Perspectives on COVID-19 testing policies and practices: a qualitative study with scientific advisors and NHS health care workers in England.
Perspectives on COVID-19 testing policies and practices: a qualitative study with scientific advisors and NHS health care workers in England.
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DOI：
10.1186/s12889-021-11285-8
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发表时间：
2021-06-24
影响因子：
4.5
通讯作者：
Sheard S
中科院分区：
文献类型：
--
作者：
Martindale AM;Pilbeam C;Mableson H;Tonkin-Crine S;Atkinson P;Borek A;Lant S;Gobat N;Solomon T;Sheard S
随着COVID-19死亡率的上升和医疗保健系统的需求增加，国家检测策略受到了审查。本文利用来自一项更大规模的COVID-19研究的定性访谈数据，深入了解了在COVID-19大流行第一波（2020年3月至8月）期间，英国NHS环境中对卫生保健工作者（HCW）的国家COVID-19检测策略的影响和制定。通过研究结果，我们旨在为了解COVID-19检测政策和实践提供信息;并为未来的大流行诊断准备提供信息。采用远程定性、半结构化纵向访谈方法，对英国政府COVID-19高级科学顾问和英国NHS初级和二级卫生保健机构雇用的卫生保健工作者进行了有目的的雪球样本。使用关键词搜索从较大的项目数据集中选择了来自13名参与者的24次访谈，因为并非所有的成绩单都包含对测试的引用。框架分析是由不采用，放弃，扩大规模，传播和可持续性的面向患者的健康和护理技术实施框架（NASSS）和规范化过程理论（NPT）。我们的报告强调了国家测试发展的沟通和实施之间的紧张关系;科学顾问和HCW对传染性的看法;以及测试责任及其在地方一级的影响的不确定性。必须考虑到大规模NHS工作人员测试的影响，包括传达给HCWs的信息的准确性; HCWs如何解释，管理和采取行动的测试指导;以及这些对医疗机构和服务的影响。在线版本包含补充材料，可通过10.1186/s12889-021-11285-8获得。
As COVID-19 death rates have risen and health-care systems have experienced increased demand, national testing strategies have come under scrutiny. Utilising qualitative interview data from a larger COVID-19 study, this paper provides insights into influences on and the enactment of national COVID-19 testing strategies for health care workers (HCWs) in English NHS settings during wave one of the COVID-19 pandemic (March–August 2020). Through the findings we aim to inform learning about COVID-19 testing policies and practices; and to inform future pandemic diagnostic preparedness. A remote qualitative, semi-structured longitudinal interview method was employed with a purposive snowball sample of senior scientific advisors to the UK Government on COVID-19, and HCWs employed in NHS primary and secondary health care settings in England. Twenty-four interviews from 13 participants were selected from the larger project dataset using a key term search, as not all of the transcripts contained references to testing. Framework analysis was informed by the non-adoption, abandonment, scale-up, spread, and sustainability of patient-facing health and care technologies implementation framework (NASSS) and by normalisation process theory (NPT). Our account highlights tensions between the communication and implementation of national testing developments; scientific advisor and HCW perceptions about infectiousness; and uncertainties about the responsibility for testing and its implications at the local level. Consideration must be given to the implications of mass NHS staff testing, including the accuracy of information communicated to HCWs; how HCWs interpret, manage, and act on testing guidance; and the influence these have on health care organisations and services. The online version contains supplementary material available at 10.1186/s12889-021-11285-8.
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影响因子：
9.8
作者：
Hasell J;Mathieu E;Beltekian D;Macdonald B;Giattino C;Ortiz-Ospina E;Roser M;Ritchie H
通讯作者：
Ritchie H
DOI：
10.1186/1748-5908-8-18
发表时间：
2013-02-13
期刊：
Implementation science : IS
影响因子：
--
作者：
May C
通讯作者：
May C
影响因子：
3.7
作者：
Arevalo-Rodriguez I;Buitrago-Garcia D;Simancas-Racines D;Zambrano-Achig P;Del Campo R;Ciapponi A;Sued O;Martinez-García L;Rutjes AW;Low N;Bossuyt PM;Perez-Molina JA;Zamora J
通讯作者：
Zamora J
影响因子：
1.7
作者：
Paton, Calum
通讯作者：
Paton, Calum
影响因子：
7.4
作者：
Greenhalgh T;Wherton J;Papoutsi C;Lynch J;Hughes G;A'Court C;Hinder S;Fahy N;Procter R;Shaw S
通讯作者：
Shaw S