@article{VoeckingKarrenbrockBeckmannetal.2024, author = {V{\"o}cking, Mara and Karrenbrock, Anne and Beckmann, Andreas and Vondeberg, Carmen and Obert, Laura and Hemming, Bernhard and Minartz, Peter and Bleck, Christian and C{\"u}rlis, Diana and Kuske, Silke}, title = {Emotional and Psychological Safety in Healthcare Digitalization: A Design Ethnographic Study}, series = {International Journal of Public Health}, volume = {69}, journal = {International Journal of Public Health}, publisher = {Frontiers}, issn = {1661-8564}, doi = {10.3389/ijph.2024.1607575}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:due62-opus-46556}, year = {2024}, abstract = {Emotional and psychological safety is important during the use of digital technologies in healthcare. We aimed to gain comprehensive insight into needs, influencing factors and outcomes in the context of perceived safety and digital technologies in healthcare. We employed a participatory, design ethnographic research approach with 16 participants in 10 use cases. The methods included in an iterative process were, think-aloud, guideline-based interviews, process mapping, storyboard creation, and photo documentation. A qualitative, primarily inductive data analysis and synthesis was performed. Perceived safety is influenced by various factors and unmet needs. Increased perceived safety can positively support the use of digital technologies, whereas low perceived safety can limit or even hinder its use. The needs of the different target groups should be considered throughout the entire process of digital technology development and healthcare provision to support their implementation. These findings support further research by providing specific aspects of emotional and psychological safety regarding target groups, settings, and ages and those with different levels of affinity for digital technologies.}, subject = {Digitalisierung}, language = {en} } @article{KuskeVondebergMinartzetal.2024, author = {Kuske, Silke and Vondeberg, Carmen and Minartz, Peter and V{\"o}cking, Mara and Obert, Laura and Hemming, Bernhard and Bleck, Christian and Znotka, Matti and Ose, Claudia and Heistermann, Peter and Schmitz-Kießler, Jutta and Karrenbrock, Anne and C{\"u}rlis, Diana}, title = {Emotional and psychological safety in the context of digital transformation in healthcare: a mixed-method strategic foresight study}, series = {BMJ Health \& Care Informatics}, volume = {31}, journal = {BMJ Health \& Care Informatics}, number = {1}, publisher = {BMJ}, issn = {2632-1009}, doi = {10.1136/bmjhci-2024-101048}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:due62-opus-46578}, year = {2024}, abstract = {Perceived safety has received attention in the digital transformation of healthcare. However, the impact of perceived safety on the future of digital transformation has not been fully elucidated. To investigate perceived safety in the context of the digital transformation of healthcare while considering relevant needs, influencing factors and impacts, including crisis events, to provide recommendations for action based on a participatory, multiperspective, strategic 5-year foresight viewpoint. A strategic foresight study is conducted via a participatory mixed-methods design to understand the present related factors that are likely to be relevant to future developments in the digital transformation of healthcare.ResultsWe observed that feeling safe plays a complex role in the digital transformation of healthcare. How perceived safety is considered has and will continue to impact the individual, organisational and system levels. Regarding a potential crisis event, controversial consequences have been observed. At its core, digital (health) literacy related to equity of access and human support is one of the crucial aspects in the context of perceived safety related to the successful implementation of digital technologies in healthcare. The scenarios showed that a continuation of the current situation over the next 5 years may result in partly desirable and partly undesirable outcomes. Concrete key factors should be used in practice to support both education and healthcare quality development and research. The essence of the scenarios should serve as a starting point for research agenda setting and political decision-making in the future. However, additional research is needed to quantify the correlations among the relevant factors.}, subject = {Digitalisierung}, language = {en} } @article{KuskeBorgmannWolfetal.2021, author = {Kuske, Silke and Borgmann, Sandra Olivia and Wolf, Florian and Bleck, Christian}, title = {Emotional Safety in the Context of Dementia: A Multiperspective Qualitative Study}, series = {Journal of Alzheimer's disease}, volume = {79}, journal = {Journal of Alzheimer's disease}, number = {1}, publisher = {IOS}, doi = {10.3233/jad-201110}, pages = {355 -- 375}, year = {2021}, language = {en} } @article{MinartzVondebergObertetal.2025, author = {Minartz, Peter and Vondeberg, Carmen and Obert, Laura and Bleck, Christian and Hemming, Bernhard and V{\"o}cking, Mara and Ose, Claudia and Znotka, Matti and C{\"u}rlis, Diana and Karrenbrock, Anne and Oehmichen, Frank and Heistermann, Peter and Kuske, Silke}, title = {Experiencing digital technologies: The importance of feeling safe in healthcare - A qualitative participatory design}, series = {Das Gesundheitswesen}, journal = {Das Gesundheitswesen}, publisher = {Thieme}, issn = {0941-3790}, doi = {10.1055/a-2560-1100}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:due62-opus-52945}, pages = {13}, year = {2025}, abstract = {Background Digital technologies are increasingly used in healthcare. In this context, perceived safety plays a critical role in their acceptance and implementation. Previous research had focused more on data security or specific digital technologies. There has also been a lack of participatory approaches to consider and empower healthcare recipients (and relatives), providers, and technology experts to broaden the phenomenon. Objective The aim of this study was to present a comprehensive perspective on the needs, influencing factors and related outcomes in the context of feeling safe with digital technologies in healthcare. Method A qualitative, exploratory, and participatory methodology was used with five guide-based focus group workshops. Each workshop explored one of five digital technology demonstrations provided at the beginning: (1) electronic health records (EHR), (2) robotics, (3) artificial intelligence (AI), (4) smart home, and (5) smart hospital. All participants were invited for a guide-based discussion. The study focused on the levels of 'involvement' and 'collaboration' by also empowering participation. The workshop target groups were actively involved in the development and execution of the workshops and were empowered. The data were analysed via a content analysis approach, with a mostly inductive procedure. Results Feeling safe was found to affect thoughts, emotions, and actions. For example, a higher level of perceived safety increased the acceptance of digital technologies, whereas a lower level of perceived safety decreased it. The corresponding needs and influencing factors differed in terms of their scope and focus depending on the context. The aspect of 'control' was most frequently addressed by all the target groups and was viewed as relevant in all the workshops. In general, digital technologies were viewed as supplements rather than substitutes for healthcare providers. Conclusion This study extends beyond the current state of research on perceived safety and the use of digital technologies in healthcare by providing a comprehensive overview of the corresponding needs and influencing factors at various levels, such as the individual, community-organizational, and system-society levels. The perceived safety of healthcare recipients and providers related to digital technologies should be taken into consideration to achieve positive implementation outcomes.}, subject = {Digitalisierung}, language = {en} }