Clinical Dashboard in the Intensive Care Unit: Need-Assessment and Survey about Attitudes and Acceptance of Tele-ICU from the Viewpoint of Nurses and Clinicians in the Intensive Care Unit.

Clinical dashboard ICU staff Intensive care unit Tele-ICU telemedicine

Journal

Tanaffos
ISSN: 1735-0344
Titre abrégé: Tanaffos
Pays: Iran
ID NLM: 101308232

Informations de publication

Date de publication:
Feb 2019
Historique:
entrez: 23 5 2020
pubmed: 1 2 2019
medline: 1 2 2019
Statut: ppublish

Résumé

One of the most worrying aspects of medical area in developing countries is the Intensive Care Unit (ICU). This study aimed to evaluate the acceptability of the clinical dashboard by the users, prior to final use and their attitude towards this technology, as well as to examine the specific needs that Tele-ICU technology can cover in the form of a clinical dashboard. This study was conducted at Shahid Bahonar Hospital of Kerman, Southeastern Iran, with three ICUs, the first, second, and third sections of which had 10, 12, and 24 beds, respectively. Taking survey and need assessment of care providers, qualitative and quantitative analyses were undertaken to identify key positive and negative themes. The data were analyzed by SPSS software version 18. About 82% of care providers in the ICU participated in this survey. The number of participants based on the groups in the survey was 98 (81.7%) of the nurses and respiratory therapists group, 20 (80%) from the group of anesthesiologists and 20 (87%) from the group of anesthesiologist assistants who participated in the survey. About 51% of the survey participants completed the description section either partially or totally. On average, among all groups, the group of anesthesiologists had the most and the nurses had the least knowledge about telemedicine and Tele-ICU, whereas the anesthesiologist assistants had the most and the nurses and respiratory therapists group had the least knowledge about clinical dashboards. This study showed that the level of knowledge and awareness of care providers, especially nurses and respiratory therapists in the ICU in terms of telemedicine and Tele-ICU is low and care providers are in doubt that telemedicine technology could have a positive or negative impact on human resource shortages, yet agreed that it would have a negative effect on the privacy of the patients and care providers. In addition, the ICU care providers agree that Tele-ICU can positively affect the quality of patient care, staff satisfaction, reduce the cost of care, and ease and reduce the time for patient counseling. This suggests the need for further research and education of system impact beyond patient outcomes related to this new technology.

Sections du résumé

BACKGROUND BACKGROUND
One of the most worrying aspects of medical area in developing countries is the Intensive Care Unit (ICU). This study aimed to evaluate the acceptability of the clinical dashboard by the users, prior to final use and their attitude towards this technology, as well as to examine the specific needs that Tele-ICU technology can cover in the form of a clinical dashboard.
MATERIALS AND METHODS METHODS
This study was conducted at Shahid Bahonar Hospital of Kerman, Southeastern Iran, with three ICUs, the first, second, and third sections of which had 10, 12, and 24 beds, respectively. Taking survey and need assessment of care providers, qualitative and quantitative analyses were undertaken to identify key positive and negative themes. The data were analyzed by SPSS software version 18.
RESULTS RESULTS
About 82% of care providers in the ICU participated in this survey. The number of participants based on the groups in the survey was 98 (81.7%) of the nurses and respiratory therapists group, 20 (80%) from the group of anesthesiologists and 20 (87%) from the group of anesthesiologist assistants who participated in the survey. About 51% of the survey participants completed the description section either partially or totally. On average, among all groups, the group of anesthesiologists had the most and the nurses had the least knowledge about telemedicine and Tele-ICU, whereas the anesthesiologist assistants had the most and the nurses and respiratory therapists group had the least knowledge about clinical dashboards.
CONCLUSION CONCLUSIONS
This study showed that the level of knowledge and awareness of care providers, especially nurses and respiratory therapists in the ICU in terms of telemedicine and Tele-ICU is low and care providers are in doubt that telemedicine technology could have a positive or negative impact on human resource shortages, yet agreed that it would have a negative effect on the privacy of the patients and care providers. In addition, the ICU care providers agree that Tele-ICU can positively affect the quality of patient care, staff satisfaction, reduce the cost of care, and ease and reduce the time for patient counseling. This suggests the need for further research and education of system impact beyond patient outcomes related to this new technology.

Identifiants

pubmed: 32440302
pmc: PMC7230120

Types de publication

Journal Article

Langues

eng

Pagination

142-151

Informations de copyright

Copyright© 2019 National Research Institute of Tuberculosis and Lung Disease.

Références

J Med Ethics Hist Med. 2017 Jun 18;10:5
pubmed: 29291038
Stud Health Technol Inform. 2008;131:131-46
pubmed: 18305328
S D Med. 2006 Sep;59(9):391-3
pubmed: 17058472
JAMA. 2009 Dec 23;302(24):2705-6
pubmed: 20040563
Crit Care Med. 2010 Jan;38(1):2-8
pubmed: 19730249
JAMA. 2009 Dec 23;302(24):2671-8
pubmed: 20040555
Telemed J E Health. 2016 Dec;22(12):971-980
pubmed: 27508454
Surg Neurol. 2007 Apr;67(4):331-7
pubmed: 17350395
JAMA. 2000 Dec 6;284(21):2762-70
pubmed: 11105183
Am J Respir Crit Care Med. 2010 Jun 1;181(11):1164-9
pubmed: 20224067
Crit Care Med. 2000 Dec;28(12):3925-31
pubmed: 11153637
Iran J Psychiatry Behav Sci. 2012 Fall;6(2):1-6
pubmed: 24644476
Crit Care. 2005 Sep 08;9(5):E22
pubmed: 16277706
J Crit Care. 2011 Jun;26(3):328.e9-15
pubmed: 20869197
Crit Care. 2010;14(2):131
pubmed: 20346092
Int J Med Inform. 2015 Feb;84(2):87-100
pubmed: 25453274
Lancet. 2010 Oct 16;376(9749):1339-46
pubmed: 20934212
Crit Care Med. 2004 Jan;32(1):31-8
pubmed: 14707557
Crit Care Med. 2006 Jun;34(6):1674-8
pubmed: 16625115
Crit Care Med. 2006 Apr;34(4):1234-42
pubmed: 16484925
Health Manag Technol. 2007 Mar;28(3):26-9
pubmed: 17425252
ScientificWorldJournal. 2015;2015:727694
pubmed: 25734185

Auteurs

Mehdi Mohammadi (M)

Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Kambiz Bahaadinbeigy (K)

Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Mehdi Ahmadinejad (M)

Department of Anesthesiology and Critical care Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Behrang Chaboki (B)

Computer Science Department, School of Mathematical Science, Vali-e-Asr University of Rafsanjan, Rafsanjan, Iran.

Hamed Tabesh (H)

Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran.

Kobra Etminani (K)

Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran.

Classifications MeSH