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“More” work for nurses: the ironies of eHealth
Lund University, Lund, Sweden.
Halmstad University, School of Health and Welfare. (Healthcare Improvement Group)ORCID iD: 0000-0001-7874-7970
Lund University, Lund, Sweden.
2023 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, article id 411Article in journal (Refereed) Published
Abstract [en]

Background: eHealth applications are considered a technological fix that can potentially address some of the grand challenges in healthcare, including burnout among healthcare professionals, the growing burden of patients with chronic conditions, and retaining and recruiting healthcare professionals. However, as the deployment of eHealth applications in healthcare is relatively novel, there is a lack of research on how they affect the work environment of healthcare professionals. This study explores how work evolves—particularly for nurses—during the utilisation of three eHealth applications.

Methods: The study is a qualitative case study with an interpretive approach. The utilisation of three different eHealth applications was studied. Seventy-five healthcare professionals were interviewed, most of whom were nurses (n = 47). Interviews were transcribed verbatim and qualitative content analysis was used to analyse the text.

Results: Three main themes were identified: work that is ignored and overlooked; actions needed to complete visible work; and more sedentary work activities. The findings suggest that work surrounding the utilisation of eHealth applications in care practices is mostly performed by nurses. While the promise of more efficient workflows resulting from healthcare’s digital transformation may be realised to different degrees, the utilisation of eHealth applications creates additional invisible labour for nurses.

Conclusion:We identified through our analysis that the extra work created by eHealth applications is invisible at the organisational level. Most of the invisible labour was performed by nurses, who were engaged in utilising the eHealth applications. This needs to be recognised when implementing eHealth applications in care practices. © 2023, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2023. Vol. 23, article id 411
Keywords [en]
eHealth applications, Invisible work, Articulated work, Nurses, Digital health
National Category
Nursing
Research subject
Health Innovation, Information driven care; Health Innovation
Identifiers
URN: urn:nbn:se:hh:diva-50406DOI: 10.1186/s12913-023-09418-3ISI: 000975749800001PubMedID: 37106404Scopus ID: 2-s2.0-85156225797OAI: oai:DiVA.org:hh-50406DiVA, id: diva2:1754259
Funder
Lund UniversityAFA Insurance, 180103 & 190193Lund UniversityAFA Insurance
Note

Funding: Open access funding provided by Lund University. The funders of this study are AFA insurance (reference number: 180103 and 190193). 

Available from: 2023-05-03 Created: 2023-05-03 Last updated: 2023-11-27Bibliographically approved

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Petersson, Lena

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