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医疗保健专业人员进行数字护理访视的经验——一项范围综述

Healthcare Professionals' Experience of Performing Digital Care Visits-A Scoping Review.

作者信息

Lampickienė Ieva, Davoody Nadia

机构信息

Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Tomtebodavägen 18A, 171 77 Solna, Sweden.

出版信息

Life (Basel). 2022 Jun 17;12(6):913. doi: 10.3390/life12060913.

Abstract

The use of digital care visits has been increasing during the COVID-19 pandemic. Learning more about healthcare professionals' technology experiences provides valuable insight and a basis for improving digital visits. This study aimed to explore the existing literature on healthcare professionals' experience performing digital care visits. A scoping review was performed following Arksey & O'Malley's proposed framework using the Preferred Reporting Items for Systematic reviews and Meta-Analyses. The collected data were analyzed using thematic content analysis. Five main themes were identified in the literature: positive experiences/benefits, facilitators, negative experiences/challenges, barriers, and suggestions for improvement. Healthcare professionals mostly reported having an overall positive experience with digital visits and discovered benefits for themselves and the patients. However, opinions were mixed or negative regarding the complexity of decision making, workload and workflow, suitability of this type of care, and other challenges. The suggestions for improvement included training and education, improvements within the system and tools, along with support for professionals. Despite overall positive experiences and benefits for both professionals and patients, clinicians reported challenges such as physical barriers, technical issues, suitability concerns, and others. Digital care visits could not fully replace face-to-face visits.

摘要

在新冠疫情期间,数字护理问诊的使用一直在增加。更多地了解医疗保健专业人员的技术体验能提供有价值的见解,并为改善数字问诊提供依据。本研究旨在探索关于医疗保健专业人员进行数字护理问诊体验的现有文献。按照阿克西和奥马利提出的框架,采用系统评价和Meta分析的首选报告项目进行了范围综述。使用主题内容分析法对收集到的数据进行了分析。文献中确定了五个主要主题:积极体验/益处、促进因素、消极体验/挑战、障碍以及改进建议。医疗保健专业人员大多报告称对数字问诊总体有积极体验,并发现对自己和患者都有好处。然而,对于决策的复杂性、工作量和工作流程、这类护理的适用性以及其他挑战,看法不一或持负面态度。改进建议包括培训和教育、系统和工具方面的改进以及对专业人员的支持。尽管对专业人员和患者都有总体积极的体验和益处,但临床医生报告了诸如身体障碍、技术问题、适用性担忧等挑战。数字护理问诊无法完全取代面对面问诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7450/9225275/4ecce657ae82/life-12-00913-g001.jpg

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