NDLI: Practitioners’ views on community implementation of point-of-care ultrasound (POCUS) in the UK: a qualitative interview study

Content Provider	Springer Nature : BioMed Central
Author	Akanuwe, Joseph N.A Siriwardena, Aloysius Niroshan Bidaut, Luc Mitchell, Pauline Bird, Paul Lasserson, Daniel Apenteng, Patricia Lilford, Richard
Abstract	Background Implementing Point-of-care ultrasound (POCUS) in community practice could help to decide upon and prioritise initial treatment, procedures and appropriate specialist referral or conveyance to hospital. A recent literature review suggests that image quality, portability and cost of ultrasound devices are all improving with widening indications for community POCUS, but evidence about community POCUS use is needed in the UK. We aimed to explore views of clinical practitioners, actively using ultrasound, on their experiences of using POCUS and potential facilitators and barriers to its wider implementation in community settings in the UK. Methods We conducted a qualitative interview study with practitioners from community and secondary care settings actively using POCUS in practice. A convenience sample of eligible participants from different clinical specialties and settings was recruited using social media adverts, through websites of relevant research groups and snowball sampling. Individual semi-structured interviews were conducted online using Microsoft Teams. These were recorded, transcribed verbatim, and analysed using a Framework approach supported by NVivo 12. Results We interviewed 16 practitioners aged between 40 and 62 years from different professional backgrounds, including paramedics, emergency physicians, general practitioners, and allied health professionals. Participants identified key considerations and facilitators for wider implementation of POCUS in community settings in the UK: resource requirements for deployment and support of working devices; sufficient time and a skilled workforce; attention to training, education and support needs; ensuring proper governance, guidelines and quality assurance; workforce considerations; enabling ease of use in assisting decision making with consideration of unintended consequences; and more robust evidence to support perceptions of improved patient outcomes and experience. Conclusions POCUS could be useful for improving patient journey and health outcomes in community care, but this requires further research to evaluate outcomes. The facilitators identified could help make community POCUS a reality.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-09069-4.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-023-09069-4
Journal	BMC Health Services Research
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-01-25
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Point of care ultrasound Community practice Primary care Prehospital care Ultrasound practitioners Facilitators
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Role enactment of facilitation in primary care – a qualitative study

Process evaluation of the implementation of the assessment of burden of chronic conditions tool in Dutch primary care – lessons from a qualitative implementation study

Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study

(In-)formal caregivers’ and general practitioners’ views on hospitalizations of people with dementia - an exploratory qualitative interview study

Implementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators

Australian general practitioners’ perspectives on integrating specialist diabetes care with primary care: qualitative study

Patient safety in primary care: a survey of general practitioners in the Netherlands

Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study

Barriers and facilitators to the implementation of a community-based hypertension improvement project in Ghana: a qualitative study of ComHIP

Practitioners’ views on community implementation of point-of-care ultrasound (POCUS) in the UK: a qualitative interview study

Similar Documents

Role enactment of facilitation in primary care – a qualitative study

Process evaluation of the implementation of the assessment of burden of chronic conditions tool in Dutch primary care – lessons from a qualitative implementation study

Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study

(In-)formal caregivers’ and general practitioners’ views on hospitalizations of people with dementia - an exploratory qualitative interview study

Implementation of the clinical practice guideline for individuals with amputations in Colombia: a qualitative study on perceived barriers and facilitators

Australian general practitioners’ perspectives on integrating specialist diabetes care with primary care: qualitative study

Patient safety in primary care: a survey of general practitioners in the Netherlands

Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study

Barriers and facilitators to the implementation of a community-based hypertension improvement project in Ghana: a qualitative study of ComHIP

Practitioners’ views on community implementation of point-of-care ultrasound (POCUS) in the UK: a qualitative interview study