Journal article
Factors Affecting Staff Perceptions of Tele-ICU Service in Rural Hospitals
Telemedicine journal and e-health, Vol.21(6), pp.459-466
06/01/2015
DOI: 10.1089/tmj.2014.0137
PMID: 25734922
Abstract
Introduction:
Telemedicine is designed to increase access to specialist care, especially in settings distant from tertiary-care centers. One of the more established telemedicine applications in hospitals is the tele-intensive care unit (tele-ICU). Perceptions of tele-ICU users are not well studied. Thus, we undertook a study focused on assessing staff acceptance at multiple hospitals that had implemented a tele-ICU system.
Materials and Methods:
We designed a survey instrument that gathered perceptions on multiple facets of tele-ICU use and administered it to clinical and administrative staff at 28 hospitals that had implemented a tele-ICU system. We also conducted interviews at half of these hospitals to gain a deeper understanding of factors affecting staff perceptions of tele-ICU services.
Results:
The 145 survey respondents were generally positive about all facets of the service. Analyses found no significant differences in comparisons between critical access and larger hospitals or between clinical and administrative/managerial respondents, although a few differences between providers and nurses emerged. Respondents at hospitals averaging more tele-ICU use and that had implemented it longer were significantly (
p
<0.05) more positive in their responses on multiple survey items than other respondents. Interviews corroborated and provided insight into survey responses.
Conclusions:
Tele-ICU was particularly valued when critical access hospitals retained critical care patients during special circumstances and when the tele-ICU hub could monitor patients to provide relief for local providers and nurses. Tele-ICU can aid rural hospitals, but multiple delivery models are warranted to meet disparate needs.
Details
- Title: Subtitle
- Factors Affecting Staff Perceptions of Tele-ICU Service in Rural Hospitals
- Creators
- Marcia M Ward - 1Department of Health Management & Policy, University of Iowa, Iowa City, IowaFred Ullrich - 1Department of Health Management & Policy, University of Iowa, Iowa City, IowaAndrew J Potter - 1Department of Health Management & Policy, University of Iowa, Iowa City, IowaA. Clinton MacKinney - 1Department of Health Management & Policy, University of Iowa, Iowa City, IowaSarah Kappel - 2Avera Health, Sioux Falls, South DakotaKeith J Mueller - 1Department of Health Management & Policy, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Telemedicine journal and e-health, Vol.21(6), pp.459-466
- DOI
- 10.1089/tmj.2014.0137
- PMID
- 25734922
- NLM abbreviation
- Telemed J E Health
- ISSN
- 1530-5627
- eISSN
- 1556-3669
- Publisher
- Mary Ann Liebert, Inc
- Comment
- Test development: Tele-Intensive Care Unit Survey
- Language
- English
- Date published
- 06/01/2015
- Academic Unit
- Rural Telehealth Research Center; Health Management and Policy; Public Policy Center (Archive)
- Record Identifier
- 9984063139602771
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