Healthcare Team Perceptions of a Portal for Parents of Hospitalized Children Before and After Implementation

Kelly, Michelle M.; Dean, Shannon M.; Carayon, Pascale; Wetterneck, Tosha B.; Hoonakker, Peter

doi:10.4338/aci-2016-11-ra-0194

Cited by 39 publications

(59 citation statements)

References 33 publications

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“…We found that providers (physicians and nurses) valued the usefulness of EPP (82%). Our providers were overly optimistic about the perceived usefulness of EPP as compared to a study by Kelly et al [71], who found that 53% of health care providers valued EPP as a tool to improve patient quality of care. It is possible that this is partially due to the Lebanese culture, which is often rather quick to adopt a positive attitude toward innovation in general [72] and is a novelty-seeking culture, especially among individuals with higher educational attainment [73].…”

Section: Discussioncontrasting

confidence: 77%

“…Given that different cultures react differently to the use of EPP and given the rise in its use, it was important to examine the intention to use to provide decision-makers with an empirical tool that would potentially enhance the actual use. Globally, portal developers, researchers, and practitioners would also benefit from the findings when targeting patients from different cultural backgrounds [71].…”

Section: Discussionmentioning

confidence: 99%

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Users’ acceptance of electronic patient portals in Lebanon

Honein-AbouHaidar

Antoun

Badr

et al. 2020

BMC Med Inform Decis Mak

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Background: Acceptance of Electronic patient portal (EPP) is instrumental for its success. Studies on users' acceptance in the Middle East region are scarce. This study aims to use the TAM as a framework to quantitatively describe potential users, diabetic and chronic high blood pressure patients and their providers, intention to use and factors influencing the intention to use EPP at AUBMC-FMC We concurrently test the internal construct validity and the reliability of the TAM. Methods: A cross-sectional survey design and the vignette approach were used. For validation, we needed a minimum of 180 patients; all 35 attending physicians and 11 registered nurses were targeted. We used descriptive statistics to calculate the intention to use EPP and its determinants based on the TAM constructs. Exploratory factor analysis (EFA) and structural equation modeling (SEM) were employed to estimate significant path coefficients for patients only as the sample size of providers was too small. Results: We had 199 patients, half intended to use EPP; 73% of providers (N = 17) intended to use EPP. Perceived ease of use and privacy concerns were significantly higher among providers than patients (Mean (M) = 0.77 vs M = 0.42 (CI: − 0.623; − 0.081)) and (M = 3.67 vs M = 2.13, CI: − 2.16; − 0.91) respectively; other constructs were not significantly different. Reliability of TAM revealed a Cronbach Alpha of α=.91. EFA showed that three components explained 73.48% of the variance: Behavioral Intention of Use (14.9%), Perceived Ease of Use (50.74%), Perceived Usefulness (7.84%). SEM found that perceived ease of use increased perceived usefulness (standardized regression weight = 0.49); perceived usefulness (0.51) had more predictive value than perceived ease of use (0.27) to explain the behavioral intention of use of the EPP. Conclusions: We found that providers valued the usefulness of EPP and were mostly intending to use it. This finding has yet to be tested in future studies testing actual use as intention and actual use may not be concordant. The intention to use among patients was lower than those reported in developed countries. We identified two factors that we need to address to increase use, namely perceived ease and usefulness, and proposed practical implications to address them; future research directions were also discussed.

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Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Users’ acceptance of electronic patient portals in Lebanon

Honein-AbouHaidar

Antoun

Badr

et al. 2020

BMC Med Inform Decis Mak

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show abstract

“…Most thought the portal would improve care quality, but also increase their workload. Kelly et al 22 examined the effects of inpatient portal use on clinicians working on a pediatric medical/surgical unit before and 6 months after implementation and found similar results. Only one published study has evaluated health care team perceptions of an inpatient portal after system-wide implementation across multiple hospitals.…”

Section: Background and Significancementioning

confidence: 88%

Nurses' Expectations of an Inpatient Portal for Hospitalized Patients and Caregivers

et al. 2019

Self Cite

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Background Patient portals are intended to engage patients and enhance patient-centered care. Recent studies suggest that the information within portals could provide benefits to patients and their caregivers during hospitalization; however, few studies have examined nurse and staff expectations of portals when used in the hospital setting. Objective This article examines inpatient nurse and support staff expectations of a commercially available inpatient portal prior to its hospital-wide implementation. Methods In this cross-sectional study, nurses and support staff were surveyed 1 month prior to the implementation of an inpatient portal for patients. Items included respondent characteristics, satisfaction with online inpatient portal training, expectations of the effects of portal use on patients, caregivers, and staff, overall acceptance, and barriers to its implementation. Results Of 881 respondents, 73.0% were staff nurses, 18.4% nurse assistants, 4.3% unit coordinators, and 1.2% nurse managers. Respondents were generally satisfied with the portal information they received from online training. A majority liked the portal to some extent prior to its use (66.7%); however, they noted multiple implementation barriers, including: tablets would get lost/damaged (66.2% of respondents), patients and/or caregivers would have too many questions (48.5%), and staff would have problems integrating it into their workflow (44.7%). Respondents working on medical units had higher expectations (p < 0.001) and acceptance (p < 0.01) of the portal than those on surgical and intensive care units. Nurse managers were more positive than respondents with other job roles were (all p < 0.001). Conclusion Overall, nurse and support staff had high expectations of the effects of inpatient portal use prior to its hospital-wide implementation. They thought it would benefit patients and/or their caregivers; however, they also perceived several barriers to its implementation. These results will be used in conjunction with patient and caregiver perspectives to inform future efforts to evaluate and improve upon inpatient portal implementation and dissemination across health systems.

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“…Given that different cultures react differently to the use of EPP and given the rise in its use, it was important to examine the intention to use to provide decisionmakers with an empirical tool that would potentially enhance the actual use. Globally, portal developers, researchers, and practitioners would also benefit from the findings when targeting patients from different cultural backgrounds (71).…”

Section: Discussionmentioning

confidence: 99%

Users’ Acceptance of Electronic Patient Portals in Lebanon

Honein-AbouHaidar

Antoun

Badr

et al. 2020

Preprint

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Background Acceptance of Electronic patient portal (EPP) is instrumental for its success. Studies on users’ acceptance in the Middle East region are scarce. This study aims to use the Technology Acceptance Model (TAM) as a framework to quantitatively describe potential users' intention to use and factors influencing the intention to use EPP. We concurrently test the internal construct validity and the reliability of the TAM. Methods A cross-sectional survey design and the vignette approach were used. For validation, we needed a minimum of 180 patients; all 35 attending physicians and 11 registered nurses were targeted. We used descriptive statistics to calculate the intention to use EPP and its determinants based on the TAM constructs. Exploratory factor analysis (EFA) and structural equation modeling (SEM) were employed to estimate significant path coefficients for patients only as the sample size of providers was too small. Results We had 199 patients, half intended to use EPP; 73% of providers (N=17) intended to use EPP. Perceived ease of use and privacy concerns were significantly higher among providers than patients (Mean (M) = 0.77 vs M= 0.42 (CI: -0.623 ; -0.081)) and (M=3.67 vs M=2.13, CI: -2.16; -0.91) respectively; other constructs were not significantly different. Reliability of TAM revealed a Cronbach Alpha of α=.91. EFA showed that three components explained 73.48% of the variance: Behavioral Intention of Use (14.9%), Perceived Ease of Use (50.74%), Perceived Usefulness (7.84%). SEM found that perceived ease of use increased perceived usefulness (standardized regression weight=0.49); perceived usefulness (0.51) had more predictive value than perceived ease of use (0.27) to explain the behavioral intention of use of the EPP. Conclusions We found that providers valued the usefulness of EPP and were mostly intending to use it. This finding has yet to be tested in future studies testing actual use as intention and actual use may not be concordant. The intention to use among patients was lower than those reported in developed countries. We identified two factors that we need to address to increase use, namely perceived ease and usefulness, and proposed practical implications to address them; future research directions were also discussed.

show abstract

Healthcare Team Perceptions of a Portal for Parents of Hospitalized Children Before and After Implementation

Cited by 39 publications

References 33 publications

Users’ acceptance of electronic patient portals in Lebanon

Users’ acceptance of electronic patient portals in Lebanon

Nurses' Expectations of an Inpatient Portal for Hospitalized Patients and Caregivers

Users’ Acceptance of Electronic Patient Portals in Lebanon

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