Telemedicine journal and e-health : the official journal of the American Telemedicine Association
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Randomized Controlled Trial
Does Robotic Telerounding Enhance Nurse-Physician Collaboration Satisfaction About Care Decisions?
Delivering healthcare using remote robotic telepresence is an evolving practice in medical and surgical intensive critical care units and will likely have varied implications for work practices and working relationships in intensive care units. Our study assessed the nurse-physician collaboration satisfaction about care decisions from surgical intensive critical care nurses during remote robotic telepresence night rounds in comparison with conventional telephone night rounds. ⋯ Robot rounding in the intensive care unit was comparable but not superior to the telephone in regard to the nurse-physician collaboration and satisfaction about care decision. The working experience and technology acceptance of intensive care nurses did not contribute to the preference of night shift rounding method from the aspect of collaboration with the physician about care decision-making.
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The aim of this study was to examine the impact of a telemedical robot on trauma intensive care unit (TICU) clinician teamwork (i.e., team attitudes, behaviors, and cognitions) during patient rounds. ⋯ Telemedicine may offer advantages for some teamwork competencies without sacrificing the efficacy of others and may be adopted by intact rounding teams without hindering teamwork.
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Educating patients on factual information related to chronic pain and self-management improves knowledge, pain outcomes, and compliance. The current study assesses changes in pain knowledge among veterans who attended a 12-week "Pain Education School" and examines whether or not the addition of an active learning component (i.e., use of an audience response system [ARS]) leads to greater increases in pain knowledge. ⋯ Findings provide support for the incorporation of ARS in pain education programming to facilitate active learning and to increase knowledge acquisition. Findings also provide evidence for the effectiveness of pain education programs in improving veterans' attitudes about their pain, increasing readiness to engage in self-management, and decreasing depressive symptoms.
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Patients with growing and nonresectable liver hemangiomas should be followed up by a transplant center with extensive experience in complex liver disease. They could be treated on an emergency basis with orthotopic liver transplantation, with an expectation of good long-term results. ⋯ Tele-ICU technology could be a promising resource for emergency transplantation, reducing the urgent need for a living donation and allowing prompt recipient team management of the deceased donor. Our first tele-ICU case offers early confirmation of the feasibility of the telemedicine system in deceased-donor management.
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Telemedicine is designed to increase access to specialist care, especially in settings distant from tertiary-care centers. One of the more established telemedicine applications in hospitals is the tele-intensive care unit (tele-ICU). Perceptions of tele-ICU users are not well studied. Thus, we undertook a study focused on assessing staff acceptance at multiple hospitals that had implemented a tele-ICU system. ⋯ Tele-ICU was particularly valued when critical access hospitals retained critical care patients during special circumstances and when the tele-ICU hub could monitor patients to provide relief for local providers and nurses. Tele-ICU can aid rural hospitals, but multiple delivery models are warranted to meet disparate needs.