Perception and Use of a Patient Care Window to Improve Care and Family Engagement

描述（由申请人提供）：尽管卫生信息技术（HIT）的采用迅速普及，但尚不清楚这些技术的潜力是否已经实现。一种解释是“梦想之地”谬论，它质疑仅仅实现一项技术就能保证其使用的信念。无论声称的技术质量如何，或者是否安装了特定的HIT，最终，是打算使用该技术的人的看法决定了该技术的使用以及是否实现了潜在的好处。此外，研究表明，HIT有可能改善以患者/家庭为中心的护理和参与，这是医疗保健研究中最近的“热门话题”。然而，目前尚不清楚是否有证据支持设计技术来吸引这一人群。因此，需要对新型技术进行更多的开发研究，以潜在地提高患者/家庭的参与度。为了解决文献中的这一空白，我们建议研究提供者和家庭对特定技术的看法和使用：患者互动护理窗口（PICWi）。这项初步研究的结果将为今后的介入性研究提供信息。该项目的目的是：1)确定PICU患者/家庭的特定需求，从而可以改变PICWi的设计和使用，以提高使用和家庭/患者的参与度；2)确定PICU医生和护士的特定需求，从而可以重新设计PICWi，以提高使用。我们将在威斯康星州儿童医院（CHW）的儿科重症监护室实现这些目标。本研究将测量感知需求和改善这种新型HIT的机会，这将有助于为未来重新设计PICWi的干预措施提供信息，以改善使用和家庭参与。我们的调查结果将对病人护理产生重要影响，允许更多

DESCRIPTION (provided by applicant): Despite the rapidly spreading adoption of health information technology (HIT), it is unclear whether the potential of these technologies have been realized. One explanation is the "Field of Dreams" fallacy, which questions the belief that simply implementing a technology guarantees its use. Regardless of the purported quality of the technology or the fact that a given HIT was installed, ultimately, it is the perceptions of those intended to use the technology that determine both its use and whether potential benefits are realized. In addition, studies show that HIT has the potential to improve patient/family-centered care and engagement, a recent "hot topic" in healthcare research. However, it is unclear if there is evidence to support designing technologies to engage this population. Thus, more developmental research is needed on new types of technology that could potentially improve patient/family engagement. To address this gap in the literature, we propose to study provider and family perceptions and use of a specific technology: Patients' Interactive Care Window (PICWi). The findings of this pilot study will inform future interventional studies. The aims of th project are to: 1) Determine the specific needs of PICU patients/families that could inform changes to the design and use of the PICWi to enhance use and family/patient engagement, and 2) Determine the specific needs of PICU physicians and nurses that could inform redesign of the PICWi to enhance use. We will pursue these aims in the Pediatric Intensive Care Unit at Children's Hospital of Wisconsin (CHW). This research study will measure both the perceived needs and the opportunities for improving this novel HIT, which will help inform future interventions in redesigning the PICWi in order to improve use and family engagement. The results from our investigation will have important implications for patient care, allowing for more efficient and tailored decision-making, thereby improving patient quality of life and potentially reducing health care costs.