Grøndahl Vigdis Abrahamsen, Helgesen Ann Karin, Holm Elisabet, Magnussen Jannik, Leonardsen Ann-Chatrin
Faculty of Health, Welfare and Organisation, Østfold University College, PB 700, NO-1757, Halden, Norway.
Østfold Hospital Trust, Postboks 300, NO-1714, Grålum, Norway.
BMC Nurs. 2022 Jun 28;21(1):169. doi: 10.1186/s12912-022-00953-8.
Due to the Covid-19 pandemic, remote monitoring of patients outside hospitals rapidly increased. Previous studies show that healthcare professionals' competence in digitalization needs to be improved. Little is known about how Covid-19 has affected the use of remote monitoring of cancer patients. The purpose of the study was therefore to explore healthcare personnels' experiences with remote monitoring of cancer patients during the Covid-19 pandemic. METHODS: The study had an explorative and descriptive design using semi-structured individual interviews for data collection. Data was analyzed by content analysis.
A total of ten healthcare personnel working in the cancer department and out-patient cancer clinic in the hospital participated; four physicians and six registered nurses. Two categories and four subcategories were identified: 1) «Maintaining personalized healthcare services» comprising the subcategories a) «Adjusting services to patients' health condition» and b) «Ensuring continuity»; and 2) «A supplement, but not a replacement» comprising the subcategories a) «Impact on interpersonal relations» and b) «The importance of clinical assessment».
This study indicates that remote monitoring through telephone was preferred by both healthcare personnel and patients. The nurses and physicians experienced a more frequent contact with their patients, but emphasized the importance of physical meetings for building relationship, and for thorough clinical examination. Our findings indicate a need to facilitate a work environment where healthcare personnel can be fast learners in using digital tools to provide best possible healthcare quality. Moreover, it is imperative to develop a workplace suitable for the use of digital technology for remote monitoring, and to provide digital tools that is easy to use for both healthcare personnel and patients.
由于新冠疫情，医院外患者的远程监测迅速增加。先前的研究表明，医疗保健专业人员在数字化方面的能力有待提高。关于新冠疫情如何影响癌症患者远程监测的使用，人们了解甚少。因此，本研究的目的是探讨新冠疫情期间医护人员对癌症患者进行远程监测的经验。
本研究采用探索性和描述性设计，通过半结构化个人访谈收集数据。采用内容分析法对数据进行分析。
共有10名在医院癌症科室和癌症门诊工作的医护人员参与，其中4名医生和6名注册护士。确定了两个类别和四个子类别：1）“维持个性化医疗服务”，包括子类别a）“根据患者健康状况调整服务”和b）“确保连续性”；2）“一种补充，但不是替代”，包括子类别a）“对人际关系的影响”和b）“临床评估的重要性”。
本研究表明，医护人员和患者都更喜欢通过电话进行远程监测。护士和医生与患者的联系更为频繁，但强调了面对面交流对于建立关系和进行全面临床检查的重要性。我们的研究结果表明，需要营造一个工作环境，使医护人员能够快速学习使用数字工具，以提供尽可能高的医疗质量。此外，必须开发一个适合使用数字技术进行远程监测的工作场所，并提供便于医护人员和患者使用的数字工具。
