Biomedical subjects

Anne Moen

Publications and source records attributed to Anne Moen.

9 recordsLinked to original sources

PubMed2006

Cross-cultural factors necessary to enable design of flexible consumer health informatics systems (CHIS).

Examples from on-going work are analyzed to point out cross-cultural factors that need consideration as they are likely to influence the design of consumer health information systems (CHIS). Tailored and flexible presentation of information, appropriate communication services and access to health information can contribute to CHIS use in diverse local and international contexts. It is argued that being mindful of socio-cultural environments, age groups, and health conditions will enhance design and use of CHIS. This will augment current approaches by developing more suitable and culturally sensitive CHIS.

Consumer Health Information↗

PubMed2006

Informatics-based learning resources for patients and their relatives in recovery.

In this paper we describe experiences from design of an informatics-based learning resource for patients and relatives. The prototype, REPARERE (learning REsource for PAtients and RElatives during REcovery), aims to support patients and their family recovering from heart surgery in meeting challenges in to daily living post discharge. Using recovery experiences and patient teaching material, REPARERE includes examples of textual information, video-clips, images and illustrations relevant to the recovery trajectory and a user's digitally represented profile. The development of the prototype focuses on flexibility and usability, tailoring and sequencing resources, and inclusion of recommendations for universal access. Development of web-based learning resources allows for exploration of 'just-in-case' and 'just-in-time' strategies to information retrieval and knowledge construction in health and learning trajectories. Findings from the literature, discussions with patients as well as health care providers indicate that unfulfilled information needs in the recovery period are common. Resources like REPARERE would be valuable supplement to facilitate patient learning about symptom management, self-care and coping while recovering.

Family↗

PubMed2006

Photographic data--An untapped resource to explore complex phenomena such as health information management in the household (HIMH).

Exploring the context of use for informatics tools and applications can provide insight into requirements for their design. Historically, photographs have been used by social scientists as a way to study context in complex environments. Using data collected in the study "Advanced technologies for Health@Home" we share how photographs can be used to understand one such complex environment where informatics tools appear, the household. By capture, categorization, analysis and interpretation of photographs, we developed a richer understanding of information artifacts and the context of these artifacts used to support health information management in the household (HIMH). Photographs are an underused data source. Appropriately used, photographs can aid in the development of informatics resources that align with and extend current practices of health information management in the household (HIMH). Their use should be investigated further concerning other complex environments within nursing informatics.

Delivery of Health Care↗

PubMed2006

Information technology and nursing; Emancipation versus control?

The still prevailing lack of attention to and interest in knowledge or educational development about Information Technology (IT) in Nursing may partly be explained by the traditional philosophical distance between humanism and technology. The unease of potential dehumanization of nursing care by technology may be necessary, but often overreacted. By not taking charge and responding to ongoing IT deployment, the nursing community de facto passes on responsibility for developments shaping nursing care to technocrats, other professionals and vendors. In this paper we raise discussion of control or emancipation by IT. The current design and implementation of applications like Electronic Patient Record systems including nursing documentation exemplifies and highlights such positions. We point out values and how the nursing community perceives emerging technologies, particularly in knowledge development related to IT, followed by a question of consciousness and responsibility, recognition of "mind over machine". This is neither a question of emancipation or control, but both. It is by taking the grip of recognition and responsibility in technology development we move towards freedom of choice and empowerment.

Humans↗

PubMed2006

The electronic patient record in community health services--paradoxes and adjustments in clinical work.

This case study explores the consequences of the introduction of an electronic patient record (EPR) system to support community health services in a Norwegian municipality. The EPR was envisaged as a key tool for developing integration between a nursing home and a home care organization to meet quality care goals and to increase the time available for patient care. This investigation takes a socio-technical approach, particularly drawing on "actor-network" theory and insights from "articulation work". The empirical data comes from structured interviews, participant observation and document review. The findings of the case study indicated reluctance by staff to use the EPR system. The management had eliminated traditional information and communication routines, such as oral handover and informal nursing notes, in a reorganization of duties associated with the EPR implementation. To prevent fragmentation of nursing work, and to maintain continuity of care, the nurses reintroduced these routines spontaneously and ad hoc. The reluctance to use the system and the reintroduction of abandoned routines can be understood by exploring the interaction between the EPR system's user interface, its ability to support nursing work, and the workflow in the new merged health service. So far, the introduction of the EPR has not led to the benefits expected from it.

Community Health Services↗

PubMed2006

Implementing communication systems in the community health services. The health care workers experiences.

Reengineering of the workplace through Information Technology is an important strategic issue for today's community health care. The computer-based patient record (CPR) is one technology that has the potential to profoundly modify the work routines of the care unit. This study investigates a CPR project, Gerica aimed at allowing the health care workers in the community health care to work in a completely electronic environment. The focus of our analysis was the use of Gerica, and the health care workers interpretations of it. The rationale behind the introduction of this technology was based on its alleged capability to both enhance quality of care and control costs. This is done by better managing the flow of information within the organization. Theory of structuration is used as the conceptual vehicle to aid in widening the search to the socially constructured nature of these meaning: how people constructed their conceptions in their work setting. The present study analyzed the implementation of CPR conducted in the community health services in Trondheim, Norway. Interviews with Gerica users demonstrate that individual interpretations vary considerably, also between users of the same application. User-resistance was not the problem. This project was a good opportunity to understand better the intricate complexity of introducing technology in professional work where the usefulness of information is short lived and where it is difficult to predetermine the relevancy of information. Profound misconceptions in achieving a tighter fit (synchronization) between care processes and information processes were the main problems.

Communication↗

PubMed2005

Health@Home: the work of health information management in the household (HIMH): implications for consumer health informatics (CHI) innovations.

OBJECTIVE: Contemporary health care places enormous health information management demands on laypeople. Insights into their skills and habits complements current developments in consumer health innovations, including personal health records. Using a five-element human factors model of work, health information management in the household (HIMH) is characterized by the tasks completed by individuals within household organizations, using certain tools and technologies in a given physical environment. DESIGN: We conducted a descriptive-exploratory study of the work of HIMH, involving 49 community-dwelling volunteers from a rural Midwestern community. MEASUREMENTS: During in-person interviews, we collected data using semistructured questionnaires and photographs of artifacts used for HIMH. RESULTS: The work of HIMH is largely the responsibility of a single individual, primarily engaged in the tasks of acquiring, managing, and organizing a diverse set of health information. Paper-based tools are most common, and residents develop strategies for storing information in the household environment aligned with anticipated use. Affiliative relationships, e.g., parent-child or spousal, within the household serve as the organization that gives rise to health information management practices. Synthesis of these findings led to identification of several storage strategies employed in HIMH. These strategies are labeled "just-in-time," "just-because," "just-in-case," and "just-at-hand," reflecting location of the artifacts of health information and anticipated urgency in the need to retrieve it. CONCLUSION: Laypeople develop and employ robust, complex strategies for managing health information in the home. Capitalizing on these strategies will complement and extend current consumer health innovations to provide functional support to people who face increasing demands to manage personal health information.

Adolescent↗

PubMed2004

Participatory design and infrastructures for coordination and communication in interdisciplinary mobile health teams.

This paper reports on a current project that explores how wireless and mobile technologies, in this case Personal Digital Assistants (PDAs) and Tablet PCs, may be useful in clinical practices. In particular the support and practices for just-in-time coordination and communication among members in highly mobile health teams are focused. Their practice is related to just-in-time access to information for coordination of care and treatment related to, but different from, information traditionally stored in the patients' health records and clinical information systems (CIS). To facilitate discussion and participation among various stakeholders, and between organizational contexts and responsibilities, we developed four video scenarios. The paper describes how these scenarios can be used in an organizational development setting to facilitate analysis and design of tools mindful of the relationships between complex and interwoven infrastructures of communication on one hand and just-in-time aspects of a mobile clinical practice on the other.

Computers, Handheld↗

PubMedDate not supplied

A nursing perspective to design and implementation of electronic patient record systems.

Achievements in informatics and use of new technologies are important to develop knowledge from clinical nursing practice. At the same time, progress in design and implementation of clinical information systems such as comprehensive Electronic Patient Record (EPR) systems can be complemented by attention to and examination of information processes as well as the health care constituencies' characteristics. In this article, selected issues and challenges related to EPR design and implementation are reviewed with a particular emphasis on those related to nursing practice and nursing leadership.

Computational Biology↗