1,720,977 research outputs found
Implementing video conferensing in discharge planning session : Leadership and organizational culture when designing IT support for everyday work in nursing practice
No full textThe overall aim of this thesis has been to study the implementation process concerning the use of video conferencing in discharge planning, during and after a development project in a region in southeast Sweden. The research approach has been developed within a new interdisciplinary research area, Applied Health Technology. The main focus of the research has been on how the new IT solution has affected everyday work, and in what ways management supported staff during the implementation process. The study design has a qualitative approach. Phenomenological hermeneutics, content analysis and Participatory Action Research (PAR) have been used in the analysis process. Study I aimed to describe primary healthcare nursing staff’s experiences of discharge planning, along with their concerns about using video conferencing in discharge planning sessions. It was found that there is need for improvement in communication and understanding between nursing staff working in hospitals and in primary healthcare, and need for nursing staff to obtain more information about how IT solutions could support their work. The aim of Study II was to examine the implementation process of using video conferencing in discharge planning, according to a theoretical framework composed from theories about implementation processes. It was found that implementation frameworks can be useful, and that framing the implementation process supports the exposure of factors and highlights relationships and states of dependency between those factors which may affect implementation. Study III set out to describe managers’ reflections about leading the implementation process of using video conferencing in the discharge planning session. The results indicate that managers experienced two leadership perspectives when they reflected on the implementation process. On one hand, they described a desired way of leading implementation, on the other hand they described an actual way of leading implementation. The aim of Study IV was to describe the reflections of professionals about what is needed in order to create what should become a new best practice using videoconferencing in the discharge planning sessions. The results indicate that the professionals experienced lack of knowledge and understanding about each other’s everyday work and that the absence of well-functioning common routines obstructed the process. The results also indicate that there is a lack of common arenas to enable discussions, negotiations and agreements about adopting new routines as the discharge planning process changes over time. This thesis contributes to the much-needed discussions about how to manage the many ongoing IT implementation processes in Swedish healthcare organizations, by highlighting challenges and difficulties that both healthcare professionals and managers have experienced during an implementation process. The results indicate that implementation frameworks can be useful when new IT solutions are introduced in healthcare, and that there is a need for dedicating time, space and support for involved professionals in designing their everyday work
Grundbok i e-hälsa
No full textGrundbok i eHälsa ger en inblick i områden som studenter inom hälso- och sjukvård behöver för att möta digitaliseringen. Genom att tillämpa en tvärvetenskaplig strategi för att beskriva digitaliseringen inom hälso- och sjukvården synliggörs komplexiteten i olika situationer när eHälsolösningar introduceras och implementeras.Boken har tre delar. Den första, individperspektivet, fokuserar på etiska aspekter, evidens och patientsäkerhet, liksom vikten av att arbeta personcentrerat när individens vardag digitaliseras. Den andra, organisationsperspektivet, handlar om ledning och styrning. Den tar upp förändringskunskap, förändringsledning och hur införandeprocesser bör bedrivas för att bli framgångsrika. Den sista delen, samhällsperspektivet, behandlar ansvar, nytta och ekonomi på olika nivåer när verksamheter inom hälso- och sjukvården digitaliseras. Varje del tar avstamp i en exempelberättelse och avslutas med frågor för egna funderingar och samtal.</p
Informatik : e-hälsa, ledarskap och organisationskultur
No full textImplementering av sjuksköterskans kärnkompetenser är den tredje boken som handlar om sjuksköterskans kärnkompetenser. Boken vill inspirera alla som söker kunskap om hur sjuksköterskans kärnkompetenser kan implementeras i hälso- och sjukvården och äldreomsorgen. I bokens kapitel belyser författarna hur implementeringen av de sex kärnkompetenserna; personcentrerad vård, samverkan i team, evidensbaserad vård, förbättringskunskap, säker vård och informatik kan genomföras.Boken bidrar med kunskap, handlingsberedskap och förståelse för att kunna möta och hantera dagens och framtidens krav på en kvalitativt god hälso- och sjukvård. I det inledande kapitlet presenteras begreppet implementering och implementeringsstrategi. I de kommande kapitel ges exempel på hur implementering av de sex kärnkompetenserna kan genomföras.Boken är avsedd som kurslitteratur för studenter på grundläggande och avancerad nivå, men passar även kliniskt verksamma sjuksköterskor och andra yrkesverksamma inom hälso- och sjukvård.</p
Implementing video conferencing in discharge planning sessions : leadership and organizational culture when designing IT support for everyday work in nursing practice
No full textThe overall aim of this thesis has been to study the implementation process concerning the use of video conferencing in discharge planning, during and after a development project in a region in southeast Sweden. The research approach has been developed within a new interdisciplinary research area, Applied Health Technology. The main focus of the research has been on how the new IT solution has affected everyday work, and in what ways management supported staff during the implementation process. The study design has a qualitative approach. Phenomenological hermeneutics, content analysis and Participatory Action Research (PAR) have been used in the analysis process. Study I aimed to describe primary healthcare nursing staff’s experiences of discharge planning, along with their concerns about using video conferencing in discharge planning sessions. It was found that there is need for improvement in communication and understanding between nursing staff working in hospitals and in primary healthcare, and need for nursing staff to obtain more information about how IT solutions could support their work. The aim of Study II was to examine the implementation process of using video conferencing in discharge planning, according to a theoretical framework composed from theories about implementation processes. It was found that implementation frameworks can be useful, and that framing the implementation process supports the exposure of factors and highlights relationships and states of dependency between those factors which may affect implementation. Study III set out to describe managers’ reflections about leading the implementation process of using video conferencing in the discharge planning session. The results indicate that managers experienced two leadership perspectives when they reflected on the implementation process. On one hand, they described a desired way of leading implementation, on the other hand they described an actual way of leading implementation. The aim of Study IV was to describe the reflections of professionals about what is needed in order to create what should become a new best practice using videoconferencing in the discharge planning sessions. The results indicate that the professionals experienced lack of knowledge and understanding about each other’s everyday work and that the absence of well-functioning common routines obstructed the process. The results also indicate that there is a lack of common arenas to enable discussions, negotiations and agreements about adopting new routines as the discharge planning process changes over time. This thesis contributes to the much-needed discussions about how to manage the many ongoing IT implementation processes in Swedish healthcare organizations, by highlighting challenges and difficulties that both healthcare professionals and managers have experienced during an implementation process. The results indicate that implementation frameworks can be useful when new IT solutions are introduced in healthcare, and that there is a need for dedicating time, space and support for involved professionals in designing their everyday work
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Challenges concerning the design of a newbest practice using video conferencing in discharge planning
No full textThis paper sets out to describe challenges concerning the design of a new best practice using video conferencing indischarge planning sessions. A Participatory Action Research approach was used in the study. Data collection and analysiswere carried out through workshop discussions with professionals responsible for discharge planning in hospital and inhomecare. The results indicate challenges consisting of two main categories; need of knowledge and competence and needof support, that is of importance in developing new work practices for making the discharge planning session work outusing video conferencing in the planning session.</p
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