Background: Research demonstrates an improved quality of care in intensive care units (ICU) that use intensivist-led (physician specialized in critical care medicine) staffing and standardized care protocols. This use of intensivist-led staffing and standardized care protocols reduces variations in critical care delivery. However, there is currently an intensivist physician shortage, so recommendations are to supplement this gap with Telemedicine intensivist-led ICU (eICU®) when on-site intensivist-led care is unavailable. However, lack of acceptance of eICU® is demonstrated by low eICU® use rates. When eICU ® is not well accepted and therefore not used by bedside healthcare professionals’ patient outcomes do not improve with implementation. Thus, it is important to assess acceptance of eICU® using a reliable instrument. However, there are few supported instruments for assessing eICU® acceptance. This study evaluated the reliability of the eICU® Acceptance Survey and the factors associated with healthcare professionals’ acceptance of eICU®.
Methods: This was a cross-sectional, correlational study. Survey responses were collected anonymously through Survey Monkey.
Results: Overall the eICU® Acceptance Survey was preforming well with mid-range means per item, adequate corrected item-total correlations, adequate item variability, acceptable inter-item correlations, and acceptable Cronbach’s α per subscale and for the total instrument. HCP attitude towards eICU® and intention to use eICU® demonstrated the strongest association, r(111) = .82, p < .001. The most significant variables that were associated with HCP attitudes towards eICU®, perceived usefulness, perceived ease of use, and intention to use eICU ® was support from nurses. In addition, support from physicians was significantly associated with perceived usefulness and HCP attitudes towards eICU®.
Conclusions: The eICU® Acceptance Survey is a reliable evaluation instrument in post-implementation of eICU ® service to examine healthcare professionals’ acceptance of eICU®. Support from both physicians and nurses working in the ICU seems to have the most associations with the acceptance of eICU ® service. Gaining support for eICU® service from the bedside HCP cannot be overstated.
|Advisor:||Barone, Claudia P.|
|Commitee:||Griebel, Jack, Heo, Seongkum, Rhoads, Sarah, Selig, James P., Wright, Patricia B.|
|School:||University of Arkansas for Medical Sciences|
|School Location:||United States -- Arkansas|
|Source:||DAI-B 80/08(E), Dissertation Abstracts International|
|Subjects:||Health sciences, Health care management|
|Keywords:||Acceptance, TeleICU, Telemedicine, eICU®|
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