TY - JOUR A1 - Vöcking, Mara A1 - Karrenbrock, Anne A1 - Beckmann, Andreas A1 - Vondeberg, Carmen A1 - Obert, Laura A1 - Hemming, Bernhard A1 - Minartz, Peter A1 - Bleck, Christian A1 - Cürlis, Diana A1 - Kuske, Silke T1 - Emotional and Psychological Safety in Healthcare Digitalization: A Design Ethnographic Study JF - International Journal of Public Health N2 - 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. KW - Digitalisierung KW - Gesundheitswesen KW - Ethnologie KW - psychische Sicherheit KW - emotionale Sicherheit KW - FBSK_Webseite Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:due62-opus-46556 SN - 1661-8564 VL - 69 PB - Frontiers ER - TY - JOUR A1 - Kuske, Silke A1 - Vondeberg, Carmen A1 - Minartz, Peter A1 - Vöcking, Mara A1 - Obert, Laura A1 - Hemming, Bernhard A1 - Bleck, Christian A1 - Znotka, Matti A1 - Ose, Claudia A1 - Heistermann, Peter A1 - Schmitz-Kießler, Jutta A1 - Karrenbrock, Anne A1 - Cürlis, Diana T1 - Emotional and psychological safety in the context of digital transformation in healthcare: a mixed-method strategic foresight study JF - BMJ Health & Care Informatics N2 - 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. KW - Digitalisierung KW - Gesundheitswesen KW - Methodenmix KW - psychische Sicherheit KW - emotionale Sicherheit KW - FBSK_Webseite Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:due62-opus-46578 SN - 2632-1009 VL - 31 IS - 1 PB - BMJ ER - TY - JOUR A1 - Kuske, Silke A1 - Borgmann, Sandra Olivia A1 - Wolf, Florian A1 - Bleck, Christian T1 - Emotional Safety in the Context of Dementia: A Multiperspective Qualitative Study JF - Journal of Alzheimer's disease KW - Alertness KW - attention KW - caffeine KW - cognition KW - learning KW - memory KW - mood, performance KW - peer KW - FBSK_Webseite Y1 - 2021 UR - http://www.ncbi.nlm.nih.gov/pubmed/33285639 U6 - https://doi.org/10.3233/jad-201110 VL - 79 IS - 1 SP - 355 EP - 375 PB - IOS ER - TY - JOUR A1 - Minartz, Peter A1 - Vondeberg, Carmen A1 - Obert, Laura A1 - Bleck, Christian A1 - Hemming, Bernhard A1 - Vöcking, Mara A1 - Ose, Claudia A1 - Znotka, Matti A1 - Cürlis, Diana A1 - Karrenbrock, Anne A1 - Oehmichen, Frank A1 - Heistermann, Peter A1 - Kuske, Silke T1 - Experiencing digital technologies: The importance of feeling safe in healthcare – A qualitative participatory design JF - Das Gesundheitswesen N2 - 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. N2 - Hintergrund Digitale Technologien werden im Gesundheitswesen immer häufiger eingesetzt. Hierbei spielt die wahrgenommene Sicherheit eine entscheidende Rolle für deren Implementierung. Bisherige Forschung konzentrierte sich eher auf die Datensicherheit oder auf spezifische digitale Technologien. Es fehlte ein partizipativer Ansatz, der es Leistungsempfangenden (deren Angehörigen), Leistungserbringenden und Technologieexpert:innen ermöglichte, die Sicht auf das Phänomen zu erweitern. Ziel Ziel war es daher erfahrungsbasiert Bedürfnisse, Einflussfaktoren und damit verbundenen Outcomes im Kontext des Sicherheitsgefühls digitaler Technologien im Gesundheitswesen zu erforschen. Methode Es wurde ein qualitatives, exploratives und partizipatives Design, basierend auf fünf leitfadengestützten Fokus-Gruppenworkshops durchgeführt. Eine von fünf digitalen Technologien ((1) elektronische Gesundheitsakten (EHR), (2) Robotik, (3) künstliche Intelligenz (AI), (4) Smart Home und (5) Smart Hospital), wurde zu Beginn oder während des Workshops vorgestellt und/oder konnte ausprobiert werden. Alle Teilnehmenden wurden zu einer leitfadengestützten Diskussion eingeladen. Die Partizipation wurde auf den Ebenen der „Beteiligung“ und „Zusammenarbeit“ gefördert, indem aktiv in die Entwicklung und Durchführung der Workshops einbezogen sowie zur Teilnahme befähigt wurde. Die Daten wurden mit Hilfe induktiver Inhaltsanalyse ausgewertet. Ergebnisse Das Gefühl der Sicherheit beeinflusst Gedanken, Gefühle und Handlungen. Beispielsweise kann ein höheres Maß an gefühlter Sicherheit die Akzeptanz digitaler Technologien erhöhen, während ein niedrigeres Maß diese verringern kann. Entsprechende Bedürfnisse und Einflussfaktoren unterschieden sich je nach Kontext in ihrem Umfang und Schwerpunkt. Der Aspekt der „Kontrolle“ wurde von allen Zielgruppen am häufigsten angesprochen und in allen Workshops als relevant angesehen. Digitale Technologien wurden eher als Ergänzung, denn als ein Ersatz für Leistungserbringende betrachtet. Schlussfolgerung Diese Studie geht über den aktuellen Stand der Forschung im Kontext wahrgenommener Sicherheit und digitaler Technologien im Gesundheitswesen hinaus, indem sie einen umfassenden Überblick über die Bedürfnisse und Einflussfaktoren von der individuellen bis hin zur System-/Gesellschaftsebene gibt. Die gefühlte Sicherheit sollte grundsätzlich berücksichtigt werden, um die Implementierung digitaler Technologien zu fördern. KW - Digitalisierung KW - FBSK_Webseite KW - Gesundheitswesen KW - Robotik KW - Künstliche Intelligenz KW - Subjektive Sicherheit Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:due62-opus-52945 SN - 0941-3790 PB - Thieme ER -