使用实施科学来了解危机期间用于烧伤护理的远程医疗使用障碍
Amanda P Bettencourt1, Theresa M Davis2, Subhash Aryal3
1Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, PA, United States, Director of Acute Care Implementation Science, Penn Implementation Science Center.
概括
远程医疗技术 (TT) 可以在危机期间改善烧伤护理,但其使用是有限的. 临床医生对使用TT的可行性和意图的看法是积极的,但实际使用仍然很低,表明需要有针对性的干预措施.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 烧伤护理管理管理
背景情况:
- 临床医生和医院的有限烧伤护理专业知识在危机期间造成了重大挑战.
- 患有严重烧伤的患者 (高达40%的TBSA) 由于容量限制,往往面临接受最终护理的延迟.
- 远程医疗技术 (TT) 提供了一个解决方案,将远程护理人员与专家烧伤临床医生联系起来,但未得到充分利用.
研究的目的:
- 调查临床医生对远程医疗技术 (TT) 在烧伤护理方面的看法.
- 确定影响TT在紧急和燃烧环境中的采用和使用因素.
- 探索临床医生的看法与实际TT使用率之间的关系.
主要方法:
- 一个问卷评估烧伤中心 (BC) 和急诊室 (ED) 的临床医生对TT可行性,可接受性和使用意向的看法.
- 数据来自四个美国烧伤协会 (ABA) 灾难应对区域的24家医院.
- 每月电话咨询推使用率被跟踪并与临床医生的看法相关联.
主要成果:
- 临床医生对TT可接受性,可行性和使用意向的评价通常是中立到可接受的 (3.04-4.01).
- 在临床医生的看法和实际使用远程咨询之间没有发现显著的关系.
- 在可行性和使用TT的意图之间存在强烈的相关性,而在易用性和感知到的有用性之间则注意到较弱的相关性.
结论:
- 虽然临床医生认为TT是可行的,并打算使用它,但其在烧伤护理中的实际采用受到一些因素的阻碍,这些因素并未完全被当前的感知所捕捉到.
- 干预措施应侧重于提高TT的感知实用性和易用性,以提高其普及率.
- 在危机和常规情况下,优化TT实施对于提高初始和持续烧伤护理质量至关重要.
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