This study contributes with valuable knowledge before the implementation of evidence-based nutritional care. The study provides an understanding of barriers for nutritional care and presents explanations to why nutritional care has failed to become an integrated part of the daily treatment and care.
This article examines the concrete travel work that enables the global transport of Fast-Track Surgery (FTS), a set of evidence-based, standardized protocols and guidelines for perioperative recovery. Having ethnographically followed FTS training for medical staff from provincial hospitals in China's Gansu province at a local hospital in Denmark, I show how FTS is made transportable through interactions between Chinese and Danish healthcare professionals in a series of workshops, meetings and educational activities. I argue that the transportability of a health-promoting infrastructure like FTS is neither a matter of technology transfer nor of evidence as such. Rather, it requires a specific kind of travel work in the form of traveling comparisons as a constant twoway dynamic between hospital settings in Denmark and China.
Hospitalisation at Home (HaH) is a new model providing hospital-level care at home as a substitute for traditional care. Biometric monitoring and digital communication are crucial, but little is known about user perspectives. We aim to explore how in-patients with severe COVID-19 infection and clinicians engage with and experience communication and self-monitoring activities following the HaH model. A qualitative study based on semi-structured interviews of patients and clinicians participating in the early development phase of HaH were conducted. We interviewed eight clinicians and six patients. Five themes emerged from clinicians: (1) staff fear and concerns, (2) workflow, (3) virtual closeness, (4) patient relatives, and (5) future HaH models; four themes emerged from patients: (1) transition to home, (2) joint responsibility, (3) acceptability of technologies, and (4) relatives. Despite technical problems, both patients and clinicians were enthusiastic about the conceptual HaH idea. If appropriately introduced, treatment based on self-monitoring and remote communication was perceived acceptable for the patients; however, obtaining vitals at night was an overwhelming challenge. HaH is generally acceptable, perceived patient-centred, influencing routine clinical workflow, role and job satisfaction. Therefore, it calls for educational programs including more perspective than issues related to technical devices.
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