Öberg Ulrika, Orre Carl Johan, Isaksson Ulf, Schimmer Robyn, Larsson Håkan, Hörnsten Åsa
Department of Nursing, Umeå University, Umeå, Sweden.
Department of Computer Science and Media Technology, Malmö University, Malmö, Sweden.
Scand J Caring Sci. 2018 Jun;32(2):961-970. doi: 10.1111/scs.12534. Epub 2017 Sep 28.
Nurses have expressed doubts about the ongoing digitalisation of Swedish primary health care. Given the potential role of eHealth in primary health care, including supporting interactive self-management for people with chronic conditions, it is important to highlight nurses' experiences. This study is part of a larger project aimed at implementing person-centred interactive self-management support (iSMS) in primary health care.
The aim of this study was to describe Swedish primary healthcare nurses' perceptions of using digital eHealth systems and services to support patient self-management.
Focus group interviews were conducted with primary healthcare nurses (n = 20). The interview transcriptions were analysed using qualitative content analysis.
Three themes emerged from the content analysis: caregiving in the midst of digital chaos; a lack of overview and control in daily work; and mixed feelings towards digitalisation. Each theme was subdivided into three subthemes.
The results of this study provide insight into a number of concerns that stand in the way of success when it comes to the implementation and use of digital technology. If nurses are to adapt to the new policies and practices that accompany the current digitalised development in Swedish primary health care, the concept of a nurse's traditional work role needs to be amended in terms of the scope of work tasks and established views of traditional nursing. The study also highlights the need for more research to enable eHealth systems/services to be designed to fulfil multiple requirements. The digitised systems should be a tool for achieving good quality self-management support as well as giving the primary healthcare nurses adequate resources to support patients' self-management while still maintaining the values associated with person-centred care.
护士们对瑞典初级卫生保健领域正在进行的数字化表示怀疑。鉴于电子健康在初级卫生保健中的潜在作用，包括支持慢性病患者的交互式自我管理，突出护士的经验很重要。本研究是一个更大项目的一部分，该项目旨在在初级卫生保健中实施以患者为中心的交互式自我管理支持（iSMS）。
本研究的目的是描述瑞典初级卫生保健护士对使用数字电子健康系统和服务来支持患者自我管理的看法。
对初级卫生保健护士（n = 20）进行了焦点小组访谈。使用定性内容分析法对访谈转录本进行了分析。
内容分析得出了三个主题：数字混乱中的护理；日常工作中缺乏总体把握和控制；对数字化的复杂感受。每个主题又细分为三个子主题。
本研究结果深入了解了在数字技术的实施和使用方面阻碍成功的一些问题。如果护士要适应瑞典初级卫生保健当前数字化发展所伴随的新政策和实践，就需要在工作任务范围和传统护理既定观念方面修正护士传统工作角色的概念。该研究还强调需要进行更多研究，以使电子健康系统/服务能够设计成满足多种要求。数字化系统应该是实现高质量自我管理支持的工具，同时也要为初级卫生保健护士提供足够资源来支持患者的自我管理，同时仍保持以患者为中心的护理相关价值观。
