RESUMEN
Providing urgent and emergency care to migrant children is often hampered or delayed. Reasons for this are language barriers when children, and their care givers, don't speak any of the languages commonly spoken in Switzerland, which include German, French, Italian, and English. By a participatory design process, we want to develop a novel image-based digital communication aid tailored to the needs of migrant patients and nurses within Swiss paediatric clinics.
Asunto(s)
Barreras de Comunicación , Servicios Médicos de Urgencia , Niño , Comunicación , Gestos , Humanos , Lenguaje , Comunicación no VerbalRESUMEN
Language barriers hamper or delay delivery of urgent and emergency care to migrant children when they or their parents don't speak any of the languages commonly spoken in Switzerland. In such situations, nurses often fall back to use ad hoc communication aids, including translation apps and visual dictionaries, to collect information about a patient's medical history. In this paper, we report on the participatory design process for a novel image-based communication aid. It is specifically tailored to the needs of migrant patients and nurses within Swiss pediatric clinics. We collected requirements in surveys and in-depth interviews with pediatric nurses. A prototype app was developed and tested with users in a scenario-based usability test. The results clearly show that the images developed, especially for symptoms, accidents or nutrition and excretion, are well comprehensible for triage and anamnesis. In contrast, a temporal classification or chronological occurrence of health incidents is difficulty to express with images.
Asunto(s)
Servicios Médicos de Urgencia , Migrantes , Accidentes por Caídas , Niño , Barreras de Comunicación , Humanos , LenguajeRESUMEN
In this paper we present first findings of the Digi-Care project, a multidisciplinary, multi-stakeholder research project investigating the impacts of digitization on nursing work practices and in particular the transmission of patient care information within and beyond nursing work practices. We completed the initial data collection of the funded 3-year research project and report on a plethora of significant and critical IT-related events. Some of them can be attributed to usability issues.
Asunto(s)
Proyectos de Investigación , Recolección de Datos , Humanos , SuizaRESUMEN
We demonstrate that Mobile Remote Presence systems (MRP) aka telepresence robots can be successfully used in certain types of medical consultation such as consultation from a distance with residents of nursing homes. We argue that MRP afforded media richness also allows for supporting social connectedness during medically recommended isolation regimes similar to the ones that are implemented in residential care homes around the world during the SARS-CoVID-2 pandemic. Specifically, our research found that MRP are perceived as a more natural medium compared to typical telephones or videoconferencing via computers or tablets. MRP allow conversations to become more dynamic and engaging since remote participants are able to adjust their remote position and perspective during a conversation. Participants in our experiments reported they would be willing to engage even in difficult or emotional topics when using MRP however there are also certain types of situations that would still ask for face-to-face conversations.
Asunto(s)
COVID-19 , Consulta Remota , Robótica , Humanos , Pandemias , Derivación y Consulta , SARS-CoV-2RESUMEN
Emergency medical situations are characterized by high physical, cognitive and mental demands on the paramedics on the ground. Studies suggest that crucial information such as treatments administered to patients is often documented retrospectively, during patient transport or once a patient is handed over to an emergency department. Information access may also be surprisingly difficult (e.g. patient medical history). In this paper, we focus on supporting in situ information capturing and report on a realistic laboratory-based study involving experienced paramedics that we used to explore the specific requirements and constraints of supporting in situ information capturing. Specifically, we focused on ways to use audio and visual data capture methods and how they need to be designed to better support paramedics without interfering with their work. We then use the resulting information centric perspective to argue for a roadmap towards smart emergency medical services.