| Autor: |
Joanne E Martin, Christopher Price, Lisa Shaw, Bethany Shinkins, Joy A Allen, Kerrie Davies, Massimo Micocci, Kile Green, Timothy Hicks, Amanda Winter |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 12, Iss 11 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-064038 |
| Popis: |
Objectives This body of work aimed to elicit ambulance service staff’s perceptions on the barriers and facilitators to adoption, and clinical utility of incorporating rapid SARS-CoV-2 testing during ambulance assessments.Design A mixed-methods survey-based project using a framework analysis method to organise qualitative data.Setting Emergency and non-emergency care ambulatory services in the UK were approached to take part.Participants Current, practising members of the UK ambulance service (paramedics, technicians, assistants and other staff) were included in this body of work.Results Survey 1: 226 responses were collected between 3 December 2020 and 11 January 2021, 179 (79.2%) of which were completed in full. While the majority of respondents indicated that an ambulance-based testing strategy was feasible in concept (143/190, 75.3%), major barriers to adoption were noted. Many open-ended responses cited concerns regarding misuse of the service by the general public and other healthcare services, timing and conveyance issues, and increased workloads, alongside training and safety concerns. Survey 2: 26 responses were received between 8 February 2021 and 22 February 2021 to this follow-up survey. Survey 2 revealed conveyance decision-making, and risk stratification to be the most frequently prioritised use cases among ambulance service staff. Optimal test characteristics for clinical adoption according to respondents were; accuracy (above 90% sensitivity and specificity), rapidity ( |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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