Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting.

Tópicos

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Resumo

CKGROUND: Incorporating telehealth into outpatient care delivery supports management of consumer health between clinic visits. Task-technology fit is a framework for understanding how technology helps and/or hinders a person during work processes. Evaluating the task-technology fit of video telehealth for personnel working in a pediatric outpatient clinic and providing care between clinic visits ensures the information provided matches the information needed to support work processes.MATERIALS AND METHODS: The workflow of advanced practice registered nurse (APRN) care coordination provided via telephone and video telehealth was described and measured using a mixed-methods workflow analysis protocol that incorporated cognitive ethnography and time-motion study. Qualitative and quantitative results were merged and analyzed within the task-technology fit framework to determine the workflow fit of video telehealth for APRN care coordination.RESULTS: Incorporating video telehealth into APRN care coordination workflow provided visual information unavailable during telephone interactions. Despite additional tasks and interactions needed to obtain the visual information, APRN workflow efficiency, as measured by time, was not significantly changed. Analyzed within the task-technology fit framework, the increased visual information afforded by video telehealth supported the assessment and diagnostic information needs of the APRN.CONCLUSIONS: Telehealth must provide the right information to the right clinician at the right time. Evaluating task-technology fit using a mixed-methods protocol ensured rigorous analysis of fit within work processes and identified workflows that benefit most from the technology.

Resumo Limpo

ckground incorpor telehealth outpati care deliveri support manag consum health clinic visit tasktechnolog fit framework understand technolog help andor hinder person work process evalu tasktechnolog fit video telehealth personnel work pediatr outpati clinic provid care clinic visit ensur inform provid match inform need support work processesmateri method workflow advanc practic regist nurs aprn care coordin provid via telephon video telehealth describ measur use mixedmethod workflow analysi protocol incorpor cognit ethnographi timemot studi qualit quantit result merg analyz within tasktechnolog fit framework determin workflow fit video telehealth aprn care coordinationresult incorpor video telehealth aprn care coordin workflow provid visual inform unavail telephon interact despit addit task interact need obtain visual inform aprn workflow effici measur time signific chang analyz within tasktechnolog fit framework increas visual inform afford video telehealth support assess diagnost inform need aprnconclus telehealth must provid right inform right clinician right time evalu tasktechnolog fit use mixedmethod protocol ensur rigor analysi fit within work process identifi workflow benefit technolog

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