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Islind, Anna SigridurORCID iD iconorcid.org/0000-0002-4563-0001
Publications (10 of 25) Show all publications
Islind, A. S., Lindroth, T., Lundin, J. & Steineck, G. (2019). Co-Designing a Digital Platform with Boundary Objects: Bringing Together Heterogeneous Users in Healthcare. Health and Technology, 1-14
Open this publication in new window or tab >>Co-Designing a Digital Platform with Boundary Objects: Bringing Together Heterogeneous Users in Healthcare
2019 (English)In: Health and Technology, ISSN 2190-7188, E-ISSN 2190-7196, p. 1-14Article in journal (Refereed) Epub ahead of print
Abstract [en]

Healthcare is increasingly permeated with digital platforms supporting cooperative care involving different professional groups and also patients. New mobile technologies allow for patients to continuously monitor and document their symptoms to support better healthcare, as well as self-care. The successful design of such multi-user platforms calls for new design approaches involving heterogeneous conditions and goals. This paper analyzes theuse of boundary objects in design as a mediator for different users' needs and conditions. Our research is conducted at a clinic supporting cancer survivors in their struggles with treatment induced illnesses, a treatment heavily dependent on new medical research as well as on patient involvement. The data is collected ethnographically over two years following a design project that developed a digital platform to support the care provided by the clinic. We describe how useful boundary objects transform over time, from rich narratives, to conceptual formulations and finally into concrete prototypes of the platform. We argue that understanding such a transformation can inform the design of healthcare platforms and guide future design processes, where co-designing with boundary objects can be especially useful as a design approach when doing design complex settings, such as healthcare settings.

Keywords
Co-Design, Health informatics, Cancer rehabilitation, Information Systems, Designing boundary object, Emergent Boundary Objects, Digital Platform, Healthcare Platforms
National Category
Information Systems, Social aspects
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12819 (URN)10.1007/s12553-019-00332-5 (DOI)
Note

Ingår i avhandling

Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2019-06-04Bibliographically approved
Islind, A. S., Lindroth, T., Lundin, J. & Steineck, G. (2019). Shift in translations: Data work with patient-generated health data in clinical practice. Health Informatics Journal
Open this publication in new window or tab >>Shift in translations: Data work with patient-generated health data in clinical practice
2019 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811Article in journal (Refereed) Epub ahead of print
Abstract [en]

This article reports on how the introduction of patient-generated health data affects the nurses’ and patients’ data work and unpacks how new forms of data collection trigger shifts in the work with data through translation work. The article is based on a 2.5-year case study examining data work of nurses and patients at a cancer rehabilitation clinic at a Swedish Hospital in which patient-generated health data are gathered by patients and then used outside and within clinical practice for decision-making. The article reports on how data are prepared and translated, that is, made useful by the nurses and patients. Using patient-generated health data alters the data work and how the translation of data is performed. The shift in work has three components: (1) a shift in question tactics, (2) a shift in decision-making, and (3) a shift in distribution. The data become mobile, and the data work becomes distributed when using patient-generated health data as an active part of care

Keywords
clinical practice, data work, patient-generated health data, translation work
National Category
Nursing
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-13729 (URN)10.1177/1460458219833097 (DOI)30866707 (PubMedID)2-s2.0-85062977227 (Scopus ID)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-04-04Bibliographically approved
Islind, A. S., Lundh Snis, U., Lindroth, T., Lundin, J., Cerna, K. & Steineck, G. (2019). The Virtual Clinic: Two-sided Affordances in Consultation Practice. Computer Supported Cooperative Work, 28(3-4), 435-468
Open this publication in new window or tab >>The Virtual Clinic: Two-sided Affordances in Consultation Practice
Show others...
2019 (English)In: Computer Supported Cooperative Work, ISSN 0925-9724, E-ISSN 1573-7551, Vol. 28, no 3-4, p. 435-468Article in journal (Refereed) Published
Abstract [en]

Telecare has the potential to increase the quality of care while also decreasing costs. However, despite great potential, efficiency in care practices and cost reduction remain hypothetical. Within computer supported cooperative work (CSCW), one focus of telecare research has been on awareness support in distributed real-time communication in comparison to physical meetings since face-to-face consultations have been known as the “gold standard” of conducting care. Research has shown that it is hard to maintain qualities such as awareness through video-mediated meetings. In this research, the goal has not been to mimic the qualities of face-to-face consultations but rather to document the qualities of three types of patient meetings (consultations) and to understand in what kinds of situations each consultation type is a viable option. In this paper, we focus on the essential qualities of i) face-to-face consultations, ii) video-based consultations, and iii) telephone consultations and shed light on their affordances. The research contribution includes an extension of the affordance lens to incorporate socio-technical, two-sided affordances, that constitute important aspects for understanding complexity when heterogeneous actors co-existing in a practice, where affordances can differ for different “sides” in the complex practice—a view that is fruitful when dealing with heterogeneous actors and a set of analog and digital tools in a practice.

Keywords
telecare, telehealth, virtual clinic, affordances, practice, qualities, two-sided affordances, multi-sided affordances, consultations
National Category
Information Systems, Social aspects
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-13910 (URN)10.1007/s10606-019-09350-3 (DOI)000473162800006 ()2-s2.0-85066158115 (Scopus ID)
Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-10-16Bibliographically approved
Cerna, K., Islind, A. S., Lundin, J. & Steineck, G. (2018). Decision-support System for Cancer Rehabilitation: Designing for Incorporating of Quantified Data into an Existing Practice. In: Gerd Berget (Ed.), Proceedings of the 10th Nordic Conference on Human-Computer Interaction: . Paper presented at NordiCHI '18 Proceedings of the 10th Nordic Conference on Human-Computer Interaction Oslo, Norway — September 29 - October 03, 2018 (pp. 747-753). ACM Publications
Open this publication in new window or tab >>Decision-support System for Cancer Rehabilitation: Designing for Incorporating of Quantified Data into an Existing Practice
2018 (English)In: Proceedings of the 10th Nordic Conference on Human-Computer Interaction / [ed] Gerd Berget, ACM Publications, 2018, p. 747-753Conference paper, Published paper (Other academic)
Abstract [en]

Recent development in self-monitoring devices indicates that using quantified data in clinical practicesupporting chronic diseases management holds a big potential. However, exploration of this design space also suggests that some unattended challenges still exist, such as a low adoption rate of self-monitoring tools in existing clinical practice. In this text, wetherefore focus on the ways healthcare professionalsuse quantified data in their practice. We draw onempirical data from an ethnographic study of a cancer rehabilitation center. Our preliminary findings suggestthat the self-monitoring tool supported the nurses'work because it became a functional complement totheir work by allowing them to appropriate the deviceto their and the patients' needs.

Place, publisher, year, edition, pages
ACM Publications, 2018
Series
NordiCHI ’18
Keywords
Quantified data ; decision-support system ; clinical practice ; cancer rehabilitation
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12977 (URN)10.1145/3240167.3240255 (DOI)2-s2.0-85056602881 (Scopus ID)978-1-4503-6437-9 (ISBN)
Conference
NordiCHI '18 Proceedings of the 10th Nordic Conference on Human-Computer Interaction Oslo, Norway — September 29 - October 03, 2018
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2018-12-20Bibliographically approved
Islind, A. S. & Lundh Snis, U. (2018). From Co-Design to Co-Care: Designing a Collaborative Practice in Care. Systems, Signs & Actions, 11(1), 1-24
Open this publication in new window or tab >>From Co-Design to Co-Care: Designing a Collaborative Practice in Care
2018 (English)In: Systems, Signs & Actions, ISSN 1652-8719, E-ISSN 1652-8719, Vol. 11, no 1, p. 1-24Article in journal (Refereed) Published
Abstract [en]

The design of digital artifacts in general and mobile apps in particular has not been investigated fully from a practice perspective. Mobile apps are commonly designed from a distant, armslength relationship where they are developed without taking the users' practices into account.This paper problematizes this notion and takes the point of departure from a collaborative design (co-design) process where the goal was to design a mobile app supporting grocery shopping forthe home care sector. We analyse the role of designing a mobile app as a facilitator for collaboration between the elderly's everyday practice and the caregivers work practice and investigatehow these two practices become intertwined. The research questions are: How can the design process be organized in order to foster the formation of a prospective collaborative care practice? What aspects are important to consider when designing with a boundary practice perspective? The findings of this study indicate that organizing the design activities in a certain collaborative manner empowered the elderly and their caregivers and led to the formation of a common, collaborative care practice (herein called co-care). The focus of the design process thereby shifted from designing the digital artifact (framed as a boundary object) to designing the co-carepractice (framed as a boundary practice). Our contribution is discussed in terms of design considerations,which can be applied for the facilitation of a collaborative boundary practice. The considerations are of particular relevance for settings where two or more practices are to collaborate and where new conditions are to be created for future co-practice.

Keywords
Co-design, boundaries, boundary practice, practice-oriented research, home care, platforms, platformization, mobile apps
National Category
Information Systems, Social aspects
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12818 (URN)
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2019-05-27Bibliographically approved
Lindroth, T., Islind, A. S., Steineck, G. & Lundin, J. (2018). From narratives to numbers: Data work and patient-generated health data in consultations. In: Klein G.O.,Karlsson D.,Moen A.,Ugon A. (Ed.), Studies in Health Technology and Informatics: . Paper presented at 40th Medical Informatics in Europe Conference, MIE 2018; The Swedish Exhibition and Congress CentreGothenburg; Sweden; 24 April 2018 through 26 April 2018 (pp. 491-495). IOS Press, 247
Open this publication in new window or tab >>From narratives to numbers: Data work and patient-generated health data in consultations
2018 (English)In: Studies in Health Technology and Informatics / [ed] Klein G.O.,Karlsson D.,Moen A.,Ugon A., IOS Press, 2018, Vol. 247, p. 491-495Conference paper, Published paper (Refereed)
Abstract [en]

This article presents preliminary findings on how the introduction of patient-generated health data (PGHD) triggers changes during patient-nurse consultations. This article builds on a two-year case study, examining the work practice at a cancer rehabilitation clinic at a Swedish Hospital using PGHD. The study focuses on how nurses’ use data, gathered by patients with a mobile phone app, during consultations. The use of PGHD introduce a change in the translation work, the work of turning rich patient descriptions and transform them into data, during the consultation for documentation and clinical decision-making. This change affects precision, questions asked and the use of visualizations as well as the patient-nurse decision making. © 2018 European Federation for Medical Informatics (EFMI) and IOS Press.

Place, publisher, year, edition, pages
IOS Press, 2018
Keywords
Cancer rehabilitation, Data work, Patient-generated health data, PGHD, Translation
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-12340 (URN)10.3233/978-1-61499-852-5-491 (DOI)29678009 (PubMedID)2-s2.0-85046533800 (Scopus ID)9781614998518 (ISBN)
Conference
40th Medical Informatics in Europe Conference, MIE 2018; The Swedish Exhibition and Congress CentreGothenburg; Sweden; 24 April 2018 through 26 April 2018
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2018-11-08Bibliographically approved
Grisot, M., Lindroth, T. & Islind, A. S. (2018). Patient Generated Data And Affordances: Conversation Cues In Clinical Decision Making. In: Proceedings from the annual NOKOBIT conference held at Svalbard the 18th-20th of September 2018: . Paper presented at NOKOBIT conference held at Svalbard the 18th-20th of September 2018 (pp. 1-10). , 26, Article ID 542.
Open this publication in new window or tab >>Patient Generated Data And Affordances: Conversation Cues In Clinical Decision Making
2018 (English)In: Proceedings from the annual NOKOBIT conference held at Svalbard the 18th-20th of September 2018, 2018, Vol. 26, p. 1-10, article id 542Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

An increasing number of systems support the use of patient-generated data in patient-provider collaboration.However, there is yet limited understanding of how patient-generated data impact the way healthpersonnel work with data in clinical decision-making processes, and whether patient-generated data mightbe able to support clinical processes, for instance by providing evidence for diagnoses, treatment monitoring,or recovery. In this paper, we explore the use of patient-generated data in clinical decisions in twocase studies. In the first case an App is used by patients in cancer rehabilitation to track their pain levels,frequency of specific events, and symptoms. Rather than requiring patients to remember past events at thetime of the visit, patients can use the App to register events as they happen. In the second case an App isused in conjunction with a set of digital medical devices to track a defined set of parameters in remote carefor patients with chronic conditions. Both Apps are designed with the aim to improve data accuracy andensure data quality. Our findings show that beside gaining data quality and accuracy, patient generateddata work as conversational cues in the context of the interaction between patients and health personnel.This finding is relevant as it shows that patient generated data need to be treated not just as facts but ascues or as an affordance for patient-provider dialogue. Based on this understanding, we identify threedesign implications for Apps for patient-generated data to support patient-provider dialogue.

Keywords
Patient-generated data, App, Affordance.
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12951 (URN)
Conference
NOKOBIT conference held at Svalbard the 18th-20th of September 2018
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-10-12Bibliographically approved
Islind, A. S. (2018). Platformization: Co-Designing Digital Platforms in Practice. (Doctoral dissertation). Trollhättan: University West
Open this publication in new window or tab >>Platformization: Co-Designing Digital Platforms in Practice
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Digital platforms are slowly becoming an important part of both research and everyday work. However, much of the research focus has been on platforms that are already established. Little focus has been on platformization (i.e., design, development and use of platforms in the nascent phases) and the socio-technical aspects of designing platforms for specific practices or purposes, i.e., practice based platforms. While it is truly important to understand technological aspects and market logics of platform efforts, it is also to understand how platforms become platforms, when designing them alongside end-users.

This thesis contributes to the platform discussion with research that focuses both on the technological sides of building platforms while also unpacking the social aspects of the collaborative design situation (i.e., co-design) and development where end users meet and later use the platforms.This thesis explores the research questions: How can practice-based platforms be designed and developed? What impact does end-user engagement in platformization have on the practices involved? How can platformization efforts be approached and researched? Through a study of the design of platforms in care settings, one 2.5–year study within home care and one 2.5–year study within cancer rehabilitation where the end-users' practices involved in the co-design processes are caregivers and care recipients in both studies. This thesis thereby unpacks the platformization process through a roughly five–year longitudinal AR project, based on these two studies. With the help of the boundary literature, the design, development and use of platforms in the nascent phases of platformization is analysed in these two studies. Through a co-design effort in both studies, the practices that are going to use the platforms contribute to a) the design of which boundary resources (i.e., modules in terms of code blocks) will be developed within the platform; b) the design of the boundary object (i.e., working tools in terms of apps) that they are using together inconsensus; and c) the design of a boundary practice in which they will later use the digital artifacts together. The end-users' practices had impact on the design of all layers of the platform through the co-design approach, including an influence on the boundary resources that were developed within the platform. The platforms also had impact on the practices, which designed new ways of interacting.

The results thereby both show the impact of the end-users' practices (caregivers and care recipients, which are heterogeneous) on the platform design,as well as the impact of the platform on the design of their boundary practice. In this thesis, the design and development of the two platforms is thereby researched and the design of the platforms is validated by studying the use of the platforms as well. The main contribution of this thesis is a conceptualization of the platformization process where the key characteristics of designing such platforms with heavy user engagement are illustrated in a platformization model and in seven platformization principles.

Place, publisher, year, edition, pages
Trollhättan: University West, 2018. p. 123
Series
PhD Thesis: University West ; 25
Keywords
Platforms; Platformization; Co-design; Practice-based platforms; Healthcare; Care sector; Home care; Cancer rehabilitation; Nascent phases of platformization; Action research; Boundary resources; Boundary objects; Boundary practice; Platformization principles, Plattformar; Plattformisering; Co-design; Praktikplattformar; hälso- och sjukvård; Hemtjänst; Cancer rehabilitering; Tidiga faser av plattformisering; Aktionsforskning; Gränsresurser; Gränsobjekt; Gränspraktik; Plattformiseringsprinciper
National Category
Information Systems, Social aspects
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-12821 (URN)978-91-88847-02-7 (ISBN)978-91-88847-01-0 (ISBN)
Public defence
2018-08-31, Albertsalen, Trollhättan, 13:00 (English)
Opponent
Supervisors
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2019-01-09Bibliographically approved
Vallo Hult, H., Islind, A. S. & Norström, L. (2018). Tuning professionalism in the public sector. In: AIS SIGPRAG Pre-ICIS Workshop 2018: "Practice-based Design and Innovation of Digital Artifacts". Paper presented at AIS SIGPRAG pre-ICIS workshop on ”Practice-based Design and Innovation of Digital Artifacts”, 2018-12-12, San Franciso, CA, USA.
Open this publication in new window or tab >>Tuning professionalism in the public sector
2018 (English)In: AIS SIGPRAG Pre-ICIS Workshop 2018: "Practice-based Design and Innovation of Digital Artifacts", 2018, p. -3Conference paper, Published paper (Other academic)
Abstract [en]

The digitalization in the public sector poses challenges for the professionals that have previously not been using digital tools as a part of their everyday practice. Building on three qualitative research projects this study shed light on contradictions and tussles, as well as possibilities re-lated to professionalism in the public sector. The three cases involve different professionals: cancer rehabilitation nurses, municipality communicators, and resident physicians. The paper aims to gain a better understanding of the impact of digitalization efforts on everyday work practices, and the emerging opportunities and challenges of using digital artifacts as a part of professional work. Our findings show how the transition toward digital work practices is pushing the professional boundaries of rooted professionalism in the public sector. The meaning of work and what it means to be a professional profoundly changes. The process of tuning professionalism in the public sector is not straight forward.

Keywords
Digitalization, public sector, professionalism, boundaries
National Category
Pedagogy Information Systems, Social aspects Business Administration
Research subject
Work Integrated Learning; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-13382 (URN)
Conference
AIS SIGPRAG pre-ICIS workshop on ”Practice-based Design and Innovation of Digital Artifacts”, 2018-12-12, San Franciso, CA, USA
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-10-24Bibliographically approved
Norström, L., Islind, A. S. & Vallo Hult, H. (2017). Balancing the Social Media Seesaw in Public Sector: A Sociomaterial Perspective. Paper presented at IRIS 40, Østfold University College, Halden, Norway, August 6th - 9th 2017. IRIS Selected Papers of the Information Systems Research Seminar in Scandinavia (8)
Open this publication in new window or tab >>Balancing the Social Media Seesaw in Public Sector: A Sociomaterial Perspective
2017 (English)In: IRIS Selected Papers of the Information Systems Research Seminar in Scandinavia, ISSN 1891-9863, E-ISSN 2387-3353, no 8Article in journal (Refereed) Published
Abstract [en]

The use of social media in the public sector changes the professionals' everyday work practice. This paper sheds light on the emerging challenges of using social media as a part of work, based on the analysis of three contexts within the public sector in Sweden and through the lens of sociomateriality and affordances. The approach is interpretive field studies with a narrative analysis, where we interpret and analyse key elements of the storylines, focusing on the transition to social media use among professionals (nurses, municipal communicators, and physicians) in the three contexts. Social media enables an open work environment where information is visible and potentially spreadable to an unknown audience. The process of interacting with an unknown audience and finding a professional tone is analysed here as context collapse. The unknown, and at times imagined complex audience, makes it hard to balance the seesaw between friendliness on the one hand and an authoritative tone on the other; a tonality which leaves most of the potential audience unreached. The interplay between social media and the professionals shapes the professionals' practice. We analyse this interplaying practice more specifically, as sociomateriality in action.

National Category
Information Systems, Social aspects
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-13350 (URN)
Conference
IRIS 40, Østfold University College, Halden, Norway, August 6th - 9th 2017
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2019-05-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4563-0001

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