PDF(Pubmed)
Abstract：
Wearable devices have been used extensively both inside and outside of the hospital setting. During the COVID-19 pandemic, in some contexts, there was an increased need to remotely monitor pulse and saturated oxygen for patients due to the lack of staff and bedside monitors.
A prototype of a remote monitoring system using wearable pulse oximeter devices was implemented at the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam, from August to December 2021. The aim of this work was to support the ongoing implementation of the remote monitoring system.
We used an action learning approach with rapid pragmatic methods, including informal discussions and observations as well as a feedback survey form designed based on the technology acceptance model to assess the use and acceptability of the system. Based on these results, we facilitated a meeting using user-centered design principles to explore user needs and ideas about its development in more detail.
In total, 21 users filled in the feedback form. The mean technology acceptance model scores ranged from 3.5 (for perceived ease of use) to 4.4 (for attitude) with behavioral intention (3.8) and perceived usefulness (4.2) scoring in between. Those working as nurses scored higher on perceived usefulness, attitude, and behavioral intention than did physicians. Based on informal discussions, we realized there was a mismatch between how we (ie, the research team) and the ward teams perceived the use and wider purpose of the technology.
Designing and implementing the devices to be more nurse-centric from their introduction could have helped to increase their efficiency and use during the complex pandemic period.
A prototype of a remote monitoring system using wearable pulse oximeter devices was implemented at the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam, from August to December 2021. The aim of this work was to support the ongoing implementation of the remote monitoring system.
We used an action learning approach with rapid pragmatic methods, including informal discussions and observations as well as a feedback survey form designed based on the technology acceptance model to assess the use and acceptability of the system. Based on these results, we facilitated a meeting using user-centered design principles to explore user needs and ideas about its development in more detail.
In total, 21 users filled in the feedback form. The mean technology acceptance model scores ranged from 3.5 (for perceived ease of use) to 4.4 (for attitude) with behavioral intention (3.8) and perceived usefulness (4.2) scoring in between. Those working as nurses scored higher on perceived usefulness, attitude, and behavioral intention than did physicians. Based on informal discussions, we realized there was a mismatch between how we (ie, the research team) and the ward teams perceived the use and wider purpose of the technology.
Designing and implementing the devices to be more nurse-centric from their introduction could have helped to increase their efficiency and use during the complex pandemic period.
摘要：
背景：可穿戴设备已在医院内部和外部广泛使用。在COVID-19大流行期间，在某些情况下,由于缺乏工作人员和床边监护仪，因此越来越需要远程监测患者的脉搏和饱和氧气。
目的：在胡志明市热带病医院实施了使用可穿戴脉搏血氧计设备的远程监测系统的原型，越南,2021年8月至12月。这项工作的目的是支持远程监测系统的持续实施。
方法：我们使用了快速语用方法的行动学习方法，包括非正式讨论和观察以及基于技术接受模型设计的反馈调查表，以评估系统的使用和可接受性。基于这些结果,我们使用以用户为中心的设计原则促进了一次会议，以更详细地探索用户需求和有关其开发的想法。
结果：总计，21位用户填写了反馈表单。平均技术接受模型得分从3.5（对于感知的易用性）到4.4（对于态度），行为意图（3.8）和感知的有用性（4.2）得分介于两者之间。那些当护士的人在感知有用性上得分更高，态度,和行为意图比医生。根据非正式讨论，我们意识到我们之间存在不匹配（即，研究团队)和病房团队意识到了该技术的使用和更广泛的目的。
结论：在复杂的大流行期间，将设备设计和实施得更加以护士为中心，可能有助于提高其效率和使用。
目的：在胡志明市热带病医院实施了使用可穿戴脉搏血氧计设备的远程监测系统的原型，越南,2021年8月至12月。这项工作的目的是支持远程监测系统的持续实施。
方法：我们使用了快速语用方法的行动学习方法，包括非正式讨论和观察以及基于技术接受模型设计的反馈调查表，以评估系统的使用和可接受性。基于这些结果,我们使用以用户为中心的设计原则促进了一次会议，以更详细地探索用户需求和有关其开发的想法。
结果：总计，21位用户填写了反馈表单。平均技术接受模型得分从3.5（对于感知的易用性）到4.4（对于态度），行为意图（3.8）和感知的有用性（4.2）得分介于两者之间。那些当护士的人在感知有用性上得分更高，态度,和行为意图比医生。根据非正式讨论，我们意识到我们之间存在不匹配（即，研究团队)和病房团队意识到了该技术的使用和更广泛的目的。
结论：在复杂的大流行期间，将设备设计和实施得更加以护士为中心，可能有助于提高其效率和使用。
