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Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study

BACKGROUND: Today, using the medical technology of telecardiology, as part of advanced medical services, plays an essential role in providing care to cardiac patients in life-threatening conditions who need emergency care. However, pre-hospital emergency care personnel are faced with certain challen...

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Autores principales: Bijani, Mostafa, Abedi, Saeed, Zare, Azam, Tavacol, Ziba, Abadi, Fozieh, Alkamel, Abdulhakim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696672/
https://www.ncbi.nlm.nih.gov/pubmed/38049778
http://dx.doi.org/10.1186/s12873-023-00913-8
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author Bijani, Mostafa
Abedi, Saeed
Zare, Azam
Tavacol, Ziba
Abadi, Fozieh
Alkamel, Abdulhakim
author_facet Bijani, Mostafa
Abedi, Saeed
Zare, Azam
Tavacol, Ziba
Abadi, Fozieh
Alkamel, Abdulhakim
author_sort Bijani, Mostafa
collection PubMed
description BACKGROUND: Today, using the medical technology of telecardiology, as part of advanced medical services, plays an essential role in providing care to cardiac patients in life-threatening conditions who need emergency care. However, pre-hospital emergency care personnel are faced with certain challenges in using telecardiology, with adverse effects on their performance. Therefore, the present study aimed to investigate the challenges to using telecardiology as viewed by pre-hospital emergency care personnel in Southern Iran. METHODS: The present study is a qualitative work of research with a content analysis approach. Selected using purposeful sampling, 19 pre-hospital emergency care personnel were interviewed on a semi-structured, personal, in-depth basis. The qualitative data obtained were analyzed using the Graneheim and Lundman’s conventional content analysis approach (2004). RESULTS: Based on the qualitative data analysis, 3 themes and 8 subthemes were obtained. The three main themes included professional barriers (lack of clinical knowledge of telecardiology, lack of clinical skill in telecardiology, violation of patients’ privacy, lack of clinical guidelines on telecardiology), medical equipment and telecommunication barriers (poor reception and ineffective means of communication, low charge on the battery of tele-electrocardiogram machines), and organizational management barriers (serious lack of cardiologists available for medical counseling and lack of continual personal development of the telecardiology personnel). CONCLUSION: Senior managers in pre-hospital emergency care services are recommended to use the results of this study to identify the influential factors in using telecardiology and take the necessary measures to eliminate the existing barriers toward making optimal use of telemedicine, thereby improving the quality of care provided for cardiac patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-023-00913-8.
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spelling pubmed-106966722023-12-06 Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study Bijani, Mostafa Abedi, Saeed Zare, Azam Tavacol, Ziba Abadi, Fozieh Alkamel, Abdulhakim BMC Emerg Med Research BACKGROUND: Today, using the medical technology of telecardiology, as part of advanced medical services, plays an essential role in providing care to cardiac patients in life-threatening conditions who need emergency care. However, pre-hospital emergency care personnel are faced with certain challenges in using telecardiology, with adverse effects on their performance. Therefore, the present study aimed to investigate the challenges to using telecardiology as viewed by pre-hospital emergency care personnel in Southern Iran. METHODS: The present study is a qualitative work of research with a content analysis approach. Selected using purposeful sampling, 19 pre-hospital emergency care personnel were interviewed on a semi-structured, personal, in-depth basis. The qualitative data obtained were analyzed using the Graneheim and Lundman’s conventional content analysis approach (2004). RESULTS: Based on the qualitative data analysis, 3 themes and 8 subthemes were obtained. The three main themes included professional barriers (lack of clinical knowledge of telecardiology, lack of clinical skill in telecardiology, violation of patients’ privacy, lack of clinical guidelines on telecardiology), medical equipment and telecommunication barriers (poor reception and ineffective means of communication, low charge on the battery of tele-electrocardiogram machines), and organizational management barriers (serious lack of cardiologists available for medical counseling and lack of continual personal development of the telecardiology personnel). CONCLUSION: Senior managers in pre-hospital emergency care services are recommended to use the results of this study to identify the influential factors in using telecardiology and take the necessary measures to eliminate the existing barriers toward making optimal use of telemedicine, thereby improving the quality of care provided for cardiac patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-023-00913-8. BioMed Central 2023-12-04 /pmc/articles/PMC10696672/ /pubmed/38049778 http://dx.doi.org/10.1186/s12873-023-00913-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bijani, Mostafa
Abedi, Saeed
Zare, Azam
Tavacol, Ziba
Abadi, Fozieh
Alkamel, Abdulhakim
Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title_full Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title_fullStr Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title_full_unstemmed Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title_short Exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
title_sort exploring the challenges to using telecardiology as perceived by pre-hospital emergency care personnel: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696672/
https://www.ncbi.nlm.nih.gov/pubmed/38049778
http://dx.doi.org/10.1186/s12873-023-00913-8
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