Telehospice: reasons for slow adoption in home hospice care
Telehospice: reasons for slow adoption in home hospice care
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DOI：
10.1258/jtt.2009.080911
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发表时间：
2009-01-01
影响因子：
4.7
通讯作者：
Nazione, Samantha
中科院分区：
文献类型：
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作者：
Whitten, Pamela;Holtz, Bree;Nazione, Samantha
我们调查了为什么临终关怀护士采用可视电话来照顾他们的病人是缓慢的。本研究采用统一技术接受与使用理论（UTAUT）模型，并透过访谈与焦点小组对安宁疗护人员进行组织变革准备度（ORC）评估。25名临终关怀员工参与了调查。临床职位18人（72%），非临床职位7人（28%）。39%的受访者表示没有接受可视电话培训，尽管事实上每个员工都接受过培训。只有四名工作人员使用可视电话与病人交谈。绝大多数受访者表示，他们有必要的组织资源来使用可视电话，而且它很容易操作。尽管最初热情高涨，但临终关怀机构的领导们并没有认可可视电话用于工作，也没有为使用可视电话或向病人提供可视电话提供奖励。值得注意的是，可视电话技术并不是要取代面对面的探视，而是对其进行补充，并为护士提供额外的工具。
We investigated why hospice nurses were slow to adopt videophones to care for their patients. We used the unified theory of acceptance and use of technology (UTAUT) model and the organizational readiness for change (ORC) assessment via interviews and focus groups with hospice staff. Twenty-five hospice employees participated. Eighteen (72%) were in clinical positions and seven were in non-clinical positions (28%). Thirty-nine percent of respondents reported no videophone training, despite the fact that every employee had received training. Only four staff members actually used a videophone with patients. The respondents overwhelmingly stated that they had the organizational resources necessary to use the videophone and that it was easy to operate. Despite initial enthusiasm, leaders in the hospice agency did not endorse the videophones for work, nor offer incentives for using the videophones or providing them to patients. It is important to note that videophone technology is not meant to replace face-to-face visits, but to supplement them and to provide an additional tool for the nurses.