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Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
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Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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Understanding Mental Health Clinicians' Perceptions and Concerns Regarding Using Passive Patient-Generated Health

Jodie Nghiem1, Daniel A Adler2, Deborah Estrin2

  • 1Medical College, Weill Cornell Medicine, New York, NY, United States.

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|August 10, 2023
PubMed
Summary

Mental health clinicians find passive patient-generated health data (PGHD) useful but require clear guidelines on its integration into care. Evidence is needed to define optimal use, timing, and privacy protections for passive PGHD in clinical decision-making.

Keywords:
clinical decision supportcliniciandigital appdigital technologymHealthmental healthmobile appmobile healthmobile phonepatient-generated health dataperceptionqualitative researchwearables

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Area of Science:

  • Digital Health
  • Mental Healthcare
  • Health Informatics

Background:

  • Digital health tools enable passive collection of patient-generated health data (PGHD).
  • Existing guidelines primarily address active PGHD, with less clarity on passive PGHD use.
  • Passive PGHD offers potential for contextualized patient measurement in mental health.

Purpose of the Study:

  • To explore mental health clinicians' perceptions and concerns regarding passive PGHD.
  • To understand current experiences and future visions for utilizing passive PGHD in clinical decision-making.

Main Methods:

  • Qualitative study involving semistructured interviews with outpatient mental health clinicians.
  • Interviews were deidentified, transcribed, and coded to identify themes.

Main Results:

  • Passive PGHD is currently patient-driven, considered only when patients present the data.
  • Clinicians perceive passive data as objective behavior information, contrasting with subjective active data.
  • Concerns exist regarding real-time data use, patient privacy, and the need for timely data delivery for clinical action.
  • Participants emphasized the importance of refining data-sharing consent for transparency.

Conclusions:

  • Further evidence is needed to guide the integration of passive PGHD into clinical decision-making.
  • Guidelines should clarify the use of passive data alongside active PGHD and address privacy concerns.
  • Developing a robust evidence base will support the effective adoption of passive PGHD tools by clinicians and patients.