Alnobani Omar, Zakaria Nasriah, Temsah Mohamad-Hani, Jamal Amr A, Alkamel Nour, Tharkar Shabana
Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Medical Education and E-learning, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Telemed J E Health. 2021 Dec;27(12):1423-1432. doi: 10.1089/tmj.2020.0469. Epub 2021 Mar 9.
The innovative telemedicine robotic remote-presence technology offers a promising solution to confront the challenges faced by health care personnel during events of mass gatherings by consulting expertise from offsite settings. To assess knowledge, attitude, and perceptions of health care personnel (physicians and nurses) toward telemedicine robotic remote-presence technology, at the intensive care units (ICUs) of hospitals serving mass gathering. The primary sampling unit included physicians and nurses using the sophisticated technology of telemedicine with robotic presence at the ICUs of Mina hospitals. An electronic invitation containing the survey tool was sent to all the participants from the four selected hospitals. Mean scores for knowledge and attitude questions were based on Likert scale responses. The study received a final sample of 140 valid and complete responses. The findings showed overall positive attitude, but the knowledge was limited. On a maximum score of 5, the mean knowledge and attitude scores obtained were 2.55 and 3.51. The participants expressed strong agreement in using technology to seek expert opinion, increase communication among providers, and improve clinical decisions, which is an essential factor during mass gatherings. However, concerns about patient privacy and confidentiality were raised. Lack of training and insufficient knowledge regarding telemedicine and robotic systems' applications were identified as significant barriers, followed by issues related to equipment malfunction. Reinforcing continuous training programs to the health care staff to maximize the potential benefits of the innovative technology is suggested.
创新的远程医疗机器人远程临场技术提供了一个有前景的解决方案，通过从场外环境咨询专业意见，应对大规模集会期间医护人员面临的挑战。为了评估医护人员（医生和护士）对远程医疗机器人远程临场技术的知识、态度和看法，在服务于大规模集会的医院重症监护病房（ICU）进行了此项研究。主要抽样单位包括在米纳医院ICU使用先进远程医疗机器人技术的医生和护士。向四家选定医院的所有参与者发送了包含调查工具的电子邀请函。知识和态度问题的平均得分基于李克特量表的回答。该研究最终获得了140份有效且完整的回复样本。研究结果显示总体态度积极，但知识有限。在满分5分的情况下，获得的知识和态度平均得分分别为2.55分和3.51分。参与者强烈同意使用该技术寻求专家意见、加强医护人员之间的沟通以及改善临床决策，这在大规模集会期间是一个重要因素。然而，也有人提出了对患者隐私和保密的担忧。缺乏培训以及对远程医疗和机器人系统应用的知识不足被认为是重大障碍，其次是与设备故障相关的问题。建议对医护人员加强持续培训项目，以最大限度地发挥创新技术的潜在益处。
