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A National Survey on Point of Care Ultrasonography Use Among Veterans Affairs Clinicians in Home Care and Skilled Nursing Facilities.
Jindal, Shivani K; Lee, Truelian; Agrawal, Arushi; Demers, Lindsay; Schwartz, Andrea Wershof.
Afiliación
  • Jindal SK; Cincinnati VA Medical Center, Medical Service, Cincinnati, OH, USA; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA; New England Geriatric Research, Education, and Clinical Centers (GRECC), VA Boston Healthcare System, Boston, MA, USA. Electronic address: shivani.jind
  • Lee T; Harvard Medical School, Boston, MA, USA.
  • Agrawal A; Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
  • Demers L; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
  • Schwartz AW; New England Geriatric Research, Education, and Clinical Centers (GRECC), VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Division of Aging, Brigham and Women's Hospital, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
J Am Med Dir Assoc ; 25(6): 104930, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38336356
ABSTRACT

INTRODUCTION:

Older adults who are homebound and those in skilled nursing facilities (SNFs) often have limited access to point of care imaging to inform clinical decision making. Point-of-care ultrasonography (POCUS) can help span this gap by augmenting the physical examination to aid in diagnosis and triaging. Although training in POCUS for medical trainees is becoming more common and may focus on settings such as the emergency department, intensive care unit, and inpatient care, little is known about POCUS training among practicing clinicians who work outside of these settings. We conducted a national needs assessment survey around experience with POCUS focused on practicing clinicians in the sub-acute, long-term, and home-based care settings in the Veterans Affairs (VA) health system.

METHODS:

An electronic survey was developed and sent out to clinicians via Listservs for the VA long-term and sub-acute care facilities [Community Living Centers (CLCs)], Home Based Primary Care outpatient teams, and Hospital in Home teams to assess current attitudes, previous training, and skills related to POCUS.

RESULTS:

Eighty-eight participants responded to the survey, for an overall response rate of 29% based on the number of emails on each Listserv, representing CLC, home-based primary care, and hospital in home. Sixty percent of clinicians reported no experience with POCUS, and 76% reported that POCUS and POCUS training would be useful to their practice. More than 50% cited lack of training and lack of equipment as 2 significant barriers to POCUS use.

DISCUSSION:

This national needs assessment survey of VA clinicians reveals important opportunities for training in POCUS for clinicians working with older adults who are receiving home care homebound or living in SNFs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones de Cuidados Especializados de Enfermería / United States Department of Veterans Affairs / Ultrasonografía / Sistemas de Atención de Punto / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones de Cuidados Especializados de Enfermería / United States Department of Veterans Affairs / Ultrasonografía / Sistemas de Atención de Punto / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos