PMID- 27587424
OWN - NLM
STAT- MEDLINE
DCOM- 20180129
LR  - 20180910
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 25
IP  - 5
DP  - 2016 Sep
TI  - Organizational and Teamwork Factors of Tele-Intensive Care Units.
PG  - 431-9
LID - 10.4037/ajcc2016357 [doi]
AB  - BACKGROUND: Use of tele-intensive care involves organizational and teamwork
      factors across geographic locations. This situation adds to the complexity of
      collaboration in providing quality patient-centered care. OBJECTIVE: To evaluate 
      cross-agency teamwork of health care professionals caring for patients in
      tele-intensive care units in rural and urban regions. METHODS: A national
      qualitative study was conducted in 3 US geographic regions with tele-intensive
      care programs. Discussions and interviews were held with key participants during 
      site visits at 3 hub sites (specialist services location) and 8 rural spoke sites
      (patient location). The effects of communication and culture between the hub team
      and the spoke team on use of the services and effectiveness of care were
      evaluated. RESULTS: A total of 34 participants were interviewed. Specific
      organizational and teamwork factors significantly affect the functionality of a
      tele-intensive care unit. Key operational and cultural barriers that limit the
      benefits of the units include unrealistic expectations about operational
      capabilities, lack of trust, poorly defined leadership, and a lack of
      communication policies. Potential solutions include education on spoke facility
      resources, clearly defined expectations and role reversal education,
      team-building activities, and feedback mechanisms to share concerns, successes,
      and suggestions. CONCLUSION: Proper administration and attention to important
      cultural and teamwork factors are essential to making tele-intensive care units
      effective, practical, and sustainable.
CI  - (c)2016 American Association of Critical-Care Nurses.
FAU - Wilkes, Michael S
AU  - Wilkes MS
AD  - Michael S. Wilkes is a professor, Department of Internal Medicine and director of
      Global Health, and James P. Marcin is a professor and division chief, Pediatric
      Critical Care, Department of Pediatrics, University of California, Davis School
      of Medicine, Sacramento, California. Lois A. Ritter is a research manager, WRMA
      Inc, Sacramento, California. Sherilyn Pruitt is director, Office of Programs and 
      Engagement in the Office of the National Coordinator for Health Information
      Technology, US Department of Health and Human Services, Washington, DC.
FAU - Marcin, James P
AU  - Marcin JP
AD  - Michael S. Wilkes is a professor, Department of Internal Medicine and director of
      Global Health, and James P. Marcin is a professor and division chief, Pediatric
      Critical Care, Department of Pediatrics, University of California, Davis School
      of Medicine, Sacramento, California. Lois A. Ritter is a research manager, WRMA
      Inc, Sacramento, California. Sherilyn Pruitt is director, Office of Programs and 
      Engagement in the Office of the National Coordinator for Health Information
      Technology, US Department of Health and Human Services, Washington, DC.
      jpmarcin@ucdavis.edu.
FAU - Ritter, Lois A
AU  - Ritter LA
AD  - Michael S. Wilkes is a professor, Department of Internal Medicine and director of
      Global Health, and James P. Marcin is a professor and division chief, Pediatric
      Critical Care, Department of Pediatrics, University of California, Davis School
      of Medicine, Sacramento, California. Lois A. Ritter is a research manager, WRMA
      Inc, Sacramento, California. Sherilyn Pruitt is director, Office of Programs and 
      Engagement in the Office of the National Coordinator for Health Information
      Technology, US Department of Health and Human Services, Washington, DC.
FAU - Pruitt, Sherilyn
AU  - Pruitt S
AD  - Michael S. Wilkes is a professor, Department of Internal Medicine and director of
      Global Health, and James P. Marcin is a professor and division chief, Pediatric
      Critical Care, Department of Pediatrics, University of California, Davis School
      of Medicine, Sacramento, California. Lois A. Ritter is a research manager, WRMA
      Inc, Sacramento, California. Sherilyn Pruitt is director, Office of Programs and 
      Engagement in the Office of the National Coordinator for Health Information
      Technology, US Department of Health and Human Services, Washington, DC.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
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  - *Attitude of Health Personnel
MH  - Communication
MH  - Humans
MH  - Intensive Care Units/*organization & administration
MH  - Leadership
MH  - *Organizational Culture
MH  - Patient Care Team/*organization & administration
MH  - Patient-Centered Care
MH  - Qualitative Research
MH  - Rural Health Services/organization & administration
MH  - Telemedicine/*organization & administration
MH  - Trust
MH  - Urban Health Services/organization & administration
EDAT- 2016/09/03 06:00
MHDA- 2018/01/30 06:00
CRDT- 2016/09/03 06:00
PHST- 2016/09/03 06:00 [entrez]
PHST- 2016/09/03 06:00 [pubmed]
PHST- 2018/01/30 06:00 [medline]
AID - 25/5/431 [pii]
AID - 10.4037/ajcc2016357 [doi]
PST - ppublish
SO  - Am J Crit Care. 2016 Sep;25(5):431-9. doi: 10.4037/ajcc2016357.