Journal article

Nurses’ Role in Implementing and Sustaining Acute Telemedicine: A Mixed-Methods, Pre-Post Design Using an Extended Technology Acceptance Model

K Bagot, N Moloczij, L Arthurson, C Hair, S Hancock, CF Bladin, DA Cadilhac

Journal of Nursing Scholarship | WILEY | Published : 2020

Abstract

Purpose: Technology-based systems like telemedicine are frequently being implemented into healthcare settings, impacting clinician practices. Little is known about factors influencing acute telemedicine uptake, if factors differ across time, or between nurses and non-nurses. Design: A mixed-methods, pre-post design with implementation of a new acute stroke telemedicine service. Methods: A survey based on an extended Technology Acceptance Model (TAM) was administered to clinicians involved in acute stroke care at 16 regional hospitals (2014–2017). Open-ended questions postimplementation (at 6 months) included strengths of the program and areas to improve. Subsequently, a secondary analysis of..

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University of Melbourne Researchers

Grants

Awarded by Boehringer Ingelheim


Funding Acknowledgements

This project has been supported through funding from the Windermere Foundation, the State Government of Victoria: Department of Business and Innovation and Department of Healthand Human Services, Monash University, and the Florey Institute of Neuroscience and Mental Health. Dominique Cadilhac holds a National Health and Medical Research Council research fellowship (1154273). Professors Bladin and Cadilhac have received restricted educational grants from Boehringer Ingelheim. The authors would like to acknowledge and thank members of the Victorian Stroke Telemedicine Program Steering and Management Committees, along with Working Group members, who provided oversight and direction in relation to this project. We also acknowledge each of the site coordinators who were responsible for implementation of the clinical protocol, and contributed to data collection at each hospital; and the former and current members of the VST Program implementation and evaluation team from the Florey Institute of Neuroscience and Mental Health and Monash University, particularly Karen Biddiscombe, Joosup Kim, and Nancy Pompeani for assistance with data management and project support. Finally, we would like to thank Ian Mosley for conducting some of the interviews and, in particular, each of the clinicians who participated. Clinical Resources Centre of Research Excellence in Telehealth, University of Queensland Australia. Victorian Stroke Telemedicine. World Health Organization. Health and sustainable development: Telehealth.