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

<h3>Background</h3><p dir="ltr">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...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Nour Alkamel (18973918) (author)
مؤلفون آخرون: Amr Jamal (3496703) (author), Omar Alnobani (18973921) (author), Mowafa Househ (9154124) (author), Nasriah Zakaria (10199501) (author), Mohammad Qawasmeh (18973924) (author), Shabana Tharkar (18973927) (author)
منشور في: 2020
الموضوعات:
الوسوم: إضافة وسم
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author Nour Alkamel (18973918)
author2 Amr Jamal (3496703)
Omar Alnobani (18973921)
Mowafa Househ (9154124)
Nasriah Zakaria (10199501)
Mohammad Qawasmeh (18973924)
Shabana Tharkar (18973927)
author2_role author
author
author
author
author
author
author_facet Nour Alkamel (18973918)
Amr Jamal (3496703)
Omar Alnobani (18973921)
Mowafa Househ (9154124)
Nasriah Zakaria (10199501)
Mohammad Qawasmeh (18973924)
Shabana Tharkar (18973927)
author_role author
dc.creator.none.fl_str_mv Nour Alkamel (18973918)
Amr Jamal (3496703)
Omar Alnobani (18973921)
Mowafa Househ (9154124)
Nasriah Zakaria (10199501)
Mohammad Qawasmeh (18973924)
Shabana Tharkar (18973927)
dc.date.none.fl_str_mv 2020-08-31T09:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s12911-020-01219-6
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/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/26176822
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Health services and systems
Information and computing sciences
Human-centred computing
ST elevation myocardial infarction
Chest pain
Patient management
Mobile applications
Software
Cell phone
Qualitative research
dc.title.none.fl_str_mv 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
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">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-to-balloon time by capturing information at the point of care and provide immediate feedback to all healthcare staff involved in STEMI management.</p><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">Unstructured interviews were conducted with key informants (<i>n</i> = 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.</p><h3>Results</h3><p dir="ltr">The 22 participants included in the study were cardiology physicians (<i>n</i> = 3), emergency consultants (<i>n</i> = 4), emergency room (ER) senior nurses (<i>n</i> = 10), and cardiac catheterization lab staff (<i>n</i> = 5). The main themes identified during analysis were workflow and the App. The themes identified from the interviews surrounding the App were: 1) facilitating ideas 2) management steps needed 3) features 4) preferred code activation method 5) steps of integration 6) possible benefits of the App 7) barriers and 8) possible solutions to the suggested barriers. Most of the interviewed stakeholders expressed their acceptance after viewing the proposed mobile app prototype.</p><h3>Conclusion</h3><p dir="ltr">The study identified the mandatory features and the management steps needed from the stakeholder’s perspectives. The steps for integrating the current paper-based workflow with the suggested mobile app were identified. The expected benefits of the App may include improved and faster management, accuracy, better communication, and improvement in data quality. Moreover, the possible barriers might comprise of doubtful acceptability, device-related issues, and time and data-related challenges.</p><h2>Other Information</h2><p dir="ltr">Published in: BMC Medical Informatics and Decision Making<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12911-020-01219-6" target="_blank">https://dx.doi.org/10.1186/s12911-020-01219-6</a></p>
eu_rights_str_mv openAccess
id Manara2_0ccff4490aa50e1af93ccc97acad7de1
identifier_str_mv 10.1186/s12911-020-01219-6
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/26176822
publishDate 2020
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rights_invalid_str_mv CC BY 4.0
spelling 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 studyNour Alkamel (18973918)Amr Jamal (3496703)Omar Alnobani (18973921)Mowafa Househ (9154124)Nasriah Zakaria (10199501)Mohammad Qawasmeh (18973924)Shabana Tharkar (18973927)Biomedical and clinical sciencesCardiovascular medicine and haematologyHealth sciencesHealth services and systemsInformation and computing sciencesHuman-centred computingST elevation myocardial infarctionChest painPatient managementMobile applicationsSoftwareCell phoneQualitative research<h3>Background</h3><p dir="ltr">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-to-balloon time by capturing information at the point of care and provide immediate feedback to all healthcare staff involved in STEMI management.</p><p dir="ltr">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.</p><h3>Methods</h3><p dir="ltr">Unstructured interviews were conducted with key informants (<i>n</i> = 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.</p><h3>Results</h3><p dir="ltr">The 22 participants included in the study were cardiology physicians (<i>n</i> = 3), emergency consultants (<i>n</i> = 4), emergency room (ER) senior nurses (<i>n</i> = 10), and cardiac catheterization lab staff (<i>n</i> = 5). The main themes identified during analysis were workflow and the App. The themes identified from the interviews surrounding the App were: 1) facilitating ideas 2) management steps needed 3) features 4) preferred code activation method 5) steps of integration 6) possible benefits of the App 7) barriers and 8) possible solutions to the suggested barriers. Most of the interviewed stakeholders expressed their acceptance after viewing the proposed mobile app prototype.</p><h3>Conclusion</h3><p dir="ltr">The study identified the mandatory features and the management steps needed from the stakeholder’s perspectives. The steps for integrating the current paper-based workflow with the suggested mobile app were identified. The expected benefits of the App may include improved and faster management, accuracy, better communication, and improvement in data quality. Moreover, the possible barriers might comprise of doubtful acceptability, device-related issues, and time and data-related challenges.</p><h2>Other Information</h2><p dir="ltr">Published in: BMC Medical Informatics and Decision Making<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12911-020-01219-6" target="_blank">https://dx.doi.org/10.1186/s12911-020-01219-6</a></p>2020-08-31T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12911-020-01219-6https://figshare.com/articles/journal_contribution/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/26176822CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/261768222020-08-31T09:00:00Z
spellingShingle 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
Nour Alkamel (18973918)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Health services and systems
Information and computing sciences
Human-centred computing
ST elevation myocardial infarction
Chest pain
Patient management
Mobile applications
Software
Cell phone
Qualitative research
status_str publishedVersion
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Health services and systems
Information and computing sciences
Human-centred computing
ST elevation myocardial infarction
Chest pain
Patient management
Mobile applications
Software
Cell phone
Qualitative research