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dc.contributor.authorTaylor, J.*
dc.contributor.authorCoates, E.*
dc.contributor.authorBrewster, L.*
dc.contributor.authorMountain, Gail*
dc.contributor.authorWessels, B.*
dc.contributor.authorHawley, M.S.*
dc.date.accessioned2016-12-19T15:09:20Z
dc.date.available2016-12-19T15:09:20Z
dc.date.issued2015-02
dc.identifier.citationTaylor J, Coates E, Brewster L et al (2015) Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption. Journal of Advanced Nursing. 71(2): 326-337.en_US
dc.identifier.urihttp://hdl.handle.net/10454/11005
dc.descriptionYesen_US
dc.description.abstractAims To examine frontline staff acceptance of telehealth and identify barriers to and enablers of successful adoption of remote monitoring for patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Background The use of telehealth in the UK has not developed at the pace and scale anticipated by policy. Many existing studies report frontline staff acceptance as a key barrier, however data are limited and there is little evidence of the adoption of telehealth in routine practice. Design Case studies of four community health services in England that use telehealth to monitor patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure. Methods Thematic analysis of qualitative interviews with 84 nursing and other frontline staff; and 21 managers and key stakeholders; data collected May 2012–June 2013. Findings Staff attitudes ranged from resistance to enthusiasm, with varied opinions about the motives for investing in telehealth and the potential impact on nursing roles. Having reliable and flexible technology and dedicated resources for telehealth work were identified as essential in helping to overcome early barriers to acceptance, along with appropriate staff training and a partnership approach to implementation. Early successes were also important, encouraging staff to use telehealth and facilitating clinical learning and increased adoption. Conclusions The mainstreaming of telehealth hinges on clinical ‘buy-in’. Where barriers to successful implementation exist, clinicians can lose faith in using technology to perform tasks traditionally delivered in person. Addressing barriers is therefore crucial if clinicians are to adopt telehealth into routine practice.en_US
dc.description.sponsorshipTechnology Strategy Board and the Economic and Social Research Councilen_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1111/jan.12480en_US
dc.rights© 2014 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_US
dc.subjectCommunity health; Innovation adoption; Long-term conditions; Nursing; Technology; Telehealthen_US
dc.titleExamining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoptionen_US
dc.status.refereedYesen_US
dc.date.Accepted2014-06-21
dc.date.application2014-07-29
dc.typeArticleen_US
dc.type.versionPublished versionen_US
refterms.dateFOA2018-07-26T09:22:19Z


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