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  • 51.
    Cajander, Åsa
    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.
    Schnaas, Ulrike
    Uppsala University, University Administration, Division for Quality Enhancement.
    Peer reflection on inclusive supervision: A study circle as a space for collegial learning2016In: Utbildning och Lärande / Education and Learning, ISSN 2001-4554, Vol. 10, no 1, p. 54-69Article in journal (Refereed)
  • 52.
    Cajander, Åsa
    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.
    Åhlfeldt, Rose-Mharie
    Journal via nätet: delaktighet för patienterna och oro hos personalen2016Report (Other academic)
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  • 53. Clear, Tony
    et al.
    McDermott, Roger
    Parsjö, Elin
    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, Computing Education Research.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Lagerqvist, Nanna
    A framework for writing learning agreements2016In: Proc. 46th ASEE/IEEE Frontiers in Education Conference, Piscataway, NJ: IEEE Press, 2016Conference paper (Refereed)
    Abstract [en]

    Active learning is a popular concept for motivating learning. Learning agreements are one strategy towards this goal. They can be used to aid the students to take ownership of their learning and in becoming more active in a course. Learning Agreements are especially useful tools for scaffolding learning in courses with a focus on developing the professional competencies of students, such as in Open Ended Group Projects, Work Integrated Learning or other authentic learning contexts. Such educational contexts are complex and we have found it necessary to scaffold student learning using agreements based on professional competencies. This has led to a pedagogical framework, which has found successful application in a number of contexts. This framework has been built based on discussions with students, and has involved the development of a supporting wiki which contains descriptions of the different professional competencies involved in the learning agreement. The IT based framework has been iteratively developed together with the students taking the course in the fall of 2015. The development and assessment of this framework is contrasted in the context of two courses using learning agreements, one (in Sweden) with a focus on development of professional competencies and the other (in New Zealand) addressing a mix of professional competencies and subject knowledge in a work integrated learning setting.

  • 54.
    Daniels, Mats
    et al.
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. Datorteknik.
    Barker, Lecia
    Cajander, Åsa
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. MDI.
    Laxer, Cary
    Moore, Dan
    Managing cross-cultural differences in an open ended group project course2005In: IEEE Frontiers in education conference, 2005, p. T4D22-23Conference paper (Refereed)
    Abstract [en]

    This paper includes a description of a trial version of using international student collaboration in an OEGP type course, the difficulties experienced, and suggestions for how to deal with them in preparing for a full-scale version of the course.

  • 55.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Constructive controversy as a way to create "true collaboration" in an open ended group project setting2010In: Australian Computer Science Communications, ISSN 0157-3055, Vol. 32, no 2, p. 73-78Article in journal (Refereed)
  • 56.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Experiences from using Constructive Controversy in an Open Ended Group Project2010In: Proc. 40th ASEE/IEEE Frontiers in Education Conference, Piscataway, NJ: IEEE , 2010, p. S3D-1-5Conference paper (Refereed)
  • 57.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    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.
    Clear, Tony
    McDermott, Roger
    Collaborative technologies in global engineering: New competencies and challenges2015In: International journal of engineering education, ISSN 0949-149X, Vol. 31, no 1, p. 267-281Article in journal (Refereed)
    Abstract [en]

    Educational institutions face many challenges in closing the gap between what is currently offered through academic engineering curricula and what is expected by society in general and industry in particular. There are many aspects to these challenges and here we address needs that are specific to global professionals by investigating the knowledge, skills and abilities needed for mediating and using Collaborative Technologies (CT) in an Open Ended Group Project (OEGP) within a global setting. We discuss these needs as framed by relevant theoretical frameworks for collaboration and learning (including Collaborative knowledge building and Collaborative Technology Fit), mapped using empirical data from a course setting involving global collaboration between two universities (one in the United States and one in Sweden). The paper concludes with a commentary on competencies beyond discipline specific technical skills and presents recommendations, based upon this research, for developing students’ proficiency in both mediating and using CTs in OEGP courses. These recommendations are followed by an outline of key areas for future research.

  • 58.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    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.
    Eckerdal, Anna
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Scientific Computing. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computational Science.
    Lind, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Nylén, Aletta
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Science.
    Clear, Tony
    McDermott, Roger
    Competencies for paradigm shift "survival"2015In: Proc. 45th ASEE/IEEE Frontiers in Education Conference, Piscataway, NJ: IEEE Press, 2015, p. 1424-1429Conference paper (Refereed)
  • 59.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    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.
    McDermott, Roger
    Using open-ended group projects in HCI courses2013In: Challenges from the Future: Bridging the gaps through HCI education, South Africa: University of Cape Town , 2013Conference paper (Refereed)
  • 60.
    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.

  • 61.
    Daniels, Mats
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Pears, Arnold
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Clear, Tony
    Engineering Education Research in Practice: Evolving use of open ended group projects as a pedagogical strategy for developing skills in global collaboration2010In: International journal of engineering education, ISSN 0949-149X, Vol. 26, no 4, p. 795-806Article in journal (Refereed)
    Abstract [en]

    Globalization presents engineering educators with new challenges as they face the need for graduates who can function comfortably in an increasingly distributed team context which crosses country and cultural boundaries. Scaffolding learners to acquire professional attributes which transcend the solely technical places stress on traditional curriculum models. This paper analyses an Open Ended Group Project Framework (OEGP) situated in an action research program applied within the IT in Society course at Uppsala University. The approach results in conscious evolution of the course as an integral element of its design. It enables flexible planned educational change informed by a combination of learning theories and stakeholder input. In this paper we discuss the role of the research program in addressing the educational challenges we faced assisting students to develop global collaboration skills. The implications of combining this course with one at a partner institution in the USA and developing a global collaboration are also addressed. The paper concludes by summarizing the benefits of adopting an integrated action research and OEGP framework to support flexible course delivery in a global professional engineering context.

  • 62. Doherty, Gavin
    et al.
    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.
    Gulliksen, Jan
    Linehan, Conor
    ACM SIGCHI/EIT health summer school on user-centered design in e-Health2018In: interactions, ISSN 1072-5520, E-ISSN 1558-3449, Vol. 25, no 3, p. 87-87Article in journal (Other academic)
  • 63.
    Dolezel, Michal
    et al.
    Prague University of Economics and Business.
    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.
    Towards Mapping of Information Technology: Induced Alterations in Online Physicians’ Professional Identities2022In: Linköping Electronic Conference Proceedings 187 / [ed] André Henriksen, Elia Gabarron and Vivian Vimarlund, 2022, p. 69-76Conference paper (Refereed)
    Abstract [en]

    Digital Patient Contact Technologies (DPCT), including telemedicine solutions and digital tools for text-based communication between patients and physicians, play a major role in today’s healthcare. Professional identity defines norms, principles, and logic that guide one’s professional actions. Presently, little research evidence is available regarding professional identity changes in the context of DPCT implementations. This work theoretically and empirically illustrates the nature of the possible DPCT’ impact on physicians’ professional identities. To this end, a conceptual framework was constructed and the interviews with eight physicians operating an asynchronous healthcare-advice chat service (1177 Vårdguiden) in Uppsala, Sweden were examined. 

  • 64.
    Eriksson, Elina
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Gulliksen, Jan
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Hello World!: Experiencing usability methods without usability expertise2009In: Human-Computer Interaction – INTERACT 2009: Part II, Springer Berlin/Heidelberg, 2009, p. 550-565Conference paper (Refereed)
  • 65.
    Eriksson, Elina
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Gulliksen, Jan
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Introducing Usability Roles in Public Authorities2008In: Proc. 5th Nordic Conference on Human-Computer Interaction: Building Bridges, New York: ACM Press , 2008, p. 113-122Conference paper (Refereed)
  • 66.
    Frezza, Stephen
    et al.
    Gannon Univ, Erie, PA 16541 USA.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Pears, Arnold
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research. KTH Royal Inst Technol, Stockholm, Sweden.
    Cajander, Åsa
    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.
    Kann, Viggo
    KTH Royal Inst Technol, Stockholm, Sweden.
    Kapoor, Amanpreet
    Univ Florida, Gainesville, FL USA.
    McDermott, Roger
    Robert Gordon Univ, Aberdeen, Scotland.
    Peters, Anne-Kathrin
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Sabin, Mihaela
    Univ New Hampshire, Manchester, NH USA.
    Wallace, Charles
    Michigan Tech Univ, Houghton, MI USA.
    Modelling Competencies for Computing Education beyond 2020: A Research Based Approach to Defining Competencies in the Computing Disciplines2018In: ITICSE 2018 Companion: Proceedings Companion Of The 23rd Annual ACM Conference On Innovation And Technology In Computer Science Education / [ed] Rossling, G and Scharlau, B, 2018, p. 148-174Conference paper (Refereed)
    Abstract [en]

    How might the content and outcomes of tertiary education programmes be described and analysed in order to understand how they are structured and function? To address this question we develop a framework for modelling graduate competencies linked to tertiary degree programmes in the computing disciplines. While the focus of our work is computing the framework is applicable to education more broadly. The work presented here draws upon the pioneering curricular document for information technology (IT2017), curricular competency frameworks, other related documents such as the software engineering competency model (SWECOM), the Skills Framework for the Information Age (SFIA), current research in competency models, and elicitation workshop results from recent computing conferences. The aim is to inform the ongoing Computing Curricula (CC2020) project, an endeavour supported by the Association for Computing Machinery (ACM) and the IEEE Computer Society. We develop the Competency Learning Framework (CoLeaF), providing an internationally relevant tool for describing competencies. We argue that this competency based approach is well suited for constructing learning environments and assists degree programme architects in dealing with the challenge of developing, describing and including competencies relevant to computer and IT professionals. In this paper we demonstrate how the CoLeaF competency framework can be applied in practice, and though a series of case studies demonstrate its effectiveness and analytical power as a tool for describing and comparing degree programmes in the international higher education landscape.

  • 67.
    Frezza, Stephen
    et al.
    Gannon Univ, Erie, PA 16541 USA..
    Pears, Arnold
    KTH Royal Inst Technol, Stockholm, Sweden..
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Kann, Viggo
    KTH Royal Inst Technol, Stockholm, Sweden..
    Kapoor, Amanpreet
    Univ Florida, Gainesville, FL 32611 USA..
    McDermott, Roger
    Robert Gordon Univ, Aberdeen, Scotland..
    Peters, Anne-Kathrin
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Computer Systems.
    Wallace, Charles
    Michigan Tech, Houghton, MI USA..
    Sabin, Mihaela
    Univ New Hampshire, Durham, NH 03824 USA..
    Cajander, Åsa
    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, Computer Systems. Uppsala Univ, Uppsala, Sweden..
    Modeling Global Competencies for Computing Education2018In: : PROCEEDINGS OF THE 23RD ANNUAL ACM CONFERENCE ON INNOVATION AND TECHNOLOGY IN COMPUTER SCIENCE EDUCATION / [ed] Polycarpou, I Read, JC Andreou, P Armoni, M, ASSOC COMPUTING MACHINERY , 2018, p. 348-349Conference paper (Refereed)
    Abstract [en]

    This working group contributes to formulating a framework for modeling competencies in the current and future disciplines that comprise computing education. We draw upon the innovative approach taken in the curricular document for information technology (IT2017), curricular competency frameworks, other related documents such as the software engineering competency model (SWECOM), the Skills Framework for the Information Age (SFIA), current research in competency models, and elicitation workshop results from other computing conferences. The outcomes contribute to the Computing Curricula 2020 (CC2020) project, and include the formulation and review of sets of disciplinary-relevant competencies for use in computing education. This work directly informs the CC2020 project sponsored by the Association for Computing Machinery (ACM) and the IEEE Computer Society.

  • 68.
    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.

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    fulltext
  • 69.
    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.

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    fulltext
  • 70.
    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.

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    fulltext
  • 71.
    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.

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    fulltext
  • 72.
    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.

  • 73.
    Grande, Virginia
    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 Vi3.
    Kinnunen, Päivi
    University of Helsinki, Helsinki, UNK, Finland.
    Peters, Anne-Kathrin
    KTH Royal Institute of Technology, Stockholm, UNK, Sweden.
    Barr, Matthew
    University of Glasgow, Glasgow, UNK, United Kingdom.
    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.
    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 Vi3.
    Lewis, Amari N.
    University of California San Diego, San Diego, CA, USA.
    Sabin, Mihaela
    University of New Hampshire, Durham, NC, USA.
    Sánchez-Peña, Matilde
    University at Buffalo, Buffalo, NY, USA.
    Thota, Neena
    University of Massachusetts Amherst, Amherst, MA, USA.
    Making Visible and Modeling the Underrepresented: Teachers' Reflections on Their Role Modeling in Higher Education2022Conference paper (Refereed)
    Abstract [en]

    This work contributes to a better understanding of computing teachers' perceptions of themselves as role models. Role models are described as important to address under-representation, yet there is little in-depth research on how role modeling works and what university teachers in computing can model to broaden participation in the discipline. We will analyze teachers' reflections on how they may, or want to, be perceived by their students, particularly in terms of professional competencies, emotions and attitudes towards well-being. We will use and further develop an already existing framework on role modeling in computing, and we will relate our findings to existing research on computing and science identities. Modeling aspects outside the computing norm can help provide students with a wider notion of what it means to be a computer scientist. Besides developing the theoretical understanding of computing teachers as role models , our work can support various ways of developing computing teachers' competences and departments' teaching culture. The results are one way to contribute to student diversity and equitable access, and more broadly increase the relevance of computing education for sustainability.

  • 74.
    Grande, Virginia
    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 Vi3. Uppsala University, Uppsala, Sweden.
    Kinnunen, Päivi
    University of Helsinki, Helsinki, Finland.
    Peters, Anne-Kathrin
    KTH Royal Institute of Technology, Stockholm, Sweden.
    Barr, Matthew
    University of Glasgow, Glasgow, United Kingdom.
    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, Computing Education Research. Uppsala University, Uppsala, Sweden.
    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 Vi3.
    Lewis, Amari N.
    University of California, San Diego, San Diego, CA, USA.
    Sabin, Mihaela
    University of New Hampshire, Manchester, NH, USA.
    Sánchez-Peña, Matilde
    University at Buffalo, Buffalo, NY, USA.
    Thota, Neena
    University of Massachusetts Amherst, Amherst, MA, USA.
    Role Modeling as a Computing Educator in Higher Education: A Focus on Care, Emotions and Professional Competencies2022In: ITiCSE-WGR '22: Proceedings of the 2022 Working Group Reports on Innovation and Technology in Computer Science Education, ACM Digital Library, 2022, p. 37-63Conference paper (Refereed)
    Abstract [en]

    This paper provides insights into role modeling by educators in computing that is beyond the technical, theoretical and rational perspectives which have historically been described as dominant in computing. Surveying 199 educators in higher education, we have built on frameworks of role modeling, care, emotions, and professional competencies as a lens to see different ways of engaging in computing.

    Our quantitative and qualitative findings show how educators model ways of caring (for oneself, other humans and living species, technology, and the planet), emotions, professional competencies and other types of role modeling. Examples of contexts within computing and reasons why an educator can(not) model these aspects bring new light to research on care and emotions being shown in computing.

    This work contributes to a better understanding of computing educators as potential role models, particularly in terms of displaying emotions and various types of care. Our work can support ways of developing the professional competences of computing educators and the teaching culture of computing departments. Our findings may inspire other educators to think about their own display of emotions and care, and what this transmits to their students. Thus, the work also contributes to the discussion of ways to increase diversity among students and equitable access to computing education.

  • 75. Grünloh, Christiane
    et al.
    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.
    Myreteg, Gunilla
    The record is our work tool!: Physicians' framing of a patient portal in Sweden2016In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 18, no 6, article id e167Article in journal (Refereed)
  • 76. Grünloh, Christiane
    et al.
    Myreteg, Gunilla
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    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.
    Rexhepi, Hanife
    Why do they need to check me?: Patient participation through eHealth and the doctor–patient relationship2018In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 20, no 1, article id e11Article in journal (Refereed)
  • 77.
    Gulliksen, Jan
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Eriksson, Elina
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Only Figures Matter?: If Measuring Usability and User Experience in Practice is Insanity or a Necessity2008In: Proc. International Workshop on Meaningful Measures: Valid Useful User Experience Measurement, Toulouse, France: Institute of Research in Informatics of Toulouse (IRIT) , 2008, p. 91-96Conference paper (Refereed)
  • 78.
    Gulliksen, Jan
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Sandblad, Bengt
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Eriksson, Elina
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Kavathatzopoulos, Iordanis
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    User-Centred Systems Design as Organizational Change: A Longitudinal Action Research Project to Improve Usability and the Computerized Work Environment in a Public Authority2009In: International Journal of Technology and Human Interaction, ISSN 1548-3908, E-ISSN 1548-3916, Vol. 5, no 3, p. 13-53Article in journal (Refereed)
  • 79.
    Gulliksen, Jan
    et al.
    Kungliga Tekniska Högskolan .
    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. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Wiggberg, Mattias
    Kungliga Tekniska Högskolan .
    Digital spetskompetens – den nya renässansmänniskan: Genomlysning, definition, prognosverktyg och rekommendationer för framtida utveckling2020Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Att Sverige ska vara “bäst i världen på att utnyttja digitaliseringens möjligheter” är sedan 2011 regeringens övergripande digitaliseringsmål. Regeringens digitaliseringsstrategi från 2016 bryter ner målet i fem delmål, där digital kompetens är det som lyfts först och innehåller största andelen förslag. För att möta näringslivets och offentlig sektors behov måste matchningen av kompetens och behovet av en ökad digitalt kompetent arbetskraft tillgodoses enligt digitaliseringsstrategin. I “Smart industri”, regeringens nyindustrialiseringsstrategi, lyftes digitalisering av industri och ökade kompetensbehov, i regeringens nationella strategi för informations‐ och cybersäkerhet måste Sverige stärka behovet av kompetensförsörjning inom området. Det betonas även i regeringens nationella inriktning för artificiell intelligens från 2018 att om Sverige ska vara ledande i att tillvarata AI:s möjligheter för ökad välfärd och stärkt konkurrenskraft, behöver vi öka andelen personer som har de kunskaper som behövs för att använda och utveckla AI. I OECD:s analys “Going Digital in Sweden” från 2018 av vad Sverige behöver göra för att vara bäst i världen på att utnyttja digitaliseringens möjligheter, konstateras att bristen på digitala specialister och digital spetskompetens är en flaskhals för innovation och tillväxt i Sverige och behovet kommer att öka när digitaliseringen utvecklas och nya teknologier som AI får genomslag. Även Digitaliseringsrådet efterfrågar ett gemensamt agerande från arbetsmarknad, näringsliv och utbildningssektorn för ökad matchning mellan utbud och efterfrågan på digital kompetens samt för ökad jämställdhet i IT‐ branschen.   Begreppet digital spetskompetens har flitigt använts i media och rapporter, utan att ha haft en gemensamt överenskommen definition eller betydelse. Denna rapport har analyserat och penetrerat digital spetskompetens för att förstå hur begreppet uppfattas av näringsliv och offentlig sektor, av de som anställer och de som utbildar, av de som själva besitter digital spetskompetens och de som har behov av att anlita sådan. Vi har diskuterat vad utbildning spelar för roll, huruvida det krävs en bred digital förståelse eller djup unik spetskompetens inom ett specifikt område, vad färdigheter har för betydelse, huruvida attityder och värderingar spelar någon roll och huruvida det krävs en konstant vidareutveckling av kunskapen för att kunna sägas besitta digital spetskompetens. Rapportens titel “Digital spetskompetens – den nya renässansmänniskan” är vald för att belysa de många krav och förväntningar som läggs på den digitalt spetskompetente i att vara såväl högutbildad och allmänbildad, vara ansvarstagande, föränderlig och stadigt i vidareutveckling, etc. Vi ser en förväntansbild som visar på komplexiteten att faktiskt kunna definiera begreppet på ett heltäckande sätt. Begreppet renässansmänniska avses inte tolkas maktstrukturellt.   Arbetet har genomförts under perioden januari‐april 2020 av undertecknande forskare vid KTH och Uppsala universitet. Förutom huvudförfattarna har även Jeffrey Buckley, postdoktor i teknikvetenskapens lärande, bidragit med sammanställning och analys av litteraturen och rapid reviewprocessen. Vi vill härmed tacka alla som bidragit genom intervjuer, workshops, analyser och diskussioner och framför allt våra uppdragsgivare från UKÄ och Tillväxtverket för stöd och diskussioner under projektets gång. Tack också till Helena Bernald som korrekturläst och bistått med transkribering. För rapporten svarar dock huvudförfattarna.   

  • 80.
    Gulliksen, Jan
    et al.
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. HUMAN-COMPUTER INTERACTION.
    Göransson, Bengt
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction.
    Boivie, Inger
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. HUMAN-COMPUTER INTERACTION.
    Blomkvist, Stefan
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. HUMAN-COMPUTER INTERACTION.
    Cajander, Åsa
    Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology. Uppsala University, Teknisk-naturvetenskapliga vetenskapsområdet, Mathematics and Computer Science, Department of Information Technology, Human-Computer Interaction. HUMAN-COMPUTER INTERACTION.
    Key principles for user centred systems design2003In: Behaviour and Information Technology, Vol. 22, no 6, p. 397-409Article in journal (Refereed)
    Abstract [en]

    The concept of user-centred systems design (UCSD) has no agreed upon definition. Consequently, there is a great variety in the ways it is applied, which may lead to poor quality and poor usability in the resulting systems, as well as misconceptions about the effectiveness of UCSD.

    The purpose of this paper is to propose a definition of UCSD. We have identified 12 key principles for the adoption of a user-centred development process, principles that are based on existing theory, as well as research in and experiences from a large number of software development projects. The initial set of principles were applied and evaluated in a case study and modified accordingly.

    These principles can be used to communicate the nature of UCSD, evaluate a development process or develop systems development processes that support a user-centred approach. We also suggest activity lists and some tools for applying UCSD.

  • 81.
    Hagström, Josefin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Healthcare Sciences and e-Health. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Blease, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Scandurra, Isabella
    Moll, Jonas
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology.
    Rexhepi, Hanife
    Hägglund, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Adolescents’ reasons for accessing their health records online, perceived usefulness and experienced provider encouragement: a national survey in Sweden2024In: BMJ Paediatrics Open, Vol. 8, no 1Article in journal (Refereed)
    Abstract [en]

    Background Having online access to electronic health records (EHRs) may help patients become engaged in their care at an early age. However, little is known about adolescents using patient portals. A national survey conducted within the Nordic eHealth project NORDeHEALTH provided an important opportunity to advance our understanding of adolescent users of patient portals. The present study explored reasons for reading the EHRs, the perceived usefulness of information and functions in a patient portal and the association between frequency of use and encouragement to read the EHR.Methods Data were collected in a survey using convenience sampling, available through the Swedish online health portal during 3 weeks in January and February 2022. This study included a subset of items and only respondents aged 15–19. Demographic factors and frequencies on Likert-style questions were reported with descriptive statistics, while Fisher’s exact test was used to explore differences in use frequency based on having been encouraged to read by a healthcare professional (HCP).Results Of 13 008 users who completed the survey, 218 (1.7%) were unique users aged 15–19 (females: 77.1%). One-fifth (47/218, 21.6%) had been encouraged by HCPs to read their records, and having been encouraged by HCPs was related to higher use frequency (p=0.018). All types of information were rated high on usefulness, while some functions were rated low, such as blocking specific clinical notes from HCPs and managing services for family members. The main reason for reading their health records online was out of curiosity.Conclusions Adolescents who read their records online perceive it to be useful. Encouragement by HCPs can lead to increased use of patient portals among adolescents. Findings should be considered in the future design of patient portals for adolescents.Data are available upon reasonable request.

  • 82.
    Hagström, Josefin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Åhlfeldt, Rose-Mharie
    Blease, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Rexhepi, Hanife
    Moll, Jonas
    Kane, Bridget
    Scandurra, Isabella
    Hägglund, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Security and Privacy of Online Record Access: A Survey of Adolescents’ Views and Experiences in Sweden2024In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972Article in journal (Refereed)
    Abstract [en]

    Purpose Ensuring security of online health records and patients’ perceptions of security are concerns in adolescent healthcare. Little is known about adolescents’ perceptions about healthcare’s ability to protect online health records. This article explores adolescents’ perspectives on security and privacy of their online health records, potential differences based on gender and health, attitudes to sharing information, and perceptions of what constitutes sensitive information. Methods This study included a subset of items from a national online patient survey conducted in Sweden (January-February 2022), focusing on respondents aged 15–19 years. Gender and health status differences were calculated using the Kruskal-Wallis test. Results Of 218 adolescent respondents (77.1% female), a minority had security and privacy concerns. A notable proportion (41.3%) wished to control who could see their records, and those who reported better perceived health were more likely to want to manage access to their electronic health record (H = 13.569, p = .009). Most had not experienced unauthorized access to their records (75.2%) and had never shared health information on other online applications (85.8%). More than half (56.0%) perceived some information as sensitive, where mental health was the most common (76.0%). Most felt that reading their notes improved their trust for their healthcare professional (65.6%) and supported better communication with healthcare professionals (66.5%). Discussion In this national survey, adolescents generally reported few concerns about patient portals. Findings emphasize the need for security and privacy protection and to empower adolescents with greater control over access to their health information housed in electronic health record systems.

  • 83. Hertzum, Morten
    et al.
    Ellingsen, Gunnar
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    Implementing Large-Scale Electronic Health Records: Experiences from Implementations of Epic in Denmark and Finland2022In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 167, article id 104868Article in journal (Refereed)
    Abstract [en]

    Background: With the still larger scale of electronic health records (EHRs), their implementation has become increasingly complex. In this study, we focus on one large-scale EHR – Epic.

    Purpose: We analyze the Epic implementations in Denmark and Finland to understand how healthcare professionals experience this large-scale EHR.

    Method: The study is based on documentary analysis. The analyzed documents include user surveys, assessment reports, material from project partners, and research papers.

    Results: The Danish and Finnish Epic implementations are still troubled five and three years, respectively, after the first go-live. In Denmark, the business case and implementation process have been sharply criticized. The correction of usability problems and unstable system integrations have been slow, the time required to perform common clinical tasks has increased, and 32% of the users remain dissatisfied or very dissatisfied with the system. In Finland, the physicians and nurses experience improved technical performance but inferior usability and reduced work support compared to the EHR they used before Epic; only 4.7% (physicians) and 7.3% (nurses) agree that patient information is easy to access, and only 9.3% (physicians) and 26.2% (nurses) agree that Epic helps improve the quality of care.

    Conclusion: The post-implementation experiences from the two implementations contradict pre-implementation expectations. Specifically, the consequences of using Epic have become salient only after go-live. As a result, the implementing organizations and their users have predominantly found themselves in a reactive mode of fending off problems rather than a proactive mode of realizing benefits.

  • 84.
    Huvila, Isto
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    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.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    Åhlfeldt, Rose-Mharie
    Patients' perceptions of their medical records from different subject positions2015In: Journal of the Association for Information Science and Technology, ISSN 2330-1635, E-ISSN 2330-1643, Vol. 66, no 12, p. 2456-2470Article in journal (Refereed)
  • 85.
    Huvila, Isto
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM. Information Studies, Åbo Akademi University.
    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. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Moll, Jonas
    Örebro universitet.
    Enwald, Heidi
    Uleåborgs universitet.
    Eriksson-Backa, Kristina
    Åbo Akademi.
    Rexhepi, Hanife
    Högskolan i Skövde.
    Technological and informational frames: explaining age-related variation in the use of patient accessible electronic health records as technology and information2021In: Information Technology and People, ISSN 0959-3845, E-ISSN 1758-5813Article in journal (Refereed)
    Abstract [en]

    Purpose Data from a national patient survey (N = 1,155) of the Swedish PAEHR "Journalen" users were analysed, and an extended version of the theory of technological frames was developed to explain the variation in the technological and informational framing of information technologies found in the data.Design/methodology/approach Patient Accessible Electronic Health Records (PAEHRs) are implemented globally to address challenges with an ageing population. However, firstly, little is known about age-related variation in PAEHR use, and secondly, user perceptions of the PAEHR technology and the health record information and how the technology and information-related perceptions are linked to each other. The purpose of this study is to investigate these two under-studied aspects of PAEHRs and propose a framework based on the theory of technological frames to support studying the second aspect, i.e. the interplay of information and technology-related perceptions.Findings The results suggest that younger respondents were more likely to be interested in PAEHR contents for general interest. However, they did not value online access to the information as high as older ones. Older respondents were instead inclined to use medical records information to understand their health condition, prepare for visits, become involved in their own healthcare and think that technology has a much potential. Moreover, the oldest respondents were more likely to consider the information in PAEHRs useful and aimed for them but to experience the technology as inherently difficult to use.Research limitations/implications The sample excludes non-users and is not a representative sample of the population of Sweden. However, although the data contain an unknown bias, there are no specific reasons to believe that it would differently affect the survey’s age groups.Practical implications Age should be taken into account as a key factor that influences perceptions of the usefulness of PAEHRs. It is also crucial to consider separately patients’ views of PAEHRs as a technology and of the information contained in the EHR when developing and evaluating existing and future systems and information provision for patients.Social implications This study contributes to bridging the gap between information behaviour and systems design research by showing how the theory of technological frames complemented with parallel informational frames to provide a potentially powerful framework for elucidating distinct conceptualisations of (information) technologies and the information they mediate. The empirical findings show how information and information technology needs relating to PAEHRs vary according to age. In contrast to the assumptions in much of the earlier work, they need to be addressed separately.Originality/value Few earlier studies focus on (1) age-related variation in PAEHR use and (2) user perceptions of the PAEHR technology and the health record information and how the technology and information-related perceptions are linked to each other.

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  • 86. Huvila, Isto
    et al.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    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.
    Åhlfeldt, Rose-Marie
    Experiences and attitudes of patients reading their medical records: Differences between readers and recurrent readers2013In: Information: Interactions and Impact (i3) 2013, Aberdeen, UK: Robert Gordon University , 2013Conference paper (Refereed)
  • 87.
    Huvila, Isto
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems.
    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.
    Åhlfeldt, Rose-Mharie
    Patients reading their medical records: Differences in experiences and attitudes between regular and inexperienced readers2016In: Information research, E-ISSN 1368-1613, Vol. 21, no 1, article id 706Article in journal (Refereed)
  • 88.
    Huvila, Isto
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    Moll, Jonas
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Enwald, Heidi
    Hirvonen, Noora
    Åhlfeldt, Rose-Mharie
    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.
    Age-related differences in seeking clarification to understand medical record information2019In: Proc. 12th ISIC Conference: Part 2, 2019, article id isic1834Conference paper (Refereed)
  • 89.
    Huvila, Isto
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    Myreteg, Gunilla
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Business Studies.
    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.
    Empowerment or anxiety?: Research on deployment of online medical e-health services in Sweden2013In: Bulletin of the American Society for Information Science and Technology, ISSN 1931-6550, E-ISSN 1550-8366, Vol. 39, no 5, p. 30-33Article in journal (Refereed)
  • 90.
    Hägglund, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Healthcare Sciences and e-Health.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction.
    Rexhepi, Hanife
    School of Informatics, University of Skövde, Skövde, Sweden.
    Kane, Bridget
    Information Systems, Karlstad University Business School, Karlstad, Sweden.
    Personalized Digital Health and Patient-Centric Services: Editorial2022In: Frontiers in Computer Science, E-ISSN 2624-9898, Vol. 4, article id 862358Article in journal (Other academic)
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  • 91.
    Hägglund, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Kharko, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden;School of Psychology, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
    Hagström, Josefin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Bärkås, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Blease, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden;Department of Medicine, Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
    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, Computing Education Research. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3.
    DesRoches, Catherine
    Fagerlund, Asbjørn Johansen
    Haage, Barbara
    Huvila, Isto
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    Hörhammer, Iiris
    Kane, Bridget
    Klein, Gunnar O
    Kristiansen, Eli
    Luks, Kerli
    Moll, Jonas
    Muli, Irene
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Raphaug, Eline Hovstad
    Rexhepi, Hanife
    Riggare, Sara
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Ross, Peeter
    Scandurra, Isabella
    Simola, Saija
    Soone, Hedvig
    Wang, Bo
    Ghorbanian Zolbin, Maedeh
    Åhlfeldt, Rose-Mharie
    Kujala, Sari
    Johansen, Monika Alise
    The NORDeHEALTH 2022 Patient Survey: Cross-Sectional Study of National Patient Portal Users in Norway, Sweden, Finland, and Estonia2023In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 25, article id e47573Article in journal (Refereed)
    Abstract [en]

    Background: Although many surveys have been conducted on patients accessing their own health records in recent years, there is a limited amount of nationwide cross-country data available on patients’ views and preferences. To address this gap, an international survey of patient users was conducted in the Nordic eHealth project, NORDeHEALTH. Objective: We aimed to investigate the sociodemographic characteristics and experiences of patients who accessed their electronic health records (EHRs) through national patient portals in Norway, Sweden, Finland, and Estonia. Methods: A cross-sectional web-based survey was distributed using the national online health portals. The target participants were patients who accessed the national patient portals at the start of 2022 and who were aged ≥15 years. The survey included a mixture of close-ended and free-text questions about participant sociodemographics, usability experience, experiences with health care and the EHR, reasons for reading health records online, experience with errors, omissions and offense, opinions about security and privacy, and the usefulness of portal functions. In this paper, we summarized the data on participant demographics, past experience with health care, and the patient portal through descriptive statistics. Results: In total, 29,334 users completed the survey, of which 9503 (32.40%) were from Norway, 13,008 (44.35%) from Sweden, 4713 (16.07%) from Finland, and 2104 (7.17%) from Estonia. National samples were comparable according to reported gender, with about two-thirds identifying as women (19,904/29,302, 67.93%). Age distributions were similar across the countries, but Finland had older users while Estonia had younger users. The highest attained education and presence of health care education varied among the national samples. In all 4 countries, patients most commonly rated their health as “fair” (11,279/29,302, 38.48%). In Estonia, participants were more often inclined to rate their health positively, whereas Norway and Sweden had the highest proportion of negative health ratings. Across the whole sample, most patients received some care in the last 2 years (25,318/29,254, 86.55%). Mental health care was more common (6214/29,254, 21.24%) than oncological care (3664/29,254, 12.52%). Overall, most patients had accessed their health record “2 to 9 times” (11,546/29,306, 39.4%), with the most frequent users residing in Sweden, where about one-third of patients accessed it “more than 20 times” (4571/13,008, 35.14%). Conclusions: This is the first large-scale international survey to compare patient users’ sociodemographics and experiences with accessing their EHRs. Although the countries are in close geographic proximity and demonstrate similar advancements in giving their residents online records access, patient users in this survey differed. We will continue to investigate patients’ experiences and opinions about national patient-accessible EHRs through focused analyses of the national and combined data sets from the NORDeHEALTH 2022 Patient Survey.

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  • 92.
    Hägglund, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Healthcare Sciences and e-Health.
    Rexhepi, HanifeKane, Bridget T.Cajander, ÅsaUppsala 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.
    Personalized Digital Health and Patient-Centric Services2022Collection (editor) (Refereed)
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  • 93.
    Igelström, Helena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Hauffman, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Alfonsson, Sven
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare. Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Sjöström, Jonas
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Informatics and Media.
    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.
    Johansson, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    User Experiences of an Internet-Based Stepped-Care Intervention for Individuals With Cancer and Concurrent Symptoms of Anxiety or Depression (the U-CARE AdultCan Trial): Qualitative Study2020In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 22, no 5, article id e16604Article in journal (Refereed)
    Abstract [en]

    Background: The internet-based stepped-care intervention iCAN-DO, used in the multicenter randomized controlled trial AdultCan, was developed for adult patients undergoing treatment for cancer and concurrently experiencing anxiety or depressive symptoms. iCAN-DO aimed to decrease symptoms of anxiety or depression. Step 1 comprises access to a library with psychoeducational material and a peer-support section, as well as the possibility to pose questions to a nurse. Step 2 of the intervention offers treatment consisting of internet-based cognitive behavioral therapy (iCBT) to participants still experiencing anxiety or depression at 1, 4, or 7 months after inclusion.

    Objective: The study aimed to explore user experiences of delivery, design, and structure of iCAN-DO from the perspective of people with cancer.

    Methods: We studied user experiences by interviewing 15 informants individually: 10 women with breast cancer (67%), 4 men with prostate cancer (27%), and 1 man with colorectal cancer (7%) with a mean age 58.9 years (SD 8.9). The interviews focused on informants' perceptions of ease of use and of system design and structure. Informants had been included in iCAN-DO for at least 7 months. They were purposefully selected based on activity in Step 1, participation in iCBT (ie, Step 2), gender, and diagnosis.

    Results: Of the 15 informants, 6 had been offered iCBT (40%). All informants used the internet on a daily basis, but 2 (13%) described themselves as very inexperienced computer users. The analysis revealed three subthemes, concerning how user experiences were affected by disease-specific factors and side effects (User experience in the context of cancer), technical problems (Technical struggles require patience and troubleshooting), and the structure and design of iCAN-DO (Appealing and usable, but rather simple).

    Conclusions: The results indicate that user experiences were affected by informants' life situations, the technical aspects and the design of iCAN-DO, and informants' preferences. The results have generated some developments feasible to launch during the ongoing study, but if iCAN-DO is to be used beyond research interest, a greater level of tailoring of information, features, and design may be needed to improve user experiences. The use of recurrent questionnaires during the treatment period may highlight an individual's health, but also function as a motivator showing improvements over time.

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  • 94. Isomöttönen, Ville
    et al.
    Daniels, Mats
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computer Systems. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    Pears, Arnold
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computing Education Research.
    McDermott, Roger
    Searching for global employability: Can students capitalize on enabling learning environments?2019In: ACM Transactions on Computing Education, E-ISSN 1946-6226, Vol. 19, no 2, p. 11:1-29, article id 11Article in journal (Refereed)
  • 95. Jia, Yuan
    et al.
    Lárusdóttir, Marta Kristín
    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.
    The usage of usability techniques in Scrum projects2012In: Human-Centered Software Engineering, Springer Berlin/Heidelberg, 2012, p. 331-341Conference paper (Refereed)
  • 96.
    Johansson, Birgitta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine.
    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.
    Ahmad, Awais
    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.
    Ohlsson-Nevo, Emma
    Fransson, Per
    Granström, Brith
    von Essen, Louise
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Healthcare Sciences and e-Health.
    Langegård, Ulrica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine.
    Pettersson, Mona
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Henriksson, Anna
    The School of Health, Care and Social Welfare, Mälardalen University, 721 23, Västerås, Box 883, Sweden.
    Tiblom Ehrsson, Ylva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
    The effect of internet-administered support (carer eSupport) on preparedness for caregiving in informal caregivers of patients with head and neck cancer compared with support as usual: a study protocol for a randomized controlled trial2024In: BMC Cancer, E-ISSN 1471-2407, Vol. 24, no 1, article id 494Article in journal (Refereed)
    Abstract [en]

    BackgroundInformal caregivers (ICs) of patients with cancer provide essential and mainly uncompensated care. A self-perceived preparedness to care for the patient is associated with a lower caregiver burden, described as the extent to which caregiving is perceived as having adverse effects on IC functioning and well-being. ICs’ well-being is associated with patient-perceived quality of care, suggesting that interventions to optimize ICs’ health are essential in order to improve patient care. Head and neck cancer (HNC) is the seventh most common malignant disease in the world. The disease and its treatment have a significant negative impact on the patient’s health and quality of life. Symptoms usually interfere with swallowing, food and fluid intake, breathing, speaking, and communication. ICs frequently manage patients’ symptoms and side effects, especially problems related to nutrition and oral pain, without being properly prepared. Carer eSupport is an Internet-administered intervention, based on focus group discussions with ICs, developed in collaboration with ICs and healthcare professionals, tested for feasibility, and deemed feasible. This study protocol outlines the methods of investigating the effects of Carer eSupport plus support as usual (SAU) on self-reported preparedness for caregiving, caregiver burden, and well-being in the ICs of patients with HNC, compared with ICs receiving SAU only.

    Methods and analysisIn this randomized controlled trial, 110 ICs of patients with HNC, undergoing radiotherapy combined with surgery and/or medical oncological treatment, will be randomized (1:1) to Carer eSupport plus SAU or SAU only. Data will be collected at baseline (before randomization), post-intervention (after 18 weeks), and 3 months after post-intervention. The primary outcome is self-reported preparedness for caregiving. Secondary outcomes are self-reported caregiver burden, anxiety, depression, and health-related quality of life. The effect of Carer eSupport plus SAU on preparedness for caregiving and secondary outcomes, compared with SAU only, will be evaluated by intention to treat analyses using linear regression models, mixed-model regression, or analysis of covariance.

    DiscussionIf proven effective, Carer eSupport has the potential to significantly improve ICs’ preparedness for caregiving and their wellbeing, thereby improving patient-perceived quality of care and patient wellbeing.

    Trial registrationClinicalTrials.gov; NCT06307418, registered 12.03.2024 (https://clinicaltrials.gov/search? term=NCT06307418).

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  • 97. Kristinsdóttir, Sigurhanna
    et al.
    Lárusdóttir, Marta
    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.
    Responsibilities and challenges of product owners at Spotify: An exploratory case study2016In: Human-Centered and Error-Resilient Systems Development, Springer, 2016, p. 3-16Conference paper (Refereed)
  • 98. Krusche, Stephan
    et al.
    Scharlau, Bruce
    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, Computing Education Research.
    Hughes, Janet
    50 years of software engineering: Challenges, results, and opportunities in its education2018In: Proc. 23rd Conference on Innovation and Technology in Computer Science Education, New York: ACM Press, 2018, p. 362-363Conference paper (Refereed)
  • 99. Kujala, Sari
    et al.
    Simola, Saija
    Wang, Bo
    Soone, Hedvig
    Hagström, Josefin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Healthcare Sciences and e-Health. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Bärkås, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Hörhammer, Iiris
    Cajander, Åsa
    Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden.
    Johansen Fagerlund, Asbjørn
    Kane, Bridget
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Karlstad University Business School, Karlstad, Sweden.
    Kharko, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group. Medtech Science & Innovation Centre, Uppsala University Hospital, Uppsala, Sweden; Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
    Kristiansen, Eli
    Moll, Jonas
    Rexphepi, Hanife
    Hägglund, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Participatory eHealth and Health Data Research Group.
    Johansen, Monika A.
    Benchmarking usability of patient portals in Estonia, Finland, Norway, and Sweden2024In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 181, article id 105302Article in journal (Refereed)
    Abstract [en]

    Introduction

    Poor usability is a barrier to widespread adoption of electronic health records (EHR). Providing good usability is especially challenging in the health care context, as there is a wide variety of patient users. Usability benchmarking is an approach for improving usability by evaluating and comparing the strength and weaknesses of systems. The main purpose of this study is to benchmark usability of patient portals across countries.

    Methods

    A mixed-methods survey approach was applied to benchmark the national patient portals offering patient access to EHR in Estonia, Finland, Norway, and Sweden. These Nordic countries have similar public healthcare systems, and they are pioneers in offering patients access to EHR for several years. In a survey of 29,334 patients, both patients’ quantitative ratings of usability and their qualitative descriptions of very positive and very negative peak experiences of portal use were collected.

    Results

    The usability scores ranged from good to fair level of usability. The narratives of very positive and very negative experiences included the benefits of the patient portals and experienced usability issues. The regression analysis of results showed that very positive and negative experiences of patient portal use explain 19–35% of the variation of usability scores in the four countries. The percentage of patients who reported very positive or very negative experiences in each country was unrelated to the usability scores across countries.

    Conclusions

    The survey approach could be used to evaluate usability with a wide variety of users and it supported learning from comparison across the countries. The combination of quantitative and qualitative data provided an approximation of the level of the perceived usability, and identified usability issues to be improved and useful features that patients appreciate. Further work is needed to improve the comparability of the varied samples across countries.

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  • 100.
    Landgren, Sara
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Informatics and Media.
    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.
    Non-use of Digital Health Consultations Among Swedish Elderly Living in the Countryside2021In: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, article id 588583Article in journal (Refereed)
    Abstract [en]

    Digital health consultations in primary care have the advantage of offering equal healthcare for people residing in the countryside. While it is gaining acceptance among young- and middle-aged people, the elderly are reluctant to use it. The aim of this study was hence to identify reasons for non-use among elderly in the countryside and describe perceived possible challenges and opportunities with digital health consultations. Semi-structured interviews were conducted with 13 persons over 65 years old residing in the Swedish countryside. There was a mistrust for services offered by private companies and their public funding, a lack of knowledge of available services, and a lack of perceived usefulness. Personal interaction and continuity was more important than time or travel conveniences, although these advantages were recognized. To prevent digital exclusion, caregivers need to offer information, encouragement, or tools for the elderly. Digital primary care also needs to offer familiarity, with continuity and personal connections.

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