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Development and implementation of IT require focus on user participation, acceptance and workflow
Ina Koldkjær Sølling1, Per Carøe1, Kirsten Siggaard Mathiesen1
1Department of Nursing, University College of Northern Denmark.
Studies in Health Technology and Informatics
|June 20, 2014
Summary
Online Care, a municipal project, replaced in-home nursing with online communication. While adopted, it did not fully replace care and faced usability issues, highlighting the need for user involvement in welfare technology development.
Area of Science:
- Digital Health
- Welfare Technology
- Nursing Informatics
Background:
- Municipal project "Online Welfare" aimed to replace in-home nursing with online communication.
- Focus on citizen's perspective to develop meaningful workflows for individuals with medical needs.
- Exploration of online communication's impact on citizens' quality of life.
Purpose of the Study:
- To examine citizens' opinions on online communication supporting their concept of a good life.
- To explore the perspectives of relatives and nurses on the "Online Welfare" project.
- To identify barriers and facilitators for the adoption and meaningful use of welfare technology.
Main Methods:
- Qualitative study based on citizen interviews (n=5).
- Individual interviews with relatives and nurses involved in the project.
- Analysis of citizen, relative, and nurse perceptions of online care delivery.
Main Results:
- Project goals of efficiency and savings were not met due to technical and infrastructure issues.
- Online care was perceived as an "appendix" rather than a replacement for traditional nursing.
- Barriers included insufficient project planning, nurses' limited IT skills, and poor usability for citizens.
Conclusions:
- User involvement is crucial for the development and implementation of welfare technology and telemedicine.
- Despite challenges, the study indicated a shift in workflow and the emergence of new professional roles.
- Further research is needed due to the study's small sample size.
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