Nurse adoption of continuous patient monitoring on acute post-surgical units: managing technology implementation

Jeskey, Mary; Card, Elizabeth; Nelson, Donna; Mercaldo, Nathaniel D.; Sanders, Neal; Higgins, Michael S.; Shi, Yaping; Michaels, Damon R.; Miller, Anne

doi:10.1111/j.1365-2834.2011.01295.x

Cited by 29 publications

(40 citation statements)

References 35 publications

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“…Unlike therapeutic devices that directly affect patients, information technology's effect in is changing the way the patient's condition is understood and the way in which care is delivered. [28] Usability, which concerns the way patients utilize the telehealthcare service, is an important indicator for determining future service adjustments and can also yield opportunities to gain further insight into patient status. [29] The results show no significant differences for patients from the two areas in gender, age, and BMI; this is indicative of similar populations for the two groups.…”

Section: Discussionmentioning

confidence: 99%

Urban-rural difference in patients utilizing the service of telehealthcare

Chen

Shih

et al. 2015

JHA

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There are concerns about the unbalanced distribution of healthcare resources between rural and urban areas. There have been attempts to use existing healthcare resources more effectively through telehealthcare. Usability is an important indicator for evaluating patient behavior and determining service improvements. Nevertheless, usability has not been studied extensively enough. This study analyzed the usability differences between urban and rural areas in Taiwan for a web portal used in a telehealthcare program. Data were collected for two years. Usability data includes the frequency of web portal patient logins, the frequency of glucose measurements, whether the records were transmitted to the system through 3G networks automatically or were manually inputted, and the correlation of the mean 3-month daily glucose levels and HbA1c results. Patients in urban areas logged into the web portal more frequently (p < .001) and recorded glucose levels more frequently (p = .003). More patients in the rural area transmitted their daily glucose levels using devices (p < .001). Mean 3-month daily glucose levels and HbA1c results appear to be highly consistent. Patients in urban areas did not readily change glucometer habits but were willing to log in to web portal and record daily glucose levels manually. Patients in rural areas were willing to use the 3G glucometer to transmit data more frequently. For patients in urban areas, web portals should provide more information and smart applications. For patients in rural areas, the application should be simple and easy to use.

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Section: Discussionmentioning

confidence: 99%

Urban-rural difference in patients utilizing the service of telehealthcare

Chen

Shih

et al. 2015

JHA

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“…Such cooperation can help in bringing together the latest IT expertise and practical clinical expertise in the organization, which is crucial in solving problems that arise during the implementation [29]. This relationship-building can also help in understanding the long-term potential of the technology and therefore give knowledge of new IT that can further contribute to the IT strategy of the healthcare organization [22].…”

Section: Collaboration With the Vendorsmentioning

confidence: 99%

“…Such as scope, schedule, budget of project, change management and implementation plan /strategy [7], [8], [9], [12], [16], [22], [27], [29], [17] 9 25.00%…”

Section: Project Management and Planningmentioning

confidence: 99%

A Review of Health Information Technology Implementation Success Factors: Importance of Regulation and Finance

Nguyen¹,

Saranto²,

Tapanainen³

et al. 2014

2014 47th Hawaii International Conference on System Sciences

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Finding the factors contributing to the successful implementation of Health Information Technology (HIT) can help relieve the stress on healthcare systems worldwide caused by e.g. aging populations. This research reviewed the existing literature and identified 16 success factors for HIT implementation, of which one, the influence of external environment, was not found by prior reviews. This factor is crucial in HIT implementation because healthcare organizations in many countries are highly regulated by government policy and dependent on subsidies. The existing research showed a clear tendency for qualitative empirical work in HIT implementation, and in particular, on individual case studies, creating the need for future quantitative research on HIT implementation success factors. The review also suggested a pyramidal research approach and a taxonomy which shows the interactions of different stakeholders with implementers. These can serve as a reference for scholars and implementers of HIT in studying HIT implementation success factors.

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“…In addition, a particular HIS may fit one context but not others; the same HIS was successfully adopted in urgent care but was abandoned when it was introduced to routine patient care due to its poor fit (Ackerman et al, 2012). In another study (Jeskey et al, 2011), HIS designed for critical care was found to be unsuitable for acute care settings. Gough et al (2014) interviewed 125 nurses at five acute care hospitals across two Australian states.…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

“…Fidelity HIS functionality did not meet the nurses' needs nor support their workflows and practice (Novak et al, 2013;Stevenson et al, 2010); workflow interruptions, additional work (Eley et al, 2009;Lee et al, 2008), unintended consequences (Dowding et al, 2009;Koppel et al, 2005). A particular HIS may fit one context but not others (Ackerman et al, 2012;Gough et al, 2014;Jeskey et al, 2011) Firstly, in regard to usability, Stevenson et al (2010) reviewed five empirical studies published from 2000 to 2009 and reported on nurses' experiences with HIS systems. These studies took place in acute care hospital contexts in USA, Australia, and the UK.…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

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This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital's wards during its implementation. Nurses' interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses' positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.

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Nurse adoption of continuous patient monitoring on acute post-surgical units: managing technology implementation

Abstract: It is strongly recommended that nurse managers identify stakeholders and develop comprehensive plans for monitoring the effects of HIT in their units.

Cited by 29 publications

References 35 publications

Urban-rural difference in patients utilizing the service of telehealthcare

Urban-rural difference in patients utilizing the service of telehealthcare

A Review of Health Information Technology Implementation Success Factors: Importance of Regulation and Finance

An Examination of the Mediating Role for a Nursing Information System

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