Abstract P177: Provider Perspectives on Improving Telestroke Usability - A Qualitative Study
| Autor: | Ken Uchino, Zeshaun Khawaja, Elena Blaginykh, Dena R Brown |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Stroke. 52 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.52.suppl_1.p177 |
| Popis: | Background: Telestroke is an integral part of acute stroke systems of care. To further grow telestroke and maintain quality, we surveyed telestroke stakeholders’ experience. Methods: We conducted open-ended, semi-structured interviews with stroke program managers, hub neurologists, emergency department physicians and nurses in a telestroke network in an academic medical center. The goal of the interviews was to understand stakeholders’ experience with telestroke including their perceptions of telestroke values, barriers, and solutions. The data analysis was performed using qualitative methods guided by a grounded theory approach. Results: Face-to-face interviews with 44 stakeholders, including 8 hub neurologists, 7 stroke program managers, 15 emergency physicians, and 14 emergency department nurses were completed. The values provided by telestroke were consistent: empowering emergency physicians in treatment decisions, increasing access to a comprehensive stroke care, and improving health outcomes. The stakeholders also agreed that the main utilization barriers were unmatched role expectations, technical issues, and patient-provider detachment. Other barriers were specific to certain stakeholder groups. Stroke program managers emphasized the importance of the unified criteria for telestroke activation. Hub neurologists highlighted the lack of interoperability of the electronic health records system and the variation in nurse training. Nurses reported inadequate dissemination of the telestroke updates during night-shifts. Emergency physicians were concerned about the lack of emergency department representation at telestroke meetings. The stakeholders were actively managing arising issues through developing their own strategies and reporting the problems to the telestroke program. Conclusion: Stakeholders perceive telestroke as a necessary tool that assure high quality care. However, addressing the barriers to optimal telestroke use might improve provider and patient experience. |
| Databáze: | OpenAIRE |
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