Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique
Objectives To identify and explore barriers that healthcare professionals working as prehospital care (PHC) providers at the University Hospital of North Norway experience with temperature monitoring and discover solutions to these problems.Study design Qualitative study using the modified nominal g...
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| Format: | Article |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e058910.full |
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| author | Remi William Scott Knut Fredriksen |
| author_facet | Remi William Scott Knut Fredriksen |
| author_sort | Remi William Scott |
| collection | DOAJ |
| description | Objectives To identify and explore barriers that healthcare professionals working as prehospital care (PHC) providers at the University Hospital of North Norway experience with temperature monitoring and discover solutions to these problems.Study design Qualitative study using the modified nominal group technique.Materials and methods 14 experienced healthcare professionals working in air and ground emergency medical services were invited to the study. Initially, each participant was asked to suggest through email topics of importance regarding barriers to prehospital thermometry. Afterwards, they received a list of all disparate topics and were asked to individually rank them by importance. The top-ranked topics were discussed in a consensus meeting. The meeting was audio-recorded and a transcript was written and then analysed through an inductive thematic analysis.Results 13 participants accepted the invitation. 63 suggestions were reduced to 24 disparate topics after removal of duplicates. Twelve highly ranked topics were discussed during the consensus meeting. Thematic analysis revealed 47 codes that were grouped together into six overarching themes, of which four described challenges to monitoring and two described potential solutions: equipment dissatisfaction, little focus on patient temperature, fear of iatrogenic complications, thermometry subordinated, more focus on temperature and simplification of thermometry.Conclusion To increase the frequency of temperature measurement on correct indication, we suggest introducing PHC protocols that specify patients and conditions where an accurate temperature measurement should have high priority. Furthermore, there is a profound need for more suitable techniques for temperature monitoring in the prehospital setting. |
| format | Article |
| id | doaj-art-418354ad1cbf40048df73dd0c1422344 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-418354ad1cbf40048df73dd0c14223442025-01-27T21:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058910Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group techniqueRemi William Scott0Knut Fredriksen1Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, NorwayDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, NorwayObjectives To identify and explore barriers that healthcare professionals working as prehospital care (PHC) providers at the University Hospital of North Norway experience with temperature monitoring and discover solutions to these problems.Study design Qualitative study using the modified nominal group technique.Materials and methods 14 experienced healthcare professionals working in air and ground emergency medical services were invited to the study. Initially, each participant was asked to suggest through email topics of importance regarding barriers to prehospital thermometry. Afterwards, they received a list of all disparate topics and were asked to individually rank them by importance. The top-ranked topics were discussed in a consensus meeting. The meeting was audio-recorded and a transcript was written and then analysed through an inductive thematic analysis.Results 13 participants accepted the invitation. 63 suggestions were reduced to 24 disparate topics after removal of duplicates. Twelve highly ranked topics were discussed during the consensus meeting. Thematic analysis revealed 47 codes that were grouped together into six overarching themes, of which four described challenges to monitoring and two described potential solutions: equipment dissatisfaction, little focus on patient temperature, fear of iatrogenic complications, thermometry subordinated, more focus on temperature and simplification of thermometry.Conclusion To increase the frequency of temperature measurement on correct indication, we suggest introducing PHC protocols that specify patients and conditions where an accurate temperature measurement should have high priority. Furthermore, there is a profound need for more suitable techniques for temperature monitoring in the prehospital setting.https://bmjopen.bmj.com/content/12/6/e058910.full |
| spellingShingle | Remi William Scott Knut Fredriksen Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique BMJ Open |
| title | Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique |
| title_full | Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique |
| title_fullStr | Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique |
| title_full_unstemmed | Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique |
| title_short | Barriers to body temperature monitoring among prehospital personnel: a qualitative study using the modified nominal group technique |
| title_sort | barriers to body temperature monitoring among prehospital personnel a qualitative study using the modified nominal group technique |
| url | https://bmjopen.bmj.com/content/12/6/e058910.full |
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