在重症监护病房实施虚拟访问的促进因素和障碍:混合方法系统审查
Mengyao Li1,2, Tian Shi1, Juan Chen2
1Neuro-Intensive Care Unit, Department of Neurosurgery, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.
Journal of evaluation in clinical practice
|July 12, 2024
概括
在重症监护室 (ICU) 的虚拟访问面临技术问题和隐私问题等障碍. 通过专业的支持和了解患者需求来解决这些问题,可以改善虚拟护理的提供.
科学领域:
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
- 患者体验 患者体验
背景情况:
- 重症监护室 (ICU) 的访问提供了好处,但带来了诸如感染和护理中断等风险.
- 在全球范围内,COVID-19大流行加速了ICU虚拟访问的采用.
- 仍然存在重大实施障碍,需要改进虚拟访问技术和实践.
研究的目的:
- 在COVID-19大流行期间探索ICU虚拟访问技术的利用.
- 确定影响ICU虚拟访问实施的障碍和促进者.
- 为增强在重症监护机构的虚拟访问服务提供见解.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 在六个数据库中搜索了2020年1月至2023年10月期间发表的经验研究.
- 对35项研究进行主题分析,包括使用托马斯和哈登方法的研究;使用混合方法评估工具进行质量评估.
主要成果:
- 确定了八个主要障碍:技术困难,资源限制,缺乏非语言线索,技术素养低,家庭的看法不同,隐私/道德问题,不公平的访问和不足的准备.
- 发现了四个关键促进者:多维专业支持,协调服务,了解患者/家庭偏好以及增强隐私/安全.
- 在35项研究中,18项高质量,5项中等质量,12项低质量.
结论:
- 确定了ICU虚拟访问的关键障碍和促进者.
- 调查结果可以为基础设施,工作流程,指导方针,政策和系统的开发提供信息,以改善ICU虚拟访问.
- 需要进一步的研究来解决已识别的障碍,并优化虚拟参观服务.
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