Clinical Dashboard in the Intensive Care Unit: NeedAssessment and Survey about Attitudes and Acceptance of Tele-ICU from the Viewpoint of Nurses and Clinicians in the Intensive Care Unit

Authors

1 Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran,

2 Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran,

3 Department of Anesthesiology and Critical care Medicine, Kerman University of Medical Sciences, Kerman, Iran

4 Computer Science Department, School of Mathematical Science, Vali-e-Asr University of Rafsanjan, Rafsanjan, Iran.

5 Medical Informatics Department, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Background: One of the most worrying aspects of medical area in developing
countries is the Intensive Care Unit (ICU). This study aimed to evaluate the
acceptability of the clinical dashboard by the users, prior to final use and their
attitude towards this technology, as well as to examine the specific needs that
Tele-ICU technology can cover in the form of a clinical dashboard.
Materials and Methods: This study was conducted at Shahid Bahonar Hospital
of Kerman, Southeastern Iran, with three ICUs, the first, second, and third
sections of which had 10, 12, and 24 beds, respectively. Taking survey and need
assessment of care providers, qualitative and quantitative analyses were
undertaken to identify key positive and negative themes. The data were
analyzed by SPSS software version 18.
Results: About 82% of care providers in the ICU participated in this survey. The
number of participants based on the groups in the survey was 98 (81.7%) of the
nurses and respiratory therapists group, 20 (80%) from the group of
anesthesiologists and 20 (87%) from the group of anesthesiologist assistants
who participated in the survey. About 51% of the survey participants
completed the description section either partially or totally. On average, among
all groups, the group of anesthesiologists had the most and the nurses had the
least knowledge about telemedicine and Tele-ICU, whereas the anesthesiologist
assistants had the most and the nurses and respiratory therapists group had the
least knowledge about clinical dashboards.
Conclusion: This study showed that the level of knowledge and awareness of
care providers, especially nurses and respiratory therapists in the ICU in terms
of telemedicine and Tele-ICU is low and care providers are in doubt that
telemedicine technology could have a positive or negative impact on human
resource shortages, yet agreed that it would have a negative effect on the
privacy of the patients and care providers. In addition, the ICU care providers
agree that Tele-ICU can positively affect the quality of patient care, staff
satisfaction, reduce the cost of care, and ease and reduce the time for patient
counseling. This suggests the need for further research and educat

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