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Healthcare 2015, 3(1), 20-35; doi:10.3390/healthcare3010020

The Significance of Emotions and Professional Relations for Accommodating a Web-Based Ulcer Record and Improving Home-Based Care

1
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of Tromsø, P.O. Box 35, N-9038 Tromsø, Norway
2
Telemedicine and e-health Research Group, Faculty of Health Sciences, UiT The Arctic University of Tromsø, N-9038Tromsø, Norway 
Academic Editor: Zena Moore
Received: 8 August 2014 / Revised: 15 December 2014 / Accepted: 14 January 2015 / Published: 22 January 2015
(This article belongs to the Special Issue Wound Care)
View Full-Text   |   Download PDF [405 KB, uploaded 22 January 2015]

Abstract

Evidence 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. View Full-Text
Keywords: web-based ulcer record; emotional agency; professional relations; innovation; improvement of care web-based ulcer record; emotional agency; professional relations; innovation; improvement of care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Ekeland, A.G. The Significance of Emotions and Professional Relations for Accommodating a Web-Based Ulcer Record and Improving Home-Based Care. Healthcare 2015, 3, 20-35.

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