利用移动医疗应用程序的数据为以人为本的实践提供信息:讨论文件。

Contemporary nurse Pub Date : 2024-02-01 Epub Date: 2024-02-18 DOI:10.1080/10376178.2024.2316604
Emma Radbron, Tanya McCance, Rebekkah Middleton, Valerie Wilson
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摘要

背景:移动医疗应用程序(apps)是一种工具,可通过有效收集和存储大量数据来加强研究。然而,仅仅收集数据并不能带来改变。创新和实践变革是通过利用证据实现的。收集到的大量数据引发了有关护士和助产士利用数据的问题,以及如何利用移动医疗应用程序的数据来改进以人为本的实践。目的:描述护士和助产士可加强有效利用移动医疗应用程序生成的数据的策略,以指导以人为本的实践。本文的目的是在护理研究和实践中使用移动医疗应用程序时,激发反思并产生数据利用行动:本讨论文件参考了当前的证据、促进健康服务研究实施行动(i-PARIHS)综合框架以及作为博士研究一部分的研究经验:在使用移动医疗应用程序进行数据收集之前,护士和助产士应考虑所收集证据的性质、可用的技术基础设施以及工作人员的技能水平。在收集数据和解释结果时,使用团队方法并辅以参与式领导和外部协助是非常有价值的。这为操作应用程序提供了支持,更重要的是利用收集到的数据为以人为本的实践提供信息:本文探讨了有限的可用证据,为护士和助产士使用移动医疗应用程序收集和使用数据以指导实践变革提供指导。它强调了使用移动医疗应用程序收集有意义的证据需要适当的技术、外部促进支持、参与式领导和团队方法。临床医生、领导者和研究人员可以应用所提供的策略来加强移动医疗应用程序的使用,并确保将证据转化为实践。
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Using data from mHealth apps to inform person-centred practice: A discussion paper.

Background: mHealth applications (apps) are tools that can enhance research by efficiently collecting and storing large amounts of data. However, data collection alone does not lead to change. Innovation and practice change occur through utilisation of evidence. The volume of data collected raises questions regarding utilisation of data by nurses and midwives, and how data from mHealth apps can be used to improve person-centred practice. There is limited empirical evidence and a lack of direction from global health authorities to guide nurses and midwives in this area.

Aim: To describe strategies for nurses and midwives that could enhance the effective use of data generated by mHealth apps to inform person-centred practice. The purpose of this paper is to stimulate reflection and generate actions for data utilisation when using mHealth apps in nursing research and practice.

Methods: This discussion paper has been informed by current evidence, the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, and research experience as part of doctoral study.

Findings: Before engaging in data collection using mHealth apps, nurses and midwives would benefit from considering the nature of the evidence collected, available technological infrastructure, and staff skill levels. When collecting data and interpreting results, use of a team approach supported by engaged leadership and external facilitation is invaluable. This provides support to operate apps, and more importantly use the data collected to inform person-centred practice.

Conclusions: This paper addresses the limited available evidence to guide nurses and midwives when using mHealth apps to collect and use data to inform practice change. It highlights the need for appropriate technology, external facilitative support, engaged leadership, and a team approach to collect meaningful evidence using mHealth apps. Clinicians, leaders, and researchers can apply the strategies provided to enhance the use of mHealth apps and ensure translation of evidence into practice.

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