TY - JOUR
T1 - Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit
AU - Romig, Mark C.
AU - Latif, Asad
AU - Gill, Randeep S.
AU - Pronovost, Peter J.
AU - Sapirstein, Adam
PY - 2012/8
Y1 - 2012/8
N2 - Purpose: The aim of this study was to evaluate whether a nocturnal telemedicine service improves culture, staff satisfaction, and perceptions of quality of care in a highly staffed university critical care system. Methods: We conducted an experiment to determine the effect of telemedicine on nursing-staff satisfaction and perceptions of the quality of care in an intensive care unit (ICU). We surveyed ICU nurses using a modified version of a previously validated tool before deployment and after a 2-month experimental program of tele-ICU. Nurses in another, similar ICU within the same hospital academic medical center served as concurrent controls for the survey responses. Results: Survey responses were measured using a 5-point Likert scale, and results were analyzed using paired t testing. Survey responses of the nurses in the intervention ICU (n = 27) improved significantly after implementation of the tele-ICU program in the relations and communication subscale (2.99 ± 1.13 pre vs 3.27 ±1.27 post, P < .01), the psychological working conditions and burnout subscale (3.10 ± 1.10 pre vs 3.23 ± 1.11 post, P < .02), and the education subscale (3.52 ± 0.84 pre vs 3.76± 0.78 post, P < .03). In contrast, responses in the control ICU (n = 11) declined in the patient care and perceived effectiveness (3.94 ± 0.80 pre vs 3.48 ± 0.86 post, P < .01) and the education (3.95 ± 0.39 pre vs 3.50 ± 0.80 post, P < .05) subscales. Conclusion: Telemedicine has the potential to improve staff satisfaction and communication in highly staffed ICUs.
AB - Purpose: The aim of this study was to evaluate whether a nocturnal telemedicine service improves culture, staff satisfaction, and perceptions of quality of care in a highly staffed university critical care system. Methods: We conducted an experiment to determine the effect of telemedicine on nursing-staff satisfaction and perceptions of the quality of care in an intensive care unit (ICU). We surveyed ICU nurses using a modified version of a previously validated tool before deployment and after a 2-month experimental program of tele-ICU. Nurses in another, similar ICU within the same hospital academic medical center served as concurrent controls for the survey responses. Results: Survey responses were measured using a 5-point Likert scale, and results were analyzed using paired t testing. Survey responses of the nurses in the intervention ICU (n = 27) improved significantly after implementation of the tele-ICU program in the relations and communication subscale (2.99 ± 1.13 pre vs 3.27 ±1.27 post, P < .01), the psychological working conditions and burnout subscale (3.10 ± 1.10 pre vs 3.23 ± 1.11 post, P < .02), and the education subscale (3.52 ± 0.84 pre vs 3.76± 0.78 post, P < .03). In contrast, responses in the control ICU (n = 11) declined in the patient care and perceived effectiveness (3.94 ± 0.80 pre vs 3.48 ± 0.86 post, P < .01) and the education (3.95 ± 0.39 pre vs 3.50 ± 0.80 post, P < .05) subscales. Conclusion: Telemedicine has the potential to improve staff satisfaction and communication in highly staffed ICUs.
KW - Attitude of health personnel
KW - Health care surveys
KW - Job satisfaction
KW - Organizational culture
UR - http://www.scopus.com/inward/record.url?scp=84864134361&partnerID=8YFLogxK
U2 - 10.1016/j.jcrc.2011.12.007
DO - 10.1016/j.jcrc.2011.12.007
M3 - Article
C2 - 22421004
AN - SCOPUS:84864134361
SN - 0883-9441
VL - 27
SP - 426.e9-426.e16
JO - Journal of Critical Care
JF - Journal of Critical Care
IS - 4
ER -