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Care managers’ perceptions of eHomecare: a qualitative interview study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PriLiv)ORCID iD: 0000-0002-8360-9529
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-5976-5193
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-9821-9945
2017 (English)In: European Journal of Social WorkArticle 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.

Place, publisher, year, edition, pages
2017.
Keyword [en]
Care managers; eHomecare; elderly care; information and communication technology; vignette method
Keyword [sv]
biståndshandläggare; eHemtjänst; informationsoch kommunikationsteknik; vignettmetod; äldreomsorg
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-36709DOI: 10.1080/13691457.2017.1366893OAI: oai:DiVA.org:mdh-36709DiVA: diva2:1148345
Projects
Doktorandprojekt
Available from: 2017-10-10 Created: 2017-10-10 Last updated: 2017-10-16Bibliographically approved
In thesis
1. eHomecare – for safety and communication in everyday life: The perspectives of older users, relatives and care managers
Open this publication in new window or tab >>eHomecare – for safety and communication in everyday life: The perspectives of older users, relatives and care managers
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
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

Place, publisher, year, edition, pages
Västerås: Mälardalen University, 2017
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 241
Keyword
care managers, content analysis, communication, eHomecare, experiences, information and communication technology, older people, participation, perceptions, relatives, safety, welfare technology
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-36717 (URN)978-91-7485-352-0 (ISBN)
Public defence
2017-11-24, Beta, Mälardalens högskola, Västerås, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-10-11 Created: 2017-10-10 Last updated: 2017-11-03Bibliographically approved

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Åkerlind, CharlottaMartin, LeneGustafsson, Christine

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Citation style
  • apa
  • ieee
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  • Other style
More styles
Language
  • de-DE
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Output format
  • html
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  • asciidoc
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