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Middle managers' experiences and role in implementing an interactive tailored patient assessment eHealth intervention in clinical practice
KTH, School of Technology and Health (STH), Health Systems Engineering, Systems Safety and Management. Oslo University Hospital, Norway.
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2015 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 33, no 6, 249-257 p.Article in journal (Refereed) PublishedText
Abstract [en]

The role of nurse and physician managers is considered crucial for implementing eHealth interventions inclinical practice, but fewstudieshaveexplored this. The aim of the current study was to examine the perceptions of nurse and physicianmanagers regarding facilitators, barriers, management role, responsibility, and action taken in the implementation of an eHealth intervention called Choice into clinical practice. Individual qualitative interviews were conducted with six nurses and three physicians in management positions at five hospital units. The findings revealed that nurse managers reported conscientiously supporting the implementation, but workloads prevented them from participating in the process as closely as they wanted. Physicianmanagers reported less contribution. The implementation process was influenced by facilitating factors such as perceptions of benefits from Choice and use of implementation strategies, along with barriers such as physician resistance, contextual factors and difficulties for front-line providers in learning a new way of communicating with the patients. The findings suggest that role descriptions for both nurse and physician managers should include implementation knowledge and implementation skills. Managers could benefit from an implementation toolkit. Implementation management should be included in management education for healthcare managers to prepare them for the constant need for implementation and improvement in clinical practice.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2015. Vol. 33, no 6, 249-257 p.
Keyword [en]
eHealth, Implementation, Management, Patient-provider communication, Sustainability
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:kth:diva-181250DOI: 10.1097/CIN.0000000000000158ISI: 000369628000003ScopusID: 2-s2.0-84942591418OAI: oai:DiVA.org:kth-181250DiVA: diva2:903587
Note

QC 20160216. QC 20160303

Available from: 2016-02-16 Created: 2016-01-29 Last updated: 2016-03-03Bibliographically approved

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Ekstedt, Mirjam
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