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Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians

BACKGROUND: Pediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication. OBJECTIVE: This study aimed to survey nurse and physician readiness to adopt thes...

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Autores principales: Curran, Janet, Wozney, Lori, Tavender, Emma, Wilson, Catherine, Ritchie, Krista C, Wong, Helen, Gallant, Allyson, Somerville, Mari, Archambault, Patrick M, Cassidy, Christine, Jabbour, Mona, Mackay, Rebecca, Plint, Amy C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600642/
https://www.ncbi.nlm.nih.gov/pubmed/37819696
http://dx.doi.org/10.2196/46379
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author Curran, Janet
Wozney, Lori
Tavender, Emma
Wilson, Catherine
Ritchie, Krista C
Wong, Helen
Gallant, Allyson
Somerville, Mari
Archambault, Patrick M
Cassidy, Christine
Jabbour, Mona
Mackay, Rebecca
Plint, Amy C
author_facet Curran, Janet
Wozney, Lori
Tavender, Emma
Wilson, Catherine
Ritchie, Krista C
Wong, Helen
Gallant, Allyson
Somerville, Mari
Archambault, Patrick M
Cassidy, Christine
Jabbour, Mona
Mackay, Rebecca
Plint, Amy C
author_sort Curran, Janet
collection PubMed
description BACKGROUND: Pediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication. OBJECTIVE: This study aimed to survey nurse and physician readiness to adopt these tools. METHODS: An electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses. RESULTS: Out of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT. CONCLUSIONS: Despite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort.
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spelling pubmed-106006422023-10-27 Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians Curran, Janet Wozney, Lori Tavender, Emma Wilson, Catherine Ritchie, Krista C Wong, Helen Gallant, Allyson Somerville, Mari Archambault, Patrick M Cassidy, Christine Jabbour, Mona Mackay, Rebecca Plint, Amy C JMIR Hum Factors Original Paper BACKGROUND: Pediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication. OBJECTIVE: This study aimed to survey nurse and physician readiness to adopt these tools. METHODS: An electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses. RESULTS: Out of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT. CONCLUSIONS: Despite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort. JMIR Publications 2023-10-11 /pmc/articles/PMC10600642/ /pubmed/37819696 http://dx.doi.org/10.2196/46379 Text en ©Janet Curran, Lori Wozney, Emma Tavender, Catherine Wilson, Krista C Ritchie, Helen Wong, Allyson Gallant, Mari Somerville, Patrick M Archambault, Christine Cassidy, Mona Jabbour, Rebecca Mackay, Amy C Plint. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 11.10.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Human Factors, is properly cited. The complete bibliographic information, a link to the original publication on https://humanfactors.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Curran, Janet
Wozney, Lori
Tavender, Emma
Wilson, Catherine
Ritchie, Krista C
Wong, Helen
Gallant, Allyson
Somerville, Mari
Archambault, Patrick M
Cassidy, Christine
Jabbour, Mona
Mackay, Rebecca
Plint, Amy C
Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title_full Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title_fullStr Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title_full_unstemmed Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title_short Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
title_sort implementing electronic discharge communication tools in pediatric emergency departments: multicountry, cross-sectional readiness survey of nurses and physicians
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600642/
https://www.ncbi.nlm.nih.gov/pubmed/37819696
http://dx.doi.org/10.2196/46379
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