دورية أكاديمية
أعرض في EDS

Practitioners' views on community implementation of point-of-care ultrasound (POCUS) in the UK: a qualitative interview study.

التفاصيل البيبلوغرافية
العنوان: Practitioners' views on community implementation of point-of-care ultrasound (POCUS) in the UK: a qualitative interview study.
المؤلفون: Akanuwe JNA; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, England., Siriwardena AN; Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, England. nsiriwardena@lincoln.ac.uk., Bidaut L; School of Computer Science, College of Science, University of Lincoln, Lincoln, England., Mitchell P; School of Health and Social Care, University of Lincoln, Lincoln, England., Bird P; Institute for Translational Medicine Research & Development, University Hospitals Birmingham NHS Foundation Trust, West Midlands Academic Health Science Network, Birmingham, England., Lasserson D; Warwick Medical School, University of Warwick, Coventry, England.; Department of Gerontology, Oxford University Hospitals NHS Foundation Trust, Oxford, England., Apenteng P, Lilford R; Institute of Applied Health Research, University of Birmingham, Birmingham, England.
المصدر: BMC health services research [BMC Health Serv Res] 2023 Jan 25; Vol. 23 (1), pp. 84. Date of Electronic Publication: 2023 Jan 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Point-of-Care Systems* , Point-of-Care Testing*, Humans ; Adult ; Middle Aged ; Allied Health Personnel ; Qualitative Research ; United Kingdom
مستخلص: Background: Implementing Point-of-care ultrasound (POCUS) in community practice could help to decide upon and prioritise initial treatment, procedures and appropriate specialist referral or conveyance to hospital. A recent literature review suggests that image quality, portability and cost of ultrasound devices are all improving with widening indications for community POCUS, but evidence about community POCUS use is needed in the UK. We aimed to explore views of clinical practitioners, actively using ultrasound, on their experiences of using POCUS and potential facilitators and barriers to its wider implementation in community settings in the UK.
Methods: We conducted a qualitative interview study with practitioners from community and secondary care settings actively using POCUS in practice. A convenience sample of eligible participants from different clinical specialties and settings was recruited using social media adverts, through websites of relevant research groups and snowball sampling. Individual semi-structured interviews were conducted online using Microsoft Teams. These were recorded, transcribed verbatim, and analysed using a Framework approach supported by NVivo 12.
Results: We interviewed 16 practitioners aged between 40 and 62 years from different professional backgrounds, including paramedics, emergency physicians, general practitioners, and allied health professionals. Participants identified key considerations and facilitators for wider implementation of POCUS in community settings in the UK: resource requirements for deployment and support of working devices; sufficient time and a skilled workforce; attention to training, education and support needs; ensuring proper governance, guidelines and quality assurance; workforce considerations; enabling ease of use in assisting decision making with consideration of unintended consequences; and more robust evidence to support perceptions of improved patient outcomes and experience.
Conclusions: POCUS could be useful for improving patient journey and health outcomes in community care, but this requires further research to evaluate outcomes. The facilitators identified could help make community POCUS a reality.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Community practice; Facilitators; Point of care ultrasound; Prehospital care; Primary care; Ultrasound practitioners
تواريخ الأحداث: Date Created: 20230125 Date Completed: 20230127 Latest Revision: 20230202
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9876652
DOI: 10.1186/s12913-023-09069-4
PMID: 36698100
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-023-09069-4