Technology and cardiovascular diseases in the era of COVID‐19

Harky, Amer; Adan, Ahmed; Mohamed, Malak; Elmi, Asha; Theologou, Thomas

doi:10.1111/jocs.15096

Cited by 18 publications

(13 citation statements)

References 38 publications

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“…A systematic review by Parker et al [ 45 ] found that differences in socioeconomic factors and gender were associated with the use of remote consultations and internet-based consultations in general practice. In their systematic review of the use of eHealth technology in cardiac care, Harky et al [ 46 ] highlighted the need for further studies exploring how staff–service user communications answer the call for service user empowerment.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Policy Makers and Service Users Concerning the Implementation of eHealth in Sweden: Interview Study

Neher¹,

Nygårdh²,

Broström³

et al. 2022

J Med Internet Res

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Background Increasing life spans of populations and a growing demand for more advanced care make effective and cost-efficient provision of health care necessary. eHealth technology is often proposed, although research on barriers to and facilitators of the implementation of eHealth technology is still scarce and fragmented. Objective The aim of this study is to explore the perceptions concerning barriers to and facilitators of the implementation of eHealth among policy makers and service users and explore the ways in which their perceptions converge and differ. Methods This study used interview data from policy makers at different levels of health care (n=7) and service users enrolled in eHealth interventions (n=25). The analysis included separate qualitative content analyses for the 2 groups and then a second qualitative content analysis to explore differences and commonalities. Results Implementation barriers perceived by policy makers were that not all service users benefit from eHealth and that there is uncertainty about the impact of eHealth on the work of health care professionals. Policy makers also perceived political decision-making as complex; this included problems related to provision of technical infrastructure and lack of extra resources for health care digitalization. Facilitators were policy makers’ conviction that eHealth is what citizens want, their belief in eHealth solutions as beneficial for health care practice, and their belief in the importance of health care digitalization. Barriers for service users comprised capability limitations and varied preferences of service users and a mismatch of technology with user needs, lack of data protection, and their perception of eHealth as being more time consuming. Facilitators for service users were eHealth technology design and match with their skill set, personal feedback and staff support, a sense of privacy, a credible sender, and flexible use of time.There were several commonalities between the 2 stakeholder groups. Facilitators for both groups were the strong impetus toward technology adoption in society and expectations of time flexibility. Both groups perceived barriers in the difficulties of tailoring eHealth, and both groups expressed uncertainty about the care burden distribution. There were also differences: policy makers perceived that their decision-making was very complex and that resources for implementation were limited. Service users highlighted their need to feel that their digital data were protected and that they needed to trust the eHealth sender. Conclusions Perceptions about barriers to and facilitators of eHealth implementation varied among stakeholders in different parts of the health care system. The study points to the need to reach an enhanced mutual understanding of priorities and overcome challenges at both the micro and macro levels of the health care system. More well-balanced decisions at the policy-maker level may lead to more effective and sustainable development and future implementation of eHealth.

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Section: Discussionmentioning

confidence: 99%

Perspectives of Policy Makers and Service Users Concerning the Implementation of eHealth in Sweden: Interview Study

Neher¹,

Nygårdh²,

Broström³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Reviews are being conducted in order to show promising results in the patient's preoperative period, reinforcing the fact that this virtual contact does not nullify physical evaluations and face-to-face contacts with the patient. But it generates possibilities that Nursing itself can use as preoperative guidance tools 14,27 .…”

Section: Discussionmentioning

confidence: 99%

Audiovisual Aids in Preoperative Cardiac Surgery Education: A Scoping Review

Araújo

Oliveira

Silva

et al. 2022

Texto contexto - enferm.

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Objective: to map, in the scientific literature, the use of audiovisual aids as an educational strategy during the preoperative period of cardiac surgery. Method: a scoping review following the Joanna Briggs Institute methodology. Two independent reviewers analyzed the studies, applying the exclusion and inclusion criteria in the search by the audiovisual aid, cardiac surgery and preoperative care variables, including those that answered the research question. Results: final sample of nine studies, where the most used audiovisual aids were videos followed by apps, used because they are easily accessible and democratic. Such tools in health education optimize the team's time and promote patient education, improving the postoperative period, in addition to reducing risks and improving adherence to the treatment. Conclusion: it was possible to map the audiovisual aids used in the health education of surgical patients, such as videos, apps and information systems. These tools facilitate Nursing guidelines in the preoperative period of cardiac surgeries, increasing the patient's knowledge about the surgery.

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“…17 Additionally, there is as few as one ventilator per 100,000 population in some LMICs; this is likely to give rise to ethical dilemmas involving the rationing of ICU resources based on likely clinical outcomes and would mean that respiratory failure in the context of multiple comorbidities could prove fatal. 17 21 For patients requiring surgery, preoperative assessment using digital tools, such as echocardiograms or smartwatches, has been used to assist with patient triage, as well as helping diagnose and refer patients for procedures, as seen with teleconsultations of angiograms used for coronary artery bypass graft surgery. 22 Postoperatively, video conferencing and web applications have allowed the remote identification of surgical complications, such as infections, so that patients can receive appropriate clinical care.…”

Section: Postoperative Long-term Outcomes In Cardiac Surgerymentioning

confidence: 99%

“…In developed countries, the digitalisation of healthcare has helped to minimise in‐person appointments during the COVID‐19 pandemic, with the aim of reducing viral transmission and providing high‐quality patient care. Remote consultations, diagnostic interventions and monitoring of clinical parameters have been used to support the care of cardiovascular patients 21 . For patients requiring surgery, preoperative assessment using digital tools, such as echocardiograms or smartwatches, has been used to assist with patient triage, as well as helping diagnose and refer patients for procedures, as seen with teleconsultations of angiograms used for coronary artery bypass graft surgery 22 .…”

Section: Technology and Cardiac Surgery During And Beyond Covid‐19mentioning

confidence: 99%

“…24 Telemedicine is not, however, without its limitations; accessibility may be an issue for certain patient groups, including the elderly, those with learning difficulties, and those from under-resourced areas. 21 It is also not always a viable alternative to physical examination, especially in patients of whom there is no prior knowledge, those who have no support at home, or complex or unstable patients who require inhospital care 23 ; it, therefore, needs to be tailored to each patient's individual needs. 21 Overall, the future of cardiac surgery during the ongoing COVID-19 pandemic remains uncertain.…”

Section: Postoperative Long-term Outcomes In Cardiac Surgerymentioning

confidence: 99%

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