Research group Technology, Health & Care, Saxion, University of Applied Sciences, Enschede, Netherlands.
Research group Smart Health, Saxion, University of Applied Sciences, School of Health, Deventer/ Enschede, Netherlands.
BMC Palliat Care. 2022 Nov 30;21(1):213. doi: 10.1186/s12904-022-01100-5.
Interdisciplinary collaboration between healthcare providers with regard to consultation, transfer and advice in terminal care is both important and challenging. The use of video communication in terminal care is low while in first-line healthcare it has the potential to improve quality of care, as it allows healthcare providers to assess the clinical situation in real time and determine collectively what care is needed. The aim of the present study is to explore the intention to use video communication by healthcare providers in interprofessional terminal care and predictors herein.
In this cross-sectional study, an online survey was used to explore the intention to use video communication. The survey was sent to first-line healthcare providers involved in terminal care (at home, in hospices and/ or nursing homes) and consisted of 39 questions regarding demographics, experience with video communication and constructs of intention to use (i.e. Outcome expectancy, Effort expectancy, Attitude, Social influence, Facilitating conditions, Anxiety, Self-efficacy and Personal innovativeness) based on the Unified Theory of Acceptance and Use of Technology and Diffusion of Innovation Theory. Descriptive statistics were used to analyze demographics and experiences with video communication. A multiple linear regression analysis was performed to give insight in the intention to use video communication and predictors herein.
90 respondents were included in the analysis.65 (72%) respondents had experience with video communication within their profession, although only 15 respondents (17%) used it in terminal care. In general, healthcare providers intended to use video communication in terminal care (Mean (M) = 3.6; Standard Deviation (SD) = .88). The regression model was significant (F = 9.809, p-value<.001) and explained 44% of the variance in intention to use video communication, with 'Outcome expectancy' (beta .420, p < .001) and 'Social influence' (beta .266, p = .004) as significant predictors.
Healthcare providers have in general the intention to use video communication in interprofessional terminal care. However, their actual use in terminal care is low. 'Outcome expectancy' and 'Social influence' seem to be important predictors for intention to use video communication. This implicates the importance of informing healthcare providers, and their colleagues and significant others, about the usefulness and efficiency of video communication.
医疗保健提供者之间在终端护理方面进行咨询、转介和建议方面的跨学科合作既重要又具有挑战性。在终端护理中使用视频通信的情况很少，而在一线医疗保健中，它有可能提高护理质量，因为它允许医疗保健提供者实时评估临床情况，并共同确定需要何种护理。本研究的目的是探讨跨专业终端护理中医疗保健提供者使用视频通信的意愿及其内在预测因素。
在这项横断面研究中，我们使用在线调查来探讨使用视频通信的意愿。该调查发送给参与终端护理的一线医疗保健提供者（在家中、临终关怀机构和/或疗养院），共包含 39 个问题，涉及人口统计学、视频通信经验以及使用意愿的构建（即结果预期、努力预期、态度、社会影响、便利条件、焦虑、自我效能和个人创新性），这些构建基于统一接受和使用技术理论和创新扩散理论。使用描述性统计来分析人口统计学和视频通信经验。进行多元线性回归分析，以深入了解使用视频通信的意愿及其内在预测因素。
90 名受访者被纳入分析。65 名（72%）受访者在其专业领域有视频通信经验，尽管只有 15 名受访者（17%）在终端护理中使用过视频通信。总的来说，医疗保健提供者打算在终端护理中使用视频通信（平均值（M）=3.6；标准差（SD）=0.88）。回归模型具有统计学意义（F=9.809，p 值<.001），解释了视频通信使用意愿的 44%的方差，其中“结果预期”（β=0.420，p<.001）和“社会影响”（β=0.266，p=.004）是显著的预测因素。
医疗保健提供者总体上有在跨专业终端护理中使用视频通信的意愿。然而，他们在终端护理中的实际使用情况很低。“结果预期”和“社会影响”似乎是使用视频通信意愿的重要预测因素。这意味着必须告知医疗保健提供者及其同事和重要他人视频通信的有用性和效率。
