Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians
BackgroundPediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication. ObjectiveThis study aimed to survey nurse and p...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-10-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2023/1/e46379 |
| _version_ | 1797661653340258304 |
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| author | Janet Curran Lori Wozney Emma Tavender Catherine Wilson Krista C Ritchie Helen Wong Allyson Gallant Mari Somerville Patrick M Archambault Christine Cassidy Mona Jabbour Rebecca Mackay Amy C Plint |
| author_facet | Janet Curran Lori Wozney Emma Tavender Catherine Wilson Krista C Ritchie Helen Wong Allyson Gallant Mari Somerville Patrick M Archambault Christine Cassidy Mona Jabbour Rebecca Mackay Amy C Plint |
| author_sort | Janet Curran |
| collection | DOAJ |
| description |
BackgroundPediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication.
ObjectiveThis study aimed to survey nurse and physician readiness to adopt these tools.
MethodsAn electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses.
ResultsOut of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT.
ConclusionsDespite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort. |
| first_indexed | 2024-03-11T18:48:45Z |
| format | Article |
| id | doaj.art-8627dc2757d3486b9d570cde3c54421f |
| institution | Directory Open Access Journal |
| issn | 2292-9495 |
| language | English |
| last_indexed | 2024-03-11T18:48:45Z |
| publishDate | 2023-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Human Factors |
| spelling | doaj.art-8627dc2757d3486b9d570cde3c54421f2023-10-11T13:31:23ZengJMIR PublicationsJMIR Human Factors2292-94952023-10-0110e4637910.2196/46379Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and PhysiciansJanet Curranhttps://orcid.org/0000-0001-9977-0467Lori Wozneyhttps://orcid.org/0000-0003-4280-3322Emma Tavenderhttps://orcid.org/0000-0002-7230-712XCatherine Wilsonhttps://orcid.org/0000-0001-5893-4226Krista C Ritchiehttps://orcid.org/0000-0003-3148-1452Helen Wonghttps://orcid.org/0000-0001-6827-0662Allyson Gallanthttps://orcid.org/0000-0002-2933-7470Mari Somervillehttps://orcid.org/0000-0002-4699-7278Patrick M Archambaulthttps://orcid.org/0000-0002-5090-6439Christine Cassidyhttps://orcid.org/0000-0001-7770-5058Mona Jabbourhttps://orcid.org/0000-0002-0031-2026Rebecca Mackayhttps://orcid.org/0000-0002-3126-6341Amy C Plinthttps://orcid.org/0000-0003-1245-7174 BackgroundPediatric emergency departments (ED) in many countries are implementing electronic tools such as kiosks, mobile apps, and electronic patient portals, to improve the effectiveness of discharge communication. ObjectiveThis study aimed to survey nurse and physician readiness to adopt these tools. MethodsAn electronic, cross-sectional survey was distributed to a convenience sample of currently practicing ED nurses and physicians affiliated with national pediatric research organizations in Canada, Australia, and New Zealand. Survey development was informed by the nonadoption, abandonment, scale-up, spread, sustainability framework. Measures of central tendency, and parametric and nonparametric tests were used to describe and compare nurse and physician responses. ResultsOut of the 270 participants, the majority were physicians (61%, 164/270), female (65%, 176/270), and had 5 or more years of ED experience (76%, 205/270). There were high levels of consensus related to the value proposition of electronic discharge communication tools (EDCTs) with 82% (221/270) of them agreeing that they help parents and patients with comprehension and recall. Lower levels of consensus were observed for organizational factors with only 37% (100/270) agreeing that their staff is equipped to handle challenges with communication technologies. Nurses and physicians showed significant differences on 3 out of 21 readiness factors. Compared to physicians, nurses were significantly more likely to report that EDs have a responsibility to integrate EDCTs as part of a modern system (P<.001) and that policies are in place to guide safe and secure electronic communication (P=.02). Physicians were more likely to agree that using an EDCT would change their routine tasks (P=.04). One third (33%, 89/270) of participants indicated that they use or have used EDCT. ConclusionsDespite low levels of uptake, both nurses and physicians in multiple countries view EDCTs as a valuable support to families visiting pediatric ED. Leadership for technology change, unclear impact on workflow, and disparities in digital literacy skills require focused research effort.https://humanfactors.jmir.org/2023/1/e46379 |
| spellingShingle | Janet Curran Lori Wozney Emma Tavender Catherine Wilson Krista C Ritchie Helen Wong Allyson Gallant Mari Somerville Patrick M Archambault Christine Cassidy Mona Jabbour Rebecca Mackay Amy C Plint Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians JMIR Human Factors |
| title | Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians |
| title_full | Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians |
| title_fullStr | Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians |
| title_full_unstemmed | Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians |
| title_short | Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians |
| title_sort | implementing electronic discharge communication tools in pediatric emergency departments multicountry cross sectional readiness survey of nurses and physicians |
| url | https://humanfactors.jmir.org/2023/1/e46379 |
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