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Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study

BACKGROUND: In Norway, the anaesthesia team normally consists of a nurse anaesthetist and an anaesthetist. Digital anesthesia information management systems (AIMS) that collect patient information directly from the anaesthesia workstation, and transmit the data into documentation systems have recent...

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Autores principales: Leonardsen, Ann-Chatrin, Bruun, Anne-Marie Gran, Valeberg, Berit T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340760/
https://www.ncbi.nlm.nih.gov/pubmed/35915471
http://dx.doi.org/10.1186/s12912-022-00998-9
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author Leonardsen, Ann-Chatrin
Bruun, Anne-Marie Gran
Valeberg, Berit T.
author_facet Leonardsen, Ann-Chatrin
Bruun, Anne-Marie Gran
Valeberg, Berit T.
author_sort Leonardsen, Ann-Chatrin
collection PubMed
description BACKGROUND: In Norway, the anaesthesia team normally consists of a nurse anaesthetist and an anaesthetist. Digital anesthesia information management systems (AIMS) that collect patient information directly from the anaesthesia workstation, and transmit the data into documentation systems have recently been implemented in Norway. Earlier studies have indicated that implementation of digital AIMS impacts the clinical workflow patterns and distracts the anaesthesia providers. These studies have mainly had a quantitative design and focused on functionality, installation designs, benefits and challenges associated with implementing and using AIMS. Hence, the aim of this study was to qualitatively explore anaesthesia personnel’s perspectives on implementing and using digital AIMS. METHODS: The study had an exploratory and descriptive design. The study was conducted within three non-university hospitals in Southern Norway. Qualitative, individual interviews with nurse anaesthetists (n = 9) and anaesthetists (n = 9) were conducted in the period September to December 2020. Data were analysed using qualitative content analysis according to the recommendations of Graneheim and Lundman. RESULTS: Four categories were identified: 1) Balance between clinical assessment and monitoring, 2) Vigilance in relation to the patient, 3) The nurse-physician collaboration, and 4) Software issues. Participants described that anaesthesia included a continuous balance between clinical assessment and monitoring. They experienced that the digital AIMS had an impact on their vigilance in relation to the patient during anaesthesia. The digital AIMS affected the nurse-physician collaboration. Moreover, participants emphasised a lack of user participation and aspects of user-friendliness regarding the implementation of digital AIMS. CONCLUSION: Digital AIMS impacts vigilance in relation to the patient. Hence, collaboration and acceptance of the mutual responsibility between nurse anaesthetists and anaesthetists for both clinical observation and digital AIMS administration is essential. Anaesthesia personnel should be included in development and implementation processes to facilitate implementation.
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spelling pubmed-93407602022-08-01 Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study Leonardsen, Ann-Chatrin Bruun, Anne-Marie Gran Valeberg, Berit T. BMC Nurs Research BACKGROUND: In Norway, the anaesthesia team normally consists of a nurse anaesthetist and an anaesthetist. Digital anesthesia information management systems (AIMS) that collect patient information directly from the anaesthesia workstation, and transmit the data into documentation systems have recently been implemented in Norway. Earlier studies have indicated that implementation of digital AIMS impacts the clinical workflow patterns and distracts the anaesthesia providers. These studies have mainly had a quantitative design and focused on functionality, installation designs, benefits and challenges associated with implementing and using AIMS. Hence, the aim of this study was to qualitatively explore anaesthesia personnel’s perspectives on implementing and using digital AIMS. METHODS: The study had an exploratory and descriptive design. The study was conducted within three non-university hospitals in Southern Norway. Qualitative, individual interviews with nurse anaesthetists (n = 9) and anaesthetists (n = 9) were conducted in the period September to December 2020. Data were analysed using qualitative content analysis according to the recommendations of Graneheim and Lundman. RESULTS: Four categories were identified: 1) Balance between clinical assessment and monitoring, 2) Vigilance in relation to the patient, 3) The nurse-physician collaboration, and 4) Software issues. Participants described that anaesthesia included a continuous balance between clinical assessment and monitoring. They experienced that the digital AIMS had an impact on their vigilance in relation to the patient during anaesthesia. The digital AIMS affected the nurse-physician collaboration. Moreover, participants emphasised a lack of user participation and aspects of user-friendliness regarding the implementation of digital AIMS. CONCLUSION: Digital AIMS impacts vigilance in relation to the patient. Hence, collaboration and acceptance of the mutual responsibility between nurse anaesthetists and anaesthetists for both clinical observation and digital AIMS administration is essential. Anaesthesia personnel should be included in development and implementation processes to facilitate implementation. BioMed Central 2022-08-01 /pmc/articles/PMC9340760/ /pubmed/35915471 http://dx.doi.org/10.1186/s12912-022-00998-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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
Leonardsen, Ann-Chatrin
Bruun, Anne-Marie Gran
Valeberg, Berit T.
Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title_full Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title_fullStr Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title_full_unstemmed Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title_short Anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
title_sort anaesthesia personnels’ perspectives on digital anaesthesia information management systems – a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340760/
https://www.ncbi.nlm.nih.gov/pubmed/35915471
http://dx.doi.org/10.1186/s12912-022-00998-9
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