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Ramsten, C., Martin, L., Dag, M. & Marmstål Hammar, L. (2019). A Balance of Social Inclusion and Risks: Staff Perceptions of Information and Communication technology in the Daily Life of Young Adults with Mild to Moderate Intellectual Disability in a Social Care Context. Journal of Policy and Practice in Intellectual Disabilities, 16(3), 171-179
Open this publication in new window or tab >>A Balance of Social Inclusion and Risks: Staff Perceptions of Information and Communication technology in the Daily Life of Young Adults with Mild to Moderate Intellectual Disability in a Social Care Context
2019 (English)In: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 16, no 3, p. 171-179Article in journal (Refereed) Accepted
Abstract [en]

Background: Information and communication technology (ICT) has increased in importance and facilitates participation in several life areas throughout society. However, young adults with mild to moderate intellectual disability make less use ICT than the general population. Disability services staff play a central role in supporting and enabling service users in daily life, and their perceptions of ICT are important to their role in service provision.

Aim: To describe staff perceptions of the role of ICT and how it affects daily life in young adults with mild to moderate intellectual disability living in residential homes.

Method: Focus group interviews and individual interviews were conducted with staff working in residential homes in which young adults with mild to moderate intellectual disability live. All materials were transcribed verbatim and analysed using latent content analysis.

Findings: Staff perceived ICT and, more specifically, the Internet as being supportive of both daily life and social relationships of these young adults, but they also viewed ICT as posing social risks. Perceptions of and support for ICT were related to staff perceptions about what is appropriate and manageable in relation to an individual resident’s functioning level. Staff members also considered the views of parents about appropriate content when providing support.

Discussion: Staff in residential homes for young adults with mild to moderate intellectual disability use their implicit moral judgement about the use of ICT by residents. Their enablement of and support for ICT are not primarily based on the service user’s wishes or interests. This finding implies a risk that the organization of a conflict-free service provision is a higher priority than service users’ participation in social life.

Keywords
Information and communication technology, intellectual disabilities, participation, social care, moral work
National Category
Medical and Health Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-40914 (URN)10.1111/jppi.12278 (DOI)000487831200003 ()
Available from: 2018-09-12 Created: 2018-09-12 Last updated: 2019-10-17Bibliographically approved
Åkerlind, C., Martin, L. & Gustafsson, C. (2019). Care managers’ perceptions of eHomecare: a qualitative interview study. European Journal of Social Work (4), 634-646
Open this publication in new window or tab >>Care managers’ perceptions of eHomecare: a qualitative interview study
2019 (English)In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, no 4, p. 634-646Article in journal (Refereed) Published
Abstract [en]

To implement information and communication technology (ICT) in elderlycare can be a challenge for healthcare organisations. In Sweden, caremanagers (CMs) are responsible for offering ICT as a new part ofhomecare, i.e. eHomecare. The aim of this study was to focus on CMs’perspectives and describe their perceptions of eHomecare. The studyhas a qualitative approach. Semi-structured interviews based onvignettes were conducted with 12 CMs in a medium-sized municipalityin central Sweden. Data were analysed using qualitative analysis. Thefindings showed that CMs are influenced by surrounding organisationsand relatives in their decision to grant eHomecare. There were alsodifficulties in CMs’ management of eHomecare. Furthermore, eHomecarewas perceived to improve the quality of everyday life for older. It isunderstood that the management of eHomecare is a challenging taskfor CMs and a complex mission. Interactions among CMs, relatives, careproviders, and other factors as for example CMs’ own attitudes have animpact on CMs’ decisions.

Keywords
Care managers; eHomecare; elderly care; information and communication technology; vignette method, biståndshandläggare; eHemtjänst; informationsoch kommunikationsteknik; vignettmetod; äldreomsorg
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-36709 (URN)10.1080/13691457.2017.1366893 (DOI)000470879000009 ()2-s2.0-85028556551 (Scopus ID)
Projects
Doktorandprojekt
Available from: 2017-10-10 Created: 2017-10-10 Last updated: 2019-06-27Bibliographically approved
Martin, L. (2019). Informatik i psykiatrisk vård (1ed.). In: Lena Wiklund Gustin (Ed.), Vårdande vid psykisk ohälsa: På avancerad nivå (pp. 649-671). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Informatik i psykiatrisk vård
2019 (Swedish)In: Vårdande vid psykisk ohälsa: På avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 1, p. 649-671Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 1
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-45710 (URN)978-91-44-12368-4 (ISBN)
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2019-10-22
Yuwanich, N., Akhavan, S., Nantsupawat, W., Martin, L., Elfström, M. & Sandborgh, M. (2018). Development and psychometric properties of the stressor scale for emergency nurses. International Emergency Nursing, 39, 77-88
Open this publication in new window or tab >>Development and psychometric properties of the stressor scale for emergency nurses
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2018 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 39, p. 77-88Article in journal (Refereed) Published
Abstract [en]

Introduction: Emergency department nurses are exposed to specific stressors and report higher stress levels than nurses in other hospital departments. This study aimed to develop and test the psychometric properties of a questionnaire-based instrument for identifying stressors for emergency department nurses. Methods: The instrument's content and face validities were examined by five experts and nurses in emergency nursing field. The test-retest reliability was examined on 30 emergency department nurses. The construct validity, including an exploratory and a confirmatory factor analysis, was tested on 405 emergency department nurses. Cronbach's alpha values and intra-class coefficients were calculated. Results: The instrument's content and face validities were satisfactory. The exploratory factor analysis provided a five-factor solution, whereas the confirmatory factor analysis provided a final four-factor solution with 25 items distributed among the factors Life and death situations, Patients' and families' actions and reactions, Technical and formal support, and Conflicts. The Cronbach's alpha values ranged from 0.89 to 0.93 per factor, and the intra-class correlation coefficient was 0.89, indicating good homogeneity and stability. Conclusions: The instrument's content, face, and construct validities were satisfactory, and the internal consistency and test-retest reliability were good. This instrument can be useful in the management of emergency departments.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD, 2018
Keywords
Emergency room nursing, Instrument development, Occupational stress, Questionnaire, Validation
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40256 (URN)10.1016/j.ienj.2018.01.005 (DOI)000436593800012 ()29409734 (PubMedID)2-s2.0-85041302081 (Scopus ID)
Available from: 2018-07-19 Created: 2018-07-19 Last updated: 2018-09-14Bibliographically approved
Åkerlind, C., Martin, L. & Gustafsson, C. (2018). eHomecare and safety: The experiences of older patients and their relatives. Geriatric Nursing (2), 178-185
Open this publication in new window or tab >>eHomecare and safety: The experiences of older patients and their relatives
2018 (English)In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, no 2, p. 178-185Article in journal (Refereed) Published
Abstract [en]

The study's aim was to extend descriptions of how older patients with granted eHomecare and their relatives understand safety, and further to describe how they experience safety in everyday life. The study was conducted in Sweden. The participants were 12 older patients who had been provided with eHomecare and 8 relatives. Data were collected by semi-structured individual interviews. A conceptual framework of safety was used and a qualitative content analysis was conducted in a deductive and an inductive phase. The deductive results are presented in predefined categories: perceived sense of safety, disturbance and threats, re-establishing safety, and new safety. The inductive analysis resulted in two main categories: safety as part of everyday life and eHomecare as safety. The results show that eHomecare can promote safety for older patients and their relatives. Existing doubts and ethical concerns about the service can be minimized by providing adequate information.

Keywords
eHomecare, information and communication technology, older patients, relatives, safety
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-36711 (URN)10.1016/j.gerinurse.2017.08.004 (DOI)000431606800008 ()28988833 (PubMedID)2-s2.0-85030539695 (Scopus ID)
Projects
Doktorand projekt
Available from: 2017-10-10 Created: 2017-10-10 Last updated: 2018-12-14Bibliographically approved
Gusdal, A. K., Josefsson, K., Thors Adolfsson, E. & Martin, L. (2018). Family Health Conversations Conductedby Telephone in Heart Failure Nursing Care: A Feasibility Study. SAGE Open Nursing, 4, 1-13
Open this publication in new window or tab >>Family Health Conversations Conductedby Telephone in Heart Failure Nursing Care: A Feasibility Study
2018 (English)In: SAGE Open Nursing, Vol. 4, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Registered nurses (RNs) in heart failure (HF) nursing care have a key role in providing family support, which positively affectsthe outcome for the patient. Telephone interventions conducted by RNs have been reported to be successful in HF nursingcare, but Family Health Conversations (FamHCs) involving the patient and the family, have not previously been tested. Thepurpose of the current study was to explore the experiences and feasibility of nurse-led FamHCs conducted by telephonewith patients and their family caregivers. A single-group intervention study with a pretest–posttest design was conducted inthree regional hospitals that had a nurse-led HF clinic. Five RNs, eight patients, and eight family caregivers participated. ThreeFamHCs were conducted by telephone with each family every 2 weeks. Qualitative and quantitative data were collectedthrough semistructured interviews and questionnaires. FamHCs improved the nurse–family relationships and relationshipswithin the families and provided RNs with new knowledge about the families. FamHCs conducted by telephone wereconsidered to be feasible for both families and RNs, although RNs preferred fewer and shorter FamHCs. The RNs preferredmeeting face-to-face with the families as nonverbal communication between the family members could be missed because oflack of visual input. On the other hand, RNs appreciated to focus entirely on the conversation without the need to performillness-related routine checks. In conclusion, the advantages of FamHCs conducted by telephone outweighed the disadvantages.Visual contact, provided by video telephony, and a shorter version of the tested FamHC would facilitate the use in HFnursing care.

Place, publisher, year, edition, pages
SAGE Open, 2018
Keywords
advanced practice nurses, chronic illnesses, congenital heart disease, family nursing, heart failure, telenursing
National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-41339 (URN)10.1177/2377960818803383 (DOI)000448061800001 ()
Available from: 2018-11-14 Created: 2018-11-14 Last updated: 2019-01-15Bibliographically approved
Martin, L. (2018). Informatik i vården: Hälsoinformatik för sjuksköterskor (1ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Informatik i vården: Hälsoinformatik för sjuksköterskor
2018 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018. p. 294 Edition: 1
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-45709 (URN)978-91-44-12234-2 (ISBN)
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2019-10-22
Johansson-Pajala, R.-M., Martin, L. & Jorsäter Blomgren, K. (2018). Registered nurses’ use of computerised decision support in medication reviews: Implications in Swedish nursing homes. International Journal of Health Care Quality Assurance, 31(6), 531-544
Open this publication in new window or tab >>Registered nurses’ use of computerised decision support in medication reviews: Implications in Swedish nursing homes
2018 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 31, no 6, p. 531-544Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper is to explore the implications of registered nurses’ (RNs) use of a computerized decision support system (CDSS) in medication reviews. Design/methodology/approach: The paper employs a quasi-experimental, one-group pre-test/post-test design with three- and six-month follow-ups subsequent to the introduction of a CDSS. In total, 11 RNs initiated and prepared a total of 54 medication reviews. The outcome measures were the number of drug-related problems (DRPs) as reported by the CDSS and the RNs, respectively, the RNs’ views on the CDSS, and changes in the quality of drug treatment. Findings: The CDSS significantly indicated more DRPs than the RNs did, such as potential adverse drug reactions (ADRs). The RNs detected additional problems, outside the scope of the CDSS, such as lack of adherence. They considered the CDSS beneficial and wanted to continue using it. Only minor changes were found in the quality of drug treatments, with no significant changes in the drug-specific quality indicators (e.g. inappropriate drugs). However, the use of renally excreted drugs in reduced renal function decreased. Practical implications: The RNs’ use of a CDSS in medication reviews is of value in detecting potential ADRs and interactions. Yet, in order to have an impact on outcomes in the quality of drug treatment, further measures are needed. These may involve development of inter-professional collaboration, such as established procedures for the implementation of medication reviews, including the use of CDSS. Originality/value: This is, to the best of the authors’ knowledge, the first study to explore the implications of medication reviews, initiated and prepared by RNs who use a CDSS. The paper adds further insight into the RNs’ role in relation to quality of drug treatments.

Place, publisher, year, edition, pages
Emerald Group Publishing Ltd., 2018
Keywords
Computerized decision support systems, Drug-related problem, Medication review, Nurse, Nursing home, Pharmacovigilance
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40235 (URN)10.1108/IJHCQA-01-2017-0009 (DOI)000436807000009 ()29954263 (PubMedID)2-s2.0-85049225913 (Scopus ID)
Available from: 2018-07-12 Created: 2018-07-12 Last updated: 2019-06-18Bibliographically approved
Andersson, A. K., Martin, L., Strand Brodd, K. & Almqvist, L. (2017). Childrens and parents percpetions of everyday functioning in preschool children born preterm. In: : . Paper presented at P3M 2017 - Motives, methods, measures. CeDDR, Australian Catholic university, Melbourne, AUS, March 2017..
Open this publication in new window or tab >>Childrens and parents percpetions of everyday functioning in preschool children born preterm
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-36479 (URN)
Conference
P3M 2017 - Motives, methods, measures. CeDDR, Australian Catholic university, Melbourne, AUS, March 2017.
Available from: 2017-09-20 Created: 2017-09-20 Last updated: 2018-03-05Bibliographically approved
Ramsten, C., Marmstål Hammar, L., Martin, L. & Goransson, K. (2017). ICT and Intellectual Disability: A Survey of Organizational Support at the Municipal Level in Sweden. JARID: Journal of applied research in intellectual disabilities, 30(4), 705-713
Open this publication in new window or tab >>ICT and Intellectual Disability: A Survey of Organizational Support at the Municipal Level in Sweden
2017 (English)In: JARID: Journal of applied research in intellectual disabilities, ISSN 1360-2322, E-ISSN 1468-3148, Vol. 30, no 4, p. 705-713Article in journal (Refereed) Published
Abstract [en]

Young adults today have grown up in a society where information and communication technology (ICT) support empowerment and social participation. Young adults with mild-to-moderate intellectual disability are at risk for marginalization by the digital divide. The aim was to map and describe how municipal organizations in Sweden organize support in terms of policy and strategies to enable the use of ICT in social care for adults with a mild-to-moderate intellectual disability. MethodsA quantitative, cross-sectional survey including all municipalities in Sweden (n=290) was conducted (response rate: 51%, n=147). Descriptive statistics were used. Results: Findings indicate a lack of organizational support for staff as well as for young adults with mild-to-moderate intellectual disability. Conclusion: Municipalities request more knowledge about strategies for making ICT available. Despite the lack of comprehensive strategies for ICT, some Swedish municipalities have taken the initiative in this area.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
health and social policy, information and communication technology (ICT), intellectual disability, social care, young adults
National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-35892 (URN)10.1111/jar.12265 (DOI)000402816500012 ()27271152 (PubMedID)2-s2.0-84973547923 (Scopus ID)
Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2018-09-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5976-5193

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