University of Pennsylvania Health System, Philadelphia, USA.
Am J Crit Care. 2012 Jan;21(1):24-31; quiz 32. doi: 10.4037/ajcc2012801.
Intensive care unit telemedicine is an innovative approach to providing critical care services for a broad geographic area, but its success may depend on acceptance by bedside providers.
To determine critical care nurses' attitudes toward and perceptions about the use of telemedicine in critical care.
A total of 179 nurses in 3 critical care units in 2 university-affiliated academic hospitals that use telemedicine intensivists and nurses were surveyed via the Internet about their practice and perceptions of telemedicine.
Among the 93 respondents (response rate, 52%), 72 worked at least 1 night shift and therefore had experience with the telemedicine unit. Reported contact with the telemedicine unit was relatively infrequent: 31% reported being called by the unit 3 or more times in the preceding 6 months. A total of 44% reported regularly incorporating interventions suggested by the telemedicine staff. A majority (72%) thought that telemedicine increases patients' survival, but fewer thought that telemedicine prevents medical errors (47%) or improves the satisfaction of patients' families (42%). Some respondents thought that telemedicine interrupted work flow (9%), was intrusive (11%), or resulted in a feeling of being spied upon (13%). Most nurses thought that personally knowing the telemedicine physician was important (79%), and nurses were more likely to contact the telemedicine unit if they knew the physician on call (61%).
Practicing bedside nurses with experience in telemedicine generally support its use, but concerns about privacy issues and the desire to personally know the telemedicine physician may hinder broader application of the technology.
重症监护病房远程医疗是为广大地理区域提供重症监护服务的创新方法，但它的成功可能取决于床边提供者的接受程度。
确定重症监护护士对重症监护中使用远程医疗的态度和看法。
通过互联网对 2 所大学附属医院的 3 个重症监护病房的 179 名护士进行了调查，了解他们的实践情况和对远程医疗的看法。
在 93 名应答者中（应答率为 52%），72 人至少上了 1 个夜班，因此有远程医疗单元的经验。与远程医疗单元的联系相对较少：31%的人报告在过去 6 个月中被该单元呼叫了 3 次或以上。共有 44%的人报告定期实施远程医疗工作人员建议的干预措施。大多数（72%）人认为远程医疗增加了患者的存活率，但认为远程医疗可以预防医疗差错（47%）或提高患者家属的满意度（42%）的人较少。一些应答者认为远程医疗会干扰工作流程（9%）、具有侵入性（11%）或导致被监视的感觉（13%）。大多数护士认为亲自认识远程医疗医生很重要（79%），如果知道值班医生，护士更有可能联系远程医疗单元（61%）。
有远程医疗经验的床边护士普遍支持使用远程医疗，但对隐私问题的关注和希望亲自认识远程医疗医生可能会阻碍该技术的更广泛应用。
