Table 4 Construct 4 (characteristics of individuals): Facilitators and barriers in the implementation of POCT for cardiometabolic diseases
A. Patient level | |
Facilitators | Barriers |
- Patients appreciated results to allow reassurance or to inform further care decision [28] - POCT increased patient’s confidence and offered objective validation for clinical assessment and decision making [23] | None mentioned |
B. Health care professional level | |
Facilitators | Barriers |
- Some HCP relish the opportunity to learn a new skill and develop professionally [24] - HCP enjoy responsibility for testing [25] - HCP felt their skill level increased autonomy and control POC testing gave them [24] | - Laboratory and clinical staff were resistant to delegate testing responsibilities to nurses or pharmacist who work in out-of-facility [35] - HCP reported feeling time-pressured with their workload [27, 29, 32] - Rejection/lack of motivation on the wards towards something “new” [22] - Insufficient laboratory knowledge by users leads to lack of understanding for the importance of quality control of the devices [22] - Some HCP felt that the results’ interpretation may vary depending on staff training and degree of experience [28] - Fear of technical innovations [22] - Some HCP are affected by the anxiety of learning a new skill and fitting it into the workload [24] - Some HCP have doubts if the device’s introduction was worthwhile for the clinical practice and health indicators [24] - Perception that the immediate access to blood test would not change management or would not add to existing clinical assessment [28] |