ABSTRACT
BACKGROUND: Healthcare professionals with insufficient digital competence can be detrimental to patient safety and increase the incidence of errors. In order to guarantee proper care, healthcare organizations should provide opportunities to learn how to use technology, especially for those professionals who have not received training about this topic during their undergraduate studies. OBJECTIVE: This exploratory study aimed to conduct surveys among Spanish healthcare professionals to determine whether their organisations had trained them in the use of healthcare technology and the areas where most emphasis was placed. METHODS: 1624 Spanish healthcare professionals responded to an ad hoc online survey 7 questions related to the digital skill training offered by the healthcare organisations they work for. RESULTS: Nurses were the most widely represented group, making up 58.29% of the total, followed by physicians namely 26.49%. Only 20% of the nurses surveyed had received some training from their institution related to healthcare technology. According to the participants' responses, physicians received significantly more training in this area than nurses. Training related to database searching for research purposes or computer management followed the same trend. Nurses also received less training than physicians in this area. 32% of physicians and nurses paid for their own training if they did not receive any training from institutions. CONCLUSIONS: Nurses receive less training, on topics such as database searching or management, from the healthcare centres and hospitals where they work. Moreover, they also have fewer research and digital skills. Both of these factors may lead to deficits in their care activities, and have adverse effects on patients. Not to mention fewer opportunities for professional progress.
ABSTRACT
Respiration exercises are an important part in the pulmonary rehabilitation of COPD (chronic obstructive pulmonary disease) patients. Furthermore, previous research has demonstrated that showing respiration pattern helps the patients to improve their breathing skills. We have developed a low cost and non-invasive prototype based on the Wii remote game controller infrared camera to provide BPM (breaths per minute) measurement as feedback. It can also be a comfortable solution without wires, batteries or any kind of electronics but just wearing passive markers. The lab evaluation with 7 healthy individuals showed that this approach is feasible when users are resting of their exercise. The BPM monitored during the tests presented less than 15% of maximum error and the RMSE (root mean square error) was lower than 6% in all the tests. Further research is needed to evaluate and adapt the system for COPD patients. In addition, more work is needed to develop applications that can be built to motivate and guide the users.
Subject(s)
Pulmonary Disease, Chronic Obstructive/rehabilitation , Respiration , Diagnosis, Computer-Assisted/methods , Equipment Design , Exercise , Humans , Monitoring, Ambulatory/methods , Reproducibility of Results , Respiratory Mechanics , Signal Processing, Computer-Assisted , Software , User-Computer Interface , Video RecordingABSTRACT
Introducción: Tras el alta se necesita mejorar la comunicación entre la unidad de cirugía sin ingreso y el domicilio de los pacientes para ofrecer la misma calidad asistencial y los mismos cuidados que en la cirugía con ingreso. El objetivo principal del presente estudio es validar el impacto clínico, asistencial y de gestión del sistema de m-Salud de control domiciliario telefónico asistido con imágenes de telefonía móvil y pulsioximetría en el periodo postoperatorio tras intervenciones de cirugía ambulatoria. Material y métodos: Este trabajo presenta los resultados de un estudio prospectivo randomizado de un sistema móvil-health para la monitorización postoperatoria de pacientes en los primeros días del postoperatorio en el domicilio. Se seleccionaron de forma aleatoria 310 pacientes intervenidos de cirugía ambulatoria comparables en complejidad quirúrgica. Evaluamos dos grupos: el grupo piloto (llevaba móvil con transmisión de imágenes del postoperatorio)y el grupo control (sin móvil).Resultados: Los resultados muestran que el control telefónico protocolizado por sí mismo (con o sin imágenes de telefonía móvil) es eficiente en términos de calidad de la información recibida así como en la resolución de complicaciones menores domiciliarias. El grupo piloto requirió mayor tiempo de atención que el grupo control. Conclusiones: Aunque no hayamos observado diferencias entre los dos grupos estudiados consideramos que harían falta estudios posteriores para determinar con mayor exactitud el tipo de paciente idóneo para el control mediante la imagen y pulsioximetría (..) (AU)
Introduction: The rationale behind the need to improve the communication between the ambulatory surgery unit and the patients at home after discharge from ambulatory surgery is to offer a healthcare quality at home comparable to hospital care. Nowadays this improvement is needed, taking into account that more complex operations and patients with higher co morbidity are being included in these programs. The main objective of the study is to validate the clinical impact and management system of a domiciliary control m-health device assisted by mobile phone images and pulsioximetry after ambulatory surgery. Material and methods: This paper presents the results of a randomized prospective study of an m-Health system for post-operative monitoring of patients in the early ambulatory surgery home postoperative process. About 310 patients, with surgeries comparable in complexity, were randomly selected and included in either the intervention or the control group. Results: The results shows that the phone control protocol at home in postoperative process is very efficient in terms of the quality of information received and also in the resolution of late minor complications even compared with the most traditional ways of care. The timing of control of intervention group was longer than the control group. Conclusions: Although we have not observed differences between the two groups studied believe that further studies would be needed to determine more precisely the type of patient suitable for mobile image control and pulsioximetry. In this study is considered necessary to explain clearly instructions and household tips by the relevant personnel before discharge. In the other hand the patients they should known the help paths (direct phone number) in case of necessity (..) (AU)
