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Bedside nurses' perceptions of intensive care unit telemedicine
Margaret Mullen-Fortino1, Joseph DiMartino, Lorraine Entrikin
1University of Pennsylvania Health System, Philadelphia, USA. margaret.fortino@uphs.upenn.edu
Summary
Critical care nurses generally support telemedicine, but privacy concerns and the desire for personal relationships with remote physicians may limit its widespread adoption in intensive care units.
Area of Science:
- Critical Care Medicine
- Health Informatics
- Nursing Practice
Background:
- Intensive care unit (ICU) telemedicine offers critical care services across wide areas.
- Provider acceptance is crucial for the success of ICU telemedicine.
Purpose of the Study:
- To assess critical care nurses' attitudes and perceptions regarding telemedicine in critical care settings.
- Understanding nurse perspectives is key to implementing telemedicine effectively.
Main Methods:
- Survey of 179 nurses in 3 ICU units at 2 academic hospitals utilizing telemedicine.
- Internet-based survey focused on practice and perceptions of telemedicine use.
Main Results:
- 52% response rate (93 nurses); 72 had night shift experience with telemedicine.
- 44% incorporated telemedicine suggestions; 72% believed it improved patient survival.
- Concerns included workflow interruption (9%), intrusiveness (11%), and privacy (13%).
Conclusions:
- Experienced bedside nurses generally support ICU telemedicine.
- Privacy concerns and the importance of knowing the telemedicine physician may impede wider adoption.
- Addressing these issues is vital for successful telemedicine integration.
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