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家长对视频会议作为癫痫和残疾儿童多学科信息交流工具的体验。

Parents' experiences of videoconference as a tool for multidisciplinary information exchange for children with epilepsy and disability.

机构信息

National Centre for Epilepsy, Oslo University Hospital, Oslo, Norway.

Lovisenberg Diaconal College, Oslo, Norway.

出版信息

J Clin Nurs. 2019 May;28(9-10):1506-1516. doi: 10.1111/jocn.14755. Epub 2019 Jan 11.

Abstract

AIMS AND OBJECTIVES

To explore the parents' experiences with the multidisciplinary information exchange between different levels of the health- social and school services using videoconference.

BACKGROUND

Children with epilepsy and disability are in need of long-term multidisciplinary help and support. The information exchange between the child's providers of support is challenging. Scant attention has been paid to the parents' experiences of the information exchange.

DESIGN

A qualitative study with a phenomenological-hermeneutical research approach.

METHOD

Children with epilepsy and disability had undergone a multidisciplinary assessment in a hospital in the tertiary health service followed by information exchange with each child's local support service using videoconference. Five parents were interviewed individually within a week after the videoconference. The COREQ checklist was used in the process of reporting on the empirical material.

RESULTS

The increased local participation in the videoconference and the knowledge translation between the professionals made the parents save time, as they did not have to explain the written reports to each provider locally. The impact of technology created an emotional distance to the person on the screen and the information exchanged that some enjoyed while others disliked. The quality of the relationships to the professionals seemed to be crucial for the parents to feel safe talking about sensitive tasks.

CONCLUSION

The parents prefer videoconference as a tool for information exchange to traditional face-to-face meetings as it enables discussions between professionals that might prevent treatment misunderstandings. They experience the method as time-saving and patient-centred.

RELEVANCE TO CLINICAL PRACTICE

Professionals should be aware of the possible side effects of the impact of technology that might affect the interaction and the information exchange in a negative way. The findings are likely to be transferable beyond the current context.

摘要

目的和目标

探索家长在使用视频会议进行不同级别卫生-社会和学校服务之间的多学科信息交流方面的体验。

背景

患有癫痫和残疾的儿童需要长期的多学科帮助和支持。儿童支持提供者之间的信息交流具有挑战性。对家长在信息交流方面的体验关注甚少。

设计

一项采用现象学-解释学研究方法的定性研究。

方法

在三级卫生服务机构的医院对患有癫痫和残疾的儿童进行多学科评估,然后使用视频会议与每个儿童的当地支持服务进行信息交流。视频会议后一周内,对 5 名家长进行了单独访谈。在报告实证材料的过程中,使用了 COREQ 清单。

结果

当地更多地参与视频会议以及专业人员之间的知识转化,使家长节省了时间,因为他们不必在当地向每个提供者解释书面报告。技术的影响在屏幕上和所交换的信息上造成了情感上的距离,一些家长喜欢这种方式,而另一些则不喜欢。与专业人员的关系质量似乎对家长在谈论敏感任务时感到安全至关重要。

结论

家长更喜欢将视频会议作为信息交流的工具,而不是传统的面对面会议,因为它允许专业人员进行讨论,这可能有助于预防治疗误解。他们认为这种方法节省时间并且以患者为中心。

临床相关性

专业人员应该意识到技术影响可能产生的负面影响,这可能会影响互动和信息交流。研究结果可能超出当前背景而具有可转移性。

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