Communication in the tele-ICU

Abstract

Objective: To systematically describe communication between tele-ICU (Intensive Care Unit) nurses and bedside nurses in multiple ICUs, the strengths and weaknesses of communication in the tele-ICU and possible solutions for improving communication. Background: Nurses in tele-ICUs function in virtual teams whose configuration and membership is constantly and rapidly changing. This research examines communication and technological support for communication in the multiple virtual teams formed by tele-ICU nurses and ICU nurses. Methods: A case study research approach using mixed data collection methods. One tele-ICU that monitors 16 ICUs in 12 hospitals across the US participated in this study. Results: Tele-ICU nurses spend 26% of their time in communication-related activities. Fifteen percent of tele-ICU nurses surveyed reported getting incorrect information from ICU nurses and 40% reported that they are not informed in a timely manner about a change in patient status. Frequency of communication between tele-ICU and ICU nurses depends on several factors such as time of day and intensivist coverage in the ICU. Tele-ICU nurses develop and employ unique strategies for communicating with ICU nurses. Conclusion: Tele-ICU nurses use many approaches and techniques when communicating with multiple ICUs. Additional research needs to generalize these findings.