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Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter

BACKGROUND: Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in ever...

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Autores principales: Dyb, Kari, Berntsen, Gro Rosvold, Kvam, Lisbeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968358/
https://www.ncbi.nlm.nih.gov/pubmed/33731078
http://dx.doi.org/10.1186/s12913-021-06262-1
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author Dyb, Kari
Berntsen, Gro Rosvold
Kvam, Lisbeth
author_facet Dyb, Kari
Berntsen, Gro Rosvold
Kvam, Lisbeth
author_sort Dyb, Kari
collection PubMed
description BACKGROUND: Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual healthcare providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for people with long-term care needs by using the new analytical framework nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) of health and care technologies. We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016–2020). It originates at one of ten work packages in this project. METHOD: The main data consist of ethnographic field observations at the four innovation arenas and 29 interviews with involved healthcare providers. To ensure continuous updates and status on work in the four innovation arenas, we have also participated in a total of six annual network meetings arranged by the project. RESULTS: While the NASSS framework is very useful for identifying and communicating challenges with the adoption and spread of technology-supported person-centred care initiatives, we found it less sensitive towards capturing the dedication, enthusiasm, and passion for care transformation that we found among the healthcare providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved healthcare providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. CONCLUSION: Increased knowledge about healthcare providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement, and evaluate technology-supported healthcare programmes.
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spelling pubmed-79683582021-03-19 Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter Dyb, Kari Berntsen, Gro Rosvold Kvam, Lisbeth BMC Health Serv Res Research Article BACKGROUND: Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual healthcare providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for people with long-term care needs by using the new analytical framework nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) of health and care technologies. We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016–2020). It originates at one of ten work packages in this project. METHOD: The main data consist of ethnographic field observations at the four innovation arenas and 29 interviews with involved healthcare providers. To ensure continuous updates and status on work in the four innovation arenas, we have also participated in a total of six annual network meetings arranged by the project. RESULTS: While the NASSS framework is very useful for identifying and communicating challenges with the adoption and spread of technology-supported person-centred care initiatives, we found it less sensitive towards capturing the dedication, enthusiasm, and passion for care transformation that we found among the healthcare providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved healthcare providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. CONCLUSION: Increased knowledge about healthcare providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. BioMed Central 2021-03-17 /pmc/articles/PMC7968358/ /pubmed/33731078 http://dx.doi.org/10.1186/s12913-021-06262-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Dyb, Kari
Berntsen, Gro Rosvold
Kvam, Lisbeth
Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title_full Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title_fullStr Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title_full_unstemmed Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title_short Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
title_sort adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968358/
https://www.ncbi.nlm.nih.gov/pubmed/33731078
http://dx.doi.org/10.1186/s12913-021-06262-1
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