Department of Audiology, Faculty of Humanities, University of the Witwatersrand, Johannesburg.
S Afr J Commun Disord. 2022 Jul 20;69(2):e1-e10. doi: 10.4102/sajcd.v69i2.900.
The coronavirus disease 2019 (COVID-19) presented and highlighted new and unanticipated challenges to the provision of clinical services, raising an urgency for the application of different models of service delivery, including tele-audiology. In many tele-audiology encounters, a site facilitator is needed at the patient site to help with the hands-on aspects of procedures, and the implications of this requirement are significant for the resource-constrained African context.
The aim of this scoping review was to investigate published evidence on training provided to patient site facilitators (PSFs) for tele-audiology application to guide the South African audiology community in tele-audiology application initiatives.
Electronic bibliographic databases including Science Direct, PubMed, Scopus MEDLINE and ProQuest were searched to identify peer-reviewed publications, published in English, between 2017 and 2021 related to training of PSFs. The guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) were followed during the screening process as well as for illustrating the process.
Findings are discussed under four key themes: (1) type of tele-audiology and the implications thereof, (2) length of training and its implications, (3) diversity in the range of PSFs used and its implications for the training, and (4) heterogeneity in the training.
The findings highlight important considerations for tele-audiology application within the African context, specifically decision-making around who can serve in the role of PSFs, as well as content and nature of training required, with implications for policy and regulations as well as human resource strategy. These findings are important for the COVID-19 pandemic era and beyond.
2019 年冠状病毒病(COVID-19)的出现给临床服务的提供带来了新的、意料之外的挑战,这促使人们迫切需要应用不同的服务提供模式,包括远程听力学。在许多远程听力学会诊中,需要在患者现场配备现场协调员来帮助进行实际操作,而这一需求对资源有限的非洲环境有着重要的影响。
本范围综述的目的是调查已发表的关于为远程听力学应用培训患者现场协调员(PSF)的证据,以指导南非听力学界开展远程听力学应用计划。
通过电子书目数据库(包括 Science Direct、PubMed、Scopus MEDLINE 和 ProQuest)搜索了 2017 年至 2021 年间发表的关于 PSF 培训的同行评议出版物,这些出版物以英文发表。在筛选过程中遵循了系统评价和荟萃分析的首选报告项目(PRISMA)指南,以及说明过程的指南。
结果讨论了四个关键主题:(1)远程听力学的类型及其影响,(2)培训的长度及其影响,(3)使用的 PSF 多样性及其对培训的影响,以及(4)培训的异质性。
这些发现强调了在非洲背景下远程听力学应用的重要考虑因素,特别是围绕谁可以担任 PSF 角色的决策,以及所需的培训内容和性质,这对政策和法规以及人力资源战略都有影响。这些发现对于 COVID-19 大流行时期及以后都非常重要。