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在数字健康和远程医疗兴起背景下审视患者安全协议:护士的观点

Examining patient safety protocols amidst the rise of digital health and telemedicine: nurses' perspectives.

作者信息

Ibrahim Ateya Megahed, Alenezi Ibrahim Naif, Mahfouz Asmaa Kamal Hassan, Mohamed Ishraga A, Shahin Marwa A, Abdelhalim Elsayeda Hamdy Nasr, Mohammed Laila Zeidan Ghazy, Abd-Elhady Takwa Rashwan Mohamed, Salama Rehab Saad, Kamel Aziza Mohamed, Gouda Rania Abdel Khalik, Eldiasty Noura Elgharib Mohamed Moustafa

机构信息

Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said , 42526, Egypt.

Nursing College, Prince Sattam Bin Abdul-Aziz University, Al-Kharj, 11942, Saudi Arabia.

出版信息

BMC Nurs. 2024 Dec 19;23(1):931. doi: 10.1186/s12912-024-02591-8.

Abstract

BACKGROUND

Integrating digital health and telemedicine technologies is transforming healthcare delivery. In light of this transition, it is critical to ascertain the efficacy of patient safety protocols and evaluate the awareness of healthcare professionals, particularly nurses, regarding the integration of digital health technologies.

AIM

This study examines the factors influencing the successful adoption of digital health and telemedicine technologies from the nurses' perspective, focusing on ensuring patient safety and enhancing organizational readiness for digital health integration.

METHODS

A cross-sectional study included 246 nurses from outpatient healthcare centers in Egypt. The data collected included demographic information and responses to a series of questionnaires, namely the Patient Safety Culture Survey (PSCS), the Telemedicine Risk Assessment and Mitigation Matrix (TRAMM), the Digital Health Adoption Readiness Assessment (DHARA), and the Digital Health Impact Assessment Tool (DHIA). The descriptive statistical analyses were conducted using the IBM SPSS Statistics software, version 26.

RESULTS

The sample was predominantly composed of nurses aged 18-35 (40.65%) and 36-55 (44.72%), with a near-equal gender distribution (48.78% male, 51.22% female). Most nurses held college degrees (73.17%) and were familiar with telemedicine (73.17%). The PSCS indicated positive scores for Communication Openness (4.5), Leadership Support (4.2), Teamwork (4.3), and Organizational Learning (4.1), with an overall mean score of 4.275. The TRAMM scores were notably high (total mean score 4.9), indicating effective risk management. The DHARA demonstrated considerable preparedness, as evidenced by a Total Mean Score of 7.85. The DHIA further substantiated this readiness, indicating a robust anticipated impact, particularly in Patient Engagement (9.0) and Usability (8.2).

CONCLUSION

The favorable assessment scores indicate a strong awareness of integrating digital health and telemedicine, suggesting the potential for enhanced patient care and healthcare delivery. It is recommended that healthcare organizations prioritize providing ongoing training and support for nurses, enabling them to utilize digital health tools and thereby enhance patient safety effectively.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

整合数字健康和远程医疗技术正在改变医疗服务的提供方式。鉴于这一转变,确定患者安全协议的有效性并评估医疗保健专业人员,尤其是护士对数字健康技术整合的认识至关重要。

目的

本研究从护士的角度探讨影响数字健康和远程医疗技术成功采用的因素,重点关注确保患者安全和提高组织对数字健康整合的准备程度。

方法

一项横断面研究纳入了埃及门诊医疗中心的246名护士。收集的数据包括人口统计学信息以及对一系列问卷的回答,即患者安全文化调查(PSCS)、远程医疗风险评估与缓解矩阵(TRAMM)、数字健康采用准备程度评估(DHARA)和数字健康影响评估工具(DHIA)。使用IBM SPSS Statistics软件26版进行描述性统计分析。

结果

样本主要由18 - 35岁(40.65%)和36 - 55岁(44.72%)的护士组成,性别分布接近相等(男性48.78%,女性51.22%)。大多数护士拥有大学学位(73.17%)且熟悉远程医疗(73.17%)。患者安全文化调查显示沟通开放性(4.5)、领导支持(4.2)、团队合作(4.3)和组织学习(4.1)的得分呈阳性,总体平均分为4.275。远程医疗风险评估与缓解矩阵得分显著较高(总平均分4.9),表明风险管理有效。数字健康采用准备程度评估显示出相当的准备程度,总平均分为7.85。数字健康影响评估工具进一步证实了这种准备程度,表明预期影响较大,尤其是在患者参与度(9.0)和易用性(8.2)方面。

结论

良好的评估得分表明对整合数字健康和远程医疗有较强的认识,这表明在改善患者护理和医疗服务提供方面具有潜力。建议医疗保健组织优先为护士提供持续培训和支持,使他们能够有效利用数字健康工具,从而提高患者安全。

临床试验编号

不适用。

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