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. 2017 Nov 20;2017(11):CD012876. doi: 10.1002/14651858.CD012876
Sample
  • All kinds of critical care workers (i.e. professionals, paraprofessionals and lay health workers) who make use of telemedicine to support or provide care to patients and/or family members.


  • Any other individuals or groups involved in the commissioning, evaluation, design and implementation of CCT. These individuals or groups could include administrative staff, information technology staff, managerial and supervisory staff, technical staff and industry partners who may or may not be based in a critical care facility but must be involved in the utilisation or implementation of CCT.


  • Critical care patients and family members who have been the consumers or been involved in the development of CCT.

Phenomenon of Interest
  • Healthcare stakeholders' perceptions and experiences of factors affecting the implementation – either initiation or implementation – of CCT.


  • CCT consists of the following combination:


    • continuous electronic recording of patients' vital signs at the bedside, linked to a computer system enabling display of real‐time data;

    • use of clinical decision‐making algorithms and electronic alerts; and

    • a remotely located team of critical care specialists including doctors and nurses, available 24/7.

  • Do not consider CCT applications that exclude clinical decision making as in some forms of plain remote screening.

Design
  • All empirical studies that use qualitative designs and methods for data collection and analysis. These will include, for example,


    • ethnographic studies utilising participant observation; or,

    • phenomenological studies using interviews.

  • Studies utilising mixed designs to be considered only where the qualitative component and findings can be discerned; qualitative process evaluations to be considered where the previous statement applies.


  • Studies to be considered for inclusion regardless of whether these were linked to effectiveness studies of CCT.


  • Studies that use qualitative data collection methods but perform quantitative data analysis (e.g. using descriptive statistics) to be excluded.

Evaluation
  • Experiences and perceptions

Research type
  • Qualitative