Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review

Tran, Vivienne; Lam, Mary; Amon, Krestina L.; Brunner, Melissa; Hines, Monique; Penman, Merrolee; Lowe, Robyn; Togher, Leanne

doi:10.1080/02699052.2017.1387932

Cited by 26 publications

(9 citation statements)

References 47 publications

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“…It is clear that technology is being used in areas such as MDT communication [ 7 , 22 , 23 , 27 , 28 , 29 , 31 , 32 , 36 , 38 , 40 , 41 ], communication between professionals delivering cancer care [ 20 , 26 , 30 , 37 , 42 ] and for supporting patient communication with their healthcare team [ 18 , 19 , 24 , 25 ]. Notably, there was a predominant focus on multidisciplinary care rather than interdisciplinary eHealth practice, which is consistent with recent findings in other fields of eHealth research [ 45 , 46 ]. Additionally, there are still a number of areas of interdisciplinary cancer care where the use of eHealth is either less widely utilized, or less widely researched.…”

Section: Discussionsupporting

confidence: 86%

Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

Janssen

Brunner

Keep

et al. 2017

IJERPH

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This review aimed to identify research that described how eHealth facilitates interdisciplinary cancer care and to understand the ways in which eHealth innovations are being used in this setting. An integrative review of eHealth interventions used for interdisciplinary care for people with cancer was conducted by systematically searching research databases in March 2015, and repeated in September 2016. Searches resulted in 8531 citations, of which 140 were retrieved and scanned in full, with twenty-six studies included in the review. Analysis of data extracted from the included articles revealed five broad themes: (i) data collection and accessibility; (ii) virtual multidisciplinary teams; (iii) communication between individuals involved in the delivery of health services; (iv) communication pathways between patients and cancer care teams; and (v) health professional-led change. Use of eHealth interventions in cancer care was widespread, particularly to support interdisciplinary care. However, research has focused on development and implementation of interventions, rather than on long-term impact. Further research is warranted to explore design, evaluation, and long-term sustainability of eHealth systems and interventions in interdisciplinary cancer care. Technology evolves quickly and researchers need to provide health professionals with timely guidance on how best to respond to new technologies in the health sector.

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Section: Discussionsupporting

confidence: 86%

Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

Janssen

Brunner

Keep

et al. 2017

IJERPH

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“…The need to upskill existing staff or engage staff with specialised ICT skills may increase costs for healthcare organisations in order to ensure ICT sustainability. Such an outcome stands at odds with much of the currently literature which champions ICTs as a cost-effective solution for improving the quality of healthcare [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Further, the literature has demonstrated ICTs used to facilitate multidisciplinary blood pressure management between treatment teams and patients can improve blood pressure management and control [ 21 ]. Finally, a recent review of the literature concluded that successful implementation of ICTs in multidisciplinary care has the capacity to enable universally accessible, cost-effective, and high quality care, particularly for patients in rural and remote locations [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary teams and ICT: a qualitative study exploring the use of technology and its impact on multidisciplinary team meetings

Janssen

Robinson

Brunner

et al. 2018

BMC Health Serv Res

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BackgroundMultidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognized as the preferred method for service delivery. The use of health information systems and technology are key enabling factors for building the capacity of MDTs to engage in improvement and implementation projects but there is scant research on how MDTs make use of technology and information systems or the kinds of systems needed for them to undertake improvement and implementation research. This paper reports findings on how seven MDTs in cancer care utilized technological and information systems and the barriers and enabling factors that impacted on their uptake.MethodsSeven multidisciplinary teams from two large metropolitan hospitals participated in the study. Qualitative methods including structured observations and semi structured interviews that explored how teams engaged in research and improvement activities were utilized. Participants were also observed and interviewed in relation to their use of data and health information systems. Findings were subject to content analysis and key themes were identified. Interviews were transcribed and de-identified and key themes were subsequently discussed with participants to allow for member checking and further clarification of findings.ResultsA total of 43 MDT meetings across seven tumor streams were observed. Of these, observation notes from 13 meetings contained direct references to emerging technologies and health information systems. Findings from 15 semi-structured interviews were also analyzed in relation to how MDTs used technology in weekly meetings, and the perceived impact of technology. Three broad themes emerged: (1) methods for data collection and use by MDTs, (2) the impact of technology on the MDT meeting environment, and (3) the impact of technology and information systems on clinical decision making.ConclusionThe study demonstrates that real time data collection and imaging may improve patient centered care coordination. However, ICTs can be used sub-optimally by teams. We therefore urge additional research to identify the enabling factors that support better collection and use of outcome data from ICT.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3242-3) contains supplementary material, which is available to authorized users.

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“…23,24 It is therefore suggested for nurses to communicate and cooperate with each other by using technology in nursing care or telenursing, and to provide evidence-based professional consulting along with supportive care; in order to enhance caregivers' adaptation to living and taking care of TBI patients along the journey. 25,26 Developing an evidence-based caregiver transitional support program among TBI caregivers is suggested. Telenursing services could be an alternative.…”

Section: Discussionmentioning

confidence: 99%

Caring for Thai Traumatic Brain Injury Survivors in a Transitional Period: What Are the Barriers?

Siripituphum

Songwathana

Khupantavee

et al. 2019

J Health Sci Med Res

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Objective: We aimed to explore the situations and experiences of Thai traumatic brain injury (TBI) caregivers and nurses who care for TBI patients during their transition from hospital to home. Material and Methods: A descriptive qualitative study was conducted in a tertiary hospital, in Songkhla province, Thailand. Five TBI family caregivers and nine nurses, who cared for TBI patients from admission to discharge, were selected for in-depth interviews and focus group discussions. Reviews of existing documents related to caring for someone during a transition period; such as: the caregiver’s booklet manual, nurse’s guideline, discharge education, and the service plan were also analyzed. Content analysis was used to explore caring for someone during a TBI situation, within the Thai context. Results: The findings revealed six main barriers in the current care system for TBI caregivers and nurses. These included: (1) inadequate discharge teaching information, (2) less time in caregiver’s supervision and support, (3) lack of a comprehensive discharge plan, (4) lack of coordination and communication in follow-up care, (5) less confidence in providing care without support at home, and (6) poor availability of resources and time for consultation. Conclusion: Caregivers require more information and supportive care in order to enhance their adaptation in taking care of TBI patients in the long term. Developing a tele-nursing based caregiver transitional support program among TBI caregivers is suggested.

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Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review

Abstract: Objective: To identify literature which discusses the barriers and enablers of eHealth technology and which evaluates its role in facilitating interdisciplinary team work for the care of people with a traumatic brain injury (TBI). Design: Systematic review

Cited by 26 publications

References 47 publications

Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

Multidisciplinary teams and ICT: a qualitative study exploring the use of technology and its impact on multidisciplinary team meetings

Caring for Thai Traumatic Brain Injury Survivors in a Transitional Period: What Are the Barriers?

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