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Using the providers’ perspective on video review of neonatal procedures to create a roadmap: a qualitative study
Archives of Disease in Childhood - Fetal and Neonatal Edition ( IF 6.643 ) Pub Date : 2024-02-07 , DOI: 10.1136/archdischild-2023-326528
Veerle Heesters , Henriëtte A van Zanten , Maria C den Boer , Arjan B te Pas , Ruben SGM Witlox

Objective To examine the providers’ perceptions and experiences on implementation of video review (VR) of procedures in the neonatal intensive care unit (NICU). Design Qualitative study using semi-structured interviews with neonatal care providers about their experiences with VR. Interviews were audio-recorded, transcribed and thematically analysed using the data analysis software Atlas.ti V.22.2. Setting Providers working in the NICU of the Leiden University Medical Center were interviewed during implementation of VR. Results In total, 28 NICU staff members were interviewed. The interviewed providers appreciated VR and valued the focus on a safe learning environment. Five overarching themes were identified: (1) added value: providers reported that VR is a powerful tool for reflection on daily practice and serves as a magnifying glass on practice, provides a helicopter view and VR with nursing and medical staff together led to new insights and was seen as highly valuable; (2) preconditions and considerations: the existing culture of trust on the NICU positively influenced providers’ perception; (3) adjustment: it was recommended to first let providers attend a VR session, before being recorded; (4) experiences with VR: suggestions were made by the providers regarding the preparation and organisation of VR and the role of the chair; (5) embedding VR: providers considered how to embed VR on the long-term while maintaining a safe learning environment and provided suggestions for expanding. Conclusion Neonatal care providers appreciated the use of VR and provided viewpoints on how to implement VR successfully, which were used to develop a roadmap with recommendations. Data are available on reasonable request.

中文翻译:

利用提供者对新生儿手术视频审查的观点来制定路线图:一项定性研究

目的 调查医疗服务提供者对新生儿重症监护病房 (NICU) 实施手术视频审核 (VR) 的看法和经验。通过对新生儿护理人员的半结构化访谈来设计定性研究,了解他们的 VR 体验。使用数据分析软件 Atlas.ti V.22.2 对访谈进行录音、转录和主题分析。设置 在实施 VR 期间对莱顿大学医学中心新生儿重症监护病房 (NICU) 工作的提供者进行了采访。结果 总共采访了 28 名 NICU 工作人员。受访提供者赞赏 VR 并重视对安全学习环境的关注。确定了五个首要主题:(1)附加值:提供商报告说,VR 是反思日常实践的强大工具,可以作为实践的放大镜,提供直升机视图,VR 与护理和医务人员一起带来新的见解并被视为非常有价值; (2)前提和考虑因素:现有的对NICU的信任文化对提供者的看法产生了积极的影响; (3)调整:建议先让提供者参加VR会话,然后再进行录制; (4)VR经验:提供者对VR的准备和组织以及主席的角色提出了建议; (5) 嵌入VR:提供商考虑如何在维护安全学习环境的同时长期嵌入VR,并提供扩展建议。结论 新生儿护理人员赞赏 VR 的使用,并就如何成功实施 VR 提供了观点,这些观点被用来制定路线图和建议。可根据合理要求提供数据。
更新日期:2024-02-08
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