Exploring ICU Nurses' Perceptions of Tele-ICU Practice: Opportunities, Challenges and Recommendations for Implementation in Saudi Arabia.

IF 3 3区 医学 Q1 NURSING
Ahmad Rajeh Saifan, Anas Ababneh, Mariam Kawafha, Mohammad Sameer Odeh, Hekmat Yousef Al-Akash, Osama A Al-Kouri, Nour Ali Alrida, Mohammad Abuadas
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Abstract

Background: Tele-ICU has emerged as a vital component of modern health care, enabling remote monitoring and management of critically ill patients. Even though its use is expanding internationally, there are still issues with acceptance, infrastructure and training, especially in developing health care systems such as Saudi Arabia.

Aim: This study explores intensive care unit (ICU) nurses' perceptions of Tele-ICU practice in Saudi Arabia, focusing on their qualifications, experiences and the challenges and opportunities of this evolving model of care.

Study design: A qualitative exploratory design was used. Semi-structured interviews were conducted with 22 ICU nurses working in a prominent health care network in Saudi Arabia. Thematic analysis was performed to identify key themes and subthemes related to Tele-ICU nursing practice.

Results: Participants highlighted several factors impacting Tele-ICU practice, including a lack of standardized training, technological challenges and financial constraints. Despite these challenges, many participants viewed Tele-ICU as a less physically demanding alternative to bedside ICU nursing. They emphasized the need for formal Tele-ICU certifications, improved technological infrastructure and organizational support. Concerns regarding role clarity, career progression and legal accountability were also noted.

Conclusions: Nurses in Saudi Arabia demonstrated a variety of factors that could impact adopting Tele-ICU as a standard practice. Addressing gaps in training, infrastructure and policy could improve its adoption and sustainability, ultimately benefiting patient outcomes and nurse satisfaction.

Relevance to clinical practice: Tele-ICU offers significant potential to enhance critical care delivery in Saudi Arabia.

探索ICU护士对远程ICU实践的看法:沙特阿拉伯实施的机遇、挑战和建议。
背景:远程icu已成为现代卫生保健的重要组成部分,使远程监测和管理危重患者成为可能。尽管它的使用正在国际上扩大,但在接受度、基础设施和培训方面仍然存在问题,特别是在沙特阿拉伯等发展中的卫生保健系统中。目的:本研究探讨了沙特阿拉伯重症监护病房(ICU)护士对远程ICU实践的看法,重点关注他们的资格、经验以及这种不断发展的护理模式的挑战和机遇。研究设计:采用定性探索性设计。对在沙特阿拉伯一个著名的卫生保健网络工作的22名ICU护士进行了半结构化访谈。进行主题分析以确定与远程icu护理实践相关的关键主题和次主题。结果:参与者强调了影响远程icu实践的几个因素,包括缺乏标准化培训、技术挑战和财政限制。尽管存在这些挑战,许多参与者认为远程ICU是病床旁ICU护理对体力要求较低的替代方案。他们强调需要正式的远程icu认证、改进的技术基础设施和组织支持。还注意到对角色明确、职业发展和法律责任的关切。结论:沙特阿拉伯的护士展示了多种可能影响将远程icu作为标准做法的因素。解决培训、基础设施和政策方面的差距可以提高其采用率和可持续性,最终有利于患者治疗结果和护士满意度。与临床实践的相关性:远程icu为加强沙特阿拉伯的重症监护提供了巨大的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
期刊介绍: Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice
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