract

Understanding attitudes toward information and communication technology in home-care: Information and communication technology as a market good within Norwegian welfare services

Cited by 21 publications

References 30 publications

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Velferdsteknologi – fremtidens helsevesen med eller uten omsorg?

Nursing staff´s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study.

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