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eHomecare and safety: The experiences of older patients and their relatives
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (PriLiv)ORCID-id: 0000-0002-8360-9529
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. School of Health Sciences, City University London, UK.ORCID-id: 0000-0002-5976-5193
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (PRILIV)ORCID-id: 0000-0002-9821-9945
2018 (Engelska)Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, nr 2, s. 178-185Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
2018. nr 2, s. 178-185
Nyckelord [en]
eHomecare, information and communication technology, older patients, relatives, safety
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
vårdvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-36711DOI: 10.1016/j.gerinurse.2017.08.004ISI: 000431606800008PubMedID: 28988833Scopus ID: 2-s2.0-85030539695OAI: oai:DiVA.org:mdh-36711DiVA, id: diva2:1148358
Projekt
Doktorand projektTillgänglig från: 2017-10-10 Skapad: 2017-10-10 Senast uppdaterad: 2019-11-17
Ingår i avhandling
1. eHomecare – for safety and communication in everyday life: The perspectives of older users, relatives and care managers
Öppna denna publikation i ny flik eller fönster >>eHomecare – for safety and communication in everyday life: The perspectives of older users, relatives and care managers
2017 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim of this thesis was to examine how eHomecare affects the daily lives of older users and their relatives, with a focus on safety and communication. A further aim was to explore care managers’ perspectives, expectations and experiences of eHomecare and its implementation. Methods: Participants in study one and two were older people with granted eHomecare and eight relatives and, care managers in study three and four. Data were collected through four qualitative studies, using individual interviews in the first and second studies before the introduction and after six months’ use of eHomecare, by individual vignette-based interviews in the third study, and with focus-group interviews in the fourth study. Data were analysed using different qualitative content analyses. Results: The participants described safety as a part of everyday life. eHomecare was found to facilitate a ‘new safety’ for older people and a ‘re-established safety’ for relatives, yet its use raised concerns about ethical considerations and reduced human contact. Participants could attain feelings of togetherness and affection through communication, although this was also considered a vulnerable activity due to physical changes and loss of other people. Used correctly, eHomecare increased communication and thus closeness and participation for the participants. For older participants unable to use the technology as hoped, eHomecare led to disappointment. Care managers expressed that eHomecare can increase older peoples’ everyday life-quality if they receive the right tools at the right time. Care managers, however, have difficulties with eHomecare’s management process. While they struggle with their own attitudes, lack of time and high workloads, their decisions are also influenced by surrounding organisations and the older people’s relatives. Care managers’ own organisations, work situations, relevant stakeholders and society in general can hinder them in managing eHomecare as a new homecare service. Widespread information about eHomecare and opportunities for relevant stakeholders to participate in its implementation are good preconditions for fulfilling the mission of care managers. Conclusions: The findings describe eHomecare from the perspectives of its older users, their relatives and the care managers responsible for managing the service. Used correctly, eHomecare increases possibilities for communication and provides safety. However, care managers have a complex mission when managing the service and they express a need for support and knowledge. The findings can be used clinically to develop older peoples’ utilization of eHomecare and to develop support for the fulfilment of care managers’ mission.

Keywords: care managers, content analysis, communication, eHomecare, experiences, information and communication technology, older people, participation, perceptions, relatives, safety, welfare technology

Ort, förlag, år, upplaga, sidor
Västerås: Mälardalen University, 2017
Serie
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 241
Nyckelord
care managers, content analysis, communication, eHomecare, experiences, information and communication technology, older people, participation, perceptions, relatives, safety, welfare technology
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-36717 (URN)978-91-7485-352-0 (ISBN)
Disputation
2017-11-24, Beta, Mälardalens högskola, Västerås, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2017-10-11 Skapad: 2017-10-10 Senast uppdaterad: 2017-11-03Bibliografiskt granskad

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Åkerlind, CharlottaMartin, LeneGustafsson, Christine

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