scholarly journals Proposal for Pervasive Elderly Care: A Case Study with Next of Kin

2019 ◽  
Author(s):  
Hanna-Leena Huttunen ◽  
◽  
Raija Halonen ◽  
Simon Klakegg ◽  
◽  
...  
Keyword(s):  
Elderly Care ◽  
Next Of Kin

scholarly journals The Role of Narratives in Collaborative Innovation – Transitions towards Relational Forms of Dementia Care

2020 ◽  
Vol 8 (3) ◽  
pp. 28-47
Author(s):  
Maria Taivalsaari Røhnebæk
Keyword(s):  
Science And Technology Studies ◽  
Elderly Care ◽  
Innovation Process ◽  
Implementation Process ◽  
Organizational Studies ◽  
Narrative Approach ◽  
Narrative Approaches ◽  
Collaborative Innovation ◽  
Managerial Implications

This article advances the relevance of a narrative approach in studies of collaborative innovation. The narrative approach outlined is based in translation theory, developed within science and technology studies (STS) and organizational studies. The research is based in a case study of an innovation initiative in municipal elderly care in Norway. The case study follows the implementation processes of the initiative in three elderly care institutions. Various forms of resistance were encountered in the implementation process, and the analysis shows how narrative strategies worked as brokering mechanisms in negotiations of this resistance. The article explores how a collaborative innovation process evolves through interplays between strategic narratives and counter narratives and contributes by demonstrating how narratives may work as important brokering mechanisms in collaborative innovation processes. The article discusses finally how and why narrative approaches may contribute to research on collaborative innovation, and it outlines managerial implications.

Values of an Electronic Social Record

2011 ◽  
pp. 65-84
Author(s):  
Karin Hedström
Keyword(s):  
Elderly Care ◽  
Analytical Tool ◽  
Use Value ◽  
The Social ◽  
Before And After

This chapter analyses the effects of introducing ICT as a support for the social record in elderly care. The effects of the electronic social record are assessed by analysing the different values the electronic social record supports. These values are discussed in terms of “value areas” (values related to administration, integration, professional, and care), which is a categorization of anticipated and experienced effects of using ICT in elderly care. This is a case study where the analysis is a comparison of the social record before and after the introduction of ICT as a support for using the social record. Furthermore, the study also assesses how valuable it is to use “value areas” as an analytical tool when evaluating the effects of ICT.

scholarly journals An evaluation of a near real-time survey for improving patients’ experiences of the relational aspects of care: a mixed-methods evaluation

2018 ◽  
Vol 6 (15) ◽  
pp. 1-174 ◽  
Author(s):  
Chris Graham ◽  
Susanne Käsbauer ◽  
Robyn Cooper ◽  
Jenny King ◽  
Steve Sizmur ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Real Time ◽  
Patient Experience ◽  
Elderly Care ◽  
Patient Experiences ◽  
Research Network ◽  
Compassionate Care ◽  
Experience Survey ◽  
Study Sites

Background The Francis Report (of 2013) provided many recommendations to improve compassionate care in NHS organisations, including more widespread use of real-time feedback (RTF) to collect patient experience data. This research directly addressed these recommendations and aimed to provide an evidence-based toolkit to support NHS quality improvements. Objectives To develop and validate a survey of compassionate care for use in near real time on elderly care wards and accident and emergency (A&E) departments. This research also evaluated the effectiveness of the RTF approach for improving relational aspects of care and provides suggestions for how the approach can be used by other hospitals to strengthen compassionate care. Design The research utilised a mixed-methods design, using quantitative, qualitative and participatory research approaches to collect patients’ experiences of relational care and the views of NHS staff in an effort to evaluate the processes and impacts of near real-time feedback (NRTF) data collection. Data sources included a NRTF patient experience survey, weekly volunteer diaries, staff interviews and surveys, workshops and meetings with case study sites. Setting The research was carried out across six case study sites across England, in wards that predominantly serve elderly patients and in A&E departments. Participants The 3928 participants in the patient experience survey were inpatients on elderly care wards, or persons who had sought medical care in A&E. Frontline staff, service leads, senior management and volunteers also took part in surveys (n = 274) and interviews (n = 82) designed to understand the staff perspectives and opinions of collecting patient experience data. Interventions A patient experience survey was implemented using a tablet computer-based methodology, facilitated by trained volunteers. Responses were used alongside feedback from staff to evaluate the use of a NRTF approach as a method for improving patient experiences of relational aspects of care. Main outcome measures The patient experience survey measured relational aspects of care. Another outcome measure was improvements to care as planned, implemented and reported by staff. Results A small but statistically significant improvement (p = 0.044) in relational aspects of care over the course of the study was noted overall. Staff implemented a variety of improvements to enhance communication with patients. Limitations Maintaining volunteer and staff engagement throughout the study was difficult. Few surveys were completed per ward or department each week. This made examining trends in patient experiences over time challenging. Conclusions Near real-time feedback offers an effective approach for monitoring and improving relational aspects of care. Future work Staff frequently expressed a view that volunteers’ interactions with patients while administering the survey were themselves beneficial to patients. Future research should examine the impact of volunteer interactions with patients on their experiences of relational aspects of care. Study registration The project is registered on the Clinical Research Network portfolio under the primary trial identification number 18449. Funding The National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Evaluation of elderly care dynamics in an emergency care unit

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 161-168
Author(s):  
Leidyani Karina Rissardo ◽  
Luciane Prado Kantorski ◽  
Lígia Carreira
Keyword(s):  
Emergency Care ◽  
Emergency Services ◽  
Participant Observation ◽  
Elderly Care ◽  
The Elderly ◽  
Fourth Generation ◽  
Social Actors ◽  
Study Evaluation ◽  
Fourth Generation Evaluation

ABSTRACT Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.

scholarly journals Technology Implementation in Elderly Care: Subject Positioning in Times of Transformation

2019 ◽  
Vol 38 (5-6) ◽  
pp. 628-649
Author(s):  
Beata Segercrantz ◽  
Maria Forss
Keyword(s):  
Technology Implementation ◽  
Elderly Care ◽  
Care Work ◽  
Innovation Implementation ◽  
Daily Work ◽  
Specific Effects ◽  
Care Workers ◽  
Semistructured Interviews ◽  
Subject Positioning

Innovation is often celebrated as a solution to various challenges in care work. Thus, a growing number of care workers are likely to experience innovations in their daily work. This article examines how care workers and project workers in elderly care are affected by contemporary transformations by exploring: (1) how they construct meanings around innovation implementation and (2) are subject positioned in relation to these meanings. Drawing on discourse analysis, we conduct a case study and analyze semistructured interviews, observations, and organizational documents. We illustrate how innovation is constructed in terms of optimism, and also as a source for struggle, with specific effects on care workers’ subject positioning. The findings thus contribute to new insights into the contemporary dominating discourse of innovation and its implications at the level of practice and subjectivity.

Exploring Social Aspects Influence on Change in Network Relationships

2012 ◽  
Vol 2 (4) ◽  
pp. 14-33 ◽  
Author(s):  
Jesper Svensson ◽  
Carina Ihlström Eriksson
Keyword(s):  
Home Care ◽  
Development Project ◽  
Social Aspects ◽  
Innovation Networks ◽  
Next Of Kin ◽  
Digital Innovation ◽  
Knowledge Resources ◽  
Study Approach ◽  
Innovation Processes

Digital innovation processes are becoming more and more networked, and actors are growing dependent on each other’s competences, resources and knowledge. In networks developing digital innovation actors need to identify, mobilize, and integrate diverse and heterogeneous knowledge resources to be able to innovate successfully. Social aspects are important where heterogeneous actors connect, negotiate, and adjust to each other’s perspectives. The aim of this paper is to explain how social aspects such as trust, commitment and power, influence changes in relationships in digital innovation networks. A case study approach was selected to study events involving multiple actors in an innovation and development project aimed at introducing technology that aids elderly, home care personnel and next of kin by improving the management of home care visits. Based on the authors’ findings they present a model for how social aspects influence changes in relationships and conclude by making six propositions.

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