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Introduction of Tele-ICU in rural hospitals: Changing organisational culture to harness benefits
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Introduction of Tele-ICU in rural hospitals: Changing organisational culture to harness benefits
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Journal Article
Introduction of Tele-ICU in rural hospitals: Changing organisational culture to harness benefits
2017
Overview
This study evaluates rural hospital staff perceptions of a telemedicine ICU (Tele-ICU) before and after implementation.
We conducted a longitudinal qualitative study utilising semistructured group or individual interviews with staff from three rural ICU facilities in the upper Midwest of the United States that received Tele-ICU support. Interviews occurred pre-implementation and at two time points post-implementation. Interviews were conducted with: ICU administrators (n=6), physicians (n=3), nurses (n=9), respiratory therapists (n=5) and other (n=1) from July 2011 to May 2013. Transcripts were analysed for thematic content.
Overall, rural ICU staff viewed Tele-ICU as a welcome benefit for their facility. Major themes included: (1) beneficial where recruitment and retention of staff can be challenging; (2) extra support for day shifts and evening, night and weekend shifts; (3) reduction in the number of transfers larger tertiary hospitals in the community; (4) improvement in standardisation of care; and (5) organisational culture of rural ICUs may lead to under-utilisation.
ICU staff at rural facilities view Tele-ICU as a positive, useful tool to provide extra support and assistance. However, more research is needed regarding organisational culture to maximise the potential benefits of Tele-ICU in rural hospitals.
Publisher
Elsevier Ltd,Elsevier Limited
Subject
/ Adult
/ Attitude of Health Personnel
/ Culture
/ Female
/ Humans
/ Intensive Care Units - trends
/ Male
/ Nurses
/ Patients
/ Software
