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Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Feb2015, Vol. 71 Issue 2, p326-337, 12p
- Publication Year :
- 2015
-
Abstract
- Aims To examine frontline staff acceptance of telehealth and identify barriers to and enablers of successful adoption of remote monitoring for patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Background The use of telehealth in the UK has not developed at the pace and scale anticipated by policy. Many existing studies report frontline staff acceptance as a key barrier, however data are limited and there is little evidence of the adoption of telehealth in routine practice. Design Case studies of four community health services in England that use telehealth to monitor patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Methods Thematic analysis of qualitative interviews with 84 nursing and other frontline staff; and 21 managers and key stakeholders; data collected May 2012-June 2013. Findings Staff attitudes ranged from resistance to enthusiasm, with varied opinions about the motives for investing in telehealth and the potential impact on nursing roles. Having reliable and flexible technology and dedicated resources for telehealth work were identified as essential in helping to overcome early barriers to acceptance, along with appropriate staff training and a partnership approach to implementation. Early successes were also important, encouraging staff to use telehealth and facilitating clinical learning and increased adoption. Conclusions The mainstreaming of telehealth hinges on clinical 'buy-in'. Where barriers to successful implementation exist, clinicians can lose faith in using technology to perform tasks traditionally delivered in person. Addressing barriers is therefore crucial if clinicians are to adopt telehealth into routine practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEART failure treatment
OBSTRUCTIVE lung disease treatment
ATTITUDE (Psychology)
BIOTELEMETRY
COMMUNITY health nursing
COMMUNITY health services
EXECUTIVES
HEALTH care teams
INTERVIEWING
RESEARCH methodology
CASE studies
MEDICAL care
MEDICAL personnel
MEDICAL referrals
NURSES
NURSING practice
PERSONNEL management
GENERAL practitioners
QUALITY assurance
RESEARCH funding
TELEMEDICINE
UNCERTAINTY
WORK design
WORK environment
TEAMS in the workplace
EMPLOYEES' workload
DISEASE management
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
CHANGE management
INTER-observer reliability
RETROSPECTIVE studies
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 71
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 100350529
- Full Text :
- https://doi.org/10.1111/jan.12480