Elisabeth Åreholti Holen-Rabbersvik

• Lyng, Hilda Bø; Ree, Eline; Strømme, Torunn; Johannessen, Terese; Aase, Ingunn & Ullebust, Berit [Show all 11 contributors for this article] (2024). Barriers and enablers for externally and internally driven implementation processes in healthcare: a qualitative cross-case study. BMC Health Services Research. 24(1). doi: 10.1186/s12913-024-10985-2. Full text in Research Archive Show summary

  Background Quality in healthcare is a subject in need of continuous attention. Quality improvement (QI) programmes with the purpose of increasing service quality are therefore of priority for healthcare leaders and governments. This study explores the implementation process of two different QI programmes, one externally driven implementation and one internally driven, in Norwegian nursing homes and home care services. The aim for the study was to identify enablers and barriers for externally and internally driven implementation processes in nursing homes and homecare services, and furthermore to explore if identified enablers and barriers are different or similar across the different implementation processes. Methods This study is based on an exploratory qualitative methodology. The empirical data was collected through the ‘Improving Quality and Safety in Primary Care – Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) project. The SAFE-LEAD project is a multiple case study of two different QI programmes in primary care in Norway. A large externally driven implementation process was supplemented with a tracer project involving an internally driven implementation process to identify differences and similarities. The empirical data was inductively analysed in accordance with grounded theory. Results Enablers for both external and internal implementation processes were found to be technology and tools, dedication, and ownership. Other more implementation process specific enablers entailed continuous learning, simulation training, knowledge sharing, perceived relevance, dedication, ownership, technology and tools, a systematic approach and coordination. Only workload was identified as coincident barriers across both externally and internally implementation processes. Implementation process specific barriers included turnover, coping with given responsibilities, staff variety, challenges in coordination, technology and tools, standardizations not aligned with work, extensive documentation, lack of knowledge sharing. Conclusion This study provides understanding that some enablers and barriers are present in both externally and internally driven implementation processes, while other are more implementation process specific. Dedication, engagement, technology and tools are coinciding enablers which can be drawn upon in different implementation processes, while workload acted as the main barrier in both externally and internally driven implementation processes. This means that some enablers and barriers can be expected in implementation of QI programmes in nursing homes and home care services, while others require contextual understanding of their setting and work.

• Aase, Ingunn; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Ullebust, Berit & Holen-Rabbersvik, Elisabeth [Show all 10 contributors for this article] (2021). Talking about quality: how ‘quality’ is conceptualized in nursing homes and homecare. BMC Health Services Research. 21. doi: 10.1186/s12913-021-06104-0. Full text in Research Archive Show summary

  Background The delivery of high-quality service in nursing homes and homecare requires collaboration and shared understanding among managers, employees, users and policy makers from across the healthcare system. However, conceptualizing healthcare professionals’ perception of quality beyond hospital settings (e.g., its perspectives, defining attributes, quality dimensions, contextual factors, dilemmas) has rarely been done. This study therefore explores the meaning of “quality” among healthcare managers and staff in nursing homes and homecare. Methods The study applies a cross-sectional qualitative design with focus groups and individual interviews, to capture both depth and breadth of conceptualization of quality from healthcare professionals in nursing homes and homecare. We draw our data from 65 managers and staff in nursing homes and homecare services in Norway and the Netherlands. The participants worked as managers (n = 40), registered nurses (RNs) or assistant nurses (n = 25). Results The analysis identified the two categories and four sub-categories: “Professional issues: more than firefighting” (subcategories “professional pride” and “competence”) and “patient-centered approach: more than covering basic needs” (subcategories “dignity” and “continuity”). Quality in nursing homes and homecare is conceptualized as an ongoing process based on having the “right competence,” good cooperation across professional groups, and patient-centered care, in line with professional pride and dignity for the patients. Conclusion Based on the understanding of quality among the healthcare professionals in our study, quality should encompass the softer dimensions of professional pride and competence, as well as a patient-centered approach to care. These dimensions should be factors in improvement activities and in daily practice.

• Aase, Ingunn; Ree, Eline; Johannessen, Terese; Holen-Rabbersvik, Elisabeth; Thomsen, Line Hurup & Strømme, Torunn [Show all 11 contributors for this article] (2021). Strategies and lessons learnt from user involvement in researching quality and safety in nursing homes and homecare. International Journal of Health Governance. ISSN 2059-4631. 26(4), p. 384–396. doi: 10.1108/IJHG-05-2021-0044. Full text in Research Archive Show summary

  Purpose The purpose is to share strategies, rationales and lessons learnt from user involvement in a quality and safety improvement research project from the practice field in nursing homes and homecare services. Design/methodology/approach This is a viewpoint paper summarizing how researchers and co-researchers from the practice field of nursing homes and homecare services (nurse counsellors from different municipalities, patient ombudsman and next-of-kin representatives/and elderly care organization representant) experienced user involvement through all phases of the research project. The project included implementation of a leadership intervention. Findings Multiple strategies of user involvement were applied during the project including partnership in the consortium, employment of user representatives (co-researchers) and user-led research activities. The rationale was to ensure sound context adaptation of the intervention and development of tailor-made activities and tools based on equality and mutual trust in the collaboration. Both university-based researchers and Co-researchers experienced it as useful and necessary to involve or being involved in all phases of the research project, including the designing, planning, intervention implementation, evaluation and dissemination of results. Originality/value User involvement in research is a growing field. There is limited focus on this aspect in quality and safety interventions in nursing homes and homecare settings and in projects focussing on the leadership' role in improving quality and safety.

• Holen-Rabbersvik, Elisabeth; Ullebust, Berit; Ree, Eline; Schibevaag, Lene; Thomsen, Line Hurup & Strømme, Torunn [Show all 10 contributors for this article] (2020). How to deal with context? Evaluation of the SAFE-LEAD Context Tool for quality and safety in nursing home and homecare services. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 6(2), p. 87–102. doi: 10.18261/issn.2387-5984-2020-02-07. Full text in Research Archive Show summary

  Background: The SAFE-LEAD Context Tool was developed for identifying contextual factors to help guide the implementation of healthcare quality and safety interventions. The SAFE-LEAD Context Tool has been tested during a 6 to 12-month intervention study in nursing homes and homecare services. The objective of this paper is to evaluate the SAFE-LEAD Context Tool, and to further develop the tool based on evaluation results. Methods: Mapped context data from an intervention study in nursing homes and homecare services in Norway were collected and analysed using an initial two-step qualitative content analysis. A semi-structured focus group was conducted with researchers focusing on their overall experience with using the SAFE-LEAD Context Tool, followed by a workshop where the research group reached consensus on how to revise the tool. Results: Major changes were made to the introductory and final sections of the tool to allow process documentation based on predefined categories. Minor revisions were also made, relating mainly to the consolidation and clarification of terms to better reflect our intended meaning. Conclusion: The revised SAFE-LEAD Context 2.0 is a theoretically based, and empirically tested tool adapted for context mapping in quality and safety research interventions in nursing home and homecare services.

• Wiig, Siri; Aase, Karina; Johannessen, Terese; Holen-Rabbersvik, Elisabeth; Hurup-Thomsen, Line & Bovenkamp, Hester van de [Show all 8 contributors for this article] (2019). How to deal with context? A context-mapping tool for quality and safety in nursing homes and homecare (SAFE-LEAD Context). BMC Research Notes. 12, p. 1–8. doi: 10.1186/s13104-019-4291-3. Full text in Research Archive Show summary

  Objective The objective of this paper is to develop a context-mapping tool (SAFE-LEAD Context) adapted to the nursing home and homecare setting. These two contexts represent a substantial variability, but studies focusing on the types and roles of contextual factors in quality and safety in these care settings are lacking. Results We conducted a step-wise collaborative design process consisting of mapping of key contextual factors as perceived by managers in Norwegian nursing homes and homecare, then created a draft tool discussed in a consortium workshop with co-researchers, and ran an international cross-country comparison. The SAFE-LEAD Context tool is inspired by the Consolidated Framework for Implementation Research (CFIR). The tool incorporates factors describing the outer setting of nursing homes and homecare at the national and local levels, in addition to factors describing the inner setting. The tool is flexible yet more detailed than current frameworks and capable of grading and describing the included contextual factors over time in the nursing home and homecare settings. A systematic approach using the SAFE-LEAD Context tool will support and improve the understanding and evaluation of quality and safety improvement interventions.

• Holen-Rabbersvik, Elisabeth; Haugland, Silje; Omland, Hans Olav; Fredwall, Terje Emil & Hansen, Lise Amy (2019). Fra behovskartlegging til innovasjon for personer med utviklingshemming – noen metodiske og etiske refleksjoner. Tidsskrift for omsorgsforskning. ISSN 2387-5976. 5(3), p. 57–70. doi: 10.18261/issn.2387-5984-2019-03-06. Full text in Research Archive Show summary

  Offentlig sektor erfarer i økende grad et behov for innovasjon og teknologiutvikling av sine tjenester. Et viktig premiss er at nye løsninger skal løse reelle og fremtidsrettede behov, og som en følge av dette har oppmerksomheten rundt brukerinvolvering økt de senere årene. Det er mangel på kunnskap om hvordan brukeropplevelser kan bidra, og mange innovasjonsprosjekter har mislyktes på grunn av manglende forståelse for behovene til dem som skal dra nytte av nye løsninger. Det manglende kunnskapsgrunnlaget utfordres særlig når man skal innovere i komplekse kontekster der mange aktører er involvert, og når sluttbruker har en kognitiv funksjonsnedsettelse. Disse utfordringene er fremtredende i innovasjonsprosjektet «InnArbeid», hvor hensikten er å innovere overgangen fra skole til arbeidsliv for personer med utviklingshemming. I denne artikkelen vil erfaringene fra InnArbeid benyttes som case for å belyse metodiske og etiske aspekter ved behovskartlegging for innovasjon. Sentrale erfaringer er at et tverrfaglig perspektiv og tett samarbeid med offentlig sektor er viktig i denne prosessen. Videre er en fleksibel og pragmatisk tilnærming til datainnsamling avgjørende for å innhente relevant kunnskap.

• Holen-Rabbersvik, Elisabeth; Thygesen, Elin; Eikebrokk, Tom Roar; Fensli, Rune Werner & Slettebø, Åshild (2018). Barriers to exchanging healthcare information in inter-municipal healthcare services: a qualitative case study. BMC Medical Informatics and Decision Making. 18(92), p. 1–14. doi: 10.1186/s12911-018-0701-z. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth; Eikebrokk, Tom Roar; Fensli, Rune Werner; Thygesen, Elin & Slettebø, Åshild (2018). Critical issues for employees in inter- municipal health care services: a multiple case study. BMC Health Services Research. 18(805), p. 1–13. doi: 10.1186/s12913-018-3586-8. Full text in Research Archive
• Wiig, Siri; Ree, Eline; Johannessen, Terese; Strømme, Torunn; Storm, Marianne & Aase, Ingunn [Show all 13 contributors for this article] (2018). Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention. BMJ Open. 8:e020933(3), p. 1–8. doi: 10.1136/bmjopen-2017-020933. Full text in Research Archive Show summary

  Introduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. Methods and analysis The aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers’ and staffs’ knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention. Ethics and dissemination The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care.

• Smaradottir, Berglind; Martinez, Santiago; Thygesen, Elin; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner (2017). Innovative Simulation of Health Care Services in the Usability Laboratory: Experiences from the Model for Telecare Alarm Services-project. In Martinez, Santiago; Budrionis, Andrius; Bygholm, Ann; Fossum, Mariann; Hartvigsen, Gunnar; Hägglund, Maria; Moe, Carl Erik; Thygesen, Elin; Vimarlund, Vivian & Yigzaw, Kassaye Yitbarek (Ed.), Proceedings from The 15th Scandinavian Conference on Health Informatics 2017 Kristiansand, Norway, August 29–30, 2017. Linköping University Electronic Press. ISSN 9789176853641. p. 60–65. Full text in Research Archive Show summary

  In Norway, a recent health reform urged municipalities to prepare for telecare alarm services to handle alarms associated to welfare technology and telecare technology in citizens’ homes. That requires a re-organisation of health and social services in many municipalities and several are preparing to establish new telecare alarm services operated in inter-municipal response centres. In this context, the research project “Model for Telecare Alarm Services” aims to study how existing telecare alarm services in Norwegian municipalities are organised and operated, and identify critical factors when designing new models for future services. This paper presents how an innovative simulation of health care services was used in the research project, when key informants from several municipalities, research partners and industry tested different models of telecare alarm services in a usability laboratory. The lessons learned by the research group showed that laboratory simulation was an efficient way of testing different scenarios of new telecare service models, together with key informants from heterogenous end-user groups.

• Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner (2016). Usability Evaluation of a Collaborative Health Information System. Lessons from a User-centred Design Process. In Gilbert, James (Eds.), BIOSTEC 2016: 9th International Joint Conference on Biomedical Engineering Systems and Technologies, February 21-23, 2016, in Rome, Italy. SciTePress. ISSN 9789897581700. p. 306–313. doi: 10.5220/0005703603060313. Full text in Research Archive
• Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth; Thygesen, Elin; Fensli, Rune Werner & Martinez, Santiago (2015). User-Centred Design of the User Interface of a Collaborative Information System for Inter-Municipal Dementia Team. In NN, NN (Eds.), Proceedings of the International Conference on Health Informatics (HEALTHINF-2015). SciTePress. ISSN 9789897580680. p. 446–453. doi: 10.5220/0005222704460453. Full text in Research Archive Show summary

  In the Norwegian Health sector there are currently undergoing changes at local, regional and national level triggered by recent health reforms. Municipalities are facing for first time the duty of implementing new primary health services. Inter-municipal coordination (IMC) health care teams have been created to operate across borders to share costs, extend geographical range of operation and optimise resources. This study focuses on the development and evaluation of the user interface (UI) functional prototype of a collaborative information system for IMC dementia team in Norway. Employing a user-centred design approach, the interface prototype was built based on the information gathered on two workshops where the end-users described their current clinical workflow of dementia assessment and how the UI would best fit into their daily work. The outcome of the workshops creatively informed the design of a working prototype that was qualitatively usability tested. Results showed that the UI effectively and efficiently supported the work of the IMC dementia team, with a sufficient level of satisfaction among the end-users. The resulting prototype established the foundation for the system implemented in the FP7 EU project United4Health.

• Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth & Fensli, Rune Werner (2015). eHealth-extended Care Coordination: Development of a Collaborative System for Inter-municipal Dementia Teams- A research project with a user-centered design approach. In Arabnia, Hamid R.; Deligiannidis, Leonidas & Tran, Qouc-Nam (Ed.), 2015 International Conference on Computational Science and Computational Intelligence. IEEE (Institute of Electrical and Electronics Engineers). ISSN 9781467397957. p. 749–753. doi: 10.1109/CSCI.2015.79. Full text in Research Archive Show summary

  In Norway, a health reform was recently adopted to improve continuity of care. Services that were carried out in hospitals were transferred to municipalities. Small and medium size municipalities have established inter-municipal cooperation to provide specialized services across borders. The research project eHealth-extended Care Coordination studied the inter-municipal cooperation for assessment of dementia, identifying a need for improved communication and coordination. This paper presents the development process of a collaborative information system for dementia assessment using a user-centered design approach. Mixed methods, such as observations, semi-structured interviews and questionnaire, were used for data collection. The results showed that end-user involvement usefully informed the development. The information system effectively supported collaborative work and shared access to information for the inter-municipal team.

• Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth; Thygesen, Elin; Fensli, Rune Werner & Martinez, Santiago (2014). Usability Evaluation of Electronic forms and Collaborative Asssessment Report in an Intermunicipality Health Care team for Dementia Diagnose. In Moe, Carl Erik & Fossum, Mariann (Ed.), Scandinavian Conference on Health Informatics; August 22; 2014; Grimstad; Norway. Linköping University Electronic Press. ISSN 9789175192413. p. 45–51. Full text in Research Archive Show summary

  Despite that paper-based medical procedures have historically been the most common way of registering and exchanging patient data, it does not avoid the potential risks of unauthenticated access, unregistered data loss, legibility and difficulty to share the data with third parties. The Coordination Reform 2009 (Samhandlingsreformen) has demanded from municipalities to implement health services for citizens based on electronic messaging that eases the access to and sharing of patient data. In the context of the Research project “Collaboration without borders” (Samhandling uten grenser), in this study electronic forms and collaborative assessment report by videoconference have been usability tested in order to evaluate the potential application of these electronic tools in an inter-municipality workflow of dementia assessment. The results showed that electronic forms helped to reduce the paper load of the process, allowing repeated access to the forms for retrospective amendments and reviews. The videoconference with document sharing was reported to be a very effective and satisfactory tool to cooperatively work on the final report of the assessment between the members of the dementia team.

• Holen-Rabbersvik, Elisabeth; Eikebrokk, Tom Roar; Fensli, Rune Werner; Thygesen, Elin & Slettebø, Åshild (2013). Important challenges for coordination and inter-municipal cooperation in health care services: a Delphi study. BMC Health Services Research. 13(451). doi: 10.1186/1472-6963-13-451. Full text in Research Archive Show summary

  Background Demographical changes have stimulated a coordination reform in the Norwegian health care sector, creating new working practices and extending coordination within and between primary and hospital care, increasing the need for inter-municipal cooperation (IMC). This study aimed to identify challenges to coordination and IMC in the Norwegian health care sector as a basis for further theorizing and managerial advice in this growing area of research and practice. Methods A Delphi study of consensus development was used. Experts in coordination and IMC in health care services were selected by the healthcare manager or the councillor in their respective municipalities. In the first round, an expert panel received open-ended questions addressing possible challenges, and their answers were categorized and consolidated as the basis for further validation in the second round. The expert panel members were then asked to point out important statements in the third round, before the most important statements ranked by a majority of the members were rated again in the fourth round, including the option to explain the ratings. The same procedure was used in round five, with the exception that the expert panel members could view the consolidated results of their previous rankings as the basis for a new and final rating. The statements reaching consensus in round five were abstracted and themed. Results Nineteen experts consented to participate. Nine experts (47%) completed all of the five rounds. Eight statements concerning coordination reached consensus, resulting in four themes covering these challenges: different culture, uneven balance of power, lack of the possibility to communicate electronically, and demanding tasks in relation to resources. Three statements regarding challenges to IMC reached consensus, resulting in following themes: coopetition, complex leadership, and resistance to change. Conclusions This study identified several important challenges for coordination and it supports previous research. IMC in health care services deals with challenges other than coordination, and these must be addressed specifically. Our study contributes to extended knowledge of theoretical and practical implications in the field of coordination and IMC in health care sector.

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• Holen-Rabbersvik, Elisabeth; Haugland, Silje; Wass, Sofie Sara Terese; Fredwall, Terje Emil & Omland, Hans Olav (2019). InnArbeid- User needs and user insights as a base for innovation of technology supported services for includingpersons with disabilities in working life - Work package 2. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth; Omland, Hans Olav; Haugland, Silje; Wass, Sofie Sara Terese & Fredwall, Terje Emil (2019). InnArbeid - Behovsdrevet innovasjon for inkludering av personer med utviklingshemning i arbeidslivet ved bruk av teknologi -status fra arbeidspakke 2. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2019). InnArbeid - Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth; Prinz, Andreas; Gerdes, Martin; Martinez, Santiago; Thygesen, Elin & Fensli, Rune Werner [Show all 7 contributors for this article] (2018). Teaching High School Students eHealth through Role-play and Laboratory Simulation. Medicinsk Informatika. ISSN 1330-1799. 14, p. 35–36. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2018). InnArbeid - Behovsdrevet innovasjon for personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2018). FoUI i Songdalen kommune. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth & Wiig, Siri (2018). SAFE-LEAD Pasientsikkerhet i kommunale helse- og omsorgstjenester. Full text in Research Archive
• Smaradottir, Berglind; Martinez, Santiago; Thygesen, Elin; Vatnøy, Torunn Kitty; Holen-Rabbersvik, Elisabeth & Fensli, Rune Werner (2018). Innovative Simulation of Telecare Alarm Services in Usability Laboratory Environment, Scientific Workshop. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2018). InnArbeid. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth & Wiig, Siri (2018). SAFE-LEAD - Ledelse av kvalitet og sikkerhet i kommunale helse- og omsorgstjenester. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth; Prinz, Andreas; Gerdes, Martin; Martinez, Santiago; Thygesen, Elin & Fensli, Rune Werner [Show all 7 contributors for this article] (2018). Teaching High School Students eHealth through Roleplay and Laboratory Simulation. Full text in Research Archive Show summary

  The transformation and digitalisation of health and care services foresees a need for recruitment of young individuals having a combination of health- and computer science knowledge to contribute in the workforces of the future. At the University of Agder in Norway there has been an eHealth Centre since year 2010 [1], where both already implemented and proposed eHealth services can be simulated and tested. In the project High School Students as Co-researchers in eHealth, experienced researchers allowed high school students to be enrolled in a project course to actively play and test an eHealth scenario. This paper aims at sharing the experiences on how the pilot of a class consisting of 10 high school students at the age of 17-19 years, were taught eHealth through role-play and simulation in the eHealth Centre. The research question stated was: How to introduce high school students to eHealth research and services in a life-long learning perspective?

• Holen-Rabbersvik, Elisabeth (2018). Grimstad: E-helse – til glede og besvær? Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2018). InnArbeid - Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth & Holen-Rabbersvik, Elisabeth (2018). InnArbeid - Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth & Skaalerud, Brede (2018). InnArbeid Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2018). InnArbeid - Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2017). InnArbeid, behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2017). Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi (InnArbeid). Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2017). Pasientsikkerhet i kommunale helse og omsorgstjenester -erfaringer med deltakelse i forskningsprosjektet SAFE-LEAD. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2017). Interkommunal samkamp i norsk helsetjeneste. Ledelse. ISSN 0333-3310. p. 28–30. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2017). InnArbeid, Behovsdrevet innovasjon for inkludering av personer med utviklingshemming i arbeidslivet ved bruk av teknologi. Full text in Research Archive
• Smaradottir, Berglind; Martinez, Santiago; Thygesen, Elin; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner (2017). Innovative Simulation of Health Care Services in the Usability Laboratory: Experiences from the Model for Telecare Alarm Services-project. Full text in Research Archive
• Thygesen, Elin; Moe, Carl Erik; Holen-Rabbersvik, Elisabeth & Hansen, Lise Amy (2017). Needs-driven innovation for inclusion of people with intellectual disabilities in working life using technology (InnArbeid). Full text in Research Archive
• Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth; Vatnøy, Torunn Kitty & Fensli, Rune Werner (2016). Usability Evaluation of a Collaborative Health Information System- Lessons from a User-centred Design Process. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2015). Kunnskapskanalen: Forsker Grand Prix - 2014 Sør. [TV]. NRK2. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2015). Kunnskapskanalen: Forsker grand prix - Nasjonal finale. [TV]. NRK2. Full text in Research Archive
• Smaradottir, Berglind; Martinez, Santiago; Holen-Rabbersvik, Elisabeth & Fensli, Rune Werner (2015). eHealth-extended Care Coordination: Development of a Collaborative System for Inter-municipal Dementia Teams- A research project with a user-centered design approac. Full text in Research Archive
• Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth; Thygesen, Elin; Fensli, Rune Werner & Martinez, Santiago (2015). User-Centred Design of the User Interface of a Collaborative Information System for Inter-Municipal Dementia Team. Full text in Research Archive Show summary

  In the Norwegian Health sector there are currently undergoing changes at local, regional and national level triggered by recent health reforms. Municipalities are facing for first time the duty of implementing new primary health services. Inter-municipal coordination (IMC) health care teams have been created to operate across borders to share costs, extend geographical range of operation and optimise resources. This study focuses on the development and evaluation of the user interface (UI) functional prototype of a collaborative information system for IMC dementia team in Norway. Employing a user-centred design approach, the interface prototype was built based on the information gathered on two workshops where the end-users described their current clinical workflow of dementia assessment and how the UI would best fit into their daily work. The outcome of the workshops creatively informed the design of a working prototype that was qualitatively usability tested. Results showed that the UI effectively and efficiently supported the work of the IMC dementia team, with a sufficient level of satisfaction among the end-users. The resulting prototype established the foundation for the system implemented in the FP7 EU project United4Health.

• Holen-Rabbersvik, Elisabeth (2014). Sørlandssendinga 24.09.2014 http://radio.nrk.no/serie/distriktsprogram-soerlandet/DKSL01019114/24-09-2014. [Radio]. Sørlandssendinga. Full text in Research Archive
• Fensli, Rune Werner; Gerdes, Martin; Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth & Thygesen, Elin (2014). Samhandling på tvers med fokus på sikker implementering, avklaring av databehandlingsansvar og varige driftsløsninger. Full text in Research Archive
• Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth; Thygesen, Elin; Fensli, Rune Werner & Martinez, Santiago (2014). Usability Evaluation of Electronic forms and Collaborative Asssessment Report in an Inter-municipality Health Care team for Dementia Diagnose. Full text in Research Archive Show summary

  Despite that paper-based medical procedures have historically been the most common way of registering and exchanging patient data, it does not avoid the potential risks of unauthenticated access, unregistered data loss, legibility and difficulty to share the data with third parties. The Coordination Reform 2009 (Samhandlingsreformen) has demanded from municipalities to implement health services for citizens based on electronic messaging that eases the access to and sharing of patient data. In the context of the Research project “Collaboration without borders” (Samhandling uten grenser), in this study electronic forms and collaborative assessment report by videoconference have been usability tested in order to evaluate the potential application of these electronic tools in an inter-municipality workflow of dementia assessment. The results showed that electronic forms helped to reduce the paper load of the process, allowing repeated access to the forms for retrospective amendments and reviews. The videoconference with document sharing was reported to be a very effective and satisfactory tool to cooperatively work on the final report of the assessment between the members of the dementia team.

• Holen-Rabbersvik, Elisabeth (2014). Samhandling uten grenser. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2014). Til finalen med interkommunalt samarbeid. [Journal]. Teft. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2014). Samhandling uten grenser. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2014). Hva er forskning? Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2014). Omsorg og teknologi i fremtidens helsetjenester. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2013). Inter Municipal Cooperation in Norwegian Healthcare System. Full text in Research Archive
• Gerdes, Martin; Smaradottir, Berglind; Holen-Rabbersvik, Elisabeth & Trinugroho, Dafferianto (2013). Demonstration of telehealth and telecare applications in the UiA eHealth center, with focus on technology and usability testing of remote diagnosis solutions. Full text in Research Archive
• Thygesen, Elin; Rabbersvik, Elisabeth Holen & Fensli, Rune Werner (2012). Samhandling på tvers - erfaring fra interkommunale team. Kartlegging av behov for samhandling og deling av informasjon i den kommunale helsetjenesten. Full text in Research Archive
• Thygesen, Elin & Rabbersvik, Elisabeth Holen (2012). Inter-municipal cooperation – documentation and coordination. Full text in Research Archive
• Fensli, Rune Werner & Rabbersvik, Elisabeth Holen (2012). eHelse og kommunikasjon, Fastlegenes rolle og samhandling. Full text in Research Archive
• Holen-Rabbersvik, Elisabeth (2019). Inter-municipal cooperation in health care services: coping with the wickedness? : Doctoral Dissertation for the degree of Philosophiae Doctor (PhD). Universitetet i Agder. ISSN 9788271179441. Full text in Research Archive
• Thygesen, Elin & Rabbersvik, Elisabeth Holen (2012). Kartlegging av behov for samhandling og deling av informasjon i den kommunale helsetjenesten. Senter for eHelse og omsorgsteknologi. Full text in Research Archive Show summary

  Prosjektet ”eHelse – samhandling uten grenser” er et fireårig prosjekt ledet av Senter for eHelse og omsorgsteknologi, Universitetet i Agder, hvor målet er å vurdere nye muligheter for å samhandle og utvikle teknologiske løsninger som tilrettelegger for elektronisk deling av informasjon mellom de kommunale omsorgstjenestene. Denne rapporten er basert på en av arbeidspakkene i prosjektet hvor hensikten har vært å kartlegge dagens dokumentasjons- og samhandlingsrutiner samt å identifisere behov for endringer. I kartleggingen har det vært et spesielt fokus på interkommunale tjenester. Det har vært foretatt observasjoner og intervjuer med tilsammen ca. 20 ansatte i tre kommuner.

• Thygesen, Elin & Rabbersvik, Elisabeth Holen (2012). Evaluering av brukerbehov ved elektronisk samhandling i interkommunale fagteam. Senter for eHelse og omsorgsteknologi. Full text in Research Archive Show summary

  Denne rapporten er en delrapport i prosjektet «eHelse-samhandling uten grenser», og omfatter en analyse av empirisk materiale beskrevet i del rapport 2-1 Kartlegging av dagens arbeidsrutiner i interkommunale fagteam. På grunnlag av denne kartleggingen er det utarbeidet prosessdiagram som angir arbeidsflyt og informasjonsflyt. Rapporten peker på flaskehalser og angir flere forbedringspunkter blant annet gjennom å utvikle nye IKT-løsninger for samhandling i interkommunale team. Med dette utgangspunkt er det foreslått endringer i arbeidsprosessene for å gi klarere ansvarsdeling og forenkling i informasjonsflyten. Det er gitt anbefalinger til aktuelle tiltak, både på kort og lang sikt.

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