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Barken, Tina Lien; Bonacina, Stefano; Bostad, Rune; Gabarron, Elia; Garcia, Beate Hennie & Haddeland, Kristine
[Show all 25 contributors for this article]
(2023).
University campus as a smart technology-supported active learning arena.
Septentrio Reports.
ISSN 2387-4597.
doi:
10.7557/7.7222.
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Barken, Tina Lien; Karlsen, Cecilie & Thygesen, Elin
(2023).
End conference project I2I.
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Barken, Tina Lien & Robstad, Anja Nastasja
(2023).
Fra sykepleier til akademiker.
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Barken, Tina Lien & Karlsen, Cecilie
(2023).
Implementering og tjenestevei KOMP i Arendal kommune.
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Barken, Tina Lien
(2022).
Kvalitativ metode .
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Barken, Tina Lien & Thygesen, Elin
(2022).
Geralds story.
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Karlsen, Cecilie & Barken, Tina Lien
(2022).
Fra ensomhet til sosial inklusjon.
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Barken, Tina Lien & Karlsen, Cecilie
(2022).
Workshop med fokus på evaluering av komp og videre arbeid/implementering i regi av I2I prosjektet.
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Karlsen, Cecilie & Barken, Tina Lien
(2022).
Film om Komp i Arendal kommune.
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Karlsen, Cecilie & Barken, Tina Lien
(2022).
Digital solutions for social challenges.
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Karlsen, Cecilie & Barken, Tina Lien
(2022).
Fra ensomhet til sosial inklusjon- samskaping med eldre i Arendal kommune.
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Barken, Tina Lien
(2021).
Hva er velferdsteknologi?
Show summary
Undervisningsvideo for Velferdsteknologiens ABC
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Barken, Tina Lien
(2021).
Veiledning på kvalitativ metode på bachelor og masternivå.
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Karlsen, Cecilie; Dugstad, Janne Herholdt; Barken, Tina Lien & Holmesland, Marianne
(2021).
Velferdsteknologiens ABC - Fra brukerbehov til ny løsning.
In Standal, Kristin; Karlsen, Cecilie & Dugstad, Janne H (Ed.),
Velferdsteknologiens ABC. B: Fra brukerbehov til ny løsning.
Nasjonalt velferdsteknologiprogram (KS Helsedirektoratet, Direktoratet for e-helse og Norsk helsenett).
ISSN 978-82-93100-94-2.
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Karlsen, Cecilie; Dugstad, Janne Herholdt; Eide, Tom & Barken, Tina Lien
(2021).
Velferdsteknologiens ABC - Etikk, lovverk, informasjonssikkerhet og personvern.
In Standal, Kristin; Karlsen, Cecilie & Dugstad, Janne H (Ed.),
Velferdsteknologiens ABC. C: Etikk, lovverk, informasjons- sikkerhet og personvern.
Nasjonalt velferdsteknologiprogram (KS Helsedirektoratet, Direktoratet for e-helse og Norsk helsenett).
ISSN 978-82-93100-95-9.
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Barken, Tina Lien
(2018).
The disclosing dialogue of telemedicine care - COPD patients and nurses experience of telemedicine care.
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Barken, Tina Lien
(2017).
Presentation PhD consortium SHI 2017.
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Barken, Tina Lien; Thygesen, Elin & Söderhamn, Ulrika
(2016).
Nursing practice with triage decision making for COPD patients of a telemedicine centre – An ethnographic approach.
International Journal of Integrated Care (IJIC).
ISSN 1568-4156.
16(5).
doi:
10.5334/ijic.2547.
Show summary
Introduction: The collaboration reform has increased the responsibility of Norwegian municipalities for health care services for patients with chronic diseases; whereas chronic obstructive pulmonary disease (COPD) represents a large group [1]. This change, associated to the reform, requires establishing new clinical pathways. Telemedicine (TM) has demonstrated potential in advanced nursing practice in terms of efficacy and quality of care [2]. Through TM, nurses can determine patient’s health status and follow-up supported by a decision aid software program. To date, there is little research investigating how nurses working in municipal health care services make clinical decisions based on a triage to assess COPD patient’s health status. This research presents an ethnographic study with three nurses working in a telemedicine center (TMC) in Southern Norway as part of a European project, namely United4Health. Patients used a tablet at home with video camera for video consultations and a pulse oximeter device for transference of clinical measurements (oxygen saturation and heart rate). The aim of the study was to investigate how nurses in a TMC using video consultations made decisions on COPD patient’s health status using triage as part of the decision making process. Methods: The data collection was made through participatory observations, field notes and focus group interview including three nurses working in a TMC from October 2015 to February 2016 in southern Norway. The collected data is currently being analysed using qualitative content analysis [3].
Results and discussion: Preliminary results showed that nurses working in the TMC found the triage useful as part of the decision making process that allowed identifying health problems and prioritising the patients need for help. However, the nurses often used workarounds and made decisions according to their own knowledge and experience when interpreting the software recommendation; in these cases, the triage model was seen just as guidance. In addition, this interpretation was not only based on the daily triage assigned to each patient, but also on the content of past triaging and earlier nurses’ documentation for each patient. This indicated that triaging a chronic patient is complex, time consuming and relies on the nurses’ previous knowledge concerning both patients’ medical history and life. Furthermore, video consultation was important for the nurses as a visualisation of the patient, and it was a significant additional component to the triage recommendation and nurses’ own decision.
Video consultation follow-up was often replaced by telephone calls because of frequent technical problems. This led to important visual information for the decision making process was not possible to be observed by nurses, which could have negatively influenced the decision outcome.
References: [1] Report No. 47. The Coordination Reform: Proper treatment – at the right place and right time 2008-2009: Oslo: Ministry of Health and Care Services. [2] Reed K. Telemedicine: Benefits to Advanced Practice Nursing and the Communities They Serve. Journal of the American academy of nurse practitioners 2005: 17(5) 176-180. [3] Graneheim UH and Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 2003: 24: 105112.
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Barken, Tina Lien; Thygesen, Elin & Söderhamn, Ulrika
(2016).
Nursing practice with triage decision making for COPD patients of a telemedicine centre – An ethnographic approach.
Show summary
Introduction: The collaboration reform has increased the responsibility of Norwegian municipalities for health care services for patients with chronic diseases; whereas chronic obstructive pulmonary disease (COPD) represents a large group [1]. This change, associated to the reform, requires establishing new clinical pathways. Telemedicine (TM) has demonstrated potential in advanced nursing practice in terms of efficacy and quality of care [2]. Through TM, nurses can determine patient’s health status and follow-up supported by a decision aid software program. To date, there is little research investigating how nurses working in municipal health care services make clinical decisions based on a triage to assess COPD patient’s health status. This research presents an ethnographic study with three nurses working in a telemedicine center (TMC) in Southern Norway as part of a European project, namely United4Health. Patients used a tablet at home with video camera for video consultations and a pulse oximeter device for transference of clinical measurements (oxygen saturation and heart rate). The aim of the study was to investigate how nurses in a TMC using video consultations made decisions on COPD patient’s health status using triage as part of the decision making process. Methods: The data collection was made through participatory observations, field notes and focus group interview including three nurses working in a TMC from October 2015 to February 2016 in southern Norway. The collected data is currently being analysed using qualitative content analysis [3].
Results and discussion: Preliminary results showed that nurses working in the TMC found the triage useful as part of the decision making process that allowed identifying health problems and prioritising the patients need for help. However, the nurses often used workarounds and made decisions according to their own knowledge and experience when interpreting the software recommendation; in these cases, the triage model was seen just as guidance. In addition, this interpretation was not only based on the daily triage assigned to each patient, but also on the content of past triaging and earlier nurses’ documentation for each patient. This indicated that triaging a chronic patient is complex, time consuming and relies on the nurses’ previous knowledge concerning both patients’ medical history and life. Furthermore, video consultation was important for the nurses as a visualisation of the patient, and it was a significant additional component to the triage recommendation and nurses’ own decision.
Video consultation follow-up was often replaced by telephone calls because of frequent technical problems. This led to important visual information for the decision making process was not possible to be observed by nurses, which could have negatively influenced the decision outcome.
References: [1] Report No. 47. The Coordination Reform: Proper treatment – at the right place and right time 2008-2009: Oslo: Ministry of Health and Care Services. [2] Reed K. Telemedicine: Benefits to Advanced Practice Nursing and the Communities They Serve. Journal of the American academy of nurse practitioners 2005: 17(5) 176-180. [3] Graneheim UH and Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 2003: 24: 105112.
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Barken, Tina Lien; Thygesen, Elin & Söderhamn, Ulrika
(2016).
Living with chronic obstructive pulmonary disease and being followed up through telemedicine – a phenomenological approach.
Show summary
Abstract. Chronic obstructive pulmonary disease (COPD) provides substantially reduced health related quality of life (HQoL). Telemonitoring on COPD patients appears to have a positive effect on improving HQoL. This study has a phenomenological approach, and ten informants, who were followed-up between 1 and 3 months in their own homes through telemonitoring of COPD symptoms, narrated their lived experiences of HQoL. The results show that the informants experienced safety and increased knowledge through the digital dialog (telemedicine) with expertise nurses, which indirectly improved their HQoL, and in term lead to increased mastery and control in managing their disease. Several studies show an increased HQoL, but the benefits are still limited and there is a need for further research.
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Barken, Tina Lien
(2016).
Deltakende observasjon på telemedisinsk sentral - mine erfaringer.
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Barken, Tina Lien
(2015).
Telemedisinsk oppfølging av pasienter med KOLS - relevans for helseforskning.
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Barken, Tina Lien
(2015).
Telemedisinsk oppfølging av pasienter med KOLS.
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Barken, Tina Lien; Söderhamn, Ulrika & Thygesen, Elin
(2019).
The humanistic perspective of telemedicine care - COPD patient' and nurses' expereiences of receiving/providing telemedicine care .
Universitetet i Agder.
ISSN 978-82-7117-942-7.
Full text in Research Archive