Swedish primary healthcare nurses' perceptions of using digital eHealth services in support of patient self-management
Swedish primary healthcare nurses' perceptions of using digital eHealth services in support of patient self-management
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DOI：
10.1111/scs.12534
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发表时间：
2018-06-01
影响因子：
1.9
通讯作者：
Hornsten, Asa
中科院分区：
文献类型：
--
作者：
Oberg, Ulrika;Orre, Carl Johan;Hornsten, Asa
护士们对瑞典初级卫生保健正在进行的数字化表示怀疑。鉴于电子健康在初级卫生保健中的潜在作用，包括支持慢性病患者的互动式自我管理，强调护士的经验非常重要。这项研究是一个更大的项目的一部分，旨在实施以人为本的互动自我管理支持（iSMS）在初级healthcare.AimThe本研究的目的是描述瑞典初级保健护士的看法，使用数字电子健康系统和服务，以支持病人自我management.MethodsFocus小组访谈进行了初级保健护士（n = 20）。访谈transmits进行了分析，使用定性内容分析。结果三个主题出现的内容分析：在数字混乱中的bullving;缺乏概述和控制在日常工作中;和复杂的感情数字化。每个主题被细分为三个subthemes.Conclusion和相关性的临床practiceThe研究的结果提供了深入了解一些问题，站在成功的方式，当涉及到数字技术的实施和使用。如果护士要适应伴随瑞典初级卫生保健当前数字化发展的新政策和做法，就需要在工作任务范围和传统护理的既定观点方面修改护士传统工作角色的概念。该研究还强调，需要进行更多的研究，使电子保健系统/服务的设计，以满足多种要求。数字化系统应该是一个工具，以实现高质量的自我管理支持，以及给予基层医疗护士足够的资源，以支持病人的自我管理，同时仍然保持与以人为本的护理相关的价值观。
BackgroundNurses have expressed doubts about the ongoing digitalisation of Swedish primary health care. Given the potential role of eHealth in primary health care, including supporting interactive self-management for people with chronic conditions, it is important to highlight nurses' experiences. This study is part of a larger project aimed at implementing person-centred interactive self-management support (iSMS) in primary health care.AimThe aim of this study was to describe Swedish primary healthcare nurses' perceptions of using digital eHealth systems and services to support patient self-management.MethodsFocus group interviews were conducted with primary healthcare nurses (n = 20). The interview transcriptions were analysed using qualitative content analysis.ResultsThree themes emerged from the content analysis: caregiving in the midst of digital chaos; a lack of overview and control in daily work; and mixed feelings towards digitalisation. Each theme was subdivided into three subthemes.Conclusion and relevance to clinical practiceThe results of this study provide insight into a number of concerns that stand in the way of success when it comes to the implementation and use of digital technology. If nurses are to adapt to the new policies and practices that accompany the current digitalised development in Swedish primary health care, the concept of a nurse's traditional work role needs to be amended in terms of the scope of work tasks and established views of traditional nursing. The study also highlights the need for more research to enable eHealth systems/services to be designed to fulfil multiple requirements. The digitised systems should be a tool for achieving good quality self-management support as well as giving the primary healthcare nurses adequate resources to support patients' self-management while still maintaining the values associated with person-centred care.