| 1. |
- Aminoff, Hedvig, et al.
(författare)
-
Context and Complexity in Telemedicine Evaluation : Work Domain Analysis in a Surgical Setting
- 2021
-
Ingår i: JMIR Perioperative Medicine. - : JMIR Publications Inc.. - 2561-9128. ; 4:2, s. e26580-e26580
-
Tidskriftsartikel (refereegranskat)abstract
- Many promising telemedicine innovations fail to be accepted and used over time, and there are longstanding questions about howto best evaluate telemedicine services and other health information technologies. In response to these challenges, there is a growinginterest in how to take the sociotechnical complexity of health care into account during design, implementation, and evaluation.This paper discusses the methodological implications of this complexity and how the sociotechnical context holds the key tounderstanding the effects and outcomes of telemedicine. Examples from a work domain analysis of a surgical setting, where atelemedicine service for remote surgical consultation was to be introduced, are used to show how abstracted functional modelingcan provide a structured and rigorous means to analyze and represent the implementation context in complex health care settings.
|
|
| 2. |
- Nilsson, Ulrica, et al.
(författare)
-
The Swedish Web Version of the Quality of Recovery Scale Adapted for Patients Undergoing Local Anaesthesia and Peripheral Nerve Blockade, SwQoR-LA : Prospective Psychometric Evaluation Study
- 2021
-
Ingår i: JMIR Perioperative Medicine. - : JMIR Publications, Inc.. - 2561-9128. ; 4:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Frequency and timing of the assessment of patients’ symptoms and discomfort during postoperative recovery is a goal. Therefore, real-time-recovery evaluation has been suggested in order to identify specific deficits in patients’ recovery.Objective: To psychometric evaluate the Swedish Web Version of the Quality of Recovery (SwQoR) Scale adapted for patients undergoing local and peripheral nerve block: SwQoR-LA.Methods: This was a secondary analysis of a psychometric evaluation of 107 patients aged ≥18 years undergoing day surgery under local or peripheral nerve block anaesthesia at four different day surgery departments in Sweden. The SwQoR-LA, inserted into a mobile application (app) called Recovery Assessment by Phone Points (RAPP), was completed daily on postoperative days 1–7.Results: Some evidence of construct validity was supported, and discriminant validity was found in seven of eight items related to general anaesthesia. The internal consistency was acceptable (0.87–0.89) and the split-half reliability was .80– .86. Cohen’s d effect size was 0.98 and the percentage of change from the baseline was 43.4%. No floor or ceiling effects were found.Conclusions: The SwQoR-LA is valid, reliable, responsive and clinically feasible for real-time-recovery digital assessment of patient recovery in order to identify specific deficits in patients’ recovery and detect those patients who might benefit from a timely intervention.
|
|
