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  • 1.
    Forslund, Ann-Sofie
    Luleå University of Technology, Department of Health Sciences, Gemensamt HLV.
    Att ha överlevt hjärtstopp utanför sjukhus2014In: Att leva med sjukdom, Lund: Studentlitteratur AB, 2014, 2, p. 61-69Chapter in book (Other (popular science, discussion, etc.))
  • 2.
    Marchesoni, Maria Andersson
    Luleå University of Technology, Department of Health Sciences, Gemensamt HLV. Luleå University of Technology, Department of Health Sciences, Nursing Care.
    “Just deal with it” Health and social care staff´s perspectives on changing work routines by introducing ICT: Perspectives on the process and interpretation of values2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Policymakers emphasize that the increased use of information andcommunication technologies (ICT) will improve efficiency and reinforceaccountability in health and social care. Care has an intrinsic value that isunquestionable; everyone needs care more or less throughout their life. The twodifferent rationalities, the technical rationality and the caring rationality,raise the question of how technologies can be used in the care sector as ameans to support care. The overall aim of thisdoctoral thesis was to describe and interprethealth and social care staff´s expectations, perceptions, experiencesand values when changing work routines by introducing ICT.Data was collected through group- and individual interviews with primary healthcare and social care staff during a research and development (R&D) project.The R&D project aimed at developing work procedures for staff in health andsocial care by introducing new ICT applications. Data was analyzed with qualitative interpretiveapproaches. The results showed that expectations from participating staff were overshadowed by earlier development work and they distancedthemselves from the R&D project. Staff perceived the ICT solution inrelation to utility in their daily practice but also on its impact on thealready strained economy and the working environment. Participants experiencedunclear decisions and hardly any power of influence in the project. Similarexperiences from the past seemed to trigger participants as they were emotionaland upset. Once again they experienced low power to influence. Interpretedvalues showed that staff did not reject technologies per se but they argued foror against the technologies in relation to what they believed would supporttheir view of what good care was. This leads to the conclusionthat disturbance-free interactions with the care receiver were prerequisitesfor accepting any technologies. Furthermore, participants had a wish of takingresponsibility in care work and of being confirmed, in an organization withclear visions and management. The caregiving process and its challenges fromthe perspective of the caregivers need consideration and the concept of caringrationality needs to be put on the agenda. More concern of what good care is and who is defining it should be more investigated and discussed.Change processes in health and social care often focuses on finance andeffectiveness. R&D projects and nursing researchers should consider thatfrom a staff perspective it would be beneficial to use approaches where powerrelations are questioned, and organizations that management should encouragechange initiatives from staff. Key words: Care, ICT, staff perspectives, values, nursing, individual interviews, group interviews, qualitative interpretive analysis, feminist ethics of care

  • 3.
    Udén, Maria
    et al.
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Human Work Science.
    Andersson, Maria
    Luleå University of Technology, Department of Health Sciences, Gemensamt HLV.
    Jansson, Anna
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Human Work Science.
    Vård- och omsorgspersonal medverkar i teknikutveckling modell: vägen till en rimlig modell2015Conference paper (Other academic)
    Abstract [sv]

    Användarmedverkan i teknikutveckling kan både ses utifrån demokratiska potentialer och som en kommersiell investering – ett sätt att förkorta ledtid från idé till produkt. Användarmedverkan kan också uppfattas som ett sätt att kvalitetssäkra en utvecklingsprocess. Inom vård och omsorg involveras idag vårdtagare, anhöriga och vårdgivare i en ”boom” kring eHälsa och digitala applikationer och tjänster för vård och omsorg. Det vi kallar en ”boom” kan förväntas sträcka sig över ett antal år innan branschen stabiliserats. Inom denna ”boom” har – med offentliga aktörer som påskyndare – ”användarmedverkan” i teknikutveckling från vård- och omsorgspersonalens sida närmast institutionaliserats. Frågan är, i tidens vurm för deltagande och bottom-upprocesser, hur ”användarens” intressen tillvaratas när deltagande blir en arbetsuppgift? Och vilka är ”användarens” intressen? Deltagande, även kallad interaktiv forskning (med flera begrepp) innehåller instruktioner för demokratiska förhållningssätt, som ger utrymme för den senare frågan att besvaras i varje konkret sammanhang. Men kriterierna för att tillämpa de här instruktionerna är inte med nödvändighet uppfyllda i den stora gruppen forsknings- och innovationsprojekt där personal ”på golvet” involveras. Med (semi)institutionaliseringen av deltagande metoder flyttar den springande punkten från att röra forsknings- och utvecklingsmetod till arbetsorganisation, och här specifikt hur vård- och omsorgspersonalens deltagande organiseras. Vi är här intresserade av hur ”medverkan” i teknikutveckling inom vård och omsorg hanteras idag – och hur den bör hanteras om man ser till vård/omsorgspersonalens intressen. Till att börja med är det värdefullt att skapa en plattform för problematisering, och syftet med vårt inlägg här är att föreslå en sådan modell.

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