Staff acceptance of a telemedicine intensive care unit program: A qualitative study
Abstract
Purpose We conducted an evaluation to identify factors related to intensive care unit (ICU) staff acceptance of a telemedicine ICU (Tele-ICU) program in preimplementation and postimplementation phases.Methods Individual or group semistructured interviews and site observations were conducted with staff from the Veterans Affairs Midwest Health Care Network Tele-ICU and affiliated ICUs. A qualitative content analysis of preimplementation and postimplementation transcripts and field notes was undertaken to identify themes positively and negatively influencing Tele-ICU acceptance.Results Telemedicine ICU training, Tele-ICU understanding, perceived need, and organizational factors emerged as influencing acceptance of the Tele-ICU before implementation. After implementation, Tele-ICU understanding, impact on work systems, perceived usefulness, and relationships were factors influencing acceptance and utilization. Barriers to implementation included confusion about how to use the Tele-ICU, disruptions to communication and workflows, unmet expectations, and discomfort with being monitored. Facilitators included positive experiences, discovery of new benefits, and recognition of Tele-ICU staff as complementing bedside care.Conclusions Telemedicine ICU implementation is complex. Time and resources should be allocated for local coordination, continuous needs assessment for Tele-ICU support, staff training, developing interpersonal relationships, and systems design and evaluation. Such efforts are likely to be rewarded with more rapid staff acceptance of this new technology.
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In this constellation, trust has to be formed first toward the new ICT and in a second step toward the external experts.
“In this constellation, trust has to be formed first toward the new ICT and in a second step toward the external experts [21].”
From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [21]
The most disruptive implementation of ICT in intensive care medicine in the recent past has been the introduction of tele-ICUs, which has been accompanied by several staff acceptance studies.
“The most disruptive implementation of ICT in intensive care medicine in the recent past has been the introduction of tele-ICUs, which has been accompanied by several staff acceptance studies [21,52,53].”
From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [21]
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Self-citation
- Authors
- Moeckli, J., Cram, P., Cunningham, C., & Reisinger, H. S.
- Affiliations
- Iowa City VA Health Care System (US)
- University of Iowa (US)
- Corresponding author
- Moeckli, Jane
- Venue
- Journal of Critical Care
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 28
- Issue
- 6
- Pages
- 890-901
- ISSN
- 0883-9441 (ISSN-L)
- OpenAlex
- W1972694824
- Cited by
- 100
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 18 · 2020: 10 · 2019: 13 · 2018: 11 · 2017: 12 · 2016: 11 · 2015: 8 · 2014: 5
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Critical Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs (I01 HX000261)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24AR062133, AR062133)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- tele-ICU, employee acceptance, technology implementation, intensive care unit staff, perceived usefulness, organizational factors, employee training, workflow disruption, communication disruption, remote patient monitoring, implementation barriers and facilitators
- MeSH terms
- Adult, Attitude of Health Personnel, Critical Care, Female, Hospitals, Veterans, Humans, Intensive Care Units, Interviews as Topic, Male, Quality of Health Care, United States, Telemedicine, Qualitative Research, Patient Safety
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