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

• DOI: 10.1111/jan.12480
• Publication Date: 2014-07-29T05:21:26Z
• Authors: Johanna Taylor; Elizabeth Coates; Liz Brewster; Gail Mountain; Bridgette Wessels; Mark S. Hawley
• Keywords: Telehealth; Thematic Analysis

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