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  • 1.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Computer Systems.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    McDermott, Roger
    School of Computer Science and Digital Media, Robert Gordon University, Aberdeen, UK.
    Vasilcheko, Anna
    Open Lab Newcastle University,Newcastle,UK.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Why Don't You Tell Me What I Need to Know?: Self-Flipped Classroom and Students' Personal Epistemology2021In: 2021 IEEE Frontiers in Education Conference (FIE), Institute of Electrical and Electronics Engineers (IEEE), 2021Conference paper (Refereed)
    Abstract [en]

    This is a full research paper addressing the crucial element of understanding students when creating learning environments. It is for instance important to be aware of how students appreciate our way of teaching and to consider consequences of students not understanding or plainly disliking a setup. This paper addresses the negative experiences of students in a peer-learning environment named the self-flipped classroom. Through the lens of a theory of personal epistemology we investigate course evaluation reports and observations from anonymous students. Results indicate that the personal epistemology framework indeed gives some answers to students disliking the self-flipped aspect of the course, and that some students would rather be told what to learn in detail as in the quote: “why don't you tell me what I need to know?”. Finally the paper presents some ideas on ways forward.

  • 2.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    An Emotion-Focused Approach Towards Improving Clinicians' Work-Related User Experience2022Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Recent studies have associated clinician burnout with health information technology use. Researchers have attributed this negative impact of health information technology use on clinician well-being to poor system usability and insufficient clinician involvement in system design and implementation.

    Against this backdrop, this thesis first examined the discrete negative and positive emotions that clinicians experience at work in connection with health information technology use, and defined desirable user experience goals for health information technology design and implementation. Second, it identified different breakdowns in the communication between hospital nursing staff and information technology staff members.

    Data were collected through focus groups and interviews with registered nurses, nursing assistants, physicians, and information technology staff members working at or affiliated with a large Swedish hospital. The data were analyzed qualitatively through thematic analysis.

    Hospital nursing staff and physicians were found to experience frustration, perplexity, anxiety, alienation, psychological and moral distress, joy, relief, relaxation, and confidence in connection with their work-related use of health information technology. On this basis, joy, relaxation, confidence, gratitude and pride were identified as desirable user experience goals for clinicians' work-related information technology use. Finally, breakdowns in the communication between hospital nursing staff and information technology staff members were found to include lack of user studies, low-level filtering of nursing staff's electronic error reports, unintelligible electronic error reports, and nursing staff not attending in-person training sessions and not checking information technology-related communications on the intranet.

    These findings contribute to the field of human─computer interaction by shedding light on information technology staff members' work and on clinicians' work-related user experience, and by defining user experience goals for clinicians' work-related information technology use. Health information technology designers and implementers can draw from these findings to foster clinician well-being through the design of health information technology systems and routines.

    List of papers
    1. Information Technology Use and Tasks Left Undone by Nursing Staff: A Qualitative Analysis
    Open this publication in new window or tab >>Information Technology Use and Tasks Left Undone by Nursing Staff: A Qualitative Analysis
    2023 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 29, no 4, p. 1-10Article in journal (Refereed) Published
    Abstract [en]

    Nursing staff perceive information technology (IT) as time-consuming and impinging on direct patient care time. Despite this, researchers have directed little attention toward the interplay between IT use and tasks left undone by nursing staff. In this paper, we analyze interview and focus group data on hospital nursing staff’s experience working with IT to identify ways IT use interacts with tasks left undone. We found that tasks left undone by nursing staff can have IT-related antecedents and that IT-related tasks are also sometimes left undone. This analysis adds to the body of knowledge by showing that tasks related to the work environment and IT can be left undone and that nursing staff avoid certain IT-supported tasks because they do not know how to do them or why they ought to be done. These findings form the basis for our call for further research on the topic.

    Place, publisher, year, edition, pages
    Sage Publications, 2023
    Keywords
    health information technology, hospitals, nursing assistants, nurses, care left undone, tasks left undone
    National Category
    Computer Systems
    Research subject
    Computer Science with specialization in Human-Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-485497 (URN)10.1177/14604582231207743 (DOI)001088158600001 ()37882139 (PubMedID)
    Available from: 2022-09-23 Created: 2022-09-23 Last updated: 2023-11-13Bibliographically approved
    2. Negative emotions induced by work-related information technology use in hospital nursing
    Open this publication in new window or tab >>Negative emotions induced by work-related information technology use in hospital nursing
    2022 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 40, no 2, p. 113-120Article in journal (Refereed) Published
    Abstract [en]

    There is a lack of research into the implications of information technology-related issues for nurses' experiences and well-being at work. However, negative work experiences can generate negative emotions, which, in turn, can negatively affect well-being. Despite this, research has not systematically addressed negative emotions generated by work-related information technology use in hospital nursing. Drawing on data collected through focus groups and interviews with a total of 15 ward nurses, this paper identifies the discrete negative emotions that emerge from work-related information technology use in hospital nursing and maps the identified emotions onto the perceptions associated with and triggering them. The analysis was qualitative and included process, emotion, and causation coding alongside extensive memo writing. We identified six primary negative emotions: frustration, moral distress, alienation, psychological distress, anxiety, and perplexity. All of the identified emotions can be associated with four types of experiences of feeling hindered: mental effort, inability to carry out a task, doing extra or unnecessary work, and failing to complete a task successfully. The framework we present may support healthcare organizations in identifying potentially harmful information technology-related configurations in their infrastructure and implementing appropriate measures to foster nurses' well-being at work.

    Place, publisher, year, edition, pages
    Ovid Technologies (Wolters Kluwer Health), 2022
    Keywords
    Emotions, Hospital nursing staff, Information communication technology, Nursing informatics, Occupational health o
    National Category
    Interaction Technologies Nursing
    Research subject
    Computer Science with specialization in Human-Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-450836 (URN)10.1097/CIN.0000000000000800 (DOI)000750741800007 ()34347645 (PubMedID)
    Funder
    Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07153
    Available from: 2021-08-19 Created: 2021-08-19 Last updated: 2023-01-09Bibliographically approved
    3. Effortlessness and Security: Nurses' Positive Experiences With Work-Related Information Technology Use
    Open this publication in new window or tab >>Effortlessness and Security: Nurses' Positive Experiences With Work-Related Information Technology Use
    2022 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 40, no 9, p. 589-597Article in journal (Refereed) Published
    Abstract [en]

    Nurses' well-being at work has been an increasing concern the past few years, in particular in connection with work-related information technology use. Researchers have thus been called to explore ways of fostering nurses' well-being at work. However, little is known about the factors related to information technology that contribute to nurses' positive experience of and well-being at work. In this study, we sought to understand the appraisals and emotions at the core of nurses' positive experiences with information technology use at work. We conducted focus groups and semistructured interviews with 15 ward nurses working at a large Swedish hospital. The data were analyzed qualitatively using process and causation coding. We found appraisals of easy goal accomplishment, doing less of a particular task, knowing what the situation is and what has to be done, mastering the system, reduced risk of mistakes and omissions, and assured access to patient information. Using design theory, we connected these appraisals with four positive emotions: joy, relief, confidence, and relaxation. These findings suggest that effortlessness and security are central to nurses' positive experience of information technology. Implementing information technology–related features and practices associated with them in healthcare organizations may foster nurses' well-being at work.

    Place, publisher, year, edition, pages
    Wolters Kluwer, 2022
    National Category
    Human Computer Interaction
    Research subject
    Computer Science with specialization in Human-Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-475006 (URN)10.1097/cin.0000000000000917 (DOI)000852246400003 ()35475766 (PubMedID)
    Available from: 2022-05-27 Created: 2022-05-27 Last updated: 2023-08-30Bibliographically approved
    4. An Emotion-driven Approach to Hospital Physicians' Work-Related User Experience
    Open this publication in new window or tab >>An Emotion-driven Approach to Hospital Physicians' Work-Related User Experience
    2022 (English)In: Proceedings 10th Nordic Conference on Human-Computer Interaction - NordiCHI '22, Association for Computing Machinery (ACM) Association for Computing Machinery (ACM), 2022Conference paper, Published paper (Refereed)
    Abstract [en]

    Recent studies have found a correlation between information technologyuse and physician burnout, though little is known aboutphysicians’ workplace user experience. Thus, this paper examinesphysicians’ work with electronic medication orders through a userexperience and well-being lens. We interviewed ten physiciansworking clinically at a large Swedish hospital and analyzed theirexperiences qualitatively from an emotion-driven perspective. Participants’stories were associated with joy, relaxation, confusion,anxiety, and frustration. On this basis, we formulated four UX goals:I feel joy as I complete my IT-supported tasks quickly and effortlessly,the steps I carry out feel meaningful as I understand their purpose,I feel confident on how to proceed to produce the outcome I want,and I experience relaxation as I feel supported in minimizing risk ofpatient harm. By (re)designing health IT systems and practices tofoster these positive experiences, health IT designers may improvephysician work well-being.

    Place, publisher, year, edition, pages
    Association for Computing Machinery (ACM)Association for Computing Machinery (ACM), 2022
    National Category
    Computer Systems
    Research subject
    Computer Science with specialization in Human-Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-485496 (URN)10.1145/3546155.3546684 (DOI)9781450396998 (ISBN)
    Conference
    NordiCHI'22
    Available from: 2022-09-23 Created: 2022-09-23 Last updated: 2024-01-15Bibliographically approved
    5. Communication Breakdowns between Nurses and IT Department: Why Hospitals Fail at Improving the Usability of Health Information Technology
    Open this publication in new window or tab >>Communication Breakdowns between Nurses and IT Department: Why Hospitals Fail at Improving the Usability of Health Information Technology
    Show others...
    2020 (English)In: Proceedings of the 18th International Symposium on Health Information Management Research, 2020Conference paper, Published paper (Refereed)
    Abstract [en]

    Often, Health Information Technology (HIT) in hospitals consists of off the shelf systems that are configured and implemented by IT department workers. This means that these employees have a significant impact of the usability of HIT systems. Nonetheless, we currently do not know how IT department workers work. This prevents us from formulating educated recommendations aimed at improving HIT usability, known to be poor, especially from nurses’ perspective. In this paper, we hence present the results from an interview study, shedding light on 1) the communication channels that exist between nurses and IT department at a large public hospital in Sweden, and 2) the problems that undermine system-related communication between these two groups. Our findings stress the need for successful two-way communication between nurses and IT department in order to improve the usability of HIT in use.

    Keywords
    End User Involvement, Health Information Technology, IT Department, Nurses, User-Centred Design
    National Category
    Interaction Technologies
    Research subject
    Computer Science with specialization in Human-Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-419871 (URN)978-91-89081-09-3 (ISBN)
    Conference
    International Symposium on Health Information Management Research
    Projects
    DISA
    Funder
    Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07153
    Available from: 2020-09-17 Created: 2020-09-17 Last updated: 2023-01-09Bibliographically approved
    Download full text (pdf)
    UUThesis_D-Golay-2022
    Download (jpg)
    presentationsbild
  • 3.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    An invisible burden: An experience-based approach to nurses' daily work life with healthcare information technology2019Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Information and Communication Technology (ICT) has been an increasingly pervasive component of most workplaces throughout the past half century. In healthcare, the turn to the digital has resulted into the broad implementation of Healthcare Information Technology (HIT). The impacts of ICT on work life have been investigated predominantly through surveys, although some researchers have advocated for the use of a qualitative, experience-based approach. Meanwhile, the existing body of research on the impacts of HIT on clinicians has painted a mixed picture of digitalization. Despite some clear benefits, HIT has indeed been found to have unexpected, unintended adverse consequences for hospital staff. Typical issues include loss in efficiency, extra effort to carry out routine tasks, and the creation of new, HIT-induced work activities. Simultaneously, research outside of the healthcare domain has shown that ICT could require extra effort from some users in order for the sociotechnical system to function properly – extra work often invisible to developers.

    Based on observation, interview and focus group data collected at a large Swedish hospital, this thesis set out to investigate the impact of HIT on hospital nurses from an experience-based perspective, resulting in four main contributions. First, a method supporting experience-based data analysis, the HolisticUX method, is introduced. Second, 13 forms of HIT-induced additional tasks in nurses' workload are identified, five of which are not acknowledged in previous research. Third, task avoidance is identified as a consequence of nurses' increased workload, negatively affecting patient safety, care quality and nurses' professional satisfaction. Finally, four factors are argued to contribute to a suggested invisibility of the HIT-induced time burden in nurses' work life to management and developers: 1) lack of a holistic perspective, 2) the hidden cost of a single click, 3) the invisibility of nursing work, and 4) visible data, invisible work.

    List of papers
    1. The impact of information and communication technology on work, workers, and the psychosocial work context: Research trends from 2000–2017
    Open this publication in new window or tab >>The impact of information and communication technology on work, workers, and the psychosocial work context: Research trends from 2000–2017
    2019 (English)Manuscript (preprint) (Other academic)
    National Category
    Human Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-381428 (URN)
    Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2023-10-26Bibliographically approved
    2. Analyzing work-related technology use from a UX perspective: the holisticUX method
    Open this publication in new window or tab >>Analyzing work-related technology use from a UX perspective: the holisticUX method
    2018 (English)In: Proc. 10th Nordic Conference on Human-Computer Interaction, New York: ACM Press, 2018, p. 711-715Conference paper, Published paper (Refereed)
    Place, publisher, year, edition, pages
    New York: ACM Press, 2018
    National Category
    Human Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-363980 (URN)10.1145/3240167.3240244 (DOI)000455775700067 ()978-1-4503-6437-9 (ISBN)
    Conference
    NordiCHI 2018, September 29 – October 3, Oslo, Norway
    Funder
    Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07153
    Available from: 2018-09-29 Created: 2018-10-22 Last updated: 2019-04-09Bibliographically approved
    3. More work, same hours: Invisible HIT-induced tasks in nurses' everyday work
    Open this publication in new window or tab >>More work, same hours: Invisible HIT-induced tasks in nurses' everyday work
    2019 (English)Manuscript (preprint) (Other academic)
    National Category
    Human Computer Interaction
    Identifiers
    urn:nbn:se:uu:diva-381431 (URN)
    Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2023-10-26Bibliographically approved
    Download full text (pdf)
    fulltext
  • 4.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Analyzing work-related technology use from a UX perspective: the holisticUX method2018In: Proc. 10th Nordic Conference on Human-Computer Interaction, New York: ACM Press, 2018, p. 711-715Conference paper (Refereed)
  • 5.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    More work, same hours: Invisible HIT-induced tasks in nurses' everyday work2019Manuscript (preprint) (Other academic)
  • 6.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Hussein, Deman
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction.
    Azeez, Ali
    Karolinska Institutet, Stockholm, Sweden.
    Bonacina, Stefano
    Karolinska Institutet, Stockholm, Sweden.
    Communication Breakdowns between Nurses and IT Department: Why Hospitals Fail at Improving the Usability of Health Information Technology2020In: Proceedings of the 18th International Symposium on Health Information Management Research, 2020Conference paper (Refereed)
    Abstract [en]

    Often, Health Information Technology (HIT) in hospitals consists of off the shelf systems that are configured and implemented by IT department workers. This means that these employees have a significant impact of the usability of HIT systems. Nonetheless, we currently do not know how IT department workers work. This prevents us from formulating educated recommendations aimed at improving HIT usability, known to be poor, especially from nurses’ perspective. In this paper, we hence present the results from an interview study, shedding light on 1) the communication channels that exist between nurses and IT department at a large public hospital in Sweden, and 2) the problems that undermine system-related communication between these two groups. Our findings stress the need for successful two-way communication between nurses and IT department in order to improve the usability of HIT in use.

    Download full text (pdf)
    fulltext
  • 7.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Salminen-Karlsson, Minna
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Information Technology Use and Tasks Left Undone by Nursing Staff: A Qualitative Analysis2023In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 29, no 4, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Nursing staff perceive information technology (IT) as time-consuming and impinging on direct patient care time. Despite this, researchers have directed little attention toward the interplay between IT use and tasks left undone by nursing staff. In this paper, we analyze interview and focus group data on hospital nursing staff’s experience working with IT to identify ways IT use interacts with tasks left undone. We found that tasks left undone by nursing staff can have IT-related antecedents and that IT-related tasks are also sometimes left undone. This analysis adds to the body of knowledge by showing that tasks related to the work environment and IT can be left undone and that nursing staff avoid certain IT-supported tasks because they do not know how to do them or why they ought to be done. These findings form the basis for our call for further research on the topic.

    Download full text (pdf)
    fulltext
  • 8.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Löscher, Ida
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Lind, Thomas
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    The impact of information and communication technology on work, workers, and the psychosocial work context: Research trends from 2000–20172019Manuscript (preprint) (Other academic)
  • 9.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Salminen-Karlsson, Minna
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Effortlessness and Security: Nurses' Positive Experiences With Work-Related Information Technology Use2022In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 40, no 9, p. 589-597Article in journal (Refereed)
    Abstract [en]

    Nurses' well-being at work has been an increasing concern the past few years, in particular in connection with work-related information technology use. Researchers have thus been called to explore ways of fostering nurses' well-being at work. However, little is known about the factors related to information technology that contribute to nurses' positive experience of and well-being at work. In this study, we sought to understand the appraisals and emotions at the core of nurses' positive experiences with information technology use at work. We conducted focus groups and semistructured interviews with 15 ward nurses working at a large Swedish hospital. The data were analyzed qualitatively using process and causation coding. We found appraisals of easy goal accomplishment, doing less of a particular task, knowing what the situation is and what has to be done, mastering the system, reduced risk of mistakes and omissions, and assured access to patient information. Using design theory, we connected these appraisals with four positive emotions: joy, relief, confidence, and relaxation. These findings suggest that effortlessness and security are central to nurses' positive experience of information technology. Implementing information technology–related features and practices associated with them in healthcare organizations may foster nurses' well-being at work.

    Download full text (pdf)
    fulltext
  • 10.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Salminen-Karlsson, Minna
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Negative emotions induced by work-related information technology use in hospital nursing2022In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 40, no 2, p. 113-120Article in journal (Refereed)
    Abstract [en]

    There is a lack of research into the implications of information technology-related issues for nurses' experiences and well-being at work. However, negative work experiences can generate negative emotions, which, in turn, can negatively affect well-being. Despite this, research has not systematically addressed negative emotions generated by work-related information technology use in hospital nursing. Drawing on data collected through focus groups and interviews with a total of 15 ward nurses, this paper identifies the discrete negative emotions that emerge from work-related information technology use in hospital nursing and maps the identified emotions onto the perceptions associated with and triggering them. The analysis was qualitative and included process, emotion, and causation coding alongside extensive memo writing. We identified six primary negative emotions: frustration, moral distress, alienation, psychological distress, anxiety, and perplexity. All of the identified emotions can be associated with four types of experiences of feeling hindered: mental effort, inability to carry out a task, doing extra or unnecessary work, and failing to complete a task successfully. The framework we present may support healthcare organizations in identifying potentially harmful information technology-related configurations in their infrastructure and implementing appropriate measures to foster nurses' well-being at work.

    Download full text (pdf)
    fulltext
  • 11.
    Golay, Diane
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Sving, Celina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    An Emotion-driven Approach to Hospital Physicians' Work-Related User Experience2022In: Proceedings 10th Nordic Conference on Human-Computer Interaction - NordiCHI '22, Association for Computing Machinery (ACM) Association for Computing Machinery (ACM), 2022Conference paper (Refereed)
    Abstract [en]

    Recent studies have found a correlation between information technologyuse and physician burnout, though little is known aboutphysicians’ workplace user experience. Thus, this paper examinesphysicians’ work with electronic medication orders through a userexperience and well-being lens. We interviewed ten physiciansworking clinically at a large Swedish hospital and analyzed theirexperiences qualitatively from an emotion-driven perspective. Participants’stories were associated with joy, relaxation, confusion,anxiety, and frustration. On this basis, we formulated four UX goals:I feel joy as I complete my IT-supported tasks quickly and effortlessly,the steps I carry out feel meaningful as I understand their purpose,I feel confident on how to proceed to produce the outcome I want,and I experience relaxation as I feel supported in minimizing risk ofpatient harm. By (re)designing health IT systems and practices tofoster these positive experiences, health IT designers may improvephysician work well-being.

  • 12.
    Peters, Anne-Kathrin
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Computer Systems.
    Using Futures Studies in Computing and Engineering Education: “Emergentist Education” in an Open-Ended Group Project2021In: 2021 IEEE Frontiers in Education Conference (FIE), Institute of Electrical and Electronics Engineers (IEEE), 2021Conference paper (Refereed)
    Abstract [en]

    Researchers in futures studies argue that the future needs to be understood as uncertain, as not yet there. This renders mainstream educational discourses problematic, those that centre around the idea of preparing students for “the future”, defining competencies and standards. In this work, we write about critiques of contemporary education and alternative conceptions of education drawing on futures studies as well as sustainability education research. We understand learning as an emergent phenomenon and describe a conception of education that we refer to as emergentist education. We apply those theories to an open-ended group project course at an IT department at a large Swedish university. In the course, the students and the teachers develop, together with staff from an Academic Hospital in Sweden, healthcare with IT. In an action-research approach, we analyse written and oral reflections from the various actors involved in the course with the aim to understand the course, its value and challenges in new ways. Analysing the data through the lens of emergentist education theory, we discuss three themes: 1) forces on openness, 2) orientations to the future, and 3) emergent collaborative learning and novelty. We find that the educators take the role of maintaining openness, while the students demand a clear project definition. The future orientation turned out to be mostly about correcting and optimising the present. Yet, this project led to mutual learning and new paths being taken. Education can be a place for creativity and novelty, and an opportunity for learning through joint endeavours.

  • 13.
    Salminen-Karlsson, Minna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Information systems in nurses' work: Technical rationality versus an ethic of care2022In: New technology, work and employment, ISSN 0268-1072, E-ISSN 1468-005X, Vol. 37, no 2, p. 270-287Article in journal (Refereed)
    Abstract [en]

    Nurses increasingly interact with health information systems (HIS) in their daily work. This article examines how the problems that they confront in that interaction can be understood through the theoretical concepts of technical rationality and an ethic of care. The findings are based on a qualitative study of nurses in one Swedish hospital. They suggest that HIS did not support the holistic care of patients, and were not adapted to the varied and often urgent situations that nurses faced in their daily work, leaving them feeling isolated with their problems. In summary, HIS were found to serve the administrative aims of a hospital organisation, based on technical rationality, rather than supporting patients' needs as seen from an ethics of care perspective. The contribution of the study is to show how the use of these two conceptual tools connects nurses' daily problems with HIS to more fundamental issues about the values upon which healthcare is grounded.

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  • 14.
    Salminen-Karlsson, Minna
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Why not use the phone: Digitalisation and nurses’ communication in a large hospital2019In: Abstract Book. Work 2019: Real Work in the Virtual World, 2019Conference paper (Refereed)
    Abstract [en]

    When comes to digitalization of nurses’ work, electronic patient records and medical technology have been in focus. This paper looks at something that has been seen as more peripheral but that, nevertheless, has a profound impact on nurses’ daily work, in particular in large hospitals: internal communication that is mediated by computer systems.28The paper is based on fieldwork and group interviews in one large hospital in Sweden. The focus of the research project of which this paper is a part is the impact of digitalization on nurses’ work environment. Both certified nurses and assistant nurses took part in the fieldwork and observations.Computer mediated communication has increased rapidly in healthcare. Electronic patient records are one form of such communication: different professions treating the same patient use ito store information and retrieve information about the treatment process. This communication tool is mainly used by the healthcare professions. However, to communicate with different service functions in the hospital, the nurses were obliged to use a number of different systems.By the participants in the study, the obligation to use these messaging systems was taken up as a major stressor and their efficiency was repudiated. These complaints were illustrated by absurd or dramatic examples. Also during the fieldwork, problems with using the messaging systems became evident. While both design and functionality problems with the systems were exemplified, the complaints were frequently concluded with a question why these systems should be used at all. A common opinion, concerning communication with service functions, was that the systems were used to make the work of the service units easier, but that they disrupted the core task of the hospital, the medical carework, in a way that should not be permissible. The nurses thought that using the phone to order internal services was a much more efficient communication channel for them. In particular, they were indignant when service functions seemed to show no understanding for a patient’s situation.Computer-mediated internal communication in a hospital can be seen as positive in that it structures information flows and task allocations, it secures quality by producing traces that can be used for verification in case mistakes are made, and it produces information that can be used in administrative processes, for example when calculating resource allocations. However, introducing these communication systems does not take into account the practicalities of carework. Effective use of such systems count on a different temporality than what is prevalent in the everyday work of nurses.The temporality in nurses’ work implies that work pace is high, work is often disrupted and can only partially be planned, several work processes exist in parallel and prioritisations often have to be made on short notice. Even a well-functioning structured messaging system (in contrast to the problematic ones that these nurses had encountered) requires a form to be filled in with certain information, which sometimes is necessary and sometimes may be superficial, and, thus, generally requires writing time. There is normally a time interval between sending the message and getting a confirmation (if a confirmation is received at all), which implies further mental overload and difficulty to prioritise. Some information, for example related to the urgency of the message may not have a proper place in the form, or may not go through with sufficient emphasis. In such conditions a telephone is more suitable. Often the nurses used both a messaging system and a telephone in parallel, when this was possible, i.e. they sent the required message but made a telephone call to get a confirmation and to possibly give information that was not easily put in the form.The introduction of computer systems for internal communication in a hospital is yet one step of trying to transform care to production, in terms of new public management. Computer mediated communication systems contribute to the efforts to transform the interactive, unpredictable and individual conditions of care, to predictable, impersonal and scheduled conditions of production. Nurses, who are responsible for the care (rather than doctors, who are responsible for the more limited concept of treatments) are the ones whose everyday work is most affected by this. Their apprehension that in the mandated communication patterns the concerns of administration were prioritised above the concerns of care was reasonable. The concerns of administration fit much more nicely in the structured way of producing care that is the political vision of today’s healthcare. However, the while following the mandated routines would make the communication in the healthcare organization more streamlined, without nurses’ concerns and their pushing the boundaries, it would make hospital care less effective and cause patients more suffering.

  • 15.
    Salminen-Karlsson, Minna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Golay, Diane
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction.
    Den digitala arbetsmiljön inomhälso- och sjukvården2020In: Medicinsk informatik / [ed] Göran Petersson, Martin Rydmark och Anders Thurin ,, Liber, 2020Chapter in book (Other (popular science, discussion, etc.))
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