Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments : Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
©Janet Curran, Lori Wozney, Emma Tavender, Catherine Wilson, Krista C Ritchie, Helen Wong, Allyson Gallant, Mari Somerville, Patrick M Archambault, Christine Cassidy, Mona Jabbour, Rebecca Mackay, Amy C Plint. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 11.10.2023..
BACKGROUND: Pediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication.
OBJECTIVE: This study aimed to survey nurse and physician readiness to adopt these tools.
METHODS: An electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses.
RESULTS: Out of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT.
CONCLUSIONS: Despite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
JMIR human factors - 10(2023) vom: 11. Okt., Seite e46379 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Curran, Janet [VerfasserIn] |
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| Links: |
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| Themen: |
Discharge communication |
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| Anmerkungen: |
Date Completed 30.10.2023 Date Revised 31.10.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.2196/46379 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM363127844 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a ©Janet Curran, Lori Wozney, Emma Tavender, Catherine Wilson, Krista C Ritchie, Helen Wong, Allyson Gallant, Mari Somerville, Patrick M Archambault, Christine Cassidy, Mona Jabbour, Rebecca Mackay, Amy C Plint. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 11.10.2023. | ||
| 520 | |a BACKGROUND: Pediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication | ||
| 520 | |a OBJECTIVE: This study aimed to survey nurse and physician readiness to adopt these tools | ||
| 520 | |a METHODS: An electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses | ||
| 520 | |a RESULTS: Out of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT | ||
| 520 | |a CONCLUSIONS: Despite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a discharge communication | |
| 650 | 4 | |a electronic medical record | |
| 650 | 4 | |a emergency department | |
| 650 | 4 | |a implementation science | |
| 650 | 4 | |a medical informatics | |
| 650 | 4 | |a mobile phone | |
| 650 | 4 | |a pediatric | |
| 700 | 1 | |a Wozney, Lori |e verfasserin |4 aut | |
| 700 | 1 | |a Tavender, Emma |e verfasserin |4 aut | |
| 700 | 1 | |a Wilson, Catherine |e verfasserin |4 aut | |
| 700 | 1 | |a Ritchie, Krista C |e verfasserin |4 aut | |
| 700 | 1 | |a Wong, Helen |e verfasserin |4 aut | |
| 700 | 1 | |a Gallant, Allyson |e verfasserin |4 aut | |
| 700 | 1 | |a Somerville, Mari |e verfasserin |4 aut | |
| 700 | 1 | |a Archambault, Patrick M |e verfasserin |4 aut | |
| 700 | 1 | |a Cassidy, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Jabbour, Mona |e verfasserin |4 aut | |
| 700 | 1 | |a Mackay, Rebecca |e verfasserin |4 aut | |
| 700 | 1 | |a Plint, Amy C |e verfasserin |4 aut | |
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