在瑞典的初级医疗保健中心,护士们对基于文本的数字分拣的经验:一个定性面试研究
Ester Rydell1, Ulf Jakobsson2, Sigrid Stjernswärd3
1Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden. ester.rydell@med.lu.se.
BMC nursing
|January 14, 2025
概括
护士面临着数字选和健康指导的重大变化,需要新的技能. 虽然远程医疗提供了图像共享和节省时间等好处,但书面沟通的挑战和对患者安全的潜在影响需要新的能力来实现有效的初级医疗数字化.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 护理实践 护理实践
- 数字健康数字健康
背景情况:
- 远程医疗服务越来越多地被采用到初级医疗保健中.
- 聊天,电子邮件和表格等数字工具补充了传统的基于电话的分拣和指导.
- 这些变化影响了护士的工作流程,患者安全和护理质量.
研究的目的:
- 探索护士在瑞典初级医疗保健中的数字分拣和健康指导方面的经验.
- 了解从电话转向基于文本的通信对护士的后果.
主要方法:
- 定性感应设计. 定性感应设计.
- 与瑞典南部的六名护士 (四名注册护士,两名公共卫生护士) 进行半结构面试.
- 收集数据的定性内容分析.
主要成果:
- 护士适应了新的专业"工具箱",用于分拣和指导.
- 关键的变化包括感官信息收集的改变 ("临床耳朵"的损失,观看图像的收益),沟通模式的转变 (书面挑战,作为作家/说话者的自我感知),以及时间管理的变化 (迟到的异步沟通,可用时间).
结论:
- 数字分拣需要新的技能,影响工作流程,护理质量和患者安全.
- 通信的局限性可能会扩大数字沟.
- 远程医疗提供了像图像集成和反思时间这样的好处,但需要护士和患者的新能力来充分利用初级医疗保健中的数字化.
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