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dc.contributor.authorGjestsen, Martha Therese
dc.contributor.authorWiig, Siri
dc.contributor.authorTestad, Ingelin
dc.identifier.citationGjestsen, M.T., Wiig, S., Testad, I. (2017) What are the key contextual factors when preparing for successful implementation of assistive living technology in primary elderly care? A case study from Norway. BMJ Open, 7(9), pp.nb_NO
dc.description.abstractObjective To identify contextual factors at different organisational levels to guide the implementation of an assistive living technology intervention in Norwegian primary home care. Design A single embedded case study design was carried out in an urban municipality in Western Norway to get an overview of key contextual factors from the municipality’s perspective. Data collection and analysis The data collection was based on a triangulation of methods involving document analysis, semi-structured individual interviews and focus group interviews to get a broad insight when preparing for an intervention. Data were collected on three levels of the healthcare system: (1) national policy documents and regulations (macro), (2) five individual interviews with senior managers and municipal strategy documents (meso) and (3) two focus group interviews with nurses and nurse managers in direct patient care (micro). The Model for Understanding Success in Quality framework was used as a guide in the data analysis. Results The main contextual factors identified were external motivators and project sponsorship (macro level); leadership, workforce focus and maturity (meso level);and motivation to change and maturity (micro level). Strategies developed in policy documents affected upper management in the municipality, but healthcare personnel at the micro level were not so familiar with strategies and emphasis on assistive living technologies. Healthcare personnel in our study were motivated to use technological solutions, but lack of data infrastructure and resource availability hindered this. Conclusions Aligning interests across multiple stakeholders remain a challenge when planning for an assistive living technology intervention in primary care. In the studied municipality, integration of technological solutions into healthcare services was more a vision than a reality because of a low level of organisational readiness.nb_NO
dc.publisherBMJ Publishingnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectelderly patientsnb_NO
dc.subjecteldre pasienternb_NO
dc.titleWhat are the key contextual factors when preparing for successful implementation of assistive living technology in primary elderly care? A case study from Norwaynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.subject.nsiVDP::Medisinske Fag: 700nb_NO
dc.source.journalBMJ Opennb_NO
dc.relation.projectUniversitetet i Stavanger: 7291nb_NO
cristin.unitnameDet helsevitenskapelige fakultet

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