Author Affiliations: Department of Design Sciences, Faculty of Engineering, Lund University, Sweden.
Comput Inform Nurs. 2023 Aug 1;41(8):586-594. doi: 10.1097/CIN.0000000000001006.
This study investigates how digital technology is used (or not used) in home care nursing, to identify challenges and opportunities that can move the digitalization of home care nursing forward. The use of digital technology in daily practices of home care nursing was analyzed based on semistructured interviews in four Swedish home care organizations. The results correspond to the two initial stages of a design thinking process: (1) knowledge about users and the use context , presented as an up-to-date description of how digital technology has affected home care nursing practice, and (2) definition of areas for improvement , presented as challenges and opportunities. We identified the following areas to proceed with in the subsequent stages of designing home care nursing digitalization: (1) nurses' ability to access information and conduct documentation in the field, particularly how new digital systems are integrated with existing routines and systems; (2) the multitude of communication processes that nurses must manage, including communication channels that are used and the level of synchronicity; (3) an increasingly complex digital working environment, where evaluating existing systems and routines is one way to learn where improvements can be most efficient.
本研究调查了数字技术在家居护理中是如何被使用（或未被使用）的，以确定可以推动家居护理数字化的挑战和机遇。基于对瑞典四个家庭护理机构的半结构化访谈，分析了数字技术在家庭护理日常实践中的使用情况。研究结果对应于设计思维过程的两个初始阶段：（1）了解用户和使用情境的知识，以最新的方式描述数字技术如何影响家庭护理实践；（2）定义改进领域，以挑战和机遇的形式呈现。我们确定了在家庭护理数字化设计的后续阶段需要继续进行的以下领域：（1）护士在现场获取信息和进行文档记录的能力，特别是新的数字系统如何与现有常规和系统集成；（2）护士必须管理的多种沟通流程，包括使用的沟通渠道和同步程度；（3）日益复杂的数字工作环境，评估现有系统和常规是了解可以在哪里进行最有效的改进的一种方式。
