Implementering av digitala vårdlösningar har en stor betydelse för samhället men anses också vara en stor utmaning för vårdpersonalen. Syftet med studien är att undersöka eventuella användarbarhetsproblem och teknikstress som kan upplevas bland vårdpersonalen i Arvika och Eda kommun då SecureMailbox ersätter deras nuvarande meddelandetjänst faxen. Ytterligare ett syfte är att samla in rekommendationer utifrån vårdpersonalens upplevelse av systemet. Uppsatsens undersökningsfrågor är således Hur lätt upplever användarna att det var att börja använda systemet?, Vilka är användbarhetsproblemen som finns i SecureMailbox? samt När vårdpersonalen använder gränssnittet, när och var uppstår eventuell teknikstress? Uppsatsens teoretiska referensram är baserad på tidigare studier och litteratur vilka behandlar informations- och kommunikationsteknik i samband med e-hälsa, användbarhet i relation till digitala lösningar inom vården och teknikstress kopplat till detta. Det empiriska materialet har framställts genom användbarhetstester. Även andra metoder, såsom enkät, bakgrundsenkät, observation, intervju, tänka högt och pilottest har använts. De empiriska källorna utgjordes av vårdpersonal som berörs av ersättandet av faxen genom SecureMailbox i Arvika och Eda kommun. I studiens slutsats har det framkommit att upplevelsen av systemets användbarhet är överlag positiv men att identifierade problem gör att vårdpersonalen inte klarade att utföra några av de tilldelade uppgifterna. Utöver detta visar studien att teknikstress uppstod när vårdpersonalen saknade tillräckligt med kunskap för att utföra sina uppgifter. / Implementation of digital healthcare solutions is of great importance in society, but is also considered a major challenge for healthcare professionals. The purpose of the study is to investigate usability problems and technology stress that can be experienced by the healthcare professionals in Arvika and Eda municipality as SecureMailbox replaces their current messaging service, the fax. An additional purpose is to collect recommendations based on the experience of the healthcare professionals of the system. The research questions in this bachelor thesis are thus: How easy do users feel that it was to start using the system?, What are the usability problems found in SecureMailbox? as well as When the healthcare staff uses the interface. when and where does the technology stress occur?. The thesis’s theoretical frame of reference is based on previous studies and literature dealing with information and communication technology in connection with e-health, also usefulness in relation to digital solutions in healthcare and technology stress linked to this is presented. The empirical material has been produced through usability tests. Other methods, such as survey, background questionnaire, observation, interview, think aloud and pilot test have been used. The empirical sources consisted of healthcare personnel who are affected by the replacement of the fax through SecureMailbox in Arvika and Eda municipality. The study's conclusion is that the experience of usability is generally positive but that problems identified in this study are the cause for the health care professionals not being able to perform some of the assigned tasks. In addition, the study shows that technostress occurred when the healthcare professionals lacked sufficient knowledge to carry out their tasks.

The phenomenon of technostress can also be seen as a worldwide pandemic (Boyer-Davis, 2020). The transition to e-learning due to the sudden COVID-19 pandemic outbreak has created new demands on teachers and students and their interaction with technology (Galvin et al. 2021). Previous research has discovered higher levels of technostress for both students and teachers when using technology at home. The aim of this study was to investigate the potential effects of the implemented distance-based form of teaching that was enforced on students and teachers at Uppsala University during the pandemic outbreak. The study collected data from students and teachers on a survey comprising eight questions related to technostress and the use of technology. The data were then linked to different stressors introduced by Tarafdar et al. (2007) and Nimrod (2017) to explain the effects of e-learning. The P-E Fit theory was then used to further explain why various effects were prominent. The study found that teachers experienced high levels of primarily techno-overload, with an example being more preparation before lectures. Students experienced a more mixed result, where they saw techno-invasion as the highest effect, while techno-complexity and techno-overload were also prominent. An example of an effect related to techno-invasion that students experienced was the lack of balance between time reserved for studies and free time.

Technology has been an integral part of human life since the 19th century’s Industrial Revolution, and the advancement of technologies has continued into the 21st century. Of all new emerging technologies, the computer has been identified as the most important, most complex and fastest emerging technology. In order for businesses to compete and survive within the business world, they are compelled to adopt new computer technologies. However, computers alone cannot improve organisational performance. Computers need to be accepted, optimally used and utilised by employees in order for an organisation to succeed. One such technology is SAP AG’s Enterprise Resource Planning (ERP) system which is a real-time, fully integrated business system used by more than 170 000 organisations in 120 countries. Measuring information system success has been a concern since its inception due to its complexity and difficulty to appraise. Researchers traditionally attempted to measure success by the delivering of a functional information system product within certain monetary and time constraints. Subsequently, evidence suggested that a more accurate measure of success lies within the field of system use. One model of assessing and predicting user acceptance and which has gained popularity in recent years is the Technology Acceptance Model (TAM). Apart from accepting the SAP ERP system, users should also be of the intention to continuously use it as a job requirement. The model for measuring user commitment is psychological attachment which determines whether the commitment is insincere and temporary, or long-lasting. Further, not only do users need to accept and continuously use an information technology like SAP ERP; they also need to be able to cope while using it. If not, psychological stress known as techno stress develops and prevents the optimal use of this system. With these three possible explanations for computer technology avoidance as a premise of departure, this study aims to determine the congruence, if any, between the sub-constructs of the TAM (perceived ease of use, perceived usefulness, attitude toward using, behavioural intention to use and actual system use), psychological attachment (compliance, identification and internalisation), and techno stress (negative computer thoughts) within a South African SAP ERP user environment. A cross-sectional survey design was used rendering a convenience sample of N = 241 from among the SAP ERP user fraternity at a South African steel manufacturer. The measuring instruments used were the 23-item Technology Acceptance Questionnaire (TAM), the 10-item Psychological Attachment Questionnaire (PAQ) and the 20-item Computer Thoughts Survey (CTS-C). Study 1 which was a literature review confirmed conceptual congruence in that although the technology acceptance model was the most parsimonious, powerful and widely applied theoretical model, it was constrained due to the omission of social influence (psychological attachment) as a contributing factor in the processes of behavioural change towards technology acceptance. Furthermore, it was found that techno stress lowers employee efficiency and creates dissonance in the work environment, resulting in acceptance, hesitance or resistance towards the technology in question. Congruence was established between the system itself (technology acceptance), social relationships (psychological acceptance), and inherent psychological stress (techno stress). The aim of study 2 was to test the technology acceptance model within a South African SAP ERP user environment. Structural equation modelling confirmed that positive inter-construct relationships exist between all TAM constructs. Actual system use, which is the measurement for technology acceptance, was directly affected by behavioural intention to use and indirectly by perceived usefulness. In turn, behavioural intention to use was directly affected by perceived usefulness, attitude toward using and indirectly by perceived ease of use. Attitude toward using was directly affected by perceived ease of use and perceived usefulness. Perceived usefulness was directly affected by perceived ease of use. Study 3 revealed that internalisation had a direct positive effect on behavioural intention to use and an indirect effect on actual system use via behavioural intention to use. Furthermore, in this study identification had direct positive effects on internalisation, perceived usefulness, perceived ease of use and actual system use. Indirect effects emerged between identification and behavioural intention to use via internalisation as well as behavioural intention to use via perceived usefulness. Compliance, on the other hand, had negligible, negative direct effects on all TAM constructs of which the most prominent was that on attitude toward using. Results acquired from structural equation modelling in study four confirmed that weak negative relationships existed between techno stress and all TAM constructs. This finding is contrary to other studies and can be attributed to the fact that participants in this study were at large, proficient around SAP ERP and therefore experienced low levels of techno stress. Furthermore, aspects such as effective training, clear deadlines, effective teamwork, recurrent performance evaluations, job security, career development and realistic job load are all antidotes for techno stress which is believed to be current within the participant fraternity. In a concluding chapter the conclusions derived from the literature review, as well as the empirical research were presented and recommendations flowing from this research study were made. / PhD (Psychology), North-West University, Vaal Triangle Campus, 2014

Technology has been an integral part of human life since the 19th century’s Industrial Revolution, and the advancement of technologies has continued into the 21st century. Of all new emerging technologies, the computer has been identified as the most important, most complex and fastest emerging technology. In order for businesses to compete and survive within the business world, they are compelled to adopt new computer technologies. However, computers alone cannot improve organisational performance. Computers need to be accepted, optimally used and utilised by employees in order for an organisation to succeed. One such technology is SAP AG’s Enterprise Resource Planning (ERP) system which is a real-time, fully integrated business system used by more than 170 000 organisations in 120 countries. Measuring information system success has been a concern since its inception due to its complexity and difficulty to appraise. Researchers traditionally attempted to measure success by the delivering of a functional information system product within certain monetary and time constraints. Subsequently, evidence suggested that a more accurate measure of success lies within the field of system use. One model of assessing and predicting user acceptance and which has gained popularity in recent years is the Technology Acceptance Model (TAM). Apart from accepting the SAP ERP system, users should also be of the intention to continuously use it as a job requirement. The model for measuring user commitment is psychological attachment which determines whether the commitment is insincere and temporary, or long-lasting. Further, not only do users need to accept and continuously use an information technology like SAP ERP; they also need to be able to cope while using it. If not, psychological stress known as techno stress develops and prevents the optimal use of this system. With these three possible explanations for computer technology avoidance as a premise of departure, this study aims to determine the congruence, if any, between the sub-constructs of the TAM (perceived ease of use, perceived usefulness, attitude toward using, behavioural intention to use and actual system use), psychological attachment (compliance, identification and internalisation), and techno stress (negative computer thoughts) within a South African SAP ERP user environment. A cross-sectional survey design was used rendering a convenience sample of N = 241 from among the SAP ERP user fraternity at a South African steel manufacturer. The measuring instruments used were the 23-item Technology Acceptance Questionnaire (TAM), the 10-item Psychological Attachment Questionnaire (PAQ) and the 20-item Computer Thoughts Survey (CTS-C). Study 1 which was a literature review confirmed conceptual congruence in that although the technology acceptance model was the most parsimonious, powerful and widely applied theoretical model, it was constrained due to the omission of social influence (psychological attachment) as a contributing factor in the processes of behavioural change towards technology acceptance. Furthermore, it was found that techno stress lowers employee efficiency and creates dissonance in the work environment, resulting in acceptance, hesitance or resistance towards the technology in question. Congruence was established between the system itself (technology acceptance), social relationships (psychological acceptance), and inherent psychological stress (techno stress). The aim of study 2 was to test the technology acceptance model within a South African SAP ERP user environment. Structural equation modelling confirmed that positive inter-construct relationships exist between all TAM constructs. Actual system use, which is the measurement for technology acceptance, was directly affected by behavioural intention to use and indirectly by perceived usefulness. In turn, behavioural intention to use was directly affected by perceived usefulness, attitude toward using and indirectly by perceived ease of use. Attitude toward using was directly affected by perceived ease of use and perceived usefulness. Perceived usefulness was directly affected by perceived ease of use. Study 3 revealed that internalisation had a direct positive effect on behavioural intention to use and an indirect effect on actual system use via behavioural intention to use. Furthermore, in this study identification had direct positive effects on internalisation, perceived usefulness, perceived ease of use and actual system use. Indirect effects emerged between identification and behavioural intention to use via internalisation as well as behavioural intention to use via perceived usefulness. Compliance, on the other hand, had negligible, negative direct effects on all TAM constructs of which the most prominent was that on attitude toward using. Results acquired from structural equation modelling in study four confirmed that weak negative relationships existed between techno stress and all TAM constructs. This finding is contrary to other studies and can be attributed to the fact that participants in this study were at large, proficient around SAP ERP and therefore experienced low levels of techno stress. Furthermore, aspects such as effective training, clear deadlines, effective teamwork, recurrent performance evaluations, job security, career development and realistic job load are all antidotes for techno stress which is believed to be current within the participant fraternity. In a concluding chapter the conclusions derived from the literature review, as well as the empirical research were presented and recommendations flowing from this research study were made. / PhD (Psychology), North-West University, Vaal Triangle Campus, 2014

The Master´s thesis “Stress evaluation, coping and reduction” is dealing with a topic of work-related stress, which is very common at working places of many companies nowadays. The theoretical part is focused on definition of basic concepts of stress and common techniques of coping and reduction of stress. The practical part provides a measurement of certain level of work-related stress in Henkel Slovensko, spol. s r.o. company based on questionnaire survey. The conclusion of the thesis contains the recommendations focused on reduction of certain stress factors´ impact and precaution of formation of work-related stress.

Teknostress är en form av arbetsrelaterad stress som uppkommer i samband med arbete med digitala verktyg och tjänster så kallade informations och kommunikationstekniker (IKT), till exempel verksamhetsspecifika system och program, digitala mötesverktyg likt Microsoft teams och olika former av mailklienter. Befintlig forskning inom området teknostress finns idag, även forskning inom teknostress kopplat till sjukvården. En grupp som dock inte tas upp i befintlig forskning är de vårdadministrativa rollerna. Denna undersökning syftar därför till att öka kunskapen gällande den digitala stressen inom yrkesrollerna vårdadministratörer och medicinska sekreterare. Undersökningen genomfördes med hjälp av en kvalitativ metod med semistrukturerade intervjuer för att fånga upp den utvalda yrkesrollens upplevelser och erfarenheter inom området digital stress, så kallad teknostress. Resultatet av undersökningen visar tydligt på att teknostress förekommer inom sjukvårdens administrativa yrkesroller men att själva begreppet teknostress eller digital stress inte används explicit. Således finns inte heller någon plan för att hantera teknostress där den förekommer. Det finns heller inte några särskilt framtagna strategier eller verktyg för att förebygga teknostress inom yrkesrollen. Undersökningen visar även på att en alltför komplex IT-miljö med många olika system och program som dessutom saknar kommunikation mellan varandra och inte har något gemensamt användargränssnitt bidrar till att framkalla en digital stress. Problematiken förekommer förmodligen inte enbart hos sjukvårdens administrativa roller utan kan även förekomma inom andra områden, inom och utanför sjukvården.  Något som inte tas upp i befintlig forskning men framkommer i undersökningen är de korrelationer som finns mellan digital kompetens och identifierade teknostressorer samt korrelationen mellan digital kompetens och personliga strategier för att hantera och förebygga teknostress. Denna korrelation kan med fördel användas i framtida forskning för att skapa verktyg för verksamheter och organisationer för att förebygga teknostress.

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