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Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption

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posted on 2016-02-10, 12:11 authored by J. Taylor, E. Coates, Liz Brewster, G. Mountain, B. Wessels, M. S. Hawley
Aims: To examine frontline staff acceptance of telehealth and identify barriers to and enablers of successful adoption of remote monitoring for patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Background: The use of telehealth in the UK has not developed at the pace and scale anticipated by policy. Many existing studies report frontline staff acceptance as a key barrier, however data are limited and there is little evidence of the adoption of telehealth in routine practice. Design: Case studies of four community health services in England that use telehealth to monitor patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Methods: Thematic analysis of qualitative interviews with 84 nursing and other frontline staff; and 21 managers and key stakeholders; data collected May 2012–June 2013. Findings: Staff attitudes ranged from resistance to enthusiasm, with varied opinions about the motives for investing in telehealth and the potential impact on nursing roles. Having reliable and flexible technology and dedicated resources for telehealth work were identified as essential in helping to overcome early barriers to acceptance, along with appropriate staff training and a partnership approach to implementation. Early successes were also important, encouraging staff to use telehealth and facilitating clinical learning and increased adoption. Conclusions: The mainstreaming of telehealth hinges on clinical ‘buy-in’. Where barriers to successful implementation exist, clinicians can lose faith in using technology to perform tasks traditionally delivered in person. Addressing barriers is therefore crucial if clinicians are to adopt telehealth into routine practice.

Funding

This study was conducted as part of the Overcoming the Barriers to Mainstreaming Assistive Living Technologies (MALT) research project at the Universities of Sheffield and Leeds, funded by a grant from the Assisted Living Innovation Platform, with support from the Technology Strategy Board and the Economic and Social Research Council.

History

Citation

Journal of Advanced Nursing, 2015, 71 (2), pp. 326-337

Version

  • VoR (Version of Record)

Published in

Journal of Advanced Nursing

Publisher

Wiley

issn

0309-2402

eissn

1365-2648

Acceptance date

2014-06-21

Copyright date

2014

Available date

2016-02-10

Publisher version

http://onlinelibrary.wiley.com/doi/10.1111/jan.12480/abstract

Language

en

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