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医院数字工具使用指南:定性访谈研究。

Practical Recommendations for Navigating Digital Tools in Hospitals: Qualitative Interview Study.

机构信息

School of Medicine, University of St Gallen (HSG), St.Gallen, Switzerland.

Institute for Implementation Science in Health Care, University of Zurich (UZH), Zurich, Switzerland.

出版信息

JMIR Med Educ. 2024 Nov 27;10:e60031. doi: 10.2196/60031.

Abstract

BACKGROUND

The digitalization of health care organizations is an integral part of a clinician's daily life, making it vital for health care professionals (HCPs) to understand and effectively use digital tools in hospital settings. However, clinicians often express a lack of preparedness for their digital work environments. Particularly, new clinical end users, encompassing medical and nursing students, seasoned professionals transitioning to new health care environments, and experienced practitioners encountering new health care technologies, face critically intense learning periods, often with a lack of adequate time for learning digital tools, resulting in difficulties in integrating and adopting these digital tools into clinical practice.

OBJECTIVE

This study aims to comprehensively collect advice from experienced HCPs in Switzerland to guide new clinical end users on how to initiate their engagement with health ITs within hospital settings.

METHODS

We conducted qualitative interviews with 52 HCPs across Switzerland, representing 24 medical specialties from 14 hospitals. The interviews were transcribed verbatim and analyzed through inductive thematic analysis. Codes were developed iteratively, and themes and aggregated dimensions were refined through collaborative discussions.

RESULTS

Ten themes emerged from the interview data, namely (1) digital tool understanding, (2) peer-based learning strategies, (3) experimental learning approaches, (4) knowledge exchange and support, (5) training approaches, (6) proactive innovation, (7) an adaptive technology mindset, (8) critical thinking approaches, (9) dealing with emotions, and (10) empathy and human factors. Consequently, we devised 10 recommendations with specific advice to new clinical end users on how to approach new health care technologies, encompassing the following: take time to get to know and understand the tools you are working with; proactively ask experienced colleagues; simply try it out and practice; know where to get help and information; take sufficient training; embrace curiosity and pursue innovation; maintain an open and adaptable mindset; keep thinking critically and use your knowledge base; overcome your fears, and never lose the human and patient focus.

CONCLUSIONS

Our study emphasized the importance of comprehensive training and learning approaches for health care technologies based on the advice and recommendations of experienced HCPs based in Swiss hospitals. Moreover, these recommendations have implications for medical educators and clinical instructors, providing advice on effective methods to instruct and support new end users, enabling them to use novel technologies proficiently. Therefore, we advocate for new clinical end users, health care institutions and clinical instructors, academic institutions and medical educators, and regulatory bodies to prioritize effective training and cultivating technological readiness to optimize IT use in health care.

摘要

背景

医疗机构的数字化是临床医生日常生活的重要组成部分,因此医疗保健专业人员(HCP)必须了解并能够在医院环境中有效地使用数字工具。然而,临床医生经常表示他们对数字工作环境准备不足。特别是新的临床终端用户,包括医学生和护理学生、从传统医疗环境过渡到新医疗保健环境的经验丰富的专业人员以及遇到新医疗保健技术的经验丰富的从业者,他们都面临着非常紧张的学习期,通常没有足够的时间来学习数字工具,这导致他们在将这些数字工具整合并应用于临床实践时遇到困难。

目的

本研究旨在从瑞士有经验的 HCP 那里全面收集建议,为新的临床终端用户提供指导,帮助他们在医院环境中开始使用健康信息技术。

方法

我们对瑞士的 52 名 HCP 进行了定性访谈,他们代表了来自 14 家医院的 24 个医学专业。访谈内容逐字记录并通过归纳主题分析进行分析。通过协作讨论迭代开发了代码,并对主题和聚合维度进行了细化。

结果

从访谈数据中出现了 10 个主题,分别是(1)数字工具的理解,(2)基于同行的学习策略,(3)实验性学习方法,(4)知识交流和支持,(5)培训方法,(6)主动创新,(7)适应性技术思维,(8)批判性思维方法,(9)应对情绪,以及(10)同理心和人为因素。因此,我们为新的临床终端用户提供了 10 条建议,包括如何接触新的医疗保健技术,具体建议如下:花时间了解和理解你正在使用的工具;主动询问经验丰富的同事;简单地尝试并练习;了解在哪里可以获得帮助和信息;接受足够的培训;接受好奇心并追求创新;保持开放和适应的心态;保持批判性思维并运用你的知识库;克服恐惧,始终关注患者和人性。

结论

我们的研究强调了基于瑞士医院有经验的 HCP 的建议和推荐,对医疗保健技术进行全面培训和学习方法的重要性。此外,这些建议对医学教育者和临床指导员具有启示意义,为他们提供了有效指导和支持新终端用户的建议,使他们能够熟练使用新的技术。因此,我们主张新的临床终端用户、医疗保健机构和临床指导员、学术机构和医学教育者以及监管机构应优先考虑有效的培训和培养技术准备,以优化医疗保健中的 IT 使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35b4/11635325/68a5c7c01aff/mededu_v10i1e60031_fig1.jpg

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