Rosenthal Jennifer L, Ketchersid Audriana, Horath Elva, Sanders April, Harper Thomas A, Hoyt-Austin Adrienne E, Haynes Sarah C
Department of Pediatrics, University of California Davis, Sacramento, CA, USA.
Center for Health and Technology, University of California Davis, Sacramento, CA, USA.
Digit Health. 2023 Dec 15;9:20552076231219123. doi: 10.1177/20552076231219123. eCollection 2023 Jan-Dec.
To develop a nurse-to-family telehealth intervention for pediatric inter-facility transfers using the human-centered design approach.
We conducted the inspiration and ideation phases of a human-centered design process from July 2022 to December 2022. For the inspiration phase, we conducted a qualitative cross-sectional case study design over 3 months. We used thematic analysis with the framework approach of parent and provider interviews. Five team members individually coded transcripts and then met to discuss memos, update a construct summary sheet, and identify emerging themes. The team adapted themes into "How Might We" statements. For the ideation phase, multidisciplinary stakeholders brainstormed solutions to the "How Might We" statements in a design workshop. Workshop findings informed the design of a nurse-to-family telehealth intervention, which was iteratively revised over 2 months based on stakeholder feedback sessions.
We conducted interviews with nine parents, 11 nurses, and 13 physicians. Four themes emerged supporting the promise of a nurse-to-family telehealth intervention, the need to effectively communicate the intervention purpose, the value of a user-friendly workflow, and the essentiality of ensuring that diverse populations equitably benefit from the intervention. "How Might We" statements were discussed among 22 total workshop participants. Iterative adaptations were made to the intervention until feedback from workshop participants and 67 other stakeholders supported no further improvements were needed.
Human-centered design phases facilitated stakeholder engagement in developing a nurse-to-family telehealth intervention. This intervention will be tested in an implementation phase as a feasibility and pilot trial.
采用以人为本的设计方法，开发一种用于儿科机构间转运的护士与家庭远程医疗干预措施。
我们在2022年7月至2022年12月期间开展了以人为本设计过程的启发和构思阶段。在启发阶段，我们进行了为期3个月的定性横断面案例研究设计。我们采用主题分析法和框架法对家长和提供者进行访谈。五名团队成员分别对访谈记录进行编码，然后开会讨论备忘录、更新构建总结表并确定新出现的主题。团队将这些主题转化为“我们该如何做”的陈述。在构思阶段，多学科利益相关者在一次设计研讨会上针对“我们该如何做”的陈述集思广益提出解决方案。研讨会的结果为护士与家庭远程医疗干预措施的设计提供了依据，该措施根据利益相关者反馈会议在2个月内进行了反复修订。
我们采访了9名家长、11名护士和13名医生。出现了四个主题，支持护士与家庭远程医疗干预措施的前景、有效传达干预目的的必要性、用户友好工作流程的价值以及确保不同人群公平受益于该干预措施的重要性。共有22名研讨会参与者讨论了“我们该如何做”的陈述。对干预措施进行了反复调整，直到研讨会参与者和其他67名利益相关者的反馈表明无需进一步改进。
以人为本的设计阶段促进了利益相关者参与开发护士与家庭远程医疗干预措施。该干预措施将在实施阶段作为可行性和试点试验进行测试。
