Cargando…
Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework
BACKGROUND: Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. We sought to explore if novel ways to utilize teleICU services can emerge within...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7992609/ https://www.ncbi.nlm.nih.gov/pubmed/33766010 http://dx.doi.org/10.1186/s12913-021-06287-6 |
_version_ | 1783669410404237312 |
---|---|
author | Krupp, Anna Di Martino, Michael Chung, Wesley Chaiyachati, Krisda Agarwal, Anish K. Huffenberger, Ann Marie Laudanski, Krzysztof |
author_facet | Krupp, Anna Di Martino, Michael Chung, Wesley Chaiyachati, Krisda Agarwal, Anish K. Huffenberger, Ann Marie Laudanski, Krzysztof |
author_sort | Krupp, Anna |
collection | PubMed |
description | BACKGROUND: Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. We sought to explore if novel ways to utilize teleICU services can emerge within an established, consulting-style teleICU model considering the program’s flexible, provider-driven operation. METHODS: This was a qualitative study of one teleICU/hospital dyad using semi-structured interviews from a convenience sample of ICU (n = 19) and teleICU (n = 13) nurses. Interviews were analyzed using directed content analysis to identify themes that describe their experiences with teleICU using a deductive codebook developed from an expert consensus (American Association of Critical Care Nurses) AACN statement on teleICU nursing. RESULTS: Three themes were identified through the qualitative content analysis: [1] nurses described unique teleICU knowledge, including systems thinking and technological skills, [2] the teleICU partnership supported quality improvement initiatives, and [3] elements of the work environment influenced perceptions of teleICU and its use. When elements of the work environment, such as effective communication and role clarity, were not present, teleICU use was variable. CONCLUSIONS: Flexible, provider-driven approaches for integrating teleICU services into daily practice may help define the future use of the teleICU model’s applicability. Future work should focus on the importance of effective communication and role clarity in integrating the emerging teleICU services into teleICU/ICU practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06287-6. |
format | Online Article Text |
id | pubmed-7992609 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79926092021-03-26 Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework Krupp, Anna Di Martino, Michael Chung, Wesley Chaiyachati, Krisda Agarwal, Anish K. Huffenberger, Ann Marie Laudanski, Krzysztof BMC Health Serv Res Research Article BACKGROUND: Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. We sought to explore if novel ways to utilize teleICU services can emerge within an established, consulting-style teleICU model considering the program’s flexible, provider-driven operation. METHODS: This was a qualitative study of one teleICU/hospital dyad using semi-structured interviews from a convenience sample of ICU (n = 19) and teleICU (n = 13) nurses. Interviews were analyzed using directed content analysis to identify themes that describe their experiences with teleICU using a deductive codebook developed from an expert consensus (American Association of Critical Care Nurses) AACN statement on teleICU nursing. RESULTS: Three themes were identified through the qualitative content analysis: [1] nurses described unique teleICU knowledge, including systems thinking and technological skills, [2] the teleICU partnership supported quality improvement initiatives, and [3] elements of the work environment influenced perceptions of teleICU and its use. When elements of the work environment, such as effective communication and role clarity, were not present, teleICU use was variable. CONCLUSIONS: Flexible, provider-driven approaches for integrating teleICU services into daily practice may help define the future use of the teleICU model’s applicability. Future work should focus on the importance of effective communication and role clarity in integrating the emerging teleICU services into teleICU/ICU practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06287-6. BioMed Central 2021-03-25 /pmc/articles/PMC7992609/ /pubmed/33766010 http://dx.doi.org/10.1186/s12913-021-06287-6 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Krupp, Anna Di Martino, Michael Chung, Wesley Chaiyachati, Krisda Agarwal, Anish K. Huffenberger, Ann Marie Laudanski, Krzysztof Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title | Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title_full | Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title_fullStr | Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title_full_unstemmed | Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title_short | Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework |
title_sort | communication and role clarity inform teleicu use: a qualitative analysis of opportunities and barriers in an established program using aacn framework |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7992609/ https://www.ncbi.nlm.nih.gov/pubmed/33766010 http://dx.doi.org/10.1186/s12913-021-06287-6 |
work_keys_str_mv | AT kruppanna communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT dimartinomichael communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT chungwesley communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT chaiyachatikrisda communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT agarwalanishk communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT huffenbergerannmarie communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework AT laudanskikrzysztof communicationandroleclarityinformteleicuuseaqualitativeanalysisofopportunitiesandbarriersinanestablishedprogramusingaacnframework |