Evidence map›Paper›PMID 28100957›Full record

ArticleBMC nursing2017

Conditions for success in introducing telemedicine in diabetes foot care: a qualitative inquiry.

Beate-Christin Hope Kolltveit, Eva Gjengedal, Marit Graue, Marjolein M Iversen, Sally Thorne, Marit Kirkevold

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Beate-Christin Hope KolltveitFaculty of Health and Social Science, Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway.
Eva GjengedalDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway ; Faculty of Health and Social Care, Molde University College, Molde, Norway.
Marit GraueFaculty of Health and Social Science, Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway.
Marjolein M IversenFaculty of Health and Social Science, Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway ; Department of Medicine, Section of Endocrinology, Stavanger University Hospital, Stavanger, Norway.
Sally ThorneSchool of Nursing, University of British Columbia, Vancouver, Canada.
Marit KirkevoldFaculty of Health and Social Science, Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway ; Department of Nursing Science, Institute of Health and Society, University of Oslo, Oslo, Norway.
University of Bergen · NOUniversity of British Columbia · CAUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe uptake of various telehealth technologies to deliver health care services at a distance is expanding; however more knowledge is needed to help understand vital components for success in using telehealth in different work settings. This study was part of a larger trial designed to investigate the effect of an interactive telemedicine platform. The platform consisted of a web based ulcer record linked to a mobile phone to provide care for people with diabetic foot ulcers in outpatient clinics in specialist hospital care in collaboration with primary health care. The aim of this qualitative study was to identify perceptions of health care professionals in different working settings with respect to facilitators to engagement and participation in the application of telemedicine.

methodsTen focus groups were conducted with health care professionals and leaders in Western Norway between January 2014 and June 2015 using Interpretive Description, an applied qualitative research strategy.

resultsFour key conditions for success in using telemedicine as a new technology in diabetes foot care were identified: technology and training that were user-friendly; having a telemedicine champion in the work setting; the support of committed and responsible leaders; and effective communication channels at the organizational level.

conclusionsSuccessful larger scale implementation of telemedicine must involve consideration of complex contextual and organizational factors associated with different work settings. This form of new care technology in diabetes foot care often involves health care professionals working across different settings with different management systems and organizational cultures. Therefore, attention to the distinct needs of each staff group seems an essential condition for effective implementation.

Indexed as

Diabetic foot ulcerFocus groups interviewsHealth care professionalsInterpretive descriptionTelehealthTelemedicine

Identifiers

PMID28100957
PMCPMC5237197
OpenAlexW2572049340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.