在外科门诊诊所使用视频咨询的感知障碍和促进因素-一项对具有有限经验的临床医生的定性研究

IF 1 Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-09-01 DOI:10.1016/j.pcorm.2025.100546

Mia Grøftholdt Pedersen , Helle Poulsen , Lærke Kjær Tolstrup

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引用次数: 0

摘要

加速使用远程医疗，包括视频咨询，是全球医疗保健领域一个高度相关的主题。虽然视频咨询提供了潜在的好处，但临床医生仍然不愿意使用它们。临床医生的观点可能会影响视频会诊的实施，然而，调查临床医生观点的研究在外科环境中是有限的。本研究旨在调查临床医生对在外科门诊诊所使用视频会诊的障碍和促进因素的看法，这些临床医生在视频会诊方面的经验有限。方法通过3个焦点小组对13名护士和7名医生进行定性研究。焦点小组以两难游戏为基础，使用基于情境案例的半结构化访谈指南，让参与者反思不同的角色。通过系统的文本浓缩对数据进行分析。结果临床医生发现了几个障碍，包括对技术失败的恐惧，进行临床评估或护理患者的能力有限，以及难以选择正确的咨询类型。另一方面，引导者包括为患者和家属节省时间，增加患者舒适度，以及视频咨询比电话咨询的优势，包括在沟通过程中观察非语言线索的能力，以及插图或屏幕共享的选择。结论：该研究确定了在外科门诊进行视频会诊的障碍和促进因素，这些临床医生在视频会诊方面的经验有限。确定障碍和促进因素可能会减少临床医生的潜在阻力，确保更好地应用视频咨询。临床医生提出了简化实施的举措，包括充分的介绍、“操作指南”和他人的帮助。

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Perceived barriers and facilitators for using video consultations in a surgical outpatient clinic – A qualitative study among clinicians with limited prior experience

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Perceived barriers and facilitators for using video consultations in a surgical outpatient clinic – A qualitative study among clinicians with limited prior experience

Introduction

Accelerated use of telehealth, including video consultations, is a highly relevant topic in healthcare worldwide. While video consultations offer potential benefits, clinicians remain reluctant to use them. Clinicians’ perspectives might affect the implementation of video consultations, however, research investigating clinicians’ perspectives is limited in surgical settings. This study aimed to investigate clinicians’ perspectives on barriers and facilitators for using video consultations in a surgical outpatient clinic among clinicians with limited prior experience with video consultations.

Methods

A qualitative study was conducted through three focus groups with thirteen nurses and seven physicians. The focus groups were based on dilemma games, using a semi-structured interview guide based on a contextual case to give participants different roles to reflect upon. Data were analyzed by systematic text condensation.

Results

Clinicians identified several barriers, including fear of failing technology, limited ability to conduct clinical assessments or to care for the patient, and difficulty in choosing the right consultation type. On the other hand, facilitators included time savings for patients and relatives, increased patient comfort, and advantages of video consultations over telephone consultations, including the ability to observe non-verbal cues during communication and the option to illustrate or screen-share.

Conclusions

The study identifies barriers and facilitators concerning video consultations in a surgical outpatient setting among clinicians with limited experience with video consultations. Identifying barriers and facilitators can possibly reduce potential resistance from clinicians, ensuring a better application of video consultations. Clinicians proposed initiatives to ease implementation, including adequate introduction, ‘How-to’ guides, and help from others.

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.