Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption

Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B. and Hawley, M. S. (2014) Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption. Journal of Advanced Nursing, 71(2), pp. 326-337. (doi:10.1111/jan.12480) (PMID:25069605)

Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B. and Hawley, M. S. (2014) Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption. Journal of Advanced Nursing, 71(2), pp. 326-337. (doi:10.1111/jan.12480) (PMID:25069605)

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Abstract

Aims: To examine frontline staff acceptance of telehealth and identify barriers to and enablers of successful adoption of remote monitoring for patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Background: The use of telehealth in the UK has not developed at the pace and scale anticipated by policy. Many existing studies report frontline staff acceptance as a key barrier, however data are limited and there is little evidence of the adoption of telehealth in routine practice. Design: Case studies of four community health services in England that use telehealth to monitor patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Methods: Thematic analysis of qualitative interviews with 84 nursing and other frontline staff; and 21 managers and key stakeholders; data collected May 2012–June 2013. Findings: Staff attitudes ranged from resistance to enthusiasm, with varied opinions about the motives for investing in telehealth and the potential impact on nursing roles. Having reliable and flexible technology and dedicated resources for telehealth work were identified as essential in helping to overcome early barriers to acceptance, along with appropriate staff training and a partnership approach to implementation. Early successes were also important, encouraging staff to use telehealth and facilitating clinical learning and increased adoption. Conclusions: The mainstreaming of telehealth hinges on clinical ‘buy‐in’. Where barriers to successful implementation exist, clinicians can lose faith in using technology to perform tasks traditionally delivered in person. Addressing barriers is therefore crucial if clinicians are to adopt telehealth into routine practice.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wessels, Professor Bridgette
Authors: Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B., and Hawley, M. S.
College/School:College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
Journal Name:Journal of Advanced Nursing
Publisher:Blackwell
ISSN:0309-2402
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in Journal of Advanced Nursing 71(2):326-337
Publisher Policy:Reproduced under a Creative Commons License

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