Health professionals' responses to the introduction of a home telehealth service
Health professionals' responses to the introduction of a home telehealth service
复制标题
卫生专业人员对引入家庭远程医疗服务的反应
DOI：
10.1258/1357633041424386
复制
发表时间：
2004
影响因子：
4.7
通讯作者：
R. Angus
中科院分区：
文献类型：
--
作者：
D. Hibbert;F. Mair;C. May;A. Boland;J. O'Connor;S. Capewell;R. Angus
在一项随机对照试验中，对慢性阻塞性肺疾病（COPD）患者的家庭远程保健护理服务实施过程中涉及的社会技术过程进行了人种学（参与性观察）研究。对与技术相关的任务以及研究小组与使用远程医疗设备的12名护士之间的相互作用进行了人种学现场记录。对技术的看法与职业自我形象和地位的看法有关。这项技术有时被认为无助于与患者建立有效的关系。在几个月的时间里，所有参与者都需要做大量的工作来开发技术，以最大限度地降低对专家服务稳定性和现有护士-病人关系的风险。我们的工作突出了卫生专业人员在试图将新技术纳入日常服务提供时遇到的复杂问题。新技术与现有专业做法和关系的相互作用所引起的关注超出了简单的培训问题。
An ethnographic (participant observation) study was undertaken of the socio-technical processes involved in the implementation, within a randomized controlled trial, of a home telehealth nursing service for patients with chronic obstructive pulmonary disease (COPD). Ethnographic field notes were taken about technology-related tasks and the interplay between the research team and the 12 nurses who were to use the telehealth equipment. Views of the technology were linked to views of professional self-image and status. The technology was sometimes seen as unhelpful in establishing effective relationships with patients. Considerable work by all participants, over a period of months, was required to develop the technology in ways that minimized the risk to the stability of the specialist service and existing nurse–patient relationships. Our work highlights the complex problems that health professionals encounter when they try to integrate new technologies into routine service delivery. The concerns arising from the interplay of new technology with existing professional practices and relationships go beyond simple issues of training.