重症监护病房的临床仪表盘：从重症监护病房护士和临床医生的角度对远程重症监护病房的需求评估及态度和接受度调查
Clinical Dashboard in the Intensive Care Unit: Need-Assessment and Survey about Attitudes and Acceptance of Tele-ICU from the Viewpoint of Nurses and Clinicians in the Intensive Care Unit.
作者信息
Mohammadi Mehdi, Bahaadinbeigy Kambiz, Ahmadinejad Mehdi, Chaboki Behrang, Tabesh Hamed, Etminani Kobra
机构信息
Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Tanaffos. 2019 Feb;18(2):142-151.
BACKGROUND
One of the most worrying aspects of medical area in developing countries is the Intensive Care Unit (ICU). This study aimed to evaluate the acceptability of the clinical dashboard by the users, prior to final use and their attitude towards this technology, as well as to examine the specific needs that Tele-ICU technology can cover in the form of a clinical dashboard.
MATERIALS AND METHODS
This study was conducted at Shahid Bahonar Hospital of Kerman, Southeastern Iran, with three ICUs, the first, second, and third sections of which had 10, 12, and 24 beds, respectively. Taking survey and need assessment of care providers, qualitative and quantitative analyses were undertaken to identify key positive and negative themes. The data were analyzed by SPSS software version 18.
RESULTS
About 82% of care providers in the ICU participated in this survey. The number of participants based on the groups in the survey was 98 (81.7%) of the nurses and respiratory therapists group, 20 (80%) from the group of anesthesiologists and 20 (87%) from the group of anesthesiologist assistants who participated in the survey. About 51% of the survey participants completed the description section either partially or totally. On average, among all groups, the group of anesthesiologists had the most and the nurses had the least knowledge about telemedicine and Tele-ICU, whereas the anesthesiologist assistants had the most and the nurses and respiratory therapists group had the least knowledge about clinical dashboards.
CONCLUSION
This study showed that the level of knowledge and awareness of care providers, especially nurses and respiratory therapists in the ICU in terms of telemedicine and Tele-ICU is low and care providers are in doubt that telemedicine technology could have a positive or negative impact on human resource shortages, yet agreed that it would have a negative effect on the privacy of the patients and care providers. In addition, the ICU care providers agree that Tele-ICU can positively affect the quality of patient care, staff satisfaction, reduce the cost of care, and ease and reduce the time for patient counseling. This suggests the need for further research and education of system impact beyond patient outcomes related to this new technology.
背景
发展中国家医疗领域最令人担忧的方面之一是重症监护病房（ICU）。本研究旨在评估临床仪表盘在最终使用前用户对其的接受程度以及他们对该技术的态度，并探讨远程ICU技术以临床仪表盘形式能够满足的具体需求。
材料与方法
本研究在伊朗东南部克尔曼的沙希德·巴霍纳尔医院进行，该医院有三个ICU，其中第一、第二和第三科室分别有10张、12张和24张床位。通过对护理人员进行调查和需求评估，进行定性和定量分析以确定关键的积极和消极主题。数据采用SPSS 18.0软件进行分析。
结果
约82%的ICU护理人员参与了本次调查。根据调查分组，参与调查的护士和呼吸治疗师组有98人（81.7%），麻醉医生组有20人（80%），麻醉医生助理组有20人（87%）。约51%的调查参与者部分或全部完成了描述部分。平均而言，在所有组中，麻醉医生对远程医疗和远程ICU的了解最多，护士最少；而麻醉医生助理对临床仪表盘的了解最多，护士和呼吸治疗师组最少。
结论
本研究表明，护理人员，尤其是ICU中的护士和呼吸治疗师，在远程医疗和远程ICU方面的知识和意识水平较低，并且护理人员怀疑远程医疗技术对人力资源短缺会产生正面或负面影响，但一致认为它会对患者和护理人员的隐私产生负面影响。此外，ICU护理人员一致认为远程ICU可以对患者护理质量、员工满意度产生积极影响，降低护理成本，并简化和减少患者咨询时间。这表明需要进一步研究和开展有关该新技术对患者以外系统影响的教育。
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