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Care managers' expected and experienced hindrances and preconditions when eHomecare is implemented: A Qualitative Focus Group Study.
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.ORCID-id: 0000-0002-5976-5193
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (PRILIV)ORCID-id: 0000-0002-9821-9945
(Engelska)Ingår i: Journal of gerontological social work, ISSN 0163-4372, E-ISSN 1540-4048Artikel, forskningsöversikt (Refereegranskat) Submitted
Abstract [en]

In Sweden, information and communication technology has been introduced into home care services for older people, i.e., eHomecare. In this study, we explore social workers’ (care managers, [CM]) expected orexperienced hindrances and preconditions affecting their role and missionin eHomecare implementation. Four focus group interviews were conducted with participants from four municipalities in central Sweden during thespring of 2015. One focus group consisted of CMs with experiences of eHomecare and the other three groups of CMs without eHomecare experience. The study found that several hindrances may occur when eHomecare is implemented as part of home care, which in turn affect CMs´mission. CMs need a society that is well-informed in general aboute Homecare and requires relevant stakeholders to participate in the implementation process. CMs need an organization that is clear about their mission and a work situation that gives them the right circumstances for professionally managing eHomecare. It is also understood that older people must be given the right circumstances to adopt the technology, thus facilitating the CMs’ mission. Knowledge and time are assumed to be preconditions for CMs when managing eHomecare.

Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Forskningsämne
vårdvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-36712OAI: oai:DiVA.org:mdh-36712DiVA, id: diva2:1148363
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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Journal of gerontological social work
Medicin och hälsovetenskapHälsovetenskaper

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