Change search
ReferencesLink to record
Permanent link

Direct link
Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation
KTH, School of Technology and Health (STH), Health Systems Engineering, Systems Safety and Management. (Systemsäkerhet i Vården)
2013 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 83, no 7, E23-E34 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite evidence of benefits, integration of patient-centered communication in clinical practice is challenging. Interactive tailored patient assessment (ITPA) tools can contribute to a more patient-centered care approach. However, little research has examined the impact of such tools on nursing care once they have been implemented.

OBJECTIVE: To explore nurses' experiences of the benefits of and barriers to using an ITPA called Choice, in cancer care one year after its implementation.

METHODS: This investigation is a part of a larger study examining the use of Choice in cancer care. Four focus group interviews were conducted with 20 nurses experienced in using the Choice application. The data were analyzed using qualitative content analysis.

RESULTS: Three themes and nine sub-themes emerged: (1) "Choice as facilitator for shared understanding and engagement in patients' own care," with three sub-themes: preparing both patient and nurse for communication, shared engagement in care planning, and giving the patients a voice; (2) "enhancing the patients' strengths," with two sub-themes: releasing patient's internal strengths and confirming "normalcy" for the patient; and (3) "new challenges for the nurse," with four sub-themes: organizational challenges, interactions with technology, a need for training in communication skills, and new ethical challenges.

CONCLUSIONS: Findings suggest that, from nurses' perspectives, integration of ITPAs such as Choice in clinical practice offers many benefits that can contribute to patient-centered care. However, to reap these benefits, use of such tools must receive equal priority as other routines, and require sufficient time, space and competence. Choice also challenged nurses' professional roles and created dilemmas such as nurses' ambivalence regarding patients' levels of disclosure of sensitive issues and the nurses' ability to respond to them. Although patient-centered care is advocated as model for good clinical practice, this is not always internalized. Tools such as Choice may help to make such a shift happen.

Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 83, no 7, E23-E34 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:kth:diva-136149DOI: 10.1016/j.ijmedinf.2013.10.010ISI: 000339735700003PubMedID: 24268722ScopusID: 2-s2.0-84902073223OAI: diva2:674329

QC 20140123

Available from: 2013-12-03 Created: 2013-12-03 Last updated: 2014-09-22Bibliographically approved

Open Access in DiVA

fulltext(713 kB)102 downloads
File information
File name FULLTEXT01.pdfFile size 713 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopusPublisher's website

Search in DiVA

By author/editor
Ekstedt, Mirjam
By organisation
Systems Safety and Management
In the same journal
International Journal of Medical Informatics
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 102 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 66 hits
ReferencesLink to record
Permanent link

Direct link