Knowledge, Attitude, and Perception of Health Care Personnel Working in Intensive Care Units of Mass Gatherings Toward the Application of Telemedicine Robotic Remote-Presence Technology: A Cross-Sectional Multicenter Study

Alnobani, Omar; Zakaria, Nor Azazi; Temsah, Mohamad-Hani; Jamal, Amr; Alkamel, Nour; Tharkar, Shabana

doi:10.1089/tmj.2020.0469

Cited by 15 publications

(24 citation statements)

References 24 publications

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“…These ndings is similar to those of Pakistan who maintain that lack of ICT knowledge among practitioners and concerns around patient con dentiality were among the factors that limit the practice of tele rehabilitation (12). This study is consistent with the study conducted in Tehran (13) and Saudi Arabia (25).…”

Section: Discussionsupporting

confidence: 91%

“…Health professionals who had a negative perception of security and privacy towards tele rehabilitation are 44% less likely than those who had positive perceptions of security and privacy towards Tele rehabilitation. this nding is supported by the study conducted in Saudi Arabia on Tele rehabilitation among health care providers indicated the majority of the participants considered that patient data security and patient privacy are at risk is associated with Tele-rehabilitation services (24) (25). In the other comparison, this study is similar to the study in Germany on app-based therapy.…”

Section: Discussionsupporting

confidence: 79%

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Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia,2021

Sidelil

Demissie

Debalke

et al. 2021

Preprint

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Background Tele-rehabilitation is part of Tele-health (TH) which provides a rehabilitation service at a distance through telecommunication technology. Lack of enough trained professionals, lack of access, transportation cost, long waiting time, and difficulty of mobility to reach rehabilitation services are problems faced during face-to-face rehabilitation services. The significance of this study is to assess the attitudes and associated factors of health professionals about TR services. Method An institutional-based cross-sectional quantitative study design was conducted among 408 participants from March to April 2021. Study units were selected by using a simple random sampling technique. Epi-data 3.1 versions were used to enter data, while SPSS version 20 was used to conduct analysis. A bivariable and multivariable logistic regression was used to determine factors associated with the attitude of health professionals towards tele-rehabilitation. Result A total of 408 participants responded to the 423 survey questionnaires distributed. A response rate of 96.45 % was achieved for this study. Out of the 408 respondent’s majority, 285(69.9%) of health professionals had good attitude towards tele rehabilitation-based treatment services. Among the factors good knowledge of tele rehabilitation AOR 1.76(95%CI: 1.078, 2.879), digitally literate AOR 1.74 (95%CI: 1.028, 2.954), perception on security and privacy AOR 0.56(95%CI: 0.333, 0.944), and owns smart mobile phone AOR 1.9 (95%CI: 1.007, 3.781) were significantly associated with attitude of tele rehabilitation. Conclusion The majority of the respondents had a good attitude towards tele rehabilitation services. Having own mobile, knowledge towards tele rehabilitation, digital literacy, perception on security and privacy to rehabilitation was found to be the most important determinant factor for the attitude of health professionals towards tele rehabilitation. As a result, the government and other responsible entities should consider enacting systems and strategies to encourage the use of mobile technologies for the management of disability and chronic diseases.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 79%

Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia,2021

Sidelil

Demissie

Debalke

et al. 2021

Preprint

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“…In addition to the alert function, it can function as a social robot by responding to simple voice commands. In contrast to Sota, Pudu [ 7 ] is a social robot designed specifically to provide telepresence and communication services and deliver emotional and mental care to isolated patients with COVID-19. It works by using an assistive teleoperation mode, allowing for remote control of the robot’s movements using an Xbox (Microsoft) controller joystick.…”

Section: Resultsmentioning

confidence: 99%

“…Robots were well-received by patients, family members, and staff [ 7 , 9 , 10 , 15 , 20 - 23 , 26 , 27 , 31 ]. Despite a telepresence robot providing remote physician presence, patients did not perceive the physician to be caring less or compromising the quality of care [ 7 , 15 , 29 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

Use of Robots in Critical Care: Systematic Review

Teng¹,

Ding²,

See³

2022

J Med Internet Res

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Background The recent focus on the critical setting, especially with the COVID-19 pandemic, has highlighted the need for minimizing contact-based care and increasing robotic use. Robotics is a rising field in the context of health care, and we sought to evaluate the use of robots in critical care settings. Objective Although robotic presence is prevalent in the surgical setting, its role in critical care has not been well established. We aimed to examine the uses and limitations of robots for patients who are critically ill. Methods This systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. MEDLINE, Embase, IEEE Xplore, and ACM Library were searched from their inception to December 23, 2021. Included studies involved patients requiring critical care, both in intensive care units or high-dependency units, or settings that required critical care procedures (eg, intubation and cardiopulmonary resuscitation). Randomized trials and observational studies were included. Results A total of 33 studies were included. The greatest application of robots in the intensive care unit was in the field of telepresence, whereby robots proved advantageous in providing a reduced response time, earlier intervention, and lower mortality rates. Challenges of telepresence included regulatory and financial barriers. In therapy and stroke rehabilitation, robots achieved superior clinical outcomes safely. Robotic use in patient evaluation and assessment was mainly through ultrasound evaluation, obtaining satisfactory to superior results with the added benefits of remote assessment, time savings, and increased efficiency. Robots in drug dispensing and delivery increased efficiency and generated cost savings. All the robots had technological limitations and hidden costs. Conclusions Overall, our results show that robotic use in critical care settings is a beneficial, effective, and well-received intervention that delivers significant benefits to patients, staff, and hospitals. Looking ahead, it is necessary to form strong ethical and legislative frameworks and overcome various regulatory and financial barriers. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42021234162; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=234162

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“…Despite the pandemic and to overcome these challenges, formats of combined clinical based/hands-on and virtual video-based simulation might offer the most protected, safe environment. Virtual solutions were applied frequently among HCWs during the pandemic, as incorporating such tools for the simulation could boost the resilience of the healthcare systems during medical emergencies (45)(46)(47). This combination model also allows simulation leaders to identify and modify site-specific latent safety threats, which are system-based threats to patient safety that were not previously recognized (26).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Critical Care Simulations: An International Cross-Sectional Survey

Temsah

Alrabiaah

Al‐Eyadhy

et al. 2021

Front. Public Health

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Objective: To describe the utility and patterns of COVID-19 simulation scenarios across different international healthcare centers.Methods: This is a cross-sectional, international survey for multiple simulation centers team members, including team-leaders and healthcare workers (HCWs), based on each center's debriefing reports from 30 countries in all WHO regions. The main outcome measures were the COVID-19 simulations characteristics, facilitators, obstacles, and challenges encountered during the simulation sessions.Results: Invitation was sent to 343 simulation team leaders and multidisciplinary HCWs who responded; 121 completed the survey. The frequency of simulation sessions was monthly (27.1%), weekly (24.8%), twice weekly (19.8%), or daily (21.5%). Regarding the themes of the simulation sessions, they were COVID-19 patient arrival to ER (69.4%), COVID-19 patient intubation due to respiratory failure (66.1%), COVID-19 patient requiring CPR (53.7%), COVID-19 transport inside the hospital (53.7%), COVID-19 elective intubation in OR (37.2%), or Delivery of COVID-19 mother and neonatal care (19%). Among participants, 55.6% reported the team's full engagement in the simulation sessions. The average session length was 30–60 min. The debriefing process was conducted by the ICU facilitator in (51%) of the sessions followed by simulation staff in 41% of the sessions. A total of 80% reported significant improvement in clinical preparedness after simulation sessions, and 70% were satisfied with the COVID-19 sessions. Most perceived issues reported were related to infection control measures, followed by team dynamics, logistics, and patient transport issues.Conclusion: Simulation centers team leaders and HCWs reported positive feedback on COVID-19 simulation sessions with multidisciplinary personnel involvement. These drills are a valuable tool for rehearsing safe dynamics on the frontline of COVID-19. More research on COVID-19 simulation outcomes is warranted; to explore variable factors for each country and healthcare system.

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Knowledge, Attitude, and Perception of Health Care Personnel Working in Intensive Care Units of Mass Gatherings Toward the Application of Telemedicine Robotic Remote-Presence Technology: A Cross-Sectional Multicenter Study

Cited by 15 publications

References 24 publications

Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia,2021

Attitude towards tele rehabilitation-based therapy services and its associated factors among health professional working in specialized teaching hospitals in Amhara region, Northwest Ethiopia,2021

Use of Robots in Critical Care: Systematic Review

COVID-19 Critical Care Simulations: An International Cross-Sectional Survey

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