Swedish primary healthcare nurses' perceptions of using digital eHealth services in support of patient self-managementShow others and affiliations
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 961-970Article in journal (Refereed) Published
Abstract [en]
BackgroundNurses 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. AimThe aim of this study was to describe Swedish primary healthcare nurses' perceptions of using digital eHealth systems and services to support patient self-management. MethodsFocus group interviews were conducted with primary healthcare nurses (n = 20). The interview transcriptions were analysed using qualitative content analysis. ResultsThree 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. Conclusion and relevance to clinical practiceThe 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.
Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 32, no 2, p. 961-970
Keywords [en]
eHealth, technology, primary health care, nurses, chronic conditions, type 2 diabetes, self-management
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-2424DOI: 10.1111/scs.12534ISI: 000436254800053Local ID: 26834OAI: oai:DiVA.org:mau-2424DiVA, id: diva2:1399177
2020-02-272020-02-272021-11-04Bibliographically approved