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Erlandsson, Lena-Karin, ProfessorORCID iD iconorcid.org/0000-0001-5865-2632
Biography [eng]

The everyday and how what we do and do not do, affects our health is the focus of my research. I depart from a model called the VaMO (Value and Meaning in Daily Occupations) model to operationalize and study everyday doing. The model was developed by me and a colleague. The same model and my PhD thesis, which involved developed studies of patterns of daily occupations, constitutes the base of a group treatment program that I developed.  The ReDO™ program was developed in collaboration with research colleagues and occupational therapists in Halland and was initially used and evaluated as a program for women with stress-related problems. The program is however today used for people who no matter the reason, is in need of changing their everyday life. The method is a client training program that is implemented in group and is led by Occupational Therapists certified as ReDO™-team leader.

Current research projects concern the effectiveness of the ReDO™ method in terms e.g., improved health and wellbeing and return to work. I also work with empirical studies on theoretical assumptions presented in the ValMO model.

I collaborate with researchers both nationally and internationally. My research has two main areas of application. The first is related to the profession and the subject of occupational therapy. The ReDO™method is largely used in occupational therapy in Sweden but also increasingly internationally. I continuously educate occupational therapists to certification for leaders of the group intervention. I also have a standing teaching part in the Occupational therapist education at Lund University. My research contributes to the development of the knowledge and evidence base for the profession.

The second line in my research can be related to occupational science. This subject is not yet registered in Sweden but I am involved in the international dialogue and research regarding human occupation and also applications regarding human rights, global health goals, etc. The issues are all be related to the importance of being able to and have the opportunity to do what you want and need, as you wish, where you are.

I’m currently supervising two PhD students.

Biography [swe]

Vardagen och hur det vi gör och inte gör, påverkar vår hälsa är fokus för min forskning. Jag utgår från en modell kallat VaMO (Value and Meaning in Daily Occupations) - modellen för att operationalisera och studera vardagens görande. Samma modell samt fa mitt avhandlingsarbete som innebar utvecklade studier av ett dagligt aktivitetsmönster, utgör grunderna i ett gruppbehandlingsprogram som jag utvecklat.  ReDO™ programmet togs fram i samarbete med forskarkollegor och arbetsterapeuter i Halland och användes och utvärderades initialt som ett program för kvinnor med stressrelaterad problematik. Programmet används idag för personer som oavsett orsak, är i bbehov av att förändra sin vardag. Metoden är ett klientutbildningsprogram som genomförs i grupp och leds av arbetsterapeuter certifierade som ReDO™-gruppledare.

Aktuella forskningsprojekt handlar om att belägga ReDO™-metodens effektivitet när det gäller såväl förbättrad hälsa och välbefinnande som återgång i arbete. Jag arbetar även med empiriska studier för att belägga antaganden i ValMO-modellen.

Jag samverkar med forskare såväl nationellt som internationellt. Min forskning har två huvud tillämpningsområden. Den första är relaterad till professionen och ämnet arbetsterapi. ReDO™-metoden används i hög grad inom arbetsterapi i Sverige men även i ökande grad internationellt. Jag utbildar kontinuerligt arbetsterapeuter till certifiering för ledare av gruppinterventionen. Jag har också stående undervisningsmoment inom arbetsterapeututbildningen på grund och avancerad nivå vid Lunds universitet. Min forskning bidrar till utveckling av kunskaps- och evidensbasen för professionen.

Den andra linjen i min forskning kan relateras till occupational science, som kan översättas med aktivitetsvetenskap. Detta ämne finns ännu ej registrerat i Sverige men jag är delaktig i den internationella dialogen inom detta ämne och även de tillämpningar gällande människors rättigheter, globala hälsomål etc. som kan relateras till betydelsen av att kunna och få möjlighet att göra det man vill och behöver, på det sätt man önskar, där man befinner sig.

Handleder f n två doktorander.

Publications (10 of 75) Show all publications
Karnehed, S., Pejner, M. N., Erlandsson, L.-K. & Petersson, L. (2024). Electronic medication administration record (eMAR) in Swedish home healthcare—Implications for Nurses' and nurse Assistants' Work environment: A qualitative study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Electronic medication administration record (eMAR) in Swedish home healthcare—Implications for Nurses' and nurse Assistants' Work environment: A qualitative study
2024 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The electronic medication administration record (eMAR) is an eHealth system that has replaced the traditional paper-based medication administration used in many healthcare settings. Research has highlighted that eHealth technologies can change working methods and professional roles in both expected and unexpected ways. To date, there is sparse research that has explored how nurses and nurse assistants (NA) in home healthcare experience eMAR in relation to their work environment. Aim: The aim was to explore how nurses and nurse assistants experienced their work environment, in terms of job-demand, control, and support in a Swedish home healthcare setting where an electronic medication administration record had been implemented to facilitate delegation of medical administration. Method: We took a qualitative approach, where focus groups were used as data collection method. The focus groups included 16 nurses and nine NAs employed in a Swedish municipality where an eMAR had been implemented 6 months before the first focus groups were performed. The analysis adapted the job-demand-control-support model, by condensing the professionals' experiences into the three categories of demand, control, and support, in alignment with the model. Results: NAs experienced high levels of job demand and low levels of job control. The use of the eMAR limited NAs' ability to control their work, in terms of priorities, content, and timing. In contrast, the nurses described demands as high but manageable, and described having a high level of control. Both professions found the eMar supportive. Conclusion: Nurses and NAs in home healthcare experienced changes in their work environment regarding demand, control, and support when an eMAR was implemented to facilitate delegation of medical administration. In general, nurses were satisfied with the eMAR. However, NAs felt that the eMAR did not cover all aspects of their daily work. Healthcare organisations should be aware of the changes that digitalisation processes entail in the work environment of nurses and NAs in home healthcare. © 2024 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

Place, publisher, year, edition, pages
Chichester: John Wiley & Sons, 2024
Keywords
digital technology, eHealth, eMAR, home healthcare, JDCS model, job-demand-control-support model, nurse assistant, nursing, qualitative, work environment
National Category
Nursing
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52590 (URN)10.1111/scs.13237 (DOI)001145942500001 ()2-s2.0-85182821967 (Scopus ID)
Note

Funding: Open access funding provided by Halmstad University. The funders for this study are Kungsbacka municipality and Halmstad University. 

Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-02-12Bibliographically approved
Karnehed, S., Erlandsson, L.-K., Petersson, L. & Norell Pejner, M. (2023). Developers' beliefs and values – a discursive analysis of e-health technology in home healthcare. In: : . Paper presented at The 10th Nordic Health Promotion Research Conference: ”Sustainability and the impact on health and well-being”, Halmstad, Sweden, June 14–16, 2023.
Open this publication in new window or tab >>Developers' beliefs and values – a discursive analysis of e-health technology in home healthcare
2023 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

The implementation of e-health is transforming healthcare. The acknowledged benefits of digitalization are quality improvement, patient empowerment, and increased efficiency. The mobility of e-health makes it especially suitable for home healthcare. eMar is a common e-health technology used in Swedish home healthcare. Decisions about technology design are governed by developers’ perceptions of intended users. These perceptions can be identified in the description and promotion of a specific product.

Purpose

The purpose of the presentation is to contribute to increased knowledge about the values entailed in a specific eMar used in Swedish home healthcare, and furthermore to discuss how these values conform with existing national missions such as people-centered care.

Method

Information consisting of sales materials about a specific eMar used in several Swedish municipalities has been analyzed through critical discourse analysis to visualize values embedded in the eMar.

Findings

Preliminary results show that the provider of the specific eMar describes care in terms borrowed from the industrial sector, such as shift changes and production of care. Good and safe care is defined as the right person receiving the right medicine at the right time. Furthermore, the app is advertised as a tool for monitoring assuming that the performance of tasks can be influenced through the remote control of the employee. The eMar is described as representing new and modern technologies that are expected to raise the status of healthcare professions and facilitate the recruitment of employees.

Keywords
e-health, eMar, values, discourse
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Information Systems, Social aspects
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52288 (URN)
Conference
The 10th Nordic Health Promotion Research Conference: ”Sustainability and the impact on health and well-being”, Halmstad, Sweden, June 14–16, 2023
Funder
Halmstad University
Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2024-01-15Bibliographically approved
Karnehed, S., Tyskbo, D., Petersson, L., Erlandsson, L.-K. & Larsson, I. (2023). Kan samproduktion av framtidens teknik bidra till en hållbar arbetsmiljö för sjuksköterskor?. In: : . Paper presented at NORDPRO 2023 – Nordisk professionsforskningskonferens, Göteborg, Sweden, 22-23 november, 2023.
Open this publication in new window or tab >>Kan samproduktion av framtidens teknik bidra till en hållbar arbetsmiljö för sjuksköterskor?
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2023 (Swedish)Conference paper, Oral presentation only (Refereed)
Abstract [sv]

Svensk primärvård står inför stora utmaningar med en åldrande befolkning och ett ökat antal personer som vårdas i hemmet (Landers et al., 2016). Digital teknik implementeras med förhoppning om att förbättra kommunikationen mellan vårdpersonal och underlätta möjligheterna till egenvård och tillgänglighet för patienter (Socialstyrelsen, 2021). Tidigare studier visar att användningen av digital teknik kan förändra det professionella landskapet (Petersson, 2020) och påverka arbetsmiljö och arbetets innehåll (Ertner, 2019). Trots att teknik som implementeras inom vården bör vara anpassad till hälso- och sjukvårdspersonalens arbete och värderingar (Palmer et al., 2019; Reed et al., 2019) är sjuksköterskor sällan involverade i beslut kring utformning eller implementering av ny teknik (von Gerich et al., 2022). Det behövs mer kunskap om hur digitaliseringen kan ske i samproduktion med sjuksköterskor och utformas så att en god arbetsmiljö bibehålls.

Presentationen syftar till att beskriva sjuksköterskors arbete och arbetsmiljö inom hemsjukvården och hur dessa kunskaper kan användas vid utvecklingen och implementeringen av framtida digital teknik.

Individuella semi-strukturerade intervjuer har genomförts med 20 sjuksköterskor som arbetar på vårdcentral och inom hemsjukvård i två halländska kommuner. Intervjuerna har analyserats genom kvalitativ innehållsanalys (Hsieh & Shannon, 2005). Implementeringsteoretiska ramverk används för att undersöka hur kunskapen kan inkorporeras vid innovation och implementering av digitala tekniker inom vårdverksamheter (Nilsen, 2015).

Preliminära resultat kommer att presenteras vid konferensen.

 

Referenser

Ertner, S. M. (2019). Enchanting, evoking, and affecting: the invisible work of technology implementation in homecare. Nordic Journal of Working Life Studies, 9(S5), 33-47.

Hsieh, H.-F., & Shannon, S. E. (2005). Three Approaches to Qualitative Content Analysis. Qualitative health research, 15(9), 1277-1288.

Landers, S., Madigan, E., Leff, B., Rosati, R. J., McCann, B. A., Hornbake, R., MacMillan, R., Jones, K., Bowles, K., Dowding, D., Lee, T., Moorhead, T., Rodriguez, S., & Breese, E. (2016). The Future of Home Health Care: A Strategic Framework for Optimizing Value. Home Health Care Management & Practice, 28(4), 262-278.

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation science : IS, 10(1), 53-53.

Palmer, V. J., Weavell, W., Callander, R., Piper, D., Richard, L., Maher, L., Boyd, H., Herrman, H., Furler, J., & Gunn, J. (2019). The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. Medical humanities, 45(3), 247-257.

Petersson, L. (2020). Paving the way for transparency: How eHealth technology can change boundaries in healthcare Lund University].

Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2019). Successful healthcare improvements from translating evidence in complex systems (SHIFT-Evidence): simple rules to guide practice and research. International journal for quality in health care, 31(3), 238-244.

Socialstyrelsen. (2021). E-hälsa och välfärdsteknik i kommunerna 2021. Uppföljning av den digitala utvecklingen i socialtjänsten och den kommunala hälso-och sjukvården.

von Gerich, H., Moen, H., Block, L. J., Chu, C. H., DeForest, H., Hobensack, M., Michalowski, M., Mitchell, J., Nibber, R., & Olalia, M. A. (2022). Artificial Intelligence-based technologies in nursing: A scoping literature review of the evidence. International Journal of Nursing Studies, 127, 104153.

 

Keywords
Hälso- och sjukvårdspersonal, digital teknik, samproduktion, implementering, arbetsmiljö
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Social Sciences Interdisciplinary Nursing
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52287 (URN)
Conference
NORDPRO 2023 – Nordisk professionsforskningskonferens, Göteborg, Sweden, 22-23 november, 2023
Funder
Halmstad University
Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2024-01-02Bibliographically approved
Karlsson, L., Erlandsson, L.-K., Cregård, A., Nordgren, L. & Lydell, M. (2023). Taking control of one's everyday life - a qualitative study of experiences described by participants in an occupational intervention. BMC Public Health, 23(1), Article ID 605.
Open this publication in new window or tab >>Taking control of one's everyday life - a qualitative study of experiences described by participants in an occupational intervention
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 605Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Sick leave due to stress-related ill-health is increasing and is often caused by occupational imbalance. These types of issues tend to affect both the ability to work and cope with everyday life, as well as the overall experience of health, negatively. There is still little knowledge on how to prepare people and workplaces for the return-to-work process after participation in a work rehabilitation program due to stress and occupational ill-health. Therefore, this study aimed to describe what is needed to achieve a balanced everyday life that includes paid work as experienced by individuals who had participated in a ReDO® intervention due to occupational imbalance and ill-health. METHODS: The concluding notes from 54 informants' medical records were used for qualitative content analysis. The informants had participated in an occupational therapy group intervention to promote occupational health and regain full work capacity. RESULTS: The analysis resulted in one major theme and four categories describing how the informants perceive that they must take control of their everyday life as a whole. By doing so, they need to work with structurization and prioritization, social interaction, boundary setting, and occupational meaningfulness. CONCLUSION: The study indicates a highly relational process, where it is impossible to divide life into private and work, and presupposes balance in everyday life in multiple dimensions. Its contribution includes the formulation of perceived needs in the transition between intervention and return to work and could, through further research, be used to generate a more effective and sustainable return- and rehabilitation models. © 2023. The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2023
Keywords
Empowerment, Everyday life, Health, Home-related demands, Mental illness, Occupational balance, ReDO®, Stress, Work
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-51219 (URN)10.1186/s12889-023-15515-z (DOI)000984101900002 ()36997894 (PubMedID)2-s2.0-85151315898 (Scopus ID)
Note

Funding agency:

Centre of Clinical Research at Region Sormland

Halmstad University

Available from: 2023-07-06 Created: 2023-07-06 Last updated: 2023-08-28Bibliographically approved
Fox, J., Erlandsson, L.-K. & Shiel, A. (2022). A feasibility study of the Redesigning Daily Occupations (ReDOTM-10) programme in an Irish context. Scandinavian Journal of Occupational Therapy, 29(5), 415-429
Open this publication in new window or tab >>A feasibility study of the Redesigning Daily Occupations (ReDOTM-10) programme in an Irish context
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 5, p. 415-429Article in journal (Refereed) Published
Abstract [en]

Background: Despite high demand, mental health services in primary care in Ireland are underdeveloped. People with mild/moderate anxiety, depression and unspecified psychological distress are frequently seen in primary care settings, mostly by general practitioners (GPs). Occupational therapists have the potential to contribute to service-provision with interventions specially designed for the targeted group e.g. the Redesigning Daily Occupations programme (ReDO-10).Aims/objectivesThis study aimed to explore the feasibility of a future RCT of the ReDO-10 programme in Ireland and the contextual factors that would influence future implementation.

Material and methods: Using a multi-phase, mixed-method design, qualitative and quantitative data were gathered from key stakeholders: ReDO-10 participants (n = 10), GPs (n = 9) and occupational therapists (n = 2). Acceptability, satisfaction, cultural fit and demand were explored, as well as methodological issues such as appropriateness of recruitment methods, outcome measures and randomization.

Results: ReDO-10 was acceptable to participants who reported improvements in their occupational patterns and valued the group-based format. GPs and occupational therapists welcomed the intervention, but acknowledged the limitations of time and resources in the Irish primary care context.

Conclusions: ReDO-10 is feasible to explore in a future RCT in Ireland and this study provides important context for future implementation and/or research. © 2021 Scandinavian Journal of Occupational Therapy Foundation.

Place, publisher, year, edition, pages
Melbourne: Taylor & Francis Group, 2022
Keywords
Occupational therapy, women, psychological stress, anxiety, feasibility study, pilot study, mixed methods, occupational balance
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:hh:diva-45497 (URN)10.1080/11038128.2021.1882561 (DOI)000616280000001 ()33556290 (PubMedID)2-s2.0-85100705039 (Scopus ID)
Note

The support of the Health Research Board Primary Care Clinical Trials Network Ireland (HRB PC CTNI) is gratefully acknowledged for this study. The study was also supported by the HSE Primary Community and Continuing Care Occupational Therapy department in the region, particularly by the OT manager and by the two occupational therapists who facilitated the ReDO-10 in 2018 and 2019.

Available from: 2021-08-30 Created: 2021-08-30 Last updated: 2022-08-24Bibliographically approved
Karnehed, S., Norell Pejner, M., Petersson, L. & Erlandsson, L.-K. (2022). Digital technologies in home healthcare – implications for job demands, job control, and support among healthcare professionals. In: Melles, M.; Albayrak, A.; Goossens, R.H.M. (Ed.), Abstract Book of the 7th International Triennial Conference on Healthcare Systems Ergonomics and Patient Safety (HEPS) 2022: . Paper presented at HEPS - Healthcare Systems Ergonomics and Patient Safety 2022, "Convergence - Breaking down barriers between disciplines", Delft, The Netherlands, 2 - 4 November, 2022 (pp. 165-167). Delft: Delft University of Technology
Open this publication in new window or tab >>Digital technologies in home healthcare – implications for job demands, job control, and support among healthcare professionals
2022 (English)In: Abstract Book of the 7th International Triennial Conference on Healthcare Systems Ergonomics and Patient Safety (HEPS) 2022 / [ed] Melles, M.; Albayrak, A.; Goossens, R.H.M., Delft: Delft University of Technology , 2022, p. 165-167Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Increased use of digital technologies in healthcare offers healthcare professionals multiple ways to perform tasks and interact with patients and colleagues. We used the JDCS model to identify employee´s well-being in relation to the use of an eMar. The analysis indicated that the specific technology influenced the work environment for registered nurses and nursing assistants in different ways.

Place, publisher, year, edition, pages
Delft: Delft University of Technology, 2022
Keywords
registered nurse, nursing assistant, work environment, digitalization, JDCS-model, home healthcare
National Category
Work Sciences Nursing
Research subject
Health Innovation
Identifiers
urn:nbn:se:hh:diva-52283 (URN)978-94-6366-623-7 (ISBN)
Conference
HEPS - Healthcare Systems Ergonomics and Patient Safety 2022, "Convergence - Breaking down barriers between disciplines", Delft, The Netherlands, 2 - 4 November, 2022
Funder
Halmstad University
Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2024-01-15Bibliographically approved
Hansen, B. W., Leufstadius, C., Pedersen, H. A., Berring, L. L. & Erlandsson, L.-K. (2022). Experiences of Occupational Value When Doing Creative Activities in a Mental Health Context. Occupational Therapy in Mental Health, 38(4), 383-402
Open this publication in new window or tab >>Experiences of Occupational Value When Doing Creative Activities in a Mental Health Context
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2022 (English)In: Occupational Therapy in Mental Health, ISSN 0164-212X, E-ISSN 1541-3101, Vol. 38, no 4, p. 383-402Article in journal (Refereed) Published
Abstract [en]

Everything a person does generates a unique experience of occupational value, and occupational values can in turn generate meaning in life. Doing creative activities positively influences subjective health and well-being. This article provides information about how and to what extent people diagnosed with mental illness experienced occupational value when participating in an intervention with creative activities. Thirty-three participants provided data within a mixed-methods design. Data were analyzed by quantitative non-parametric statistical methods and qualitative directed content analysis. Interventions with creative activities enable a high degree of experienced occupation value and are associated with all dimensions in the occupational value triad. © 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Routledge, 2022
Keywords
Creative activities, mixed methods, occupational therapy, psychiatry, recovery
National Category
Psychiatry
Identifiers
urn:nbn:se:hh:diva-48932 (URN)10.1080/0164212X.2022.2067285 (DOI)000792699000001 ()2-s2.0-85130142093 (Scopus ID)
Available from: 2022-12-16 Created: 2022-12-16 Last updated: 2022-12-16Bibliographically approved
Karlsson, L., Ivarsson, A. & Erlandsson, L.-K. (2022). Exploring risk factors for developing occupational ill health – departing from an occupational perspective. Scandinavian Journal of Occupational Therapy, 29(5), 363-372
Open this publication in new window or tab >>Exploring risk factors for developing occupational ill health – departing from an occupational perspective
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 5, p. 363-372Article in journal (Refereed) Published
Abstract [en]

Background: Sick leave due to stress-related mental ill health increases in society. In occupational therapy, occupational balance is considered important for experiencing health and well-being. Thus, knowledge regarding occupational balance and occupational value constitute essential parts of occupational therapists’ work with people suffering from occupational ill health.

Objective: The aim of this study is to analyse the relationships between sociodemographic factors, occupational value, occupational balance and perceived health in people suffering from occupational ill health.

Methods: In a quantitative cross-sectional study data from a total of 218 individuals were included, 192 women, 22 men and 4 individuals who did not specify their gender. Data were collected by means of surveys prior to an occupational therapy intervention. The instruments used included OVal-pd, OBQ, EQ5D and a sociodemographic questionnaire. Data were analysed using regression and decision tree analysis.

Results: The results show that individuals who experience an imbalance in their everyday life and who have few or no experiences of daily occupations imprinted by socio-symbolic occupational value experienced lower perceived health.

Conclusions: Low level of experiences of balance in daily life and occupational value seems to be the main risk factors for the development of occupational ill health, rather than sociodemographic factors. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
London: Informa Healthcare, 2022
Keywords
Mental illness, occupational therapy, occupational value, occupational balance, perceived health, stress-related illness
National Category
Health Sciences
Identifiers
urn:nbn:se:hh:diva-46056 (URN)10.1080/11038128.2021.1936160 (DOI)000668004700001 ()34184961 (PubMedID)2-s2.0-85131509098 (Scopus ID)
Note

Funding: Region Sörmland, Lund University and Halmstad University

Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2024-01-23Bibliographically approved
Fox, J., Erlandsson, L.-K., McSharry, J. & Shiel, A. (2022). How does ReDO®-10 work? Understanding the mechanisms of action of an intervention focused on daily activities and health from the perspective of participants. Evaluation and Program Planning, 92, Article ID 102092.
Open this publication in new window or tab >>How does ReDO®-10 work? Understanding the mechanisms of action of an intervention focused on daily activities and health from the perspective of participants
2022 (English)In: Evaluation and Program Planning, ISSN 0149-7189, E-ISSN 1873-7870, Vol. 92, article id 102092Article in journal (Refereed) Published
Abstract [en]

Evaluation of a complex healthcare intervention should include careful exploration of the mechanisms through which it brings about change. This paper describes a qualitative evaluation of the Redesigning Daily Occupations (ReDO®-10) programme as it was implemented for the first time with women with stress-related issues in a primary care setting in Ireland. The ReDO®-10 is a 10-week group intervention designed to support participants make changes to their daily activity patterns to have a more satisfying and balanced daily life. Fourteen women were interviewed after completing the programme. The aim was to explore changes that participants perceived they experienced and to understand how the content of ReDO®-10 was thought to bring about this change (if it did). Directed content analysis was used to analyse the qualitative data using the Behaviour Change Wheel and Theoretical Domains Framework as a coding framework. Overall, four BCW functions of ReDO® -10 were identified: Education, Persuasion, Modelling and Enablement. Participants described improved belief in their own capabilities, knowledge and goals around life changes. Many behaviour changes were also described, particularly in relation to doing more restorative activities in daily life. Behaviour change techniques that were identified as important for change were practicing new, restorative occupations in group sessions and as homework and the use of self-analysis activities to understand the relationship between activities and health for these participants. Modelling, support and other effects of group dynamics were also vital in changes that occurred. © 2022 The Authors

Place, publisher, year, edition, pages
Oxford: Elsevier, 2022
Keywords
Behaviour Change Wheel, Health behaviour change, Occupational therapy, Process evaluation, Women's Mental Health
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-48381 (URN)10.1016/j.evalprogplan.2022.102092 (DOI)000798994600002 ()35523078 (PubMedID)2-s2.0-85129482146 (Scopus ID)
Note

Funding: The Further Education Policy and the Millennium Fund at NUI Galway, the HRB Primary Care Clinical Trials Network (NUI Galway)

Available from: 2022-10-20 Created: 2022-10-20 Last updated: 2022-10-24Bibliographically approved
Karnehed, S., Erlandsson, L.-K. & Norell Pejner, M. (2022). Nurses’ Perspectives on an Electronic Medication Administration Record in Home Health Care: Qualitative Interview Study. JMIR Nursing, 5(1), Article ID e35363.
Open this publication in new window or tab >>Nurses’ Perspectives on an Electronic Medication Administration Record in Home Health Care: Qualitative Interview Study
2022 (English)In: JMIR Nursing, E-ISSN 2562-7600, Vol. 5, no 1, article id e35363Article in journal (Refereed) Published
Abstract [en]

Background:eHealth is considered by policy makers as a prerequisite for meeting the demands of health care from the growing proportion of older people worldwide. The expectation about what the efficiency of eHealth can bring is particularly high in the municipal home health care sector, which is facing pressure regarding resources because of, for example, earlier discharges from hospitals and a growing number of patients receiving medications and treatments at home. Common eHealth services in home health care are electronic medication administration records (eMARs) that aim to communicate delegated tasks between professionals. However, there is an extensive gap in the research on how technology affects and is experienced by home health care professionals.

Objective: The objective of this paper is to shed light on how home care nurses experience eMARs in a Swedish municipality.

Methods: This qualitative interview study was conducted among home health care nurses using eMARs to facilitate communication and signing of delegated nursing tasks. The analysis of the interviews was performed using constructivist grounded theory, according to Charmaz.

Results: Of the 19 day-employed nurses in the municipality where an eMAR was used, 16 (84%) nurses participated in the study. The following two categories were identified from the focus group interviews: nurses become monitors and slip away from the point of care. The nurses experienced that they became monitors of health care through the increased transparency provided by the eMAR and the measurands they also applied, focusing on the quantitative aspects of the delegated nursing tasks rather than the qualitative aspects. The nurses experienced that their monitoring changed the power relations between the professions, reinforcing the nurses’ superior position. The experience of the eMAR was regarded as transitioning the nurses’ professional role—away from the point of care and toward more administration—and further strengthened the way of managing work through delegation to health care assistants.

Conclusions: Previous analyses of eHealth services in health care showed that implementation is a complex process that changes health care organizations and the work of health care professionals in both intended and unintended ways. This study adds to the literature by examining how users of a specific eHealth service experience its impacts on their daily work. The results indicate that the inscribed functions in an eHealth service may affect the values and priorities where the service is in use. This presents an opportunity for future research and for health care organizations to assess the impacts of specific eHealth services on health care professionals’ work and to further examine the effects of inscribed functions in relation to how they may affect actions and priorities at individual and organizational levels. ©Sara Karnehed, Lena-Karin Erlandsson, Margaretha Norell Pejner.

Place, publisher, year, edition, pages
Toronto: JMIR Publications, 2022
Keywords
eHealth, eMAR, electronic medication administration record, homecare nurses, home health care, nursing profession, delegation, task-shifting, medication administration
National Category
Nursing
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-48936 (URN)10.2196/35363 (DOI)35452400 (PubMedID)
Available from: 2022-12-15 Created: 2022-12-15 Last updated: 2024-01-15Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5865-2632

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