Journal article
Staff acceptance of a telemedicine intensive care unit program: a qualitative study
Journal of critical care, Vol.28(6), pp.890-901
12/2013
DOI: 10.1016/j.jcrc.2013.05.008
PMID: 23906904
Abstract
We conducted an evaluation to identify factors related to intensive care unit (ICU) staff acceptance of a telemedicine ICU (Tele-ICU) program in preimplementation and postimplementation phases.
Individual or group semistructured interviews and site observations were conducted with staff from the Veterans Affairs Midwest Health Care Network Tele-ICU and affiliated ICUs. A qualitative content analysis of preimplementation and postimplementation transcripts and field notes was undertaken to identify themes positively and negatively influencing Tele-ICU acceptance.
Telemedicine ICU training, Tele-ICU understanding, perceived need, and organizational factors emerged as influencing acceptance of the Tele-ICU before implementation. After implementation, Tele-ICU understanding, impact on work systems, perceived usefulness, and relationships were factors influencing acceptance and utilization. Barriers to implementation included confusion about how to use the Tele-ICU, disruptions to communication and workflows, unmet expectations, and discomfort with being monitored. Facilitators included positive experiences, discovery of new benefits, and recognition of Tele-ICU staff as complementing bedside care.
Telemedicine ICU implementation is complex. Time and resources should be allocated for local coordination, continuous needs assessment for Tele-ICU support, staff training, developing interpersonal relationships, and systems design and evaluation. Such efforts are likely to be rewarded with more rapid staff acceptance of this new technology.
Details
- Title: Subtitle
- Staff acceptance of a telemedicine intensive care unit program: a qualitative study
- Creators
- Jane Moeckli - Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA. Electronic address: Jane.Moeckli@va.govPeter CramCassie CunninghamHeather Schacht Reisinger
- Resource Type
- Journal article
- Publication Details
- Journal of critical care, Vol.28(6), pp.890-901
- DOI
- 10.1016/j.jcrc.2013.05.008
- PMID
- 23906904
- ISSN
- 0883-9441
- eISSN
- 1557-8615
- Grant note
- AR062133 / NIAMS NIH HHS I01 HX000261 / HSRD VA
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984094322502771
Metrics
18 Record Views