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在大学医院的妇科门诊试行视频会诊现场培训项目:对医护人员观点的定性研究

Piloting an In Situ Training Program in Video Consultations in a Gynaecological Outpatient Clinic at a University Hospital: A Qualitative Study of the Healthcare Professionals' Perspectives.

作者信息

Lindhardt Christina Louise, Feenstra Maria Monberg, Faurholt Heidi, Andersen Louise Rosenlund, Thygesen Marianne Kirstine

机构信息

Centre for Research in Patient Communication, Odense University Hospital, 5000 Odense, Denmark.

Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, 5000 Odense, Denmark.

出版信息

Healthcare (Basel). 2025 May 6;13(9):1073. doi: 10.3390/healthcare13091073.

Abstract

The successful integration of video consultations in routine hospital care requires further research. This study explores how healthcare professionals experienced and engaged with a pilot training program in video consultations (VCs), focusing on patient-centred communication and technical skills. A qualitative study was conducted at a gynaecological outpatient clinic in a Danish university hospital. In October 2022, healthcare professionals (n = 8) piloted a training program in VCs with patients suffering from gynaecological disorders, followed by semi-structured interviews. Our data analysis was inductive and inspired by thematic analysis, as proposed by Braun and Clarke. Our analysis resulted in an overall theme, namely feasible, with context-dependent considerations, and followed by four other themes:, namely that (1) pre in situ training presents benefits and challenges, (2) consultation via video can be an advantage to consultations via phone or in-clinic, (3) individual planning and organising is a must, and (4) video consultation calls for new competencies. Our study indicates that a training program focusing on patient-centred communication, technical skills and in situ training with peer feedback is relevant when implementing VCs. Visual contact was an advantage of VC versus phone; however, patient triage was identified as essential when planning VCs. Overall, VCs are feasible in a gynaecological outpatient setting when their implementation is supported by an in situ training program and with ongoing technical support available.

摘要

视频会诊在常规医院护理中的成功整合需要进一步研究。本研究探讨了医疗保健专业人员如何体验并参与视频会诊(VC)试点培训项目,重点关注以患者为中心的沟通和技术技能。在丹麦一家大学医院的妇科门诊进行了一项定性研究。2022年10月,医疗保健专业人员(n = 8)对患有妇科疾病的患者进行了视频会诊试点培训项目,随后进行了半结构化访谈。我们的数据分析采用归纳法,并受布劳恩和克拉克提出的主题分析启发。我们的分析得出了一个总体主题,即可行,但需考虑具体情况,随后还有其他四个主题,即:(1)现场前培训有好处也有挑战,(2)视频会诊相对于电话或门诊会诊可能具有优势,(3)个人规划和组织是必需的,(4)视频会诊需要新的能力。我们的研究表明,在实施视频会诊时,一个侧重于以患者为中心的沟通、技术技能和有同行反馈的现场培训的项目是有意义的。视觉接触是视频会诊相对于电话的一个优势;然而,在规划视频会诊时,患者分流被认为是必不可少的。总体而言,当视频会诊的实施得到现场培训项目的支持以及持续的技术支持时,在妇科门诊环境中是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/734c/12071581/870d15e72148/healthcare-13-01073-g001.jpg

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