Using health information technology in residential aged care homes: An integrative review to identify service and quality outcomes

Bail, Kasia; Gibson, Diane; Acharya, Prativa; Blackburn, Julie; Kaak, Vera; Kozlovskaia, Maria; Turner, Murray; Redley, Bernice

doi:10.1016/j.ijmedinf.2022.104824

Cited by 18 publications

(8 citation statements)

References 103 publications

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“…The degree and modality (e.g., video, phone, asynchronous messaging) of telemedicine-enabled communication must be negotiated across different user groups. Bail et al [27] studied HIT in residential care homes and found that while usability and system acceptability were well covered at a clinical level, there is a need to expand outcomes to quality and safety of residents and their families.…”

Section: Micromentioning

confidence: 99%

“…As expected, our review saw a range of studies focusing on different technologies and across different system levels. Many of the surveyed papers studied HOFs using specific technologies including mental health consultation [20,21], online consultations [22,32], clinical decision support systems (CDSS) [23], electronic medication management systems [24], video consultation [25][26], aged care systems [27] and telemedicine [36]. The context of use for these systems included hospitals [23,[28][29][30][31][32][33][34], residential aged care homes [27], and community health facilities [35].…”

Section: Structuresmentioning

confidence: 99%

“…Many of the surveyed papers studied HOFs using specific technologies including mental health consultation [20,21], online consultations [22,32], clinical decision support systems (CDSS) [23], electronic medication management systems [24], video consultation [25][26], aged care systems [27] and telemedicine [36]. The context of use for these systems included hospitals [23,[28][29][30][31][32][33][34], residential aged care homes [27], and community health facilities [35]. Eleven papers were review papers and described a range of technology, users, and processes [20-22, 26-27, 31, 37-41].…”

Section: Structuresmentioning

confidence: 99%

“…Classic user-technology interface issues such as usability continue to be a focus of HOF studies [23,26,27,34,42,45]. While individual user factors play a part in system related errors, so do organizational and other contextual factors [24], highlighting the need to evaluate system structures beyond the level of the individual user interface.…”

Section: Structuresmentioning

confidence: 99%

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The Role of Human and Organizational Factors in the Pursuit of One Digital Health

Kuziemsky

2023

Yearb Med Inform

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Objective: This paper surveys a subset of the 2022 human and organizational factor (HOF) literature to provide guidance on building a One Digital Health ecosystem. Methods: We searched a subset of journals in PubMed/Medline for studies with „human factors“ or „organization“ in the title or abstract. Papers published in 2022 were eligible for inclusion in the survey. Selected papers were categorized into structural and behavioural aspects to understand digital health enabled interactions across micro, meso, and macro systems. Results: Our survey of the 2022 HOF literature showed that while we continue to make meaningful progress at digital health enabled interactions across systems levels, there are still challenges that must be overcome. For example, we must continue to grow the breadth of HOF research beyond individual users and systems to assist with the scale up of digital health systems across and beyond organizations. We summarize the findings by providing five HOF considerations to help build a One Digital Health ecosystem. Conclusion: One Digital Health challenges us to improve coordination, communication, and collaboration between the health, environmental and veterinary sectors. Doing so requires us to develop both the structural and behavioural capacity of digital health systems at the organizational level and beyond so that we can develop more robust and integrated systems across health, environmental and veterinary sectors. The HOF community has much to offer and must play a leading role in designing a One Digital Health ecosystem.

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Section: Micromentioning

confidence: 99%

Section: Structuresmentioning

confidence: 99%

Section: Structuresmentioning

confidence: 99%

Section: Structuresmentioning

confidence: 99%

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The Role of Human and Organizational Factors in the Pursuit of One Digital Health

Kuziemsky

2023

Yearb Med Inform

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“…Studies in different fields have shed light on the contribution of assistant nurses to technology implementation. The main concerns include assistant nurses’ perceptions toward specific technology [ 25 , 26 ], their agency and roles in technology implementation [ 15 , 27 , 28 ], the diversity of interactions between assistant nurses and the selected technology [ 29 , 30 ], decision-making and learning process [ 12 , 31 ], ethical problems that are related to safety or autonomy [ 32 ], and the process where assistant nurses assigning meaning to the selected system [ 33 ]. These studies provide valuable insights into uncovering the social aspects of appropriating a new technology.…”

Section: Introductionmentioning

confidence: 99%

Domesticating Social Alarm Systems in Nursing Homes: Qualitative Study of Differences in the Perspectives of Assistant Nurses

Chang¹,

Östlund²,

Kuoppamäki³

2023

J Med Internet Res

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Background New social alarm solutions are viewed as a promising approach to alleviate the global challenge of an aging population and a shortage of care staff. However, the uptake of social alarm systems in nursing homes has proven both complex and difficult. Current studies have recognized the benefits of involving actors such as assistant nurses in advancing these implementations, but the dynamics by which implementations are created and shaped in their daily practices and relations have received less attention. Objective Based on domestication theory, this paper aims to identify the differences in the perspectives of assistant nurses when integrating a social alarm system into daily practices. Methods We interviewed assistant nurses (n=23) working in nursing homes to understand their perceptions and practices during the uptake of social alarm systems. Results During the four domestication phases, assistant nurses were facing different challenges including (1) system conceptualization; (2) spatial employment of social alarm devices; (3) treatment of unexpected issues; and (4) evaluation of inconsistent competence in technology use. Our findings elaborate on how assistant nurses have distinct goals, focus on different facets, and developed diverse coping strategies to facilitate the system domestication in different phases. Conclusions Our findings reveal a divide among assistant nurses in terms of domesticating social alarm systems and stress the potential of learning from each other to facilitate the whole process. Further studies could focus on the role of collective practices during different domestication phases to enhance the understanding of technology implementation in the contexts of complex interactions within a group.

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Integrated Care Models in Aged Care: The Role of Technology

Balasubramanian

Brommeyer

Simmonds

et al. 2023

Human-Centered Service Design for Healthcare Transformation

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Using health information technology in residential aged care homes: An integrative review to identify service and quality outcomes

Cited by 18 publications

References 103 publications

The Role of Human and Organizational Factors in the Pursuit of One Digital Health

The Role of Human and Organizational Factors in the Pursuit of One Digital Health

Domesticating Social Alarm Systems in Nursing Homes: Qualitative Study of Differences in the Perspectives of Assistant Nurses

Integrated Care Models in Aged Care: The Role of Technology

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