Journal article
Introduction of Tele-ICU in rural hospitals: Changing organisational culture to harness benefits
Intensive & critical care nursing, Vol.40, pp.51-56
06/2017
DOI: 10.1016/j.iccn.2016.10.001
PMID: 28216177
Abstract
This study evaluates rural hospital staff perceptions of a telemedicine ICU (Tele-ICU) before and after implementation.
We conducted a longitudinal qualitative study utilising semistructured group or individual interviews with staff from three rural ICU facilities in the upper Midwest of the United States that received Tele-ICU support. Interviews occurred pre-implementation and at two time points post-implementation. Interviews were conducted with: ICU administrators (n=6), physicians (n=3), nurses (n=9), respiratory therapists (n=5) and other (n=1) from July 2011 to May 2013. Transcripts were analysed for thematic content.
Overall, rural ICU staff viewed Tele-ICU as a welcome benefit for their facility. Major themes included: (1) beneficial where recruitment and retention of staff can be challenging; (2) extra support for day shifts and evening, night and weekend shifts; (3) reduction in the number of transfers larger tertiary hospitals in the community; (4) improvement in standardisation of care; and (5) organisational culture of rural ICUs may lead to under-utilisation.
ICU staff at rural facilities view Tele-ICU as a positive, useful tool to provide extra support and assistance. However, more research is needed regarding organisational culture to maximise the potential benefits of Tele-ICU in rural hospitals.
Details
- Title: Subtitle
- Introduction of Tele-ICU in rural hospitals: Changing organisational culture to harness benefits
- Creators
- Cassie Cunningham Goedken - Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA, United States. Electronic address: cassie.goedken@va.govJane Moeckli - Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA, United StatesPeter M Cram - University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, CanadaHeather Schacht Reisinger - Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA, United States; Department of Internal Medicine, Division of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, United States
- Resource Type
- Journal article
- Publication Details
- Intensive & critical care nursing, Vol.40, pp.51-56
- DOI
- 10.1016/j.iccn.2016.10.001
- PMID
- 28216177
- ISSN
- 0964-3397
- eISSN
- 1532-4036
- Language
- English
- Date published
- 06/2017
- Academic Unit
- Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984094334802771
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