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Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance

BACKGROUND: Tele-emergency physicians (TEPs) take an increasingly important role in the need-oriented provision of emergency patient care. To improve emergency medicine in rural areas, we set up the project ‘Rural|Rescue’, which uses TEPs to restructure professional rescue services using information...

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Detalles Bibliográficos
Autores principales: Hasebrook, Joachim P., Michalak, Leonie, Kohnen, Dorothea, Metelmann, Bibiana, Metelmann, Camilla, Brinkrolf, Peter, Flessa, Steffen, Hahnenkamp, Klaus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873191/
https://www.ncbi.nlm.nih.gov/pubmed/36693080
http://dx.doi.org/10.1371/journal.pone.0280956
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author Hasebrook, Joachim P.
Michalak, Leonie
Kohnen, Dorothea
Metelmann, Bibiana
Metelmann, Camilla
Brinkrolf, Peter
Flessa, Steffen
Hahnenkamp, Klaus
author_facet Hasebrook, Joachim P.
Michalak, Leonie
Kohnen, Dorothea
Metelmann, Bibiana
Metelmann, Camilla
Brinkrolf, Peter
Flessa, Steffen
Hahnenkamp, Klaus
author_sort Hasebrook, Joachim P.
collection PubMed
description BACKGROUND: Tele-emergency physicians (TEPs) take an increasingly important role in the need-oriented provision of emergency patient care. To improve emergency medicine in rural areas, we set up the project ‘Rural|Rescue’, which uses TEPs to restructure professional rescue services using information and communication technologies (ICTs) in order to reduce the therapy-free interval. Successful implementation of ICTs relies on user acceptance and knowledge sharing behavior. METHOD: We conducted a factorial design with active knowledge transfer and technology acceptance as a function of work satisfaction (high vs. low), workload (high vs. low) and point in time (prior to vs. after digitalization). Data were collected via machine readable questionnaires issued to 755 persons (411 pre, 344 post), of which 304 or 40.3% of these persons responded (194 pre, 115 post). RESULTS: Technology acceptance was higher after the implementation of TEP for nurses but not for other professions, and it was higher when the workload was high. Regarding active communication and knowledge sharing, employees with low work satisfaction are more likely to share their digital knowledge as compared to employees with high work satisfaction. This is an effect of previous knowledge concerning digitalization: After implementing the new technology, work satisfaction increased for the more experienced employees, but not for the less experienced ones. CONCLUSION: Our research illustrates that employees’ workload has an impact on the intention of using digital applications. The higher the workload, the more people are willing to use TEPs. Regarding active knowledge sharing, we see that employees with low work satisfaction are more likely to share their digital knowledge compared to employees with high work satisfaction. This might be attributed to the Dunning-Kruger effect. Highly knowledgeable employees initially feel uncertain about the change, which translates into temporarily lower work satisfaction. They feel the urge to fill even small knowledge gaps, which in return leads to higher work satisfaction. Those responsible need to acknowledge that digital change affects their employees’ workflow and work satisfaction. During such times, employees need time and support to gather information and knowledge in order to cope with digitally changed tasks.
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spelling pubmed-98731912023-01-25 Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance Hasebrook, Joachim P. Michalak, Leonie Kohnen, Dorothea Metelmann, Bibiana Metelmann, Camilla Brinkrolf, Peter Flessa, Steffen Hahnenkamp, Klaus PLoS One Research Article BACKGROUND: Tele-emergency physicians (TEPs) take an increasingly important role in the need-oriented provision of emergency patient care. To improve emergency medicine in rural areas, we set up the project ‘Rural|Rescue’, which uses TEPs to restructure professional rescue services using information and communication technologies (ICTs) in order to reduce the therapy-free interval. Successful implementation of ICTs relies on user acceptance and knowledge sharing behavior. METHOD: We conducted a factorial design with active knowledge transfer and technology acceptance as a function of work satisfaction (high vs. low), workload (high vs. low) and point in time (prior to vs. after digitalization). Data were collected via machine readable questionnaires issued to 755 persons (411 pre, 344 post), of which 304 or 40.3% of these persons responded (194 pre, 115 post). RESULTS: Technology acceptance was higher after the implementation of TEP for nurses but not for other professions, and it was higher when the workload was high. Regarding active communication and knowledge sharing, employees with low work satisfaction are more likely to share their digital knowledge as compared to employees with high work satisfaction. This is an effect of previous knowledge concerning digitalization: After implementing the new technology, work satisfaction increased for the more experienced employees, but not for the less experienced ones. CONCLUSION: Our research illustrates that employees’ workload has an impact on the intention of using digital applications. The higher the workload, the more people are willing to use TEPs. Regarding active knowledge sharing, we see that employees with low work satisfaction are more likely to share their digital knowledge compared to employees with high work satisfaction. This might be attributed to the Dunning-Kruger effect. Highly knowledgeable employees initially feel uncertain about the change, which translates into temporarily lower work satisfaction. They feel the urge to fill even small knowledge gaps, which in return leads to higher work satisfaction. Those responsible need to acknowledge that digital change affects their employees’ workflow and work satisfaction. During such times, employees need time and support to gather information and knowledge in order to cope with digitally changed tasks. Public Library of Science 2023-01-24 /pmc/articles/PMC9873191/ /pubmed/36693080 http://dx.doi.org/10.1371/journal.pone.0280956 Text en © 2023 Hasebrook et al 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 author and source are credited.
spellingShingle Research Article
Hasebrook, Joachim P.
Michalak, Leonie
Kohnen, Dorothea
Metelmann, Bibiana
Metelmann, Camilla
Brinkrolf, Peter
Flessa, Steffen
Hahnenkamp, Klaus
Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title_full Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title_fullStr Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title_full_unstemmed Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title_short Digital transition in rural emergency medicine: Impact of job satisfaction and workload on communication and technology acceptance
title_sort digital transition in rural emergency medicine: impact of job satisfaction and workload on communication and technology acceptance
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873191/
https://www.ncbi.nlm.nih.gov/pubmed/36693080
http://dx.doi.org/10.1371/journal.pone.0280956
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