...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Harnessing mobile devices to support the delivery of community-based clinical care: a participatory evaluation
【24h】

Harnessing mobile devices to support the delivery of community-based clinical care: a participatory evaluation

机译：利用移动设备支持社区临床护理的提供：参与性评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A large provider of community health services (an NHS Trust in England) deployed Apple iPads to its front-line community-based healthcare clinicians (predominantly nurses) to enable them to increase responsiveness to patients’ and their families’ needs. We conducted a participatory formative evaluation of this iPad initiative among different users and the informatics teams implementing it, to establish how such initiatives can sustain adoption and achieve their stated benefits. We used a participatory approach involving a partnership between study investigators and key decision-makers of the initiative to engage stakeholders in the study. Methods included focus groups and group discussion, meetings with key personnel and analysis of documents related to the initiative. Using a participatory technique, members of the organisation identified practical challenges to inform the on-going process of implementation and adoption in the Trust. Healthcare professionals identified many benefits associated with having iPads to support care delivery, including streamlined workflows and accessible information at the point-of-care in the community. However, challenges that interfered with implementation were also reported by both the team implementing the initiative (IT team) and early users. Challenges reported by IT team are: adopter clinicians’ scepticism and suspicion; clinician non-compliance with training and operational guidance procedures; and managing adopter expectations. Challenges reported by users are: setting-up and maintaining the devices on a long-term basis; blurring of personal and professional boundaries; and disconnection from the IT team. Results show that these challenges could be overcome if there were more informal ‘socialised’ interactions between adopters and between adopters and the IT team. We suggest that similar initiatives require increased ongoing dialogue between different levels of stakeholder groups, in the form of socialised engagements, to avoid common misunderstandings and to promote the processes involved in co-constructing the initiative on a generally-agreed and sustainable basis.
机译：一家大型社区卫生服务提供商（位于英国的NHS信托）将Apple iPad部署到其基于社区的一线医疗保健临床医生（主要是护士），以使他们能够提高对患者及其家人需求的反应能力。我们在不同的用户和实施该计划的信息学团队之间对此iPad计划进行了参与式形成性评估，以确定这些计划如何能够持续采用并实现其既定利益。我们采用了参与式方法，其中涉及研究调查人员和该计划的主要决策者之间的伙伴关系，以使利益相关者参与研究。方法包括焦点小组和小组讨论，与关键人员会面以及与倡议相关的文件分析。该组织成员使用参与式技术确定了实际挑战，以告知正在进行中的实施和采用信托程序。医疗保健专业人员发现了与使用iPad支持医疗服务相关的许多好处，包括简化的工作流程和社区医疗点上的可访问信息。但是，实施计划的团队（IT团队）和早期用户也报告了妨碍实施的挑战。 IT团队报告的挑战包括：收养临床医生的怀疑和怀疑;临床医生不遵守培训和操作指导程序;并管理采用者的期望。用户报告的挑战是：长期设置和维护设备;个人和职业界限的模糊化;与IT团队的脱节。结果表明，如果采用者之间以及采用者与IT团队之间进行更多非正式的“社会化”互动，则可以克服这些挑战。我们建议，类似的倡议要求以社会参与的形式，在不同级别的利益相关者团体之间加强持续的对话，以避免常见的误解，并促进在普遍认可和可持续的基础上共同建设倡议的过程。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号