Utilizing Telemedicine in the Trauma Intensive Care Unit: Does It Impact Teamwork?
| Autor: | Carl I. Schulman, Brady Patzer, Kyle Heyne, Ashley M. Hughes, Fernanda M Kuchkarian, Antonio Marttos, Eduardo Salas, Elizabeth H. Lazzara, Lauren E. Benishek, Megan E. Gregory |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Telemedicine Attitude of Health Personnel media_common.quotation_subject Health Informatics Telehealth Trust Health Information Management Nursing medicine Humans Trauma intensive care unit media_common Patient Care Team Control period Teamwork business.industry Communication Robotics General Medicine Middle Aged medicine.disease Intensive Care Units Teaching Rounds Female Medical emergency It impact business Healthcare providers |
| Zdroj: | Telemedicine and e-Health. 21:670-676 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2014.0074 |
| Popis: | The aim of this study was to examine the impact of a telemedical robot on trauma intensive care unit (TICU) clinician teamwork (i.e., team attitudes, behaviors, and cognitions) during patient rounds.Thirty-two healthcare providers who conduct rounds volunteered to take surveys assessing teamwork attitudes and cognitions at three time periods: (1) the onset of the study, (2) the end of the 30-day control period, and (3) the end of the 30-day experimental period, which immediately followed the control period. Rounds were recorded throughout the 30-day control period and 30-day experimental period to observe provider behaviors. For the initial 30 days, there was no access to telemedicine. For the final 30 days, the rounding healthcare providers had access to the RP-7 robot (Intouch Health Inc., Santa Barbara, CA), a telemedical tool that can facilitate patient rounds conducted away from bedside.Using a one-tailed, one-way repeated-measures analysis of variance (ANOVA) to compare trust at Times 1, 2, and 3, there was no significant effect on trust: F(2, 14)=1.20, p=0.16. When a one-tailed, one-way repeated-measures ANOVA to compare transactive memory systems (TMS) at Times 1, 2, and 3 was conducted, there was no significant effect on TMS: F(2, 15)=1.33, p=0.15. We conducted a one-tailed, one-way repeated-measures ANOVA to compare team psychological safety at Times 1, 2, and 3, and there was no significant effect on team psychological safety: F(2,15)=1.53, p=0.12. There was a significant difference in communication between rounds with and without telemedicine [t(25)=-1.76, p0.05], such that there was more task-based communication during telerounds. Telemedicine increased task-based communication and did not negatively impact team trust, psychological safety, or TMS during rounds.Telemedicine may offer advantages for some teamwork competencies without sacrificing the efficacy of others and may be adopted by intact rounding teams without hindering teamwork. |
| Databáze: | OpenAIRE |
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