Using audiovisual vignettes to collect data remotely on complex clinical care: a practical insight.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-06-10 Epub Date: 2021-05-13 DOI:10.7748/nr.2021.e1769

Angela Teece, John Baker, Helen Smith

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引用次数: 0

Abstract

Background: Vignettes are regularly used in nursing research and education to explore complex clinical situations. However, paper-based vignettes lack clinical realism and do not fully recreate the pressures, sights and sounds of clinical settings, limiting their usefulness when studying complex decision-making processes.

Aim: To discuss the approach taken by the authors in developing and implementing audiovisual vignettes to collect data remotely in a qualitative study.

Discussion: The authors describe how they created audiovisual vignettes for a qualitative 'Think Aloud' study exploring how critical care nurses decide whether to restrain agitated patients with varying degrees of psychomotor agitation. They discuss the practicalities of filming, editing and hosting, as well as the theoretical and clinical background that informed the creation of the vignettes.

Conclusion: Audiovisual vignettes are a cost- and time-effective way of remotely exploring decision-making in challenging environments. This innovative method assists in studying decision-making under simulated clinical pressures and captures data about how people make complex decisions.

Implications for practice: Audiovisual vignettes are an innovative tool for collecting data and could also be used in educational settings and offer the opportunity to explore complex clinical decision making remotely. Clinical accuracy is essential for immersing participants and simulating an environment and its pressures. The method could be further enhanced by making vignettes responsive to participants' decisions.

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使用视听小片段远程收集复杂临床护理的数据:一种实用的见解。

背景:护理研究和教育中经常使用小插曲来探索复杂的临床情况。然而，基于纸张的小插图缺乏临床现实性，不能完全重现临床环境中的压力、景象和声音，限制了它们在研究复杂决策过程时的有用性。目的:讨论作者在定性研究中开发和实施视听小片段远程收集数据所采取的方法。讨论:作者描述了他们如何为一项定性的“大声思考”研究创造视听小插曲，探索重症护理护士如何决定是否抑制具有不同程度精神运动性躁动的激动患者。他们讨论了拍摄、编辑和主持的实用性，以及创作小插曲的理论和临床背景。结论:在具有挑战性的环境中，视听小片段是一种成本和时间效益高的远程探索决策的方法。这种创新的方法有助于在模拟临床压力下研究决策，并获取有关人们如何做出复杂决策的数据。对实践的影响:视听小片段是收集数据的一种创新工具，也可用于教育环境，并提供远程探索复杂临床决策的机会。临床准确性是必不可少的浸入参与者和模拟环境及其压力。该方法可以通过使小插曲响应参与者的决定来进一步加强。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.