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dc.contributor.authorEmmett, A
dc.contributor.authorKent, B
dc.contributor.authorJames, Alison
dc.contributor.authorMarch‐McDonald, J
dc.date.accessioned2022-07-28T14:37:25Z
dc.date.issued2022-06-28
dc.identifier.issn1365-2702
dc.identifier.issn1365-2702
dc.identifier.urihttp://hdl.handle.net/10026.1/19450
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To identify and explore the experiences of health professionals towards using mobile electrocardiogram (ECG) technology.</jats:p></jats:sec><jats:sec><jats:title>Introduction</jats:title><jats:p>Mobile technology is increasingly being incorporated into healthcare systems, and when implemented well, has the potential to revolutionise the way in which care is delivered. The uptake of mobile ECG technology enables health professionals to record and transmit ECGs electronically, at the point of care. It is important to explore both the impact of this technology and staff experiences to help understand how readily it is accepted and how effectively it is used in practice. There is a paucity of knowledge and understanding from primary healthcare providers and a lack of qualitative evidence offering insight into the monitoring and use of mobile ECG technology. Therefore, this review adds to the available body of knowledge by giving insight from the perspectives of health professionals on its use.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>TRIP, CINAHL, MEDLINE, Scopus and sources of grey literature were searched for eligible studies. Databases were searched from their inception dates, with a restriction on studies written in English. The results of the search are presented in a PRISMA flow diagram. Two reviewers independently screened studies and assessed methodological quality in accordance with JBI methodology for systematic reviews of qualitative evidence. Data were extracted from the included studies and meta‐aggregation methodology adopted to identify categories and create synthesised findings related to the healthcare professionals' experiences.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of six studies were included, which resulted in 18 findings and five categories. Three synthesised findings were generated: Quick, easy and feasible in both urban and remote settings; Increased accessibility of AF screening opportunities for all; Enhanced support in staff resources, time and technology are required. The level of confidence of synthesised findings varied from low to moderate according to ConQual.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This systematic review synthesised the experiences of healthcare professionals using mobile ECG technology. The methodological quality of the included studies was high, and findings indicated healthcare professionals (HCPs) generally found mobile ECG technology simple, quick, easy to use and non‐invasive. Enablers regarding mobile ECG technology were time, workload, and remuneration for improved interoperability with current systems and sustainability for screening long term. Data on the experiences of HCPs came from studies capturing mainly proactive, lower‐risk patients; therefore, this review was unable to demonstrate if there are any differences between the experiences of HCPs working in primary care settings, such as GP practices/pharmacies, and those working remotely in the community. This highlights a gap in provision for those patients requiring HCPs to record an ECG in their own home.</jats:p></jats:sec><jats:sec><jats:title>Relevance to Clinical Practice</jats:title><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>The experiences of HCPs towards using Mobile ECG technology in practice is quick, easy and feasible in both urban and remote settings.</jats:p></jats:list-item> <jats:list-item><jats:p>HCPs and organisations should consider identifying key staff as “change champions” and use change/leadership models to support the integration (with current workflows), transformation, and evaluation of mobile ECG technology in their practice setting.</jats:p></jats:list-item> <jats:list-item><jats:p>HCPs and providers using mobile ECG technology should ensure it prioritises at‐risk individuals and includes the “housebound” population.</jats:p></jats:list-item> </jats:list> </jats:p></jats:sec>

dc.format.extent3205-3218
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherWiley
dc.subjectatrial fibrillation
dc.subjectcommunity
dc.subjectECG
dc.subjectelectrocardiogram
dc.subjectexperiences
dc.subjecthealthcare professionals
dc.subjectmobile applications
dc.subjectmobile technology
dc.subjectqualitative research
dc.titleExperiences of health professionals towards using mobile electrocardiogram ( <scp>ECG</scp> ) technology: A qualitative systematic review
dc.typejournal-article
dc.typeSystematic Review
dc.typeJournal Article
dc.typeReview
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:001000970400021&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue13-14
plymouth.volume32
plymouth.publication-statusPublished
plymouth.journalJournal of Clinical Nursing
dc.identifier.doi10.1111/jocn.16434
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2022-06-09
dc.rights.embargodate2022-7-29
dc.identifier.eissn1365-2702
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/jocn.16434
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2022-06-28
rioxxterms.typeJournal Article/Review


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