PDF(Pubmed)
Abstract：
BACKGROUND: Back pain is a huge global problem. For some people, the pain is so severe that they feel the need to present to an emergency department (ED). Our aim was to explore patient and staff perspectives for the development of a digital care pathway (DCP) for people with back pain who have presented to ED, including acceptability, barriers and facilitators.
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.
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.
摘要：
背景：背痛是一个巨大的全球性问题。对一些人来说,疼痛是如此严重，他们觉得有必要向急诊科（ED）。我们的目标是探索患者和工作人员的观点，为已提交给ED的背痛患者开发数字护理途径（DCP），包括可接受性，障碍和促进者。
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。
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。
