Factors affecting front line staff acceptance of telehealth technologies: a mixed‐method systematic review

Brewster, Liz; Mountain, Gail; Wessels, Bridgette; Kelly, Ciara; Hawley, Mark

doi:10.1111/jan.12196

Cited by 248 publications

(308 citation statements)

References 19 publications

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“…Some did not value the prospect of doing remote assessment; others over imagined the possible consequences, i.e. being stuck behind a computer all day (Brewster et al, 2013;Segar et al, 2013):…”

Section: Slt Attitudesmentioning

confidence: 99%

“…additional, bolt on innovations rather than being core services) (Taylor et al, 2015;Vuononvirta et al, 2011;Wade et al, 2010);  inappropriate selection of patients (Taylor et al, 2015); and  lack of staff acceptance (Brewster et al, 2013;Buck, 2009;Joseph et al, 2011;Odeh et al, 2014;Segar et al, 2013;Taylor et al, 2015;Vuononvirta et al, 2009;Vuononvirta et al, 2011;Wade et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“… poor functionality of the technology (Brewster et al, 2013;Buck, 2009;Odeh et al, 2014;Taylor et al, 2015;Vuononvirta et al, 2011);  telehealth unreadiness: poor implementation processes and unresolved problems impact on staff acceptance (Taylor et al, 2015);  non-awareness and/or non-acceptance by staff of associated benefits (Buck, 2009;Odeh et al, 2014;Taylor et al, 2015;Wade et al, 2010);…”

Section: Introductionmentioning

confidence: 99%

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“Teleswallowing”: a case study of remote swallowing assessment

Bidmead

Reid

Marshall

et al. 2015

Clinical Governance: An International Journal

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Purpose -Telemedicine has enabled speech and language therapists (SLTs) to remotely assess swallowing difficulties (dysphagia) experienced by nursing home residents. The new technique, "teleswallowing", was designed by the Speech and Language Therapy Service at Blackpool Teaching Hospitals NHS Foundation Trust. It allows prompt assessment, avoiding potential risks of aspiration pneumonia, malnutrition, poor rehabilitation, increased hospital stays and reduced quality of life (Hinchey et al., 2005;Langmore et al., 1998). The purpose of this paper is to report on a second pilot of teleswallowing and the concomitant adoption study. Design/methodology/approach -The adoption study employed qualitative methods, including consultations with senior managers, semi-structured interviews with nursing home matrons/managers and nurses, two focus groups and semi-structured interviews with SLTs. The project clinical lead kept an activity log, which was used to estimate resource savings. Findings -Over a three-month period, six SLTs and 17 patients in five nursing homes participated in teleswallowing assessments. Teleswallowing benefited both patients and participating nursing homes. Better use of therapist time and cost savings were demonstrated and evidence showed that the service could be successfully scaled up. Despite this, a number of barriers to service transformation were identified. Originality/value -This is the first implementation of teleswallowing in the UK, but it has been used in Australia (Ward et al., 2012). The approach to engaging stakeholders to understand and address barriers to adoption is novel. The value lies in the lessons learned for future innovations.

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Section: Slt Attitudesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Teleswallowing”: a case study of remote swallowing assessment

Bidmead

Reid

Marshall

et al. 2015

Clinical Governance: An International Journal

View full text Add to dashboard Cite

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“…[16] Besides, little research was conducted on the identification of specific barriers for implementation of TM in patients with chronic diseases. Chronic heart failure (CHF) has a significant share worldwide in chronic disease.…”

Section: Introductionmentioning

confidence: 99%

“…There is a lack of research that describes the success factors for widespread implementation of TM after the pilot research projects phase [15][16][17][18] in terms of (1) attitudes of health professionals towards TM (2) factors influencing rapid implementation of TM and (3) staff acceptance in the use of telehealth technologies in primary care. [16] Besides, little research was conducted on the identification of specific barriers for implementation of TM in patients with chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

Willemse

Remmen

Adriaenssens

et al. 2016

IJH

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Objective: Despite the added value of telemonitoring (TM) in the management of chronic care, widespread implementation and continuation is failing. The aim of this qualitative study was to explore the facilitators and inhibitors for successful implementation among field experts and health care providers in the projects of TM in primary care. Methods: An exploratory qualitative design using semi-structured interviews with field experts of TM projects in Belgium. Results: The eight interviewees reported an overall positive perception on the actual use of TM. They emphasized that TM provides a promising approach to the ageing population with an increasing burden of chronic diseases. TM was said to increase disease awareness in patients with chronic heart failure. The interviewees were willing to use the new technology. Sharing patient data between health care professionals optimizes care continuity and transmural collaboration, with the focus on problem detection. However, TM in their projects was perceived as an additional task as it was not embedded in regular care. Coordination of care using TM was felt to be incomplete. Agreements on tasks and responsibilities in sharing patient data were unclear. The management and centralisation of data was difficult and impeded implementation in regular care. Furthermore, the interviewees noted that sustainability of their efforts was hampered as the projects would not be financed in the future. Conclusions: Field experts of pilot TM projects believe in benefits of TM and the willingness of health care providers to use the technology. To successfully implement TM in regular care the reported barriers need to be considered. Transmural collaboration with interaction and involvement of the chronic patient and a proactive team of care professionals is required. Efforts should be made to integrate TM in regular care, both structurally and financially.

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Feasibility and acceptability of a virtual clinical pharmacy service for elective orthopaedic inpatients in an Australian metropolitan hospital

Chambers

Allan

Webster

et al. 2023

Pharmacy Practice and Res

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Background: Virtual healthcare services are usually provided from urban centres to outpatient clinics or underserved rural areas. This study utilises virtual pharmacy as an innovative model to provide services to a metropolitan hospital from a rural area. Aim: This study assesses the feasibility, and patient and staff acceptability of a Virtual Clinical Pharmacy Service (VCPS) in a tertiary metropolitan hospital ward with limited on-site clinical pharmacy services. Method: Pharmacists from a rural health district provided telepharmacy services for nine weeks. Data on service provision and detection of medication-related issues were captured in the electronic health record. Service acceptability was assessed through a staff focus group and patient acceptability by a patient-reported experience measures (PREM) survey. Ethical approval was granted by the Greater Western Human Research Ethics Committee (Reference no: 2021/ETH00097). Results: The VCPS demonstrated high utilisation, with 535 clinical and medication reviews provided for 225 patients. Virtual medication reviews identified 151 medication-related issues or recommendations. PREM surveys (n = 22) were supportive of the VCPS model. Staff valued the service and reported ease of access to specialist medication advice and confidence that patient medications were correct. Staff raised patient confidentiality in open wards and lack of experience using virtual healthcare as barriers to the implementation. Conclusion: Feasibility was demonstrated by high service utilisation, detection of medication-related issues, and measures of acceptability from patients and staff. The VCPS offers a solution to enhance sustainability and service agility by delivery of clinical services when face-to-face is not practicable or available. Further research is required to demonstrate efficacy and to confirm patient acceptability.

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Factors affecting front line staff acceptance of telehealth technologies: a mixed‐method systematic review

Cited by 248 publications

References 19 publications

“Teleswallowing”: a case study of remote swallowing assessment

“Teleswallowing”: a case study of remote swallowing assessment

Facilitating and inhibiting factors to implement telemonitoring: A qualitative study

Feasibility and acceptability of a virtual clinical pharmacy service for elective orthopaedic inpatients in an Australian metropolitan hospital

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