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Bogen handler om teknologianvendelse i sygepleje. De studerende vil blive præsenteret for forskellige former for teknologi. Der vil være gennemgang af forskellige teoretiske og filosofiske perspektiver på teknologi, samt modeller og begreber. Teorierne og modellerne vil blive brugt til at analysere og vurdere teknologi i konkrete praksisnære cases for hermed at give de studerende reelle værktøjer til at analysere og vurdere teknologi i sundhedspraksis med.

BACKGROUND: The work of specialized palliative care (SPC) teams is often challenged by substantial amounts of time spent driving to and from patients' homes and long distances between the patients and the hospitals. OBJECTIVE: Video consultations may be a solution for real-time SPC at home. The aim of this study was to explore the use of video consultations, experienced by patients and their relatives, as part of SPC at home. METHODS: This explorative and qualitative study included palliative care patients in different stages and relatives to use video consultations as a part of their SPC between October 2016 and March 2017. Data collection took place in the patients' homes and consisted of participant observations followed by semistructured interviews. Inclusion criteria consisted of patients with the need for SPC, aged more than 18 years, who agreed to participate, and relatives wanting to participate in the video consultations. Data were analyzed with Giorgi's descriptive phenomenological methodology. RESULTS: A number of patients (n=11) and relatives (n=3) were included and, in total, 86 video consultations were conducted. Patients participating varied in time from 1 month to 6 months, and the number of video consultations per patient varied from 3 to 18. The use of video consultations led to a situation where patients, despite life-threatening illnesses and technical difficulties, took an active role. In addition, relatives were able to join on equal terms, which increased active involvement. The patients had different opinions on when to initiate the use of video consultations in SPC; it was experienced as optional at the initiating stage as well as the final stage of illness. If the video consultations included multiple participants from the SPC team, the use of video consultations could be difficult to complete without interruptions. CONCLUSIONS: Video consultations in SPC for home-based patients are feasible and facilitate a strengthened involvement and communication between patients, relatives, and SPC team members.

Education at the University of Southern Denmark is based on principles of activating teaching and active learning, which we have tried to comply in the course "Health Technology" designed as an innovative process, founded on different learning activities. The aim was to investigate how learning activities have supported the students’ learning. A triangulated approach combining data from a focus group and questionnaire was used. Data from the questionnaires were analysed using descriptive statistics. The qualitative data were analysed with inspiration from meanings condensation. The analysis showed that active participation stimulated learning, as it created a learning environment that leads to in-depth learning. Tree main themes was described “Creativity stimulates learning, Sense of coherence - when theory and practice are linked "and" Academia - the desire to learn at an academic level". However, participation in the innovative process can be an obstacle for learning, as the focus on creating can affect the possibility for dialogue as room for reflection.

Social media, particularly Facebook (FB), is a new way for patients to find peer patients. By investigating communications within a patient generated FB group over a one year period we looked for evidence of the existence of Patient 3.0 . The indicators for these kinds of activities were where patients gained a higher level of reflection through sharing and combining knowledge, and were able to use the knowledge gained for taking responsibility and action towards their own health situation .The aim of the research described in this paper was to investigate the communication between patients in a Facebook group looking for signs of patient 3.0 in the context of health 3.0 (Gagnon, 2012). Qualitative content analysis was conducted on transcripts of postings on the Facebook group site from the period January 2010 to January 2011. These were categorized into themes based on the intentions indicated in patient updates and comments on the group site. Additionally, a focus group interview consisting of 10 participants was conducted, transcribed and analyzed. Patients in the FB group made the most of each other's previous experiences by sharing their knowledge. This sharing empowered patients to address issues they had with both their health care professionals and the health system in general. The material indicates that this group of patients exhibit signs of being what has been described as “Patient 3.0” (Ibid). Their experiences also showcase collisions with the health care system and their expectations of it. Patients did not feel that they were being dealt with from a holistic point of view, and that the FB group was able to compensate for their unmet needs.Being an 'expert', will in the future, mean a lot more than knowing about the disease and treating symptoms. It will require a different approach containing the ability to work with health issues from a holistic point of view. Therefore the roles between patients and the health care providers will change. How these changes will come forward we do not know, but this paper foreshadows what might be expected.

Sundhedsvæsenet er præget af kort kontakt mellem bruger og sundhedsprofessionelle. Der er kortere tid til direkte sygepleje. Det bliver derfor en udfordring at skabe trygge og velinformerede patienter.Brugerne af nutidens sundhedsvæsen søger viden om deres patientforløb, og ønsker ofte at være aktive medspillere i deres forløb. Det er således vigtigt at udvikle metoder, der kan understøtte og forbedre kommunikationen med patienterne. I en højt specialiseret afdeling for gynækologi og obstetrik forskes der i indførelse af velfærdsteknologi. Et projekt har til formål, at øge informationen til gravide kvinder om undersøgelserne for Downs syndrom, så et informeret valg kan træffes. Her anvendes en web-løsning med informationer om undersøgelserne for Downs syndrom. Der anvendes tekst, video og grafik for at synliggøre budskabet. Et andet projekt retter sig mod at sikre tryghed hos kvinder, der skal udskrives ambulant efter fødsel. I dette projekt er der udviklet en app, som indeholder en vidensbase med informationsmateriale samt en online chat, hvor familierne kan kommunikere med sundhedspersonale. Et tredje projekt har haft fokus på information til kræftpatienter i en ventetid til operation. I projektet er der udviklet en hjemmeside der benytter både visuel og auditiv kommunikation.Et foreløbigt resultat viser, at teknologi er en integreret del af mange patienters hverdagsliv, hvorfor velfærdsteknologi byder på muligheder som mange kan profitere af. I workshoppen tager vi udgangspunkt i en kort præsentation af de tre projekter. Etik handler forenklet sagt, om hvad vi bør gøre som enkeltindivid og samfund. Dette bliver udgangspunktet for en diskussion om, hvordan vi kan anvende de muligheder, der er for kommunikation med patienterne via nutidens teknologi. Herigennem vil vi diskutere både, hvorvidt det kan forsvares at erstatte dele af den direkte patientkontakt med kontakt via teknologi og om det kan forsvares ikke at indføre velfærdsteknologiske løsninger.