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Journal article
Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework
BMC health services research, Vol.21(1), 277
25 Mar 2021
PMID: 33766010
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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.
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.
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.
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Details
- Title
- Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework
- Creators
- Anna Krupp - University of IowaMichael Di Martino - University of PennsylvaniaWesley Chung - Drexel UniversityKrisda Chaiyachati - University of PennsylvaniaAnish K Agarwal - The Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, The Leonard Davis Institute for Health Economics at the University of Pennsylvania, Philadelphia, PA, 19104, USAAnn Marie Huffenberger - University of Pennsylvania Health SystemKrzysztof Laudanski - University of Pennsylvania
- Publication Details
- BMC health services research, Vol.21(1), 277
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Chemistry
- Web of Science ID
- WOS:000635184100005
- Scopus ID
- 2-s2.0-85103393811
- Other Identifier
- 991021860658104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services