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Svensson, A. (2020). Identifying motives for implementing ehealth by using activity theory. Sustainability, 12(4), Article ID 1298.
Open this publication in new window or tab >>Identifying motives for implementing ehealth by using activity theory
2020 (English)In: Sustainability, ISSN 2071-1050, E-ISSN 2071-1050, Vol. 12, no 4, article id 1298Article in journal (Refereed) Published
Abstract [en]

eHealth interventions are utilized as a solution to address the current demographic challenges in society, as the number of old people increases. Thus, working life, work practice, and professional requirements needed for providing healthcare services will be transformed. The aim of this paper is to explore contradictive motives regarding the professionals’ work practice when introducing innovative eHealth technologies in Scandinavian healthcare services at a municipal level. The study is based on two qualitative group interviews where nurses, assistant nurses, occupational and physiotherapists, as well as project managers participated. Two persons from an IT department were also interviewed. The interviews were analyzed by thematic analysis. The activity theory is used to explore the individuals’ different contradictive motives in this work practice. The work practice consists of a collaborative activity, where expansive learning is important in this transformation of work to obtain a sustainable society. The motives identified in this study are to (1) improve quality of life for the patients, (2) create attractive and interesting work for the employees, (3) save money for the municipality, (4) learn about new technology, and (5) use the municipality’s resources effectively. © 2020 by the authors.

Place, publisher, year, edition, pages
MDPI AG, 2020
Keywords
health care; health policy; identification method; innovation; policy implementation; quality of life; sustainability; theoretical study, Scandinavia
National Category
Nursing
Identifiers
urn:nbn:se:hv:diva-15080 (URN)10.3390/su12041298 (DOI)000522460200016 ()2-s2.0-85081275190 (Scopus ID)
Funder
Interreg Sweden-Norway, 20201114
Available from: 2020-03-25 Created: 2020-03-25 Last updated: 2020-04-16
Johansson, A. & Svensson, A. (2020). Identifying Risk Factors in Implementing ERP Systems in Small Companies. In: Shahram Latifi (Ed.), 17th International Conference on Information Technology–New Generations (ITNG 2020): . Paper presented at 17th International Conference on Information Technology–New Generations (pp. 169-173). Springer International Publishing
Open this publication in new window or tab >>Identifying Risk Factors in Implementing ERP Systems in Small Companies
2020 (English)In: 17th International Conference on Information Technology–New Generations (ITNG 2020) / [ed] Shahram Latifi, Springer International Publishing , 2020, p. 169-173Conference paper, Published paper (Refereed)
Abstract [en]

Some risk factors exist within the implementation process of an ERP system in small companies. However, researchers claim different views on which impacts the implementation of ERP systems have. Actually, there are relatively few empirically based ERP implementation studies in small companies and its impact, as most of such studies are focused on larger companies. This paper is based on a case study at a small company. The aim of the paper is to explore risks at a small company when planning to implement an ERP system. The analysis shows that an ERP system is a good solution to avoid using systems that are not integrated. An ERP system could integrate all information in only one system, and all information could easily be accessed within that system. The implementation therefore lead to decreasing costs in the daily work as the activities and processes can be performed more effective and efficient.

Place, publisher, year, edition, pages
Springer International Publishing, 2020
Series
Advances in Intelligent Systems and Computing ; vol 1134
Keywords
ERP systems, Implementation, Risk factors, Small companies
National Category
Information Systems, Social aspects Business Administration
Identifiers
urn:nbn:se:hv:diva-15173 (URN)10.1007/978-3-030-43020-7_23 (DOI)978-3-030-43020-7 (ISBN)978-3-030-43019-1 (ISBN)
Conference
17th International Conference on Information Technology–New Generations
Available from: 2020-05-16 Created: 2020-05-16 Last updated: 2020-06-02
Svensson, A. (2019). Challenges in Using IT Systems for Collaboration in Healthcare Services. International Journal of Environmental Research and Public Health, 16(10), Article ID E1773.
Open this publication in new window or tab >>Challenges in Using IT Systems for Collaboration in Healthcare Services
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 10, article id E1773Article in journal (Refereed) Published
Abstract [en]

Frail elderly people refer to multi-diseased and vulnerable patients in need of medication and healthcare. These patients require healthcare from several different healthcare organizations, including hospital care, primary care, and municipal care services. This situation is challenging the capacity of healthcare organizations to manage inter-professional collaboration for person-centered care. This paper aims to identify challenges associated with collaboration between different healthcare organizations, related to the use of IT systems in the daily work practice. The paper was based on a qualitative study, which included three focus group interviews, each lasting for two hours. Each focus group consisted of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist, and a family member representative. The interviews were analyzed with thematic analysis. Challenges identified in the study include insufficient information exchange, inconsistencies in communication, differences in the use of IT systems, and deficient coordination. The work processes that aim to promote collaboration between different healthcare organizations need to be better organized, and the use of IT systems needs to be better aligned.

Keywords
IT systems, collaboration, communication, coordination, frail elderly people, healthcare, teamwork
National Category
Nursing
Research subject
SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-13917 (URN)10.3390/ijerph16101773 (DOI)000470967500107 ()31137472 (PubMedID)2-s2.0-85067289675 (Scopus ID)
Note

Funders: Fyrbodal Primary Healthcare Organization and Fyrbodal Health Academy

Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2020-02-03
Forsman, B. & Svensson, A. (2019). Frail Older Persons' Experiences of Information and Participation in Hospital Care. International Journal of Environmental Research and Public Health, 16(16), Article ID E2829.
Open this publication in new window or tab >>Frail Older Persons' Experiences of Information and Participation in Hospital Care
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 16, article id E2829Article in journal (Refereed) Published
Abstract [en]

The aim of this paper is to describe frail older persons' experiences of hospital care of information and participation when being an inpatient at a hospital. A qualitative method was used. Data were collected at the hospital from 20 interviews with frail older patients, together with observations in the environment at the hospital ward. A content analysis was performed. Patients experienced not receiving information about their care and rehabilitation, or receiving such information in noisy surroundings. They experienced situations of misunderstanding related to their medication, which indicates the need for appropriate discharge calls for frail older patients. They expressed feelings of distress concerning the future, caused by hasty admissions or relatives' problems to handle the situation. The results highlight the need to receive appropriate information and to participate in decision-making. The level of health literacy should be taken notice of when giving information, using peaceful and quiet environments when informing frail older persons. Person-centered care should be recognized to a greater extent in order for healthcare professionals to give information to frail older people in a health literacy-friendly way. This might make it easier for frail older persons to participate in a partnership in care.

Keywords
communication, frail older persons, health literacy, information, person-centered care (PCC)
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-14454 (URN)10.3390/ijerph16162829 (DOI)000484419000115 ()31398821 (PubMedID)2-s2.0-85071281501 (Scopus ID)
Note

Funders:Fyrbodal Primary Healthcare Organization and Fyrbodal Health Academy

Available from: 2019-10-02 Created: 2019-10-02 Last updated: 2020-05-04
Hedqvist, A.-T. & Svensson, A. (2019). Person-centered healthcare in coordinated care planning with video conference: Nurses’ perspective. Paper presented at 20th European Conference on Knowledge Management, ECKM 2019; Lisbon; Portugal; 5 September 2019 through 6 September 2019. Proceedings of the ... European conference on knowledge management, 1, 514-520
Open this publication in new window or tab >>Person-centered healthcare in coordinated care planning with video conference: Nurses’ perspective
2019 (English)In: Proceedings of the ... European conference on knowledge management, ISSN 2048-8971, E-ISSN 2048-8963, Vol. 1, p. 514-520Article in journal (Refereed) Published
Abstract [en]

We are becoming older and more people remain in their home with the need for care, as well as these persons for some reasons be hospitalized. This imply for the need of coordinated care planning in hospitals, as the person would be able to leave the ward in a safe manner. With an increasing number of elderly persons in need of care interventions in their home, the need for coordinated care planning in hospitals will also increase. Such planning is today being performed increasingly often via video conferencing. This form of digital encounters poses new challenges for the nurse in creating and maintaining a mutuality. The aim of this paper is to shed light on how coordinated care planning via video conferencing affects the ability of health care professionals to understand and interpret the patient’s situation from a holistic perspective, thus performing a person-centered meeting at a distance. A qualitative research approach was used to gain an understanding of nurses’ experience of coordinated care planning via video conferencing, where seven semi-structured interviews have been conducted. The result shows that the communication is affected and that meetings via video technology lose proximity and thus a part of the human contact. This can disrupt the possibility of seeing each other as persons but can be compensated by a person-centered approach. The technology can act as a means of human interaction, but not as a compensation for it. Coordinated care planning via video conferencing involves challenges in conveying presence and genuine interest that compensates for the loss of physical presence. The nurses need to be well acquainted with person-centered care in order to meet the patient despite the barrier that the screen may create. Proper technology can be used with great time gains to access each other regardless of geographical location and can contribute to human interaction but not replace it. © 2019 Academic Conferences Limited. All rights reserved.

Keywords
Hospitals; Knowledge management; Nursing, Care planning; Coordination; Geographical locations; Health care professionals; Holistic perspectives; Person-centered approach; Qualitative research; Semi structured interviews, Video conferencing
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-14709 (URN)10.34190/KM.19.051 (DOI)2-s2.0-85073386519 (Scopus ID)
Conference
20th European Conference on Knowledge Management, ECKM 2019; Lisbon; Portugal; 5 September 2019 through 6 September 2019
Funder
Interreg Sweden-Norway
Note

Funders;Fyrbodal Health Academy

Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2020-01-17
Shubber, M., Östlind, T., Svensson, A. & Larsson, L. (2018). Acceptance of Video Conferencing in Healthcare Planning in Hospitals. In: AMCIS 2018 Proceedings: . Paper presented at 24th Americas Conference on Information Systems 2018: Digital Disruption, AMCIS 2018; Hyatt Regency New OrleansNew Orleans; United States; 16 August 2018 through 18 August 2018 (pp. 1-10). Association for Information Systems
Open this publication in new window or tab >>Acceptance of Video Conferencing in Healthcare Planning in Hospitals
2018 (English)In: AMCIS 2018 Proceedings, Association for Information Systems, 2018, p. 1-10Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Health information technology has become one of the most important resources for the development and improved efficiency of healthcare services. Frail elderly patients is a growing group of people that that requires healthcare. Different care providers have to participate in healthcare planning for frail elderly patients to ensure that the patient is provided with suitable care in his or her home. The use of video conferencing offers great potential for improving the efficiency and effectiveness of healthcare planning sessions, as well as reducing travel expenses. This paper reports from a qualitative study aiming at identifying and analyzing attitudes of hospital professionals, when using video conferencing for healthcare planning. The result indicates that the attitude toward using video conference tools is exclusively positive. The intention to use is high, due to the ability of the technology to make professionals ’ work more efficient, and that the technology can improve patient care.

Place, publisher, year, edition, pages
Association for Information Systems, 2018
Keywords
Video conferencing, technology acceptance, healthcare planning, adoption of technology
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-12954 (URN)978-0-9966831-6-6 (ISBN)
Conference
24th Americas Conference on Information Systems 2018: Digital Disruption, AMCIS 2018; Hyatt Regency New OrleansNew Orleans; United States; 16 August 2018 through 18 August 2018
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-03-14Bibliographically approved
Hansson, A., Svensson, A., Hedman Ahlström, B., Larsson, L. G., Forsman, B. & Alsén, P. (2018). Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients. Scandinavian Journal of Public Health, 46(7), 680-689
Open this publication in new window or tab >>Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients
Show others...
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed) Published
Abstract [en]

Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

Keywords
Communication barriers; community health services; discharge planning; prescription drugs; frail elderly patients; focus groups; organisational culture; patient safety; qualitative research
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-13429 (URN)10.1177/1403494817716001 (DOI)000452488900002 ()
Note

Funders: Fyrbodal Health Academy

Available from: 2019-01-21 Created: 2019-01-21 Last updated: 2020-02-27Bibliographically approved
Svensson, A., Frisk, E., Johansson, B., Larsson, L. G. & Svenningsson, I. (2018). How collaborative practice research can improve human betterment. In: 12Th International Technology, Education And Development Conference (Inted): . Paper presented at 12th International Technology, Education and Development Conference (INTED), Valencia, SPAIN, MAR 05-07, 2018 (pp. 3942-3945). Valencia, Spain: IATED-INT ASSOC TECHNOLOGY EDUCATION & DEVELOPMENT
Open this publication in new window or tab >>How collaborative practice research can improve human betterment
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2018 (English)In: 12Th International Technology, Education And Development Conference (Inted), Valencia, Spain: IATED-INT ASSOC TECHNOLOGY EDUCATION & DEVELOPMENT , 2018, p. 3942-3945Conference paper, Published paper (Refereed)
Abstract [en]

An aging population, lack of competence and digitalization places new high demands on Swedish welfare. This situation will challenge the traditional management of the primary healthcare. In order to enable a person-oriented healthcare the primary healthcare realizes that it needs to enable managers to work more interactive. To deal with this the health care center in the Fargelanda municipality has started to make the management more interactive, in order to create continuous and better feedback, both from the healthcare professionals, the caretakers, and other actors within the healthcare. This initiative is supposed to contribute to a better communication between different actors, in order to increase older people’s life quality, according to their physical and psychological health as well as a meaningful everyday life. The purpose of the paper is to present some guidelines for how to design collaboration between healthcare and academia in order to be able to in the future design an interactive management in which developed information technology related products assist the healthcare to increase life quality for elderly people. This action research project will then contribute in designing a patient-centered health care for the population in a municipality, when the project is knitting together the different actors related to supporting the people’s health.

Place, publisher, year, edition, pages
Valencia, Spain: IATED-INT ASSOC TECHNOLOGY EDUCATION & DEVELOPMENT, 2018
Series
INTED Proceedings, E-ISSN 2340-1079
Keywords
digitalization; aging population; collaborative practice; interactive management; healthcare; work-integrated learning
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-14948 (URN)10.21125/inted.2018.0764 (DOI)000447408803145 ()978-84-697-9480-7 (ISBN)
Conference
12th International Technology, Education and Development Conference (INTED), Valencia, SPAIN, MAR 05-07, 2018
Available from: 2020-02-06 Created: 2020-02-06 Last updated: 2020-03-10Bibliographically approved
Svensson, A. (2018). How to Evaluate Collaboration within Research and Innovation. In: Margarethe Überwimmer, Robert Füreder, Martina Gaisch (Ed.), Proceedings Cross-Cultural Business Conference 2018: . Paper presented at Cross-Cultural Business Conference 2018 May 17th-18th School of Management, Steyr Campus The University of Applied Sciences Upper Austria (pp. 319-327). Shaker Verlag
Open this publication in new window or tab >>How to Evaluate Collaboration within Research and Innovation
2018 (English)In: Proceedings Cross-Cultural Business Conference 2018 / [ed] Margarethe Überwimmer, Robert Füreder, Martina Gaisch, Shaker Verlag, 2018, p. 319-327Conference paper, Published paper (Other academic)
Abstract [en]

To improve and strengthen regional development is often subject of political decisions. This is thesituation within the European Union, to increase innovation in SMEs. SMEs need access to knowledge,competence and collaboration, in order to increase their opportunities to develop competitiveness inproducts higher up in the value chain. The increasing rate of change in society also creates needs ofdecreasing the time from knowledge development to ready products to the market. Ongoing evaluationis prevalent in many research and development projects today in order to follow up the intended results.The ongoing evaluation could contribute to increase the efficiency and effectiveness of a specificinnovation project by highlight areas of improvement and needs of development. The purpose of thispaper is to analyze how collaboration within research and innovation can be evaluated, using a specificinnovation project as an example. Qualitative methods have been used for the data collection andanalysis, based on documents, interviews and participation in various activities. An intervention theory iscreated, as interpreted and structured based on information from documents and interviews. Theintervention theory should be further refined, and could be used to select important aspects of theinnovation project for the further evaluation. The intervention theory can be used to evaluate the causesand effects, and if the innovation project is reaching its intended final achievements and results.

Place, publisher, year, edition, pages
Shaker Verlag, 2018
Keywords
Regional development, SMEs, Small and Medium sized enterprises
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-12952 (URN)978-3-8440-5875-8 (ISBN)
Conference
Cross-Cultural Business Conference 2018 May 17th-18th School of Management, Steyr Campus The University of Applied Sciences Upper Austria
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-10-12Bibliographically approved
Svensson, A. & Hedman, E. (2018). Knowledge management for operations management within health care. Paper presented at 19th European Conference on Knowledge Management, ECKM 2018; Padua; Italy; 6 September 2018 through 7 September 2018. Proceedings of the ... European conference on knowledge management, 2, 847-854
Open this publication in new window or tab >>Knowledge management for operations management within health care
2018 (English)In: Proceedings of the ... European conference on knowledge management, ISSN 2048-8971, E-ISSN 2048-8963, Vol. 2, p. 847-854Article in journal (Refereed) Published
Abstract [en]

The aging population of the western world poses a medical challenge for the society of today and of the future. In hospitals, healthcare professionals manage health care with the objective to provide care of high quality using the limited available resources. The decision-making in production and capacity planning decisions requires coordination and management of knowledge in different hierarchical levels and in different time-frames. Thus, this knowledge management is also needed between various health care services within a hospital, as well as with other healthcare providers, at a horizontal level. This paper is based on a qualitative study, conducted as a case study at a hospital in western Sweden. Eleven managers together with their production controllers were interviewed. This paper aims to analyze the challenges the health care at the hospital face related to the knowledge management in the production and capacity planning and control of activities performed. The difficulties found refers to limitations in knowledge management according to three different themes identified. These themes are the influence of political decisions, coordination and participation, and methods and IT-systems. 

Keywords
Health care; Hospitals; Knowledge management; Production control, Capacity planning; Coordination and management; Health care professionals; Health care providers; Health-care managements; Healthcare services; Operations management; Production Planning, Decision making
National Category
Information Systems
Research subject
SOCIAL SCIENCE, Informatics
Identifiers
urn:nbn:se:hv:diva-13119 (URN)2-s2.0-85055485411 (Scopus ID)
Conference
19th European Conference on Knowledge Management, ECKM 2018; Padua; Italy; 6 September 2018 through 7 September 2018
Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2019-05-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1421-868X

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