PMID- 26724303
OWN - NLM
STAT- MEDLINE
DCOM- 20160923
LR  - 20160102
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 25
IP  - 1
DP  - 2016 Jan
TI  - Assessing the Impact of Telemedicine on Nursing Care in Intensive Care Units.
PG  - e14-20
LID - 10.4037/ajcc2016808 [doi]
AB  - BACKGROUND: Information on the impact of tele-intensive care on nursing and
      priority areas of nursing care is limited. OBJECTIVES: To conduct a national
      benchmarking survey of nurses working in intensive care telemedicine facilities
      in the United States. METHODS: In a 2-phased study, an online survey was used to 
      assess nurses' perceptions of intensive care telemedicine, and a modified 2-round
      Delphi study was used to identify priority areas of nursing. RESULTS: In phase 1,
      most of the 1213 respondents agreed to strongly agreed that using tele-intensive 
      care enables them to accomplish tasks more quickly (63%), improves collaboration 
      (65.9%), improves job performance (63.6%) and communication (60.4%), is useful in
      nursing assessments (60%), and improves care by providing more time for patient
      care (45.6%). Benefits of tele-intensive care included ability to detect trends
      in vital signs, detect unstable physiological status, provide medical management,
      and enhance patient safety. Barriers included technical problems (audio and
      video), interruptions in care, perceptions of telemedicine as an interference,
      and attitudes of staff. In phase 2, 60 nurses ranked 15 priority areas of care,
      including critical thinking skills, intensive care experience, skillful
      communication, mutual respect, and management of emergency patient care.
      CONCLUSIONS: The findings can be used to further inform the development of
      competencies for tele-intensive care nursing, match the tele-intensive care
      nursing practice guidelines of the American Association of Critical-Care Nurses, 
      and highlight concepts related to the association's standards for establishing
      and sustaining healthy work environments.
CI  - (c)2016 American Association of Critical-Care Nurses.
FAU - Kleinpell, Ruth
AU  - Kleinpell R
AD  - Ruth Kleinpell is director of the Center for Clinical Research, Rush University
      Medical Center, Chicago, Illinois, and a professor at Rush University College of 
      Nursing, Chicago, Illinois. Connie Barden is currently the chief clinical officer
      of the American Association of Critical-Care Nurses, Aliso Viejo, California.
      During the study period, she was the clinical nurse specialist of the
      tele-intensive care unit at Baptist Health South Florida, Miami, Florida. Teresa 
      Rincon is currently the operations director of the tele-intensive care unit,
      UMass Memorial Medical Center, Worcester, Massachusetts. During the study period 
      she was director of nursing at Sutter Health, Sacramento, California. Mary
      McCarthy is director, Clinical Quality Value Analysis, Eastern Maine Healthcare
      Systems, Bangor, Maine. Rebecca J. Zapatochny Rufo is the, operations director of
      the tele-intensive care unit program at Resurrection Health Care, Chicago,
      Illinois. ruth_m_kleinpell@rush.edu.
FAU - Barden, Connie
AU  - Barden C
AD  - Ruth Kleinpell is director of the Center for Clinical Research, Rush University
      Medical Center, Chicago, Illinois, and a professor at Rush University College of 
      Nursing, Chicago, Illinois. Connie Barden is currently the chief clinical officer
      of the American Association of Critical-Care Nurses, Aliso Viejo, California.
      During the study period, she was the clinical nurse specialist of the
      tele-intensive care unit at Baptist Health South Florida, Miami, Florida. Teresa 
      Rincon is currently the operations director of the tele-intensive care unit,
      UMass Memorial Medical Center, Worcester, Massachusetts. During the study period 
      she was director of nursing at Sutter Health, Sacramento, California. Mary
      McCarthy is director, Clinical Quality Value Analysis, Eastern Maine Healthcare
      Systems, Bangor, Maine. Rebecca J. Zapatochny Rufo is the, operations director of
      the tele-intensive care unit program at Resurrection Health Care, Chicago,
      Illinois.
FAU - Rincon, Teresa
AU  - Rincon T
AD  - Ruth Kleinpell is director of the Center for Clinical Research, Rush University
      Medical Center, Chicago, Illinois, and a professor at Rush University College of 
      Nursing, Chicago, Illinois. Connie Barden is currently the chief clinical officer
      of the American Association of Critical-Care Nurses, Aliso Viejo, California.
      During the study period, she was the clinical nurse specialist of the
      tele-intensive care unit at Baptist Health South Florida, Miami, Florida. Teresa 
      Rincon is currently the operations director of the tele-intensive care unit,
      UMass Memorial Medical Center, Worcester, Massachusetts. During the study period 
      she was director of nursing at Sutter Health, Sacramento, California. Mary
      McCarthy is director, Clinical Quality Value Analysis, Eastern Maine Healthcare
      Systems, Bangor, Maine. Rebecca J. Zapatochny Rufo is the, operations director of
      the tele-intensive care unit program at Resurrection Health Care, Chicago,
      Illinois.
FAU - McCarthy, Mary
AU  - McCarthy M
AD  - Ruth Kleinpell is director of the Center for Clinical Research, Rush University
      Medical Center, Chicago, Illinois, and a professor at Rush University College of 
      Nursing, Chicago, Illinois. Connie Barden is currently the chief clinical officer
      of the American Association of Critical-Care Nurses, Aliso Viejo, California.
      During the study period, she was the clinical nurse specialist of the
      tele-intensive care unit at Baptist Health South Florida, Miami, Florida. Teresa 
      Rincon is currently the operations director of the tele-intensive care unit,
      UMass Memorial Medical Center, Worcester, Massachusetts. During the study period 
      she was director of nursing at Sutter Health, Sacramento, California. Mary
      McCarthy is director, Clinical Quality Value Analysis, Eastern Maine Healthcare
      Systems, Bangor, Maine. Rebecca J. Zapatochny Rufo is the, operations director of
      the tele-intensive care unit program at Resurrection Health Care, Chicago,
      Illinois.
FAU - Zapatochny Rufo, Rebecca J
AU  - Zapatochny Rufo RJ
AD  - Ruth Kleinpell is director of the Center for Clinical Research, Rush University
      Medical Center, Chicago, Illinois, and a professor at Rush University College of 
      Nursing, Chicago, Illinois. Connie Barden is currently the chief clinical officer
      of the American Association of Critical-Care Nurses, Aliso Viejo, California.
      During the study period, she was the clinical nurse specialist of the
      tele-intensive care unit at Baptist Health South Florida, Miami, Florida. Teresa 
      Rincon is currently the operations director of the tele-intensive care unit,
      UMass Memorial Medical Center, Worcester, Massachusetts. During the study period 
      she was director of nursing at Sutter Health, Sacramento, California. Mary
      McCarthy is director, Clinical Quality Value Analysis, Eastern Maine Healthcare
      Systems, Bangor, Maine. Rebecca J. Zapatochny Rufo is the, operations director of
      the tele-intensive care unit program at Resurrection Health Care, Chicago,
      Illinois.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Adult
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - Benchmarking
MH  - Clinical Competence
MH  - Communication
MH  - Cooperative Behavior
MH  - Critical Care Nursing/*methods/organization & administration
MH  - Delphi Technique
MH  - Efficiency
MH  - Female
MH  - Humans
MH  - *Intensive Care Units/organization & administration
MH  - Interprofessional Relations
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/methods
MH  - Patient Safety
MH  - Surveys and Questionnaires
MH  - *Telemedicine
MH  - Thinking
MH  - United States
MH  - Young Adult
EDAT- 2016/01/03 06:00
MHDA- 2016/09/24 06:00
CRDT- 2016/01/03 06:00
PHST- 2016/01/03 06:00 [entrez]
PHST- 2016/01/03 06:00 [pubmed]
PHST- 2016/09/24 06:00 [medline]
AID - 25/1/e14 [pii]
AID - 10.4037/ajcc2016808 [doi]
PST - ppublish
SO  - Am J Crit Care. 2016 Jan;25(1):e14-20. doi: 10.4037/ajcc2016808.