Work System Barriers and Strategies Reported by Tele-Intensive Care Unit Nurses

Abstract

Tele-intensive care units (ICUs) are an innovation to handle issues such as personnel shortage and improving care. In tele-ICUs, clinical teams monitor ICU patients remotely and support clinicians in multiple ICUs. The tele-ICU and ICU clinicians function as virtual teams. Little is known how these teams function and what challenges they encounter. We examined the challenges from the perspective of nurses in a tele-ICU. We used a case study design and conducted interviews with 10 tele-ICU nurses. The nurses encounter challenges in interacting with the multiple ICUs that they monitor remotely and have developed strategies to cope with these challenges.

Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework

“…High-performing teleICU programs are successful because of leadership and organizational characteristics, not the technology's quality [17]. These findings emphasize the importance of understanding local teleICU practice culture as both an opportunity to understand and improve the practice environment on both sides of the technology [5,7,11,[19][20][21][22].…”

The STS case study: an analysis method for longitudinal qualitative research for implementation science

“…Our study has several limitations. First, teamwork between ICU and Tele-CC staff is so complex that 6-months is not enough time for Tele-CC and bedside staff to become familiar or comfortable with each other; in fact, it could take longer than 6 years to build trustful relationships [ 59 ]. Our data collection plan ended at 6-months post-implementation, so we did not have the opportunity to observe and learn about how staff interacted with the doorbell in the context of more trusting relationships between the ICU and Tele-CC staff.…”

Tele sağlık sistemi ve hemşirelik

“…Tele-yoğun bakım hemşireleri ve doktorları aynı anda birçok yoğun bakım ünitesinin takibini (Hoonakker & Carayon, 2018: Rincon et al, 2020.…”

“…Yoğun bakım hemşirelerinin tele-yoğun bakımlara 7/24 bakım, destek ve uzak yoğun bakımlara uzaktan tavsiye vermesi gerekmektedir (Hoonakker & Carayon, 2018;Rincon et al, 2020).…”

“…Tele-sağlık, "sağlık personeli ile hasta, öğrenci ve diğer sağlık personeli arasında telefon, bilgisayar, interaktif televizyon ya da bunların kombinasyonu kullanılarak, sağlık verilerinin, bakım bilgisinin, eğitimin, telekomünikasyon aracılığı ile paylaşılmasıdır'' (Koch, 2006;Pazar, Taştan ve İyigün, 2015). (Hoonakker & Carayon, 2018;Rincon et al, 2020).…”