Käferböck Anna-Sophie, Hayotte Meggy, Sieber Daniel, Pillei Martin, Wald Martin
Medical Sciences, Paracelsus Medical University, Strubergasse 21, Salzburg, 5020, Austria, 43 5122070 ext 4444.
LAMHESS, Université Côte d'Azur, Nice, France.
JMIR Hum Factors. 2025 May 28;12:e64701. doi: 10.2196/64701.
BACKGROUND: A substantial number of newborns face postdelivery respiratory issues annually. Current ventilation devices in immediate newborn care lack integrated sensors and supporting mechanisms for medical professionals. This is a potential field of improvement, as safe ventilation relies on accurate pressure administration in current t-piece resuscitators. As the needed support during the process is currently limited, it highlights the demand for innovations in neonatal ventilation technology to improve efficacy and reduce potential errors. OBJECTIVE: The objective of the study was to facilitate collaboration between medical and engineering experts to evaluate the critical factors for the successful implementation of an innovative ventilation technology in clinical immediate newborn care. Incorporating the views of medical professionals into the survey is expected to offer valuable insights to engineers for subsequent technological refinement. METHODS: An international multicenter online survey was conducted among 51 neonatal health care professionals in the DACH region (Germany, Austria, and Switzerland) in order to (1) assess the specific functionalities required in a neonatal ventilation assistant in immediate newborn care from a medical technology viewpoint, (2) characterize the acceptance of such a device as support tool using the extended technology acceptance model, and (3) identify further steps toward integration of such technologies. RESULTS: According to the results, a visual representation of the current mask leakage and tidal volume is an essential feature. Integrating alarms in visual rather than audible form when limit values are exceeded is preferable. In contrast, medical professionals ranked an external control using a foot pedal as the least necessary feature. Based on the findings, acceptance constructs of the neonatal ventilation technology were moderately scored. Perceived usefulness (β=.76, P<.001) was the main predictor of the behavioral intention to use such a supportive instrument. CONCLUSIONS: There is an evident willingness to integrate sophisticated support techniques into a neonatal ventilation device for immediate newborn care.
背景:每年有大量新生儿在出生后面临呼吸问题。当前用于新生儿即时护理的通气设备缺乏集成传感器和面向医疗专业人员的支持机制。这是一个有待改进的潜在领域,因为在当前的T型管复苏器中,安全通气依赖于精确的压力施加。由于该过程中所需的支持目前有限,这凸显了对新生儿通气技术创新的需求,以提高疗效并减少潜在错误。 目的:本研究的目的是促进医学和工程专家之间的合作,以评估在临床新生儿即时护理中成功实施创新通气技术的关键因素。将医疗专业人员的意见纳入调查,有望为工程师提供有价值的见解,以便后续进行技术改进。 方法:在DACH地区(德国、奥地利和瑞士)对51名新生儿医疗保健专业人员进行了一项国际多中心在线调查,以便(1)从医疗技术角度评估新生儿通气辅助设备在即时新生儿护理中所需的特定功能,(2)使用扩展技术接受模型将此类设备作为支持工具的接受度进行特征描述,以及(3)确定此类技术集成的进一步步骤。 结果:根据结果,当前面罩泄漏和潮气量的可视化表示是一项基本功能。当超过极限值时,以视觉而非听觉形式集成警报更可取。相比之下,医疗专业人员将使用脚踏板的外部控制列为最不必要的功能。基于这些发现,新生儿通气技术的接受度结构得分中等。感知有用性(β = 0.76,P < 0.001)是使用此类支持工具的行为意图的主要预测因素。 结论:显然愿意将先进的支持技术集成到用于即时新生儿护理的新生儿通气设备中。
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