Journal article
Staff Acceptance of Tele-ICU Coverage A Systematic Review
Chest, Vol.139(2), pp.279-288
02/01/2011
DOI: 10.1378/chest.10-1795
PMCID: PMC3032369
PMID: 21051386
Abstract
Background: Remote coverage of ICUs is increasing, but staff acceptance of this new technology is incompletely characterized. We conducted a systematic review to summarize existing research on acceptance of tele-ICU coverage among ICU staff.
Methods: We searched for published articles pertaining to critical care telemedicine systems (aka, tele-ICU) between January 1950 and March 2010 using PubMed, Cumulative Index to Nursing and Allied Health Literature, Global Health, Web of Science, and the Cochrane Library and abstracts and presentations delivered at national conferences. Studies were included if they provided original qualitative or quantitative data on staff perceptions of tele-ICU coverage. Studies were imported into content analysis software and coded by tele-ICU configuration, methodology, participants, and findings (eg, positive and negative staff evaluations).
Results: Review of 3,086 citations yielded 23 eligible studies. Findings were grouped into four categories of staff evaluation: overall acceptance level of tele-ICU coverage (measured in 70% of studies), impact on patient care (measured in 96%), impact on staff (measured in 100%), and organizational impact (measured in 48%). Overall acceptance was high, despite initial ambivalence. Favorable impact on patient care was perceived by >82% of participants. Staff impact referenced enhanced collaboration, autonomy, and training, although scrutiny, malfunctions, and contradictory advice were cited as potential barriers. Staff perceived the organizational impact to vary. An important limitation of available studies was a lack of rigorous methodology and validated survey instruments in many studies.
Conclusions: Initial reports suggest high levels of staff acceptance of tele-ICU coverage, but more rigorous methodologic study is required. CHEST 2011;139(2):279-288
Details
- Title: Subtitle
- Staff Acceptance of Tele-ICU Coverage A Systematic Review
- Creators
- Lance Brendan Young - Iowa City VA Medical CenterPaul S. Chan - St Lukes Hosp, Mid Amer Heart Inst, Kansas City, MO 64111 USAPeter Cram - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.139(2), pp.279-288
- DOI
- 10.1378/chest.10-1795
- PMID
- 21051386
- PMCID
- PMC3032369
- NLM abbreviation
- Chest
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Publisher
- Elsevier
- Number of pages
- 10
- Grant note
- HL102224 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) VA Midwest Rural Health Resource Center RR01997201 / National Center for Research Resources at the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) R01AG033035 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) IIR 09-336 / Veterans Administration Health Services Research and Development Service Veterans Administration; US Department of Veterans Affairs Robert Wood Johnson Physician Faculty Scholars Program; Robert Wood Johnson Foundation (RWJF) Department of Veterans Affairs; US Department of Veterans Affairs R01 HL085347 / National Heart, Lung, and Blood Institute at the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Health Services Research and Development; US Department of Veterans Affairs K23HL102224 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Language
- English
- Date published
- 02/01/2011
- Academic Unit
- Preventive and Community Dentistry; Dentistry Administration
- Record Identifier
- 9984367619302771
Metrics
11 Record Views