Show simple item record

dc.contributor.authorEkeland, Anne G.
dc.date.accessioned2016-03-07T14:24:39Z
dc.date.available2016-03-07T14:24:39Z
dc.date.issued2015-01-22
dc.description.abstractEvidence of technological performance, medical improvements and economic effectiveness is generally considered sufficient for judging advances in healthcare. In this paper, I aim to add knowledge about the ways human emotions and professional relations play roles in the processes of accommodating new technologies for quality improvements. A newly-implemented, web-based ulcer record service for patients with chronic skin ulcers constitutes the case. After one year, only a few home care nurses were using the service, interacting with a specialist team. The result was disappointing, but the few users were enthusiastic. An explorative, qualitative study was initiated to understand the users, the processes that accounted for use and how improvements were enacted. In the paper, I expose the emotional aspects of the record accommodation by analyzing the ways emotions were translated in the process and how they influenced the improvements. I contend that use came about through a heterogeneous assemblage of ethical engagement and compassionate emotions stemming from frustration, combined with technological affordances and relations between different professionals. Certain aspects of the improvements are exposed. These are discussed as: (1) reconciliations between the medical facts and rational judgments, on one side, and the emotional and subjective values for judging quality, on the other; and (2) mediation between standardized and personalized care. The healing of ulcers was combined with a sense of purpose and wellbeing to validate improvements. Emotions were strongly involved, and the power of evaluative emotions and professional relations should be further explored to add to the understanding of innovation processes and to validate quality improvements.en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.3390/healthcare3010020>http://doi.org/10.3390/healthcare3010020</a>.en_US
dc.identifier.citationHealthcare 2015, 3(1):20-35en_US
dc.identifier.cristinIDFRIDAID 1209181
dc.identifier.doi10.3390/healthcare3010020
dc.identifier.issn2227-9032
dc.identifier.urihttps://hdl.handle.net/10037/8733
dc.identifier.urnURN:NBN:no-uit_munin_8294
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.rights.accessRightsopenAccess
dc.subjectweb-based ulcer recorden_US
dc.subjectemotional agencyen_US
dc.subjectprofessional relationsen_US
dc.subjectinnovationen_US
dc.subjectimprovement of careen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.titleThe Significance of Emotions and Professional Relations for Accommodating a Web-Based Ulcer Record and Improving Home-Based Careen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record