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Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19

In March 2020, the World Health Organisation named the severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), which causes corona virus disease 2019 (COVID –19), as a pandemic. Pregnant women were considered at increased risk of developing severe COVID-19 after viral infection. In response ma...

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Autores principales: Paterson, Charlotte, Jack, Elaine, McKinstry, Brian, Whyte, Sonia, Denison, Fiona C., Cheyne, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9980805/
https://www.ncbi.nlm.nih.gov/pubmed/36862687
http://dx.doi.org/10.1371/journal.pone.0278156
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author Paterson, Charlotte
Jack, Elaine
McKinstry, Brian
Whyte, Sonia
Denison, Fiona C.
Cheyne, Helen
author_facet Paterson, Charlotte
Jack, Elaine
McKinstry, Brian
Whyte, Sonia
Denison, Fiona C.
Cheyne, Helen
author_sort Paterson, Charlotte
collection PubMed
description In March 2020, the World Health Organisation named the severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), which causes corona virus disease 2019 (COVID –19), as a pandemic. Pregnant women were considered at increased risk of developing severe COVID-19 after viral infection. In response maternity services reduced face-to-face consultations with high-risk pregnant women by supplying blood pressure monitors for supported self-monitoring. This paper explores the experiences of patients and clinicians of the rapid roll-out of supported self-monitoring programme in Scotland during the first and second wave of the COVID-19 pandemic. We conducted semi-structured telephone interviews with high-risk women and healthcare professionals who were using supported self-monitoring of blood pressure (BP) In four case studies during the COVID-19 pandemic. 20 women, 15 midwives and 4 obstetricians took part in the interviews. Interviews with healthcare professionals showed that while implementation occurred at pace and at scale across the National Health Service (NHS) in Scotland, implementation differed locally, resulting in mixed experiences. Study Participants observed several barriers and facilitators to implementation. Women value the simplicity of use and convenience of the digital communications platforms while health professionals were more interested in their impact on reducing workload for both women and health professionals largely found self-monitoring acceptable, with only a few exceptions. These results show that rapid change can occur in the NHS at a national level when there is a shared motivation. While self-monitoring is acceptable to most women, decisions regarding self-monitoring should be made jointly and on an individual basis.
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spelling pubmed-99808052023-03-03 Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19 Paterson, Charlotte Jack, Elaine McKinstry, Brian Whyte, Sonia Denison, Fiona C. Cheyne, Helen PLoS One Research Article In March 2020, the World Health Organisation named the severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), which causes corona virus disease 2019 (COVID –19), as a pandemic. Pregnant women were considered at increased risk of developing severe COVID-19 after viral infection. In response maternity services reduced face-to-face consultations with high-risk pregnant women by supplying blood pressure monitors for supported self-monitoring. This paper explores the experiences of patients and clinicians of the rapid roll-out of supported self-monitoring programme in Scotland during the first and second wave of the COVID-19 pandemic. We conducted semi-structured telephone interviews with high-risk women and healthcare professionals who were using supported self-monitoring of blood pressure (BP) In four case studies during the COVID-19 pandemic. 20 women, 15 midwives and 4 obstetricians took part in the interviews. Interviews with healthcare professionals showed that while implementation occurred at pace and at scale across the National Health Service (NHS) in Scotland, implementation differed locally, resulting in mixed experiences. Study Participants observed several barriers and facilitators to implementation. Women value the simplicity of use and convenience of the digital communications platforms while health professionals were more interested in their impact on reducing workload for both women and health professionals largely found self-monitoring acceptable, with only a few exceptions. These results show that rapid change can occur in the NHS at a national level when there is a shared motivation. While self-monitoring is acceptable to most women, decisions regarding self-monitoring should be made jointly and on an individual basis. Public Library of Science 2023-03-02 /pmc/articles/PMC9980805/ /pubmed/36862687 http://dx.doi.org/10.1371/journal.pone.0278156 Text en © 2023 Paterson et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Paterson, Charlotte
Jack, Elaine
McKinstry, Brian
Whyte, Sonia
Denison, Fiona C.
Cheyne, Helen
Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title_full Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title_fullStr Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title_full_unstemmed Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title_short Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19
title_sort qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during covid-19
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9980805/
https://www.ncbi.nlm.nih.gov/pubmed/36862687
http://dx.doi.org/10.1371/journal.pone.0278156
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