Exploring nurses' perceptions of the barriers and facilitators that influence acceptance and use of remote visual monitoring technology

Abstract

Aim Describe nurses' perceptions of the barriers and facilitators that influence acceptance and use of remote visual monitoring technology. Background Research has shown remote visual monitoring to be a useful patient safety intervention, yet nurses underutilize the technology. Methods Using a qualitative descriptive study design, we completed a conventional content analysis of focus group feedback from two nurse leader groups and two direct care nurse groups (n = 13 participants) to explore factors influencing nurses' perceptions and utilization of remote visual monitoring. Results Five main themes were identified: (1) Contextual human factors that impact nurse acceptance; (2) facilitators and barriers related to remote visual monitoring's functionality; (3) nurse leaders' role in maintaining device availability and efficient use; (4) nurse leaders' role in promoting adoption of the technology; and (5) nurse leaders' role in valuing nursing professional judgement. Conclusion Findings indicate that nurse leaders can play a crucial role in direct care nurses' acceptance and use of remote visual monitoring technology. Implications for Nursing Management In an era of limited staffing resources, remote visual monitoring has the potential to increase patient safety and decrease workload demands. Nurse leaders should identify barriers and facilitators to their nursing team's use of remote visual monitoring to promote the acceptance and use of technology that increases patient safety and cost‐effectiveness of care.

Smartphone-Based Remote Monitoring for Chronic Heart Failure: Mixed Methods Analysis of User Experience From Patient and Nurse Perspectives

“…This type of RM may improve continuity of care, which is particularly important to patients with HFrEF. Our study supports previous findings that improving bilateral continuity of care may increase the adoption and engagement with RM technology for both user groups [25].…”

The Effectiveness of Remote Video Monitoring on Fall Prevention and Nurses' Acceptance

“…Many themes emerged, such as facilita-tors and barriers related to RVM functionality, nurse leaders' role in maintaining device availability and use, promoting the adoption of RVM, and valuing professional nursing judgment. 26 For this study, we first report on the effectiveness of RVM on falls with and with no injuries during the initial 6-month intervention period compared with the 6-month preintervention period (baseline). Because nurses' acceptance is imperative to the successful implementation of RVM, and due to the limited number of studies that have examined the acceptance of RVM, we also assess nurses' acceptance and perceived usefulness of the RVM technology using the RVMAT.…”

“…In addition, Barnett et al25 developed the Remote Visual Monitoring Acceptance Tool (RVMAT) to measure nurses' acceptance of RVM to gain an understanding of the factors that influence nurses' adoption of RVM technology. Similarly, Hawksworth et al26 investigated factors influencing nurses' perceptions and utilization of RVM using focus group feedback from nurse leaders and direct care nurses. Many themes emerged, such as facilitators and barriers related to RVM functionality, nurse leaders' role in maintaining device availability and use, promoting the adoption of RVM, and valuing professional nursing judgment 26…”

“…Similarly, Hawksworth et al26 investigated factors influencing nurses' perceptions and utilization of RVM using focus group feedback from nurse leaders and direct care nurses. Many themes emerged, such as facilitators and barriers related to RVM functionality, nurse leaders' role in maintaining device availability and use, promoting the adoption of RVM, and valuing professional nursing judgment 26…”

Remote telemonitoring is associated with improved patient safety and decreased workload of nurses

“…To address nursing workload challenges, we and others have been exploring the use of RVM solutions. 6 , 7 The deployment of RVM has yielded promising results, including reductions in falls and other adverse events, in several North American healthcare organizations. 8 , 9 , 10 , 11 Our objective in the present study was to evaluate the impact of RVM technology in our network of hospitals through a quality improvement lens as it relates to patient safety outcomes and nursing workload.…”