hh.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 48) Show all publications
Jarva, E., Oikarinen, A., Andersson, J., Tomietto, M., Kääriäinen, M. & Mikkonen, K. (2023). Healthcare professionals' digital health competence and its core factors; development and psychometric testing of two instruments. International Journal of Medical Informatics, 171, Article ID 104995.
Open this publication in new window or tab >>Healthcare professionals' digital health competence and its core factors; development and psychometric testing of two instruments
Show others...
2023 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 171, article id 104995Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Healthcare professionals' digital health competence is an important phenomenon to study as healthcare practices are changing globally. Recent research aimed to define this complex phenomenon and identify the current state of healthcare professionals' competence in digitalisation but did not include an overarching outlook when measuring digital health competence of healthcare professionals. OBJECTIVES: The purpose of this study was to develop and psychometrically validate two self-assessed instruments measuring digital health competence and factors associating with it. METHODS: The study followed three phases of instrument development and validation: 1) conceptualisation and item pool generation; 2) content validity testing and pilot study; and 3) construct validity and reliability testing. The conceptual background of the instruments was based on individual interviews conducted with healthcare professionals (n = 20) and previous systematic reviews. A total of 17 experts assessed the instrument's content validity. Face validity was evaluated by a group of healthcare professionals (n = 20). Data collection from 817 professionals took place in spring-summer 2022 in nine organisations. Construct validity was confirmed with exploratory factor analysis. Cronbach's alpha was used to assess the internal consistency of the instruments. RESULTS: The instrument development and validation process resulted in two instruments: DigiHealthCom and DigiComInf. DigiHealthCom included 42 items in 5 factors related to digital health competence, and DigiComInf included 15 items in 3 factors related to educational and organisational factors associated with digital health competence. The DigiHealthCom instrument explained 68.9 % of the total variance and the factors' Cronbach alpha values varied between 0.91 and 0.97. The DigiComInf instrument explained 59.6 % of the total variance and the factors' Cronbach alpha values varied between 0.76 and 0.88. CONCLUSIONS: The two instruments gave valid and reliable results in psychometric testing. The instruments could be used to evaluate healthcare professionals' digital health competence and associated factors. Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.

Place, publisher, year, edition, pages
Shannon: Elsevier, 2023
Keywords
Digital health, Healthcare, Instrument development, Nursing informatics, Professional competence, Psychometric testing, Telemedicine
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-49966 (URN)10.1016/j.ijmedinf.2023.104995 (DOI)000923910700001 ()36689840 (PubMedID)2-s2.0-85147389803 (Scopus ID)
Available from: 2023-02-22 Created: 2023-02-22 Last updated: 2023-08-21Bibliographically approved
Jarva, E., Mikkonen, K., Andersson, J., Tuomikoski, A.-M., Kääriäinen, M., Meriläinen, M. & Oikarinen, A. (2022). Aspects associated with health care professionals’ digital health competence development – a qualitative study. Finnish Journal of eHealth and eWelfare, 14(1), 79-91
Open this publication in new window or tab >>Aspects associated with health care professionals’ digital health competence development – a qualitative study
Show others...
2022 (English)In: Finnish Journal of eHealth and eWelfare, ISSN 1798-0798, Vol. 14, no 1, p. 79-91Article in journal (Refereed) Published
Abstract [en]

Health care professionals need continuous education to maintain the competencies required to provide high-quality care; in today’s world, this means an understanding of digital health services. Insight into health care professionals’ experiences of which aspects influence their digital health competence development is therefore highly relevant.

The objective of the study was to examine which aspects influence the digital health competence development of health care professionals (nursing workforce and allied health professionals).

In-depth, semi-structured interviews were conducted with 20 health care professionals (Finland n=15, Sweden n=5) from various health care settings between May 2019 and July 2020. Interviews were audio-recorded, translated verbatim and analysed with inductive content analysis.

Health care professionals perceive that digital health competence development is influenced by aspects related to digital health adoption, co-workers and the work community, their manager, and opportunities for continuous education and orientation.

The participants agreed that digital health competence is an important part of a health care professional’s overall clinical competence. Continuous education geared towards digital health competence should be systematically designed, and potentially integrate the resources available on social media platforms. Additionally, managers and supervisors should take a stronger stance towards learning about digital health services so they can serve as role models to their employees and genuinely promote digital health competence development.

Place, publisher, year, edition, pages
Joroinen: Sosiaali- ja Terveyshuollon Tietojenkaesittely / Finnish Social and Health Informatics Association, 2022
Keywords
health personnel, professional competence, telemedicine, capacity building, qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-46792 (URN)10.23996/fjhw.111771 (DOI)
Available from: 2022-05-17 Created: 2022-05-17 Last updated: 2022-05-23Bibliographically approved
Hultqvist, S., Ekstam, L., Andersson, J., Nilsson, M. H., Overton, M., Zingmark, M. & Iwarsson, S. (2022). Conditions for uptake of evidence-based knowledge in municipal care for older people in Sweden: a developmental evaluation. BMC Research Notes, 15, Article ID 243.
Open this publication in new window or tab >>Conditions for uptake of evidence-based knowledge in municipal care for older people in Sweden: a developmental evaluation
Show others...
2022 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 15, article id 243Article in journal (Refereed) Published
Abstract [en]

Objective

The objective of this paper is to describe the initial phase of a long-term collaboration initiative between a municipality and the medical faculty at a university in Sweden. The overall ambition of the collaboration is to strengthen the quality of care for older people. The concrete goal is to equip academically trained registered health care professionals (HCP) with tools for transferring evidence-based knowledge into practice. As municipal healthcare for older people is mainly carried out by staff lacking academic education, reg. HCP are key actors to bring in and consolidate an evidence-based approach in this setting. Developmental evaluation (DE) has been used to evaluate four separate activities in the initial phase. The activities where sequenced in a cumulative design to provide knowledge for further development of adequate tools.

Results

The cumulative design originally planned did not fit the internal logic of the municipality. Therefore, workflow and pace adjustments were made to proceed towards the joint ambition; the creation of fruitful conditions for the uptake of evidence-based knowledge. Long-term collaboration between academia and organizations outside academia demands a sensitive and flexible research approach, recognizing that collaboration implies mutuality and restricts the sovereignty of academia in designing research. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Collaboration, professional competence, aging, older adults, integrated care, reg. health care professionals
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-46809 (URN)10.1186/s13104-022-06131-y (DOI)000821897000001 ()35799273 (PubMedID)2-s2.0-85133623832 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01575Lund University
Note

Funding: The Swedish Research Council for Health, Working Life and Welfare (Forte), Grant number: 2020-01575, the Competence Fund in Helsingborg City, and the Faculty of Medicine, Lund University, Sweden.

Available from: 2022-05-24 Created: 2022-05-24 Last updated: 2024-01-17Bibliographically approved
Tarvis, M., Ziegert, K., Forsberg, E., Andersson, J. & Gillsjö, C. (2022). From chaos to a new normal—the COVID-19 pandemic as experienced by municipal health and social care providers in Sweden: A qualitative study. Nordic journal of nursing research
Open this publication in new window or tab >>From chaos to a new normal—the COVID-19 pandemic as experienced by municipal health and social care providers in Sweden: A qualitative study
Show others...
2022 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed) Epub ahead of print
Abstract [en]

When the COVID-19 pandemic began to spread around the world, Swedish municipalities were unprepared. Different guidelines on how to act in relation to the disease varied and protective equipment was lacking. This study aims to describe the experiences of health and social care providers of working at municipality level during the COVID-19 pandemic. A total of 12 assistant nurses, 13 registered nurses, and three physicians were interviewed, individually or in groups, between fall 2020 and spring 2021. The interviews were semi-structured and were analyzed using thematic analysis, utilizing a design following the COREQ-checklist. Three main themes were identified as follows: ‘Initial chaotic situation and uncertainty regarding how to deal with the pandemic’; ‘Continuous changes in organization and work routines’, and ‘Management of the pandemic has become the new normal’. Though health and social care workers eventually managed to embed dealing with COVID-19 as a routine feature of their daily work, municipalities must prepare for future crises. © The Author(s) 2022

Place, publisher, year, edition, pages
London: Sage Publications, 2022
Keywords
COVID-19, home care, nursing homes, thematic analysis
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Nursing
Identifiers
urn:nbn:se:hh:diva-48172 (URN)10.1177/20571585221124379 (DOI)2-s2.0-85139035227 (Scopus ID)
Available from: 2022-09-29 Created: 2022-09-29 Last updated: 2022-11-30Bibliographically approved
Jarva, E., Oikarinen, A., Andersson, J., Tuomikoski, A., Kääriäinen, M., Meriläinen, M. & Mikkonen, K. (2022). Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study. Nursing Open, 9(2), 1379-1393
Open this publication in new window or tab >>Healthcare professionals' perceptions of digital health competence: A qualitative descriptive study
Show others...
2022 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 9, no 2, p. 1379-1393Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: This study aims to provide insight into healthcare professionals' lived experiences of digital health competence with the objective of improving the knowledge of how digital health competence is perceived by healthcare professionals.

Background: Healthcare professionals need to adjust to the digital era to provide quality and ethical care. Previous research has rarely adopted a healthcare professional's standpoint to describe their perceptions of digital health competence, even though their perspective in how new care practices are designed and implemented is vital.

Design: A qualitative descriptive study.

Methods: Healthcare professionals (nurses and allied health professionals) from versatile healthcare settings were recruited for individual semi-structured interviews in Sweden (n= 5) and Finland (n= 15) (spring 2019-summer 2020). Purposive and convenience sampling was used. Participants' backgrounds were in the public and private sectors. The interviews were transcribed for inductive content analysis. The SRQR guideline guided the study process.

Results: Healthcare professionals' perceptions of digital health competence are connected to competence to provide patient-centric care through digital channels, using technology and digital health systems, interacting with the patient through digital means, evaluating what digital health is and combining digital and traditional methods. Professionals' perceptions of their own digital health competence were divided, with the participants either reporting sufficient competence or perceiving a lack of skills in some specific areas.

Conclusions: Healthcare professionals' perceptions of digital health competence focus on the ability to provide patient-centric care by evaluating the need and possibilities for using digital health services jointly with more traditional methods. This study provides a sound basis for digital health research, but future studies should focus on elucidating factors which affect digital health competence and competence development.

Relevance to clinical practice: The results of this study can guide healthcare practices and digital health implementation, as well as function as a basis for instrument or theory development. Health care and nursing leaders should enable the resources to hybrid practices in patient-centric care provision. © 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2022
Keywords
competence, content analysis, descriptive study, digital health, health personnel, nurses, perceptions, telemedicine
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:hh:diva-46279 (URN)10.1002/nop2.1184 (DOI)000748361200001 ()35094493 (PubMedID)2-s2.0-85123888898 (Scopus ID)
Available from: 2022-02-02 Created: 2022-02-02 Last updated: 2022-02-21Bibliographically approved
Nilsson, G., Ekstam, L., Axmon, A. & Andersson, J. (2022). Old Overnight: Experiences of Age-Based Recommendations in Response to the COVID-19 Pandemic in Sweden. In: Edward Alan Miller (Ed.), The COVID-19 Pandemic and Older Adults: Experiences, Impacts, and Innovations (pp. 60-80). London: Routledge
Open this publication in new window or tab >>Old Overnight: Experiences of Age-Based Recommendations in Response to the COVID-19 Pandemic in Sweden
2022 (English)In: The COVID-19 Pandemic and Older Adults: Experiences, Impacts, and Innovations / [ed] Edward Alan Miller, London: Routledge, 2022, p. 60-80Chapter in book (Refereed)
Abstract [en]

The Swedish response to the COVID-19 pandemic included age-based recommendations of voluntary quarantine specifically for those 70 years of age or older. This paper investigates the experiences of a sudden change of policy in the form of an age restriction that trumped the contemporary active aging ideal. A web-based qualitative survey was conducted in April 2020. Through manual coding of a total of 851 responses, six different ways of relating to the age-based recommendations were identified. The results show that age is not an unproblematic governing principle. Instead, in addition to protecting a vulnerable group, the age-based recommendation meant deprivation of previously assigned individual responsibility and, consequently, autonomy. It is shown how respondents handled this tension through varying degrees of compliance and resistance. Findings highlight the importance of continuously tracking the long-term consequences of age-based policy to avoid negative self-image and poorer health among older adults.

Place, publisher, year, edition, pages
London: Routledge, 2022
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:hh:diva-47913 (URN)10.4324/9781003273462 (DOI)9781032226361 (ISBN)9781003273462 (ISBN)
Available from: 2022-08-23 Created: 2022-08-23 Last updated: 2023-02-14Bibliographically approved
Andersson, J., Eriksson, H., Högdin, S. & Ouis, P. (2021). Efter ett sekel (1ed.). In: Hans Swärd; Per Gunnar Edebalk (Ed.), Socionomutbildningen - då, nu och i framtiden: (pp. 313-340). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Efter ett sekel
2021 (Swedish)In: Socionomutbildningen - då, nu och i framtiden / [ed] Hans Swärd; Per Gunnar Edebalk, Lund: Studentlitteratur AB, 2021, 1, p. 313-340Chapter in book (Refereed)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021 Edition: 1
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:hh:diva-45430 (URN)9789144153070 (ISBN)
Available from: 2021-08-24 Created: 2021-08-24 Last updated: 2022-10-27Bibliographically approved
Andersson, J., Ekstam, L. & Nilsson, G. (2021). Foglighet hårdvaluta för 70+ i den generationella ekonomin. Äldre i centrum (2), 47-51
Open this publication in new window or tab >>Foglighet hårdvaluta för 70+ i den generationella ekonomin
2021 (Swedish)In: Äldre i centrum, ISSN 1653-3585, no 2, p. 47-51Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Stiftelsen Stockholms läns äldrecentrum, 2021
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-44550 (URN)
Available from: 2021-06-02 Created: 2021-06-02 Last updated: 2021-06-04Bibliographically approved
Andersson, J., Ekstam, L. & Nilsson, G. (2021). "Mina barn tycker att jag ska vara försiktig". In: Håkan Jönsson (Ed.), Perspektiv på ålderism: (pp. 129-150). Lund: Social Work Press
Open this publication in new window or tab >>"Mina barn tycker att jag ska vara försiktig"
2021 (Swedish)In: Perspektiv på ålderism / [ed] Håkan Jönsson, Lund: Social Work Press , 2021, p. 129-150Chapter in book (Refereed)
Place, publisher, year, edition, pages
Lund: Social Work Press, 2021
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-43800 (URN)978-91-7895-541-1 (ISBN)
Available from: 2021-02-02 Created: 2021-02-02 Last updated: 2021-02-02Bibliographically approved
Nilsson, G., Ekstam, L., Axmon, A. & Andersson, J. (2021). Old Overnight: Experiences of Age-Based Recommendations in Response to the COVID-19 Pandemic in Sweden. Journal of Aging & Social Policy, 33(4-5), 359-379
Open this publication in new window or tab >>Old Overnight: Experiences of Age-Based Recommendations in Response to the COVID-19 Pandemic in Sweden
2021 (English)In: Journal of Aging & Social Policy, ISSN 0895-9420, E-ISSN 1545-0821, Vol. 33, no 4-5, p. 359-379Article in journal (Refereed) Published
Abstract [en]

The Swedish response to the COVID-19 pandemic included age-based recommendations of voluntary quarantine specifically for those 70 years of age or older. This paper investigates the experiences of a sudden change of policy in the form of an age restriction that trumped the contemporary active aging ideal. A web-based qualitative survey was conducted in April 2020. Through manual coding of a total of 851 responses, six different ways of relating to the age-based recommendations were identified. The results show that age is not an unproblematic governing principle. Instead, in addition to protecting a vulnerable group, the age-based recommendation meant deprivation of previously assigned individual responsibility and, consequently, autonomy. It is shown how respondents handled this tension through varying degrees of compliance and resistance. Findings highlight the importance of continuously tracking the long-term consequences of age-based policy to avoid negative self-image and poorer health among older adults. © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.

Place, publisher, year, edition, pages
Philadelphia, PA: Routledge, 2021
Keywords
active aging, Age restrictions, ageism, biopolitics, governmentality
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-44266 (URN)10.1080/08959420.2021.1925042 (DOI)000647939400001 ()34010122 (PubMedID)2-s2.0-85105436526 (Scopus ID)
Available from: 2021-05-07 Created: 2021-05-07 Last updated: 2021-11-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2511-1183

Search in DiVA

Show all publications