Browsing by Author "Martikainen, Susanna"

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    End-user participation in health information systems (HIS) development: Physicians' and nurses’ experiences
    (Elsevier Ireland Ltd, 2020-05) Martikainen, Susanna; Kaipio, Johanna; Lääveri, Tinja; Department of Computer Science; Professorship Viitanen Johanna; Computer Science - Human-Computer Interaction and Design (HCID); University of Eastern Finland; University of Helsinki
    Background: End-user participation is essential to the development of health information systems (HIS) that are useful for clinicians and support their routine work. However, few studies have investigated end users’ experiences with HIS development and their preferred ways of participation in it. Objectives: This study examined the participation experiences of physicians and nurses with HIS development. Methods: National cross-sectional surveys on end users’ experiences with HIS development were conducted in Finland among physicians in 2010, 2014, and 2017 and nurses in 2017. For the purposes of this study, we selected and analyzed the statements concerning participation and end users’ experiences on HIS development and their preferred ways of participation in it. Results: A total of 3013 physicians and 2685 nurses working in public hospitals and health centers were included in this study. In total, 48.4 % of physicians and 45.4 % of nurses reported that they had participated in HIS development; however, 85.1 % of respondents regarded that software vendors are not interested in end users’ viewpoints and development ideas. Most respondents (53.4 %) preferred to participate by communicating with a person responsible for HIS development within the organization. Few participants reported that the proposed improvements took place in the desired manner (10.0 %) or quickly enough (6.9 %). Younger clinicians were more willing to participate in HIS development than older clinicians. During the follow-up period (2010, 2014, 2017), the physicians’ experiences did not improve. Conclusions: While physicians and nurses are willing to participate in HIS development, suitable methods to effectively include them and their feedback seem to be lacking or underutilized. Crucially, physicians and nurses, who make up the largest groups of end users, are not able to influence HIS development in their preferred ways. Healthcare organizations must recognize the importance of clinician participation; these clinicians should have the opportunity to continue clinical work.
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    Lääkärit ja hoitajat parempien tietojärjestelmien kehittämistyössä: kyvykkäät ja innokkaat käyttäjät alihyödynnettyinä
    (2018-05) Martikainen, Susanna; Kotila, Jaana; Kaipio, Johanna; Lääveri, Tinja; Tietotekniikan laitos; Professorship Nieminen M.; Tieto Oyj; Hospital District of Helsinki and Uusimaa; Oy Apotti Ab
    Loppukäyttäjien osallistuminen potilastietojärjestelmien kehittämiseen on keskeistä, jotta järjestelmiä voidaan kehittää heidän tarpeitaan vastaaviksi ja työtehtäviin sopiviksi. Sairaanhoitajien ja lääkärien osallistumista käyttämiensä tietojärjestelmien kehittämistyöhön selvitettiin valtakunnallisten kyselytutkimusten avulla. Sairaanhoitajien aineisto kerättiin keväällä 2017. Lääkärien kyselytutkimus toteutettiin samoin keväällä 2017 ja lisäksi vuosina 2014 ja 2010, tosin vuonna 2017 lääkäreiltä ei kysytty kehittämiseen osallistumisen tavoista. Kyselyyn vastanneista sairaanhoitajista 46 % ja lääkäreistä 49 % kertoi osallistuneensa tietojärjestelmien kehittämistyöhön. Sairaanhoitajista 21 % oli valmiita osallistumaan kehittämisryhmiin ja vain 20 % ei ollut lainkaan kiin-nostuneita osallistumaan; vuoden 2014 kyselyssä lääkäreillä vastaavat osuudet olivat 18 % ja 16 %. Ohjelmistotoimittajien ei koettu olevan kiinnostuneita loppukäyttäjien näkemyksistä eikä kehittämisehdotuksia toteutettu toivotulla tavalla eikä ripeydellä. Verrattuna vuosiin 2010 ja 2014 lääkärien arviot eivät olleet muuttuneet positiivisemmiksi. Loppukäyttäjistä suuri osa olisi halukkaita osallistumaan kehittämistyöhön jollakin tavalla, mutta ohjelmistokehitys ei ole toistaiseksi löytänyt parhaita tapoja heidän osallistumisensa mahdollistamiseen. On ilmeistä, että loppukäyt-täjät eivät koe pystyvänsä vaikuttamaan ohjelmistokehitykseen toivotulla tavalla. Osallistamisen on myös oltava mahdollista osana jokapäiväistä työtä. Terveydenhuollon organisaatioiden on tunnistettava kehittämistyöhön osallistumisen merkitys ja mahdollistettava esimerkiksi tietojärjestelmälääkärien ja -hoitajien urapolut. Tärkeää on, että tietojärjestelmiä kehittävien lääkäreiden ja sairaanhoitajien kliininen työ jatkuu tietojärjestelmien kehittämisen rinnalla, jotta näkemys työhön, missä järjestelmiä käytetään, säilyy.
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    Social welfare professionals willing to participate in client information system development–Results from a large cross-sectional survey
    (Informa Healthcare, 2021) Martikainen, Susanna; Salovaara, Samuel; Ylönen, Katri; Tynkkynen, Elina; Viitanen, Johanna; Tyllinen, Mari; Lääveri, Tinja; Department of Computer Science; Computer Science Professors; Computer Science - Human-Computer Interaction and Design (HCID); Computer Science - Software and Service Engineering (SSE); Professorship Viitanen Johanna
    Human-centered design methods should be implemented throughout the client information system (CIS) development process to understand social welfare professionals’ needs, tasks, and contexts of use. The aim of this study was to examine Finnish social welfare professionals’ experiences of participating in CIS development. A national cross-sectional web-based survey on the CIS experiences of social welfare professionals (1145 respondents) was conducted in Finland in spring 2019. This study focused on statements concerning the experiences of end users with CIS development and participation. The results are reported by professional and age groups. Half (50%) of the 1145 respondents had participated in CIS development. Half (56%) knew to whom and how to send feedback to software developers, but most (87%) indicated that changes and corrections were not made according to suggestions and quickly enough. The most preferred methods of participation were telling a person in charge of information systems development about usage problems (53%) and showing developers on site how professionals work (34%); 19% were not interested in participating. Social welfare professionals are willing to participate in CIS development, but vendors and social welfare provider organizations are underutilizing this resource. Social welfare informaticists are needed to interpret the needs of end users to software developers.
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    Sosiaalialan ammattilaiset halukkaita osallistumaan asiakastietojärjestelmien kehittämiseen – osallistumistavoissa kehitettävää
    (Finnish Social and Health Informatics Association, 2020-10-13) Martikainen, Susanna; Salovaara, Susi; Ylönen, Katri; Tynkkynen, Elina; Kaipio, Johanna; Tyllinen, Mari; Lääveri, Tinja; Tietotekniikan laitos; Professorship Viitanen Johanna; Computer Science - Human-Computer Interaction and Design (HCID); University of Eastern Finland; University of Lapland; University of Jyväskylä; University of Helsinki
    Information systems development should be based on a strong understanding of users and their needs, tasks and context of use. Moreover, the systems should be evaluated with users during the development process and after deployment. Although nationally a lot of resources are used on the development of IT systems, research into the topic is scarce from the perspective of social care. Social care professionals’ experiences on the development of client information systems in Finland were collected as part of a nationwide survey on their user experiences in spring 2019. The questions focused on experiences of collaboration with the IT system vendor, participation in the development and the ways of participation. The results were analysed by each client information system brand. Half of the respondents had not participated in the development, however only 19% were not willing to participate at all. The most preferred ways of participation were reporting problems to a person responsible for system development and presenting their own work to software developers. On the other hand, the most used way of IT system vendors, collecting feedback on webforms or via email, were not preferred by users. Most respondents knew how to report problems and development suggestions. Social care professionals are interested in participating in development work; however, they are not satisfied with the possibilities and ways of participating in the development of the used IT system. There is a lack of appropriate practices for collaboration between system vendors and users. Our results were similar to studies conducted on physicians and nurses. It is possible that client organisations are not utilizing the enthusiasm for development among users. Developers should get exposure to the work in the field and organisations should hire professionals responsible for development of IT systems to act as interpreters between system vendors and users. For IT systems to support collaboration between health and social care successfully, it is required that also the perspective of social care professionals is considered.