User involvement in the implementation of welfare technology in home care services: The experience of health professionals—A qualitative study

Glomsås, Heidi Snoen; Knutsen, Ingrid Ruud; Fossum, Mariann; Halvorsen, Kristin

doi:10.1111/jocn.15424

Cited by 21 publications

(24 citation statements)

References 37 publications

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“…In some studies, health professionals have expressed some reservations about the impact on civil rights of using GPS tracking [26,68]. The findings from our study show that the participants did not experience the use of GPS as monitoring, but as a safety measure.…”

Section: The Need For Knowledge Information and Trainingmentioning

confidence: 57%

“…Not all technology is suitable for service users [4,24]. Examples of barriers to the implementation and use of welfare technology include attitudes and resistance from users [4,25], limited knowledge, competence and information [26][27][28], instability of internet access and the cost of software [26,29]. These barriers can have an impact on how use is experienced and affect user involvement.…”

Section: Welfare Technologymentioning

confidence: 99%

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‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

Glomsås

Knutsen

Fossum

et al. 2021

BMC Health Serv Res

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Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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Section: The Need For Knowledge Information and Trainingmentioning

confidence: 57%

Section: Welfare Technologymentioning

confidence: 99%

‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

Glomsås

Knutsen

Fossum

et al. 2021

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

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“…The concept of WT is broadly defined under a wide range of terms, including “telecare,” “telehealth,” “telemedicine,” “e-health,” and “assistive living technology” [ 10 ]. WT models vary in terms of technology types, structures, and processes [ 11 ], but a defining feature of such technologies is that they can afford rapid interactive exchange of information between patients at home and HCPs, or passive information exchange, in which the recipient is not required to give an immediate response [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…WT models vary in terms of technology types, structures, and processes [ 11 ], but a defining feature of such technologies is that they can afford rapid interactive exchange of information between patients at home and HCPs, or passive information exchange, in which the recipient is not required to give an immediate response [ 12 ]. According to Glomsås and Knutsen [ 10 ], WT may provide opportunities to enhance patients’ (and their families’) safety, security, wellness, mobility, social and cultural contact, participation, treatment, and care. For HCPs, WT can also provide useful information, overviews, and logistical solutions concerning the homecare service and collaboration with patients and families [ 10 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…According to Glomsås and Knutsen [ 10 ], WT may provide opportunities to enhance patients’ (and their families’) safety, security, wellness, mobility, social and cultural contact, participation, treatment, and care. For HCPs, WT can also provide useful information, overviews, and logistical solutions concerning the homecare service and collaboration with patients and families [ 10 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals’ experiences

et al. 2021

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Background Introducing welfare technology in home-based palliative care has been suggested to be beneficial for improving access to health care at home and enhancing patients’ feelings of security and safety. However, little is known about the experiences of municipal health-care professionals using welfare technology in palliative home care. The aim of this study was to explore municipal health-care professionals’ experiences regarding the significant challenges, facilitators, and assessments associated with implementing a technological solution named “remote home care” in palliative home care for patients with cancer. Methods A qualitative, descriptive, exploratory design was used. Data were collected through focus-group interviews and individual semi-structured interviews with interdisciplinary health-care professionals who had experience using remote home care in clinical encounters with cancer patients who were in the palliative phase and living at home. Data were analyzed using qualitative content analysis. Results Three themes were identified: 1) shifting from objective measures to assessing priorities for patients, 2) lack of experience and personal distress regarding cancer inhibits professional care, and 3) prominent organizational challenges undermine the premise of remote home care. Conclusion The results showed that shifting from a disease-focused to a person-centered approach enables health-care professionals to assess patients’ personal priorities. However, health-care professionals’ uncertainty and lack of knowledge and experience, along with organizational issues concerning information-sharing, represent great challenges that have the potential to inhibit professional care. The availability of networks through which difficult issues can be discussed was highlighted as being a fundamental resource for facilitating the provision of care.

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Home care professionals' experiences of successful implementation, use and competence needs of robot for medication management in Finland

et al. 2022

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Medication management is one of the most important tasks of home care professionals providing daily care. (Puustinen et al., 2020;Zanjal & Talmale, 2016.) On average, older people in home care have one to five different scheduled medications on a daily basis. In addition, they use over-the-counter medications at the same time (Mira, 2019;Rochon, 2022). Simultaneous use of different medications has increased over the past four decades and the proportion of polymedicated older people is increasing along with increasing the ageing population (Fimea, 2021;Lagerin et al., 2020). Medication errors are commonly representing between 30% and 50% of all practice errors in healthcare. In older people's home care, medication errors are common

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User involvement in the implementation of welfare technology in home care services: The experience of health professionals—A qualitative study

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 21 publications

References 37 publications

‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals’ experiences

Home care professionals' experiences of successful implementation, use and competence needs of robot for medication management in Finland

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