METHODS: We used a descriptive phenomenology approach using semi-structured interviews with patient and staff participants at a tertiary hospital. Interviews were transcribed and data codes were developed using inductive thematic analysis. Themes were discussed between researchers until consensus was achieved.
RESULTS: A total of 16 interviews were carried out, half of which involved patient participants. We identified three major themes: (i) expectations and experiences of staff and patients with low back pain in ED; (ii) a digital care pathway can empower patients and support clinicians in providing care; and (iii) acceptability, barriers, facilitators and recommendations of engaging with a DCP to track the trajectory of back pain. Each theme was further categorised into subthemes.
CONCLUSIONS: Introducing a DCP was perceived as acceptable and beneficial by patients and staff. Both groups were aware of the potential participant burden if surveys were too long. Introducing a DCP could be a valuable adjunct to current management care models, providing a standardised source of education with the potential for individualised tracking and monitoring. The design and development of a DCP will need to consider reported facilitators and address perceived barriers for engagement.
UNASSIGNED: This project sought insights from patients and staff about a digital care pathway. This forms the first step of patient and consumer consultation before implementing a digital care pathway. All consumers were offered the opportunity to review their responses and our interpretation.
方法:我们使用描述性现象学方法,对三级医院的患者和工作人员参与者进行半结构化访谈。使用归纳主题分析对访谈进行了转录,并开发了数据代码。研究人员之间讨论主题,直到达成共识。
结果:共进行了16次访谈,其中一半涉及患者参与者。我们确定了三个主要主题:(i)ED下腰痛工作人员和患者的期望和经验;(ii)数字护理途径可以授权患者并支持临床医生提供护理;(iii)可接受性,障碍,与DCP合作追踪背痛轨迹的促进者和建议。每个主题都被进一步分类为次主题。
结论:患者和工作人员认为引入DCP是可接受和有益的。如果调查时间过长,两组都意识到潜在的参与者负担。引入DCP可能是当前管理护理模式的宝贵辅助手段,提供标准化的教育来源,有可能进行个性化的跟踪和监控。DCP的设计和开发将需要考虑报告的促进者,并解决公认的参与障碍。
■该项目寻求患者和工作人员对数字护理途径的见解。这是在实施数字护理途径之前进行患者和消费者咨询的第一步。所有消费者都有机会查看他们的回答和我们的解释。