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从患者角度看:骨科虚拟查房

From the Patient's Perspective: Orthopedic Virtual Rounds.

作者信息

Moyse Tonya, Yates Erica, Fajardo Virgilio, Glorioso-Wible Jordan, Schaffer Jonathan L, Nystrom Lukas M, Siedlecki Sandra L

机构信息

Cleveland Clinic, Cleveland, OH, USA.

出版信息

J Patient Exp. 2021 Dec 7;8:23743735211065269. doi: 10.1177/23743735211065269. eCollection 2021.

DOI:10.1177/23743735211065269
PMID:34901412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8655446/
Abstract

Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, safe patient care. As orthopedic groups have grown and geographic coverage increased, surgeons are challenged to make in-person rounds on their patients every day given time constraints and physical distances. Virtual technology is being used in multiple healthcare settings to provide patients with the opportunity to connect with health care professionals when in-person options are not available. The purpose of this study was to explore the patient experience of virtual inpatient rounding. Using digital communication technology, virtual rounds were conducted by having the surgeon connect via their mobile device or laptop to the nursing unit's communication tablet. Twenty-seven patient interviews were digitally recorded and qualitatively analyzed. Results demonstrated that virtual rounds provided a positive patient experience for many. Most patients felt that virtual rounds were a good alternative when in-person rounds are not possible. Dissatisfaction was related to feeling "rushed" by the surgeon. This feedback can be used to better prepare patients and providers for virtual rounds and to enhance virtual technologies.

摘要

对医院住院患者进行跨学科查房是提供高质量、安全的患者护理的一个重要组成部分。随着骨科团队的壮大和地理覆盖范围的扩大,鉴于时间限制和实际距离,外科医生每天都面临着亲自查房的挑战。虚拟技术正在多个医疗环境中得到应用,以便在无法进行面对面交流时为患者提供与医疗保健专业人员联系的机会。本研究的目的是探讨虚拟住院患者查房的患者体验。利用数字通信技术,通过让外科医生通过移动设备或笔记本电脑连接到护理单元的通信平板电脑来进行虚拟查房。对27次患者访谈进行了数字记录和定性分析。结果表明,虚拟查房为许多患者带来了积极的体验。大多数患者认为,当无法进行面对面查房时,虚拟查房是一个很好的选择。不满与感觉被外科医生“催促”有关。这些反馈可用于更好地让患者和提供者为虚拟查房做好准备,并改进虚拟技术。

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J Patient Exp. 2021 Dec 7;8:23743735211065269. doi: 10.1177/23743735211065269. eCollection 2021.
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引用本文的文献

1
Virtual family-centered rounds: a quality improvement initiative to adapt inpatient care during COVID-19 using a human-centred participatory design approach.虚拟以家庭为中心的查房:在 COVID-19 期间使用以人为中心的参与式设计方法来适应住院护理的一项质量改进举措。
BMC Pediatr. 2023 Jun 13;23(1):289. doi: 10.1186/s12887-023-04091-1.

本文引用的文献

1
Video-consulted rounds with caregivers: The experience of patients with cancer.与护理人员进行视频会诊查房:癌症患者的体验
Eur J Oncol Nurs. 2020 Jun;46:101763. doi: 10.1016/j.ejon.2020.101763. Epub 2020 Apr 21.
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Patient Rounds With Video-Consulted Relatives: Qualitative Study on Possibilities and Barriers From the Perspective of Healthcare Providers.与视频会诊亲属进行的患者查房:从医疗服务提供者角度对可能性和障碍的定性研究
J Med Internet Res. 2019 Mar 25;21(3):e12584. doi: 10.2196/12584.
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Swiss Med Wkly. 2010 Sep 1;140:w13062. doi: 10.4414/smw.2010.13062. eCollection 2010.
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