Tværfaglig informationsdesign med en Empowerment strategi

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Philip Steensen
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1 Tværfaglig informationsdesign med en Empowerment strategi Anders Barlach, Research Fellow, RN, MI, Computer Science Corporation (CSC) Axel Engberg, EHR Consultant, RN, MI, Aarhus University Hospital Bodil Pallesen, Ward Manager, RN, MI, Aarhus University Hospital Denmark

2 Overskrifter Klinisk kontekst for information design Teoretisk baggrund for empowerment strategi Metode til webudvikling og implementering af empowerment Model for sundhedsinformation i et Empowerment perspektiv

3 Klinisk baggrund Komplekse knæskader behandles i dagkirurgisk regi siden 2002 Information blev redesignet på en cd-rom i 2002 Information blev redesignet i et website i 2005

4 Paradigmet: (2002) Sundheds professionelle udvikler e-information til patienten Paradoks: (2003) Informationerne var ikke relevante for de behov patienterne oplevede i deres hverdagsliv (efter skiftet til dagkirurgi)

5 Pablo Ruiz Picasso Portrait de Nush Eluard. Musée Picasso, Paris. OPP.37:05; Z.VIII:377; PP.37:199; MPP:

6 Eysenbach, 2001 Scandihealth

7 Scandihealth National Healthcare ITstrategy Design Multimedia info New results Implementation knowledge Pilot project Intervention project knowledge Re-design Dialog & Info with patient/ citizen Intervention-project IT and Empowerment Pilotproject IT and Coping 2004 Next generation of Web-site/ Webportal Patient/ Citizen info Patient info 2003 Results regarding Empower ment Empowerment strategi New Athletic Clinic web-site CD-ROM Evaluation of Consequences Project process National Healthcare ITstrategy Socio-political process The experience of the term empowerment by the individual Development Socio-political process Empowerment in a healthinformatic perspective 2005 More refined Dialog & Info Reception-analysis of Empowerment implementation Research project Future research project 2009

8 Empowerment strategien - teoretisk baggrund

9 Theoretical background Fokus Teori Empowerment og mestring Paulo Freire (1972) Julien Rappaport (1981) Nyt perspektiv på sundhed Salutogenese Aron Antonowsky (1987) Organisatoriske påvirkninger Organisational Postmodernism Mary Jo Hatch (1997) Sprog og kommunikationsinteractioner Indikatorer og interactioner i relation til personlige og kulturelle præferencer International Markeds Kommunikation Frandsen et al (1997) Theoretical and empiric Receptionanalysis Enrico Coira (1997) Lennart Højbjerg (1994)

10 Theoretical background Focus Theory Web design Web modenhed Web Engeneering Theory of Catalyst 4 D Cyclic development by Spiral model design Murugesan et al. (2000) Barry Boehm (1988, 2000) Computer Science Corporated CSC (2000)

11 EMPOWERMENT a social process of recognizing, promoting, and enhancing peoples abilities to meet their own needs, solve their own problems and mobilize the necessary resources in order to feel in control of their lives Gibson, 1991

12 e-information tilbyder en række muligheder for reception Den personlige oplevelse Faktisk spor af reception Spor af Empowerment Denotation (kerne betydning) Connatation (med betydning)

13 Development project, applying research Research-project Development-project Info-flow Theory Prototype #1 Prototype #2 Model- Description Questionaire Focus-group interview Workshop 1 Workshop 2 Reception analysis Pilot-project Clinical Reference group Clinical Reference group Clinical Reference group Clinical Reference group Recipient User Patient Theoretical level Methode level Clinical level (Research techniques & tools)

14 Organisatorisk WEB modenhed, et vilkår Characteristics of Web Development Infancy Stages of Web Development Early childhood Growing up Adulthood Focus Presentation Presentation Structure & Presentation Structure & Presentation Size Small Medium Medium large Medium large Lifetime Short Limited Long (web-time) Long (web-time) Process One-Off (Ad-hoc) Evolutionary Evolutionary Evolutionary Developers Enthusiasts & amateurs IT experts & enthusiasts Web professionals Web professionals User Analysis None None Some Greater emphasis Scaleability None None Recognised Planned Maintainability Minimal Some Improved Planned Murugesan et al, 2000

15 Risikohåndtering og sikring af fremdrift i design- og implementationsprocessen Spiral model, risiko drevet process model Hovedtræk: en cyclisk tilgang der skal reducere opgaveusikkerheden omkring systemets samtidig med at den reducerer risici. for hver iteration skabes milepæle som sikrer/fastholder interessenter engagement. Barry W Boehm, 2000

16 Sygeplejetemaer med Empowerment strategi Workshops Sætter fokus på plejenskerne Fletter 2 specialeområder (Opvågning/intensiv og Ortopæd) Knæskade/Behandlingsforløb Målgruppen Skade Forundersøgelse Indlæggelse T-0 Kontrol 1 T+2 Diagnose Udskrivelse T-0 Kontrol 2 T+14 Informations flow

17 Prototyping Different features Prototyping som et redskab til at illustrere de repsektive fund under workshops Fokus sker på ikke-tekniske områder som følge af evalueringen af den Organisatoriske modenhed Proof of concept krævede en Vertikal prototype Scenario Vertical prototype Full system Jacob Nielsen, 1994 Horizontal prototype Functionality

18 www - Test prototype Scandihealth

20 Proof of concept Eksponere brugerne i deres hverdagskontekst Usability E-spørgeskema Anvendt receptionsanalyse Genererer feedback iform af spor af Empowerment Kompileres til en model på baggrund af: IMK kommunikationsmodel Spiralmodel Empowerment strategien

21 Model for sundhedsinformation i et Empowerment perspektiv Empowerment strategi spørgeskema Focusgruppe interview Workshops Test prototype Prototypes KONTEKST Empowerment strategi Intentioner Sammenhæng Forventning Professionelle Information Budskab / Medie Empowerment Bruger/ Patient Interview & spørgeskema Feedback Reception analyse

22 Perspektiver Nye teknologier som giver mulighed for u-forudsete muligheder for kommunikation og interaktion Det fortsatte arbejde med at forbedre services fra sundhedsudbyderne

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