College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Psychosocial Oncology and Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnipeg, Canada.
Psychooncology. 2018 Apr;27(4):1121-1128. doi: 10.1002/pon.4592. Epub 2017 Dec 19.
To conduct a systematic review of the effectiveness of consultation recordings and identify factors contributing to their successful implementation in health-care settings.
A systematic review was conducted for quantitative studies examining the effectiveness of consultation recordings in health care. Two independent reviewers assessed the relevance and quality of retrieved quantitative studies by using standardized criteria. Study findings were examined to determine consultation recording effectiveness and to identify barriers and facilitators to implementation. A supplementary review of qualitative evidence was performed to further explicate implementation factors.
Of the 3373 articles retrieved in the quantitative search, 26 satisfied the standardized inclusion criteria (12 randomized controlled trials, 1 quasi-experiment, and 13 cross-sectional studies). Most patients found consultation recordings beneficial. Statistically significant evidentiary support was found for the beneficial impact of consultation recordings on the following patient reported outcomes: knowledge, perception of being informed, information recall, decision-making factors, anxiety, and depression. Implementation barriers included strength of evidence concerns, patient distress, impact of the recording on consultation quality, clinic procedures, medico-legal issues, and resource costs. Facilitators included comfort with being recorded, clinical champions, legal strategies, efficient recording procedures, and a positive consultation recording experience.
Consultation recordings are valuable to patients and positively associated with patient-reported outcomes. Successful integration of consultation recording use into clinical practice requires an administratively supported, systematic approach to addressing implementation factors.
系统评价咨询录音的有效性，并确定有助于其在医疗保健环境中成功实施的因素。
对考察咨询录音在医疗保健中有效性的定量研究进行了系统评价。两名独立的审查员使用标准化标准评估了检索到的定量研究的相关性和质量。研究结果用于确定咨询录音的有效性，并确定实施的障碍和促进因素。对定性证据进行了补充审查，以进一步阐述实施因素。
在定量搜索中检索到的 3373 篇文章中，有 26 篇符合标准化纳入标准（12 项随机对照试验、1 项准实验和 13 项横断面研究）。大多数患者发现咨询录音有益。有证据表明，咨询录音对以下患者报告的结果有有益的影响：知识、知情感知、信息回忆、决策因素、焦虑和抑郁。实施障碍包括证据强度的担忧、患者痛苦、录音对咨询质量的影响、诊所程序、医学法律问题和资源成本。促进因素包括对录音的舒适度、临床拥护者、法律策略、高效的录音程序和积极的咨询录音体验。
咨询录音对患者有价值，并与患者报告的结果呈正相关。成功地将咨询录音的使用整合到临床实践中需要一种行政支持的、系统的方法来解决实施因素。
