Siette Joyce, Dodds Laura, Sharifi Fariba, Nguyen Amy, Baysari Melissa, Seaman Karla, Raban Magdalena, Wabe Nasir, Westbrook Johanna
The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Westmead, Australia.
Australian Institute of Health Innovation, Macquarie University, Macquarie Park, Australia.
JMIR Aging. 2023 Jun 19;6:e42274. doi: 10.2196/42274.
The use of clinical dashboards in aged care systems to support performance review and improve outcomes for older adults receiving care is increasing.
Our aim was to explore evidence from studies of the acceptability and usability of clinical dashboards including their visual features and functionalities in aged care settings.
A systematic review was conducted using 5 databases (MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL) from inception to April 2022. Studies were included in the review if they were conducted in aged care environments (home-based community care, retirement villages, and long-term care) and reported a usability or acceptability evaluation of a clinical dashboard for use in aged care environments, including specific dashboard visual features (eg, a qualitative summary of individual user experience or metrics from a usability scale). Two researchers independently reviewed the articles and extracted the data. Data synthesis was performed via narrative review, and the risk of bias was measured using the Mixed Methods Appraisal Tool.
In total, 14 articles reporting on 12 dashboards were included. The quality of the articles varied. There was considerable heterogeneity in implementation setting (home care 8/14, 57%), dashboard user groups (health professionals 9/14, 64%), and sample size (range 3-292). Dashboard features included a visual representation of information (eg, medical condition prevalence), analytic capability (eg, predictive), and others (eg, stakeholder communication). Dashboard usability was mixed (4 dashboards rated as high), and dashboard acceptability was high for 9 dashboards. Most users considered dashboards to be informative, relevant, and functional, highlighting the use and intention of using this resource in the future. Dashboards that had the presence of one or more of these features (bar charts, radio buttons, checkboxes or other symbols, interactive displays, and reporting capabilities) were found to be highly acceptable.
A comprehensive summary of clinical dashboards used in aged care is provided to inform future dashboard development, testing, and implementation. Further research is required to optimize visualization features, usability, and acceptability of dashboards in aged care.
在老年护理系统中使用临床仪表盘以支持绩效评估并改善接受护理的老年人的护理效果的情况正在增加。
我们的目的是探索有关临床仪表盘的可接受性和可用性研究的证据，包括其在老年护理环境中的视觉特征和功能。
使用5个数据库（MEDLINE、Embase、PsycINFO、Cochrane图书馆和CINAHL）进行了一项系统综述，检索时间从数据库建立到2022年4月。如果研究是在老年护理环境（居家社区护理、退休村和长期护理）中进行的，并且报告了用于老年护理环境的临床仪表盘的可用性或可接受性评估，包括特定的仪表盘视觉特征（例如，个人用户体验的定性总结或可用性量表中的指标），则将这些研究纳入综述。两名研究人员独立审查文章并提取数据。通过叙述性综述进行数据合成，并使用混合方法评估工具测量偏倚风险。
总共纳入了14篇报告12个仪表盘的文章。文章质量参差不齐。在实施环境（居家护理8/14，57%）、仪表盘用户群体（卫生专业人员9/14，64%）和样本量（范围3 - 292）方面存在相当大的异质性。仪表盘功能包括信息的可视化呈现（例如，疾病患病率）、分析能力（例如，预测性）和其他功能（例如，利益相关者沟通）。仪表盘的可用性参差不齐（4个仪表盘被评为高），9个仪表盘的可接受性较高。大多数用户认为仪表盘信息丰富、相关且实用，强调了未来使用该资源的意愿。发现具有这些特征中的一个或多个（条形图、单选按钮、复选框或其他符号、交互式显示和报告功能）的仪表盘高度可接受。
提供了老年护理中使用的临床仪表盘的全面总结，以为未来仪表盘的开发、测试和实施提供参考。需要进一步研究以优化老年护理中仪表盘的可视化特征、可用性和可接受性。
