4.5 Article

Perceived benefit of a telemedicine consultative service in a highly staffed intensive care unit

Journal

JOURNAL OF CRITICAL CARE
Volume 27, Issue 4, Pages -

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jcrc.2011.12.007

Keywords

Attitude of health personnel; Health care surveys; Job satisfaction; Organizational culture

Funding

  1. Johns Hopkins Hospital
  2. Johns Hopkins Department of Anesthesiology and Critical Care Medicine

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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. (C) 2012 Elsevier Inc. All rights reserved.

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