Nursing staff’s evaluation of facilitators and barriers during implementation of wireless nurse call systems in residential care facilities. A cross-sectional study

Abstract

Background: Traditional nurse call systems used in residential care facilities rely on patients to summon assistance for routine or emergency needs. Wireless nurse call systems (WNCS) offer new affordances for persons unable to actively or consciously engage with the system, allowing detection of hazardous situations, prevention and timely treatment, as well as enhanced nurse workflows. This study aimed to explore facilitators and barriers of implementation of WNCSs in residential care facilities. Methods: The study had a cross-sectional descriptive design. We collected data from care providers (n = 98) based on the Measurement Instrument for Determinants of Innovation (MIDI) framework in five Norwegian residential care facilities during the first year of WNCS implementation. The self-reporting MIDI questionnaire was adapted to the contexts. Descriptive statistics were used to explore participant characteristics and MIDI item and determinant scores. MIDI items to which ≥20% of participants disagreed/totally disagreed were regarded as barriers and items to which ≥80% of participants agreed/totally agreed were regarded as facilitators for implementation.Results: More facilitators (n = 22) than barriers (n = 6) were identified. The greatest facilitators, reported by 98% of the care providers, were the expected outcomes: the importance and probability of achieving prompt call responses and increased safety, and the normative belief of unit managers. During the implementation process, 87% became familiar with the systems, and 86 and 90%, respectively regarded themselves and their colleagues as competent users of the WNCS. The most salient barriers, reported by 37%, were their lack of prior knowledge and that they found the WNCS difficult to learn. No features of the technology were identified as barriers.Conclusions: Overall, the care providers gave a positive evaluation of the WNCS implementation. The barriers to implementation were addressed by training and practicing technological skills, facilitated by the influence and support by the manager and the colleagues within the residential care unit. WNCSs offer a range of advanced applications and services, and further research is needed as more WNCS functionalities are implemented into residential care services.

Health economic evaluation of digital nursing technologies: a review of methodological recommendations

“…Although the implementation of technologies such as telenursing should ideally solve or alleviate this problem, the process of technology introduction is still demanding as it requires the involvement of staff for additional organisational and administrative tasks or causes interruptions in the daily nursing routine, thus impacting the nursing process [ 61 ]. Staff shortages, high-pressure situations and the extremely demanding task of implementation can be a major barrier to DNT usage and evaluation, especially if knowledge of the DNT is not easily available and its application difficult to learn [ 62 ]. Such procedural and staffing challenges described above also pose barriers to the health economic evaluation of DNT.…”

Barriers and facilitators to implementation of cognitive adaptation training in long‐term inpatient facilities for people diagnosed with severe mental illness: A nursing perspective

“…Third, we set cut-offs for barriers (≥20%) and facilitators (≥80%) in line with other studies that have used the MIDI (Deenik et al, 2019;Dugstad et al, 2020). Although several items did not qualify as barriers or facilitators under these standards, they still can impact implementation significantly (Greenhalgh et al, 2004).…”

Perancangan Internet of Things Nurse Call System pada Area Rawat Inap Rumah Sakit Berbasis Arduino menggunakan Metode FIFO

“…Salah satu teknologi yang sudah sangat umum digunakan pada rumah sakit adalah sistem pemanggil perawat atau yang lebih popular disebut dengan nurse call. Sistem ini adalah sebagai alat yang digunakan pasien untuk memanggil pasien jika pasien membutuhkan pertolongan [1,2,3].…”