Table 3

The subcategories of ‘POCTs have clinical and social values’ with a sample of corresponding quotes

Paediatric care is favoured by POCT useReassuring guardians and fulfilling their expectationsFulfilling personal needs of doctors
It is also such that babies, or babies and children in general, can be somewhat difficult to interpret sometimes. … E.g., they can say that they have a stomachache, but that could be anything! And then it is very pleasant to have the dipstick [urinalysis POCT] just to rule out a urinary tract infection. I think many of these tests are for ruling out more serious…[conditions].
(Junior doctor group 2)
To know what’s wrong, that’s what I think it is, because they [guardians] want to know what’s wrong. Not just that it is a virus, which virus and why, why is it like this.
(Nurse assistant group)
The technology is hard to beat, you can say. Either that or grey hair; I’m waiting for either one.
(Junior doctor group 2)
I think all of them are smooth … a CRP [C-reactive Protein] then you can be like “we have the smallest needle, the little prick … it’s one drop and it doesn’t hurt”. Pretty easy to sell.
(Nurse assistant group)
Yes, but during the peak seasons there is much talk in media about RS [Respiratory Syncytial Virus] and such, and then the parents, when they come with their child, they wonder if it is RS. So, it is also that they perhaps are sometimes pressuring.
(Nurse group)
I thought about it a bit, what you were talking about when it [the POCT] is taken too much for curiosity or uncertainty of the doctor.
(Nurse group)
I believe that it matters for the management when you receive that it is Influenza A and it is someone who thinks he/she has double vision and his/her calves hurt, and has fever and coughs, and it’s Influenza A. Then I don’t need to start thinking of other neurological causes, and then I can perhaps discharge the patient. But if I had received that it’s not Influenza A, then I would perhaps need to admit and investigate, so to me it matters.
(Consultant group)
Sometimes I think it can be purely communicative with guardians. It can be that we now have taken an infection test, and it is low; this very much looks like a viral infection combined with having had symptoms for a couple of days, and it is low, so it doesn’t suggest bacterial infection. You can go home and rest and come back if there were something.
(Resident group)
Let’s say that you are at home, and are called by a very inexperienced, new colleague; then I think you get like, ‘but maybe we should take some extra samples’, because I’m not really sure of the anamnesis you get, because I don’t really know, I don’t know that person as much as if I had with a more experienced colleague where I would have trusted the story more and everything. I can imagine that it gets like that.
(Consultant group)
  • POCTs, point-of-care tests.