Evidence map›Paper›PMID 37142989›Full record

ArticleBMC geriatrics2023

"A disembodied voice over the telephone": a qualitative study of healthcare practitioners' experiences in geriatric medicine.

Frankie Brown, Isabella Sanders, Ross Watkins, Elisabeth Grey, Paula Smith, Daniella Springett, Tomas Welsh, Fiona Gillison

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

8 authors at 2 institutions in 1 country.

Frankie BrownDepartment for Health, University of Bath, Bath, BA2 7AY, UK.
Isabella SandersDepartment for Health, University of Bath, Bath, BA2 7AY, UK.
Ross WatkinsDepartment for Health, University of Bath, Bath, BA2 7AY, UK.
Elisabeth GreyDepartment for Health, University of Bath, Bath, BA2 7AY, UK.
Paula SmithDepartment of Psychology, University of Bath, Bath, BA2 7AY, UK.
Daniella SpringettDepartment for Health, University of Bath, Bath, BA2 7AY, UK.
Tomas WelshResearch Institute for the Care of Older People, RICE, Royal United Hospitals Bath NHS Foundation Trust, Bath, BA1 3NG, UK.
Fiona GillisonDepartment for Health, University of Bath, Bath, BA2 7AY, UK. sppfbg@bath.ac.uk.
University of Bath · GBThe Research Institute for the Care of Older People · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study explored the experience of delivering care remotely among practitioners in a UK geriatric medicine clinic.

methodsNine semi-structured interviews were conducted with consultants (n = 5), nurses (n = 2), a speech and language and an occupational therapist, and thematically analysed.

resultsFour themes developed; Challenges of remote consultations; Perceived advantages of remote consultations; Disruption of involvement of family members; Impact on care staff. Participants felt that rapport and trust had been more feasible to develop remotely than they had anticipated, although this was more challenging for new patients and those with cognitive or sensory impairments. While practitioners identified advantages of remote consultations, including involving relatives, saving time, and reducing anxiety, they also experienced disadvantages such as consultations feeling like a 'production line', missing visual cues and reduced privacy. Some participants felt their professional identity was threatened by the lack of face-to-face contact, linked to feeling that remote consultations are not suitable for frail older adults or those with cognitive deficits. DISCUSSION: Staff perceived barriers to remote consultations that went beyond practical concerns, and suggest support for building rapport, involving families, and protecting clinician identity and job satisfaction may be warranted.

Indexed as

Referral and ConsultationTelephoneAgedDelivery of Health CareHumansQualitative ResearchAccess to careCommunication skillsPatient preferenceRemote consultationTelehealth

Identifiers

PMID37142989
PMCPMC10159677
OpenAlexW4368617692

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.