• Crit Care Nurs Clin North Am · Jun 2018

    Work System Barriers and Strategies Reported by Tele-Intensive Care Unit Nurses: A Case Study.

    • Hoonakker Peter L T PLT Center for Quality and Productivity Improvement, University of Wisconsin-Madison, 3124 Engineering Centers Building, 1550 Engineering Drive, Madis and Pascale Carayon.
    • Center for Quality and Productivity Improvement, University of Wisconsin-Madison, 3124 Engineering Centers Building, 1550 Engineering Drive, Madison, WI 53706, USA. Electronic address: Peter.Hoonakker@wisc.edu.
    • Crit Care Nurs Clin North Am. 2018 Jun 1; 30 (2): 259-271.

    AbstractTele-intensive care units (ICUs) are an innovation to handle issues such as personnel shortage and improving care. In tele-ICUs, clinical teams monitor ICU patients remotely and support clinicians in multiple ICUs. The tele-ICU and ICU clinicians function as virtual teams. Little is known how these teams function and what challenges they encounter. We examined the challenges from the perspective of nurses in a tele-ICU. We used a case study design and conducted interviews with 10 tele-ICU nurses. The nurses encounter challenges in interacting with the multiple ICUs that they monitor remotely and have developed strategies to cope with these challenges.Copyright © 2018 Elsevier Inc. All rights reserved.

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