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In: Nursing

Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S., Jørgensen, M. E., Fleischer,...

Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S., Jørgensen, M. E., Fleischer, J., & Willaing, I. (2015). Making sense of a new technology in clinical practice: A qualitative study of patient and physician perspectives. BMC Health Services Research, 15(1), 1-10. doi:10.1186/s12913-015-1071-1

What is the purpose of this research?

What is the research question (or questions)? This may be implicit or explicit.

Give a complete description of the research design of this study.

Solutions

Expert Solution

The research question of the present study is:

The purpose of this reseach is to make a better understanding of the physician as well as patient regarding the usage of new technologies in the present healthcare sytem, and more specifically here for the Cardiovascular Autonomic Neuropathy .

How to have a better understanding of the new technology to detect identify Cardiovascular Autonomic Neuropathy using a handheld device in diabetic care clinics?

The complete discription of the study is as such:

In modern healthcare system there is tremendous use of newer technologies for risk assessment and their use is increasing day by day. This practice has resulted in the improved care practices as well as increased patient outcomes. Hence this is very important to have better understanding of these technologies along with the complete skill to interpretate them in the modern healthcare system in clinical practice.

The objective of the present study is to explore patient and physician understanding regarding the importance of these newer technologies in identify Cardiovascular Autonomic Neuropathy by the specialist in the diabetes care clinics.

This technology is based on the use of a handheld device which observes the resting heart rate and performs 3 cardiac autonomic reflex tests to ultimately assess heart rate predictability.

In this method the data collection was accomplished from the 3 sources:

  • Observations of medical consultations
  • Interviews with patients who had received the CAN test
  • Interviews with physicians who had performed CAN test

Finally these data were analyzed using the concept of technological frames which is based on the process to assess how physicians and patients understand & interpret the currently available new technology.

The results of the present studies had observed that physicians generally have difficulty to communicate the results of the CAN test to patients regarding the complete understandings of the treatment of patients. Furthermore, it was seen that patients were in dilemma regarding the purpose of the CAN test with respect to their implications.

Finally it was concluded that the integration of any new risk assessment technology into clinical practice is full of many challenges. It is advisable to provide more assessable information to patients regarding the CAN test.


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