Understanding the stakeholders’ preferences on a mobile application to reduce door to balloon time in the management of ST-elevated myocardial infarction patients – a qualitative study

Abstract

Background: ST-elevated myocardial infarction (STEMI) is a critical and time-sensitive emergency. The survival depends on prompt initiation of treatment requiring high precision and multi-level coordination between healthcare staff. The use of a mobile application may facilitate prompt management and shorten the door-toballoon time by capturing information at the point of care and provide immediate feedback to all healthcare staff involved in STEMI management. The objective of the present study has two primary components: (i) to explore the suggestions and opinions of stakeholders in the development of a novel mobile app for code activation in management of STEMI patients (ii) to find out the healthcare workers' expectations including facilitating steps and challenges in the activation process of the proposed mobile app. Methods: Unstructured interviews were conducted with key informants (n = 2) to identify all stakeholders, who also helped in developing the interview protocol and prototype designs. In-depth, semi-structured, open-ended, face to face interviews were conducted on 22 stakeholders involved in managing STEMI patients. All interviews were recorded and transcribed verbatim. Data were analyzed using ATLAS.ti 8 software, allowing themes and subthemes to emerge.

Telehealth and Transformation of Nursing Care in Saudi Arabia: A Systematic Review

“…The criterion was provided for the inclusion of studies that were most relevant to the research question. The articles included met the following criteria: [ 19 ] primary research papers, [ 20 ] studies written in English, [ 1 ] published between 2016 and date, [ 21 ] peer-reviewed, and [ 22 ] articles that discussed telehealth with a focus on nursing in Saudi Arabia. Articles that were excluded failed to meet this criterion and included papers older than five years, systematic reviews/meta-analyses, reports/manuals/editorials, and those using a different language.…”

“…[ 23 ] need to examine the attitude and experiences of patients using SEHA. Alkamel et al, [ 22 ] examined stakeholders' opinions and the expectations of healthcare workers working with ST-elevated myocardial infarction (STEMI) patients. Most healthcare workers are not usually willing to embrace such technology.…”

“…Research by Ahmed et al, [ 20 ], ALOmari, and Jenkins, J. [ 23 ], and Alkamel et al, [ 22 ] used qualitative data. The qualitative research is crucial in healthcare given its ability to answer the question “WHY” a given phenomenon exists and “HOW” it impacts healthcare systems or service users.…”

“…As a result, the present study relies on a framework developed by Cardwell, Henshaw, and Taylor in 2005 and updated in 2011. The framework provides a judicious approach to crucially analyzing The selected eight studies [2,[19][20][21][22][23][24][25] used the single sentence, explicit, and informative titles that provided information about the purpose of study, location, and target population. Titles ought to comprehensively reflect the content of the study in a precise yet explicit manner.…”

Data-driven intelligent decision for multimedia medical management

“…The utmost significance segment is disease management. A better medical management method will effectively improve the utilization rate of medical resources, shorten the time, reduce the cost and improve the accuracy of medical diagnosis [2,6]. In recent years, data-driven medical diagnosis technology has received extensive attention and formed some representative technologies and methods.…”