TY - JOUR
T1 - Health Care Professionals’ Perspectives Before and After Use of eDialogue for Team-Based Digital Communication Across Settings: Qualitative Study
AU - Jensen, Lili Worre Høpfner
AU - Rahbek, Ole
AU - Kildahl Lauritsen, Rikke Emilie
AU - Kold, Søren Vedding
AU - Dinesen, Birthe
N1 - ©Lili Worre Høpfner Jensen, Ole Rahbek, Rikke Emilie Kildahl Lauritsen, Søren Kold, Birthe Dinesen. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 08.03.2024.
PY - 2024/3/8
Y1 - 2024/3/8
N2 - BACKGROUND: Orthopedic surgical treatment is a transversal task that requires the active involvement of patients, relatives, and health care professionals (HCPs) across various settings. However, after hospital discharge, communication is challenged and undertaken primarily by phone. New digital communication solutions have the potential to create a space for seamless and patient-centered dialogue across discipline and sector boundaries. When evaluating new communication solutions, knowledge about HCPs' needs and perspectives of use must be explored, as it is they who are responsible for implementing changes in practice.OBJECTIVE: This study aimed to (1) investigate HCPs' perceptions of current communication pathways (phase 1) and (2) explore their experiences of using a simple messenger-like solution (eDialogue) for team-based digital communication across settings (phase 2).METHODS: We used a triangulation of qualitative data collection techniques, including document analysis, observations, focus groups, and individual interviews of HCPs before (n=28) and after (n=12) their use of eDialogue. Data collection and analysis were inspired by the Consolidated Framework for Implementation Research (CFIR) to specifically understand facilitators and barriers to implementation as perceived by HCPs.RESULTS: HCPs perceive current communication pathways as insufficient for both patients and themselves. Phone calls are disruptive, and there is a lack of direct communication modalities when communication crosses sector boundaries. HCPs experienced the use of eDialogue as a quick and easy way for timely interdisciplinary interaction with patients and other HCPs across settings; however, concerns were raised about time consumption.CONCLUSIONS: eDialogue can provide needed support for interdisciplinary and cross-sectoral patient-centered communication. However, future studies of this solution should address its impact and the use of resources.
AB - BACKGROUND: Orthopedic surgical treatment is a transversal task that requires the active involvement of patients, relatives, and health care professionals (HCPs) across various settings. However, after hospital discharge, communication is challenged and undertaken primarily by phone. New digital communication solutions have the potential to create a space for seamless and patient-centered dialogue across discipline and sector boundaries. When evaluating new communication solutions, knowledge about HCPs' needs and perspectives of use must be explored, as it is they who are responsible for implementing changes in practice.OBJECTIVE: This study aimed to (1) investigate HCPs' perceptions of current communication pathways (phase 1) and (2) explore their experiences of using a simple messenger-like solution (eDialogue) for team-based digital communication across settings (phase 2).METHODS: We used a triangulation of qualitative data collection techniques, including document analysis, observations, focus groups, and individual interviews of HCPs before (n=28) and after (n=12) their use of eDialogue. Data collection and analysis were inspired by the Consolidated Framework for Implementation Research (CFIR) to specifically understand facilitators and barriers to implementation as perceived by HCPs.RESULTS: HCPs perceive current communication pathways as insufficient for both patients and themselves. Phone calls are disruptive, and there is a lack of direct communication modalities when communication crosses sector boundaries. HCPs experienced the use of eDialogue as a quick and easy way for timely interdisciplinary interaction with patients and other HCPs across settings; however, concerns were raised about time consumption.CONCLUSIONS: eDialogue can provide needed support for interdisciplinary and cross-sectoral patient-centered communication. However, future studies of this solution should address its impact and the use of resources.
KW - CFIR
KW - Consolidated Framework for Implementation Research
KW - digital communication
KW - hospital discharge
KW - implementation science
KW - interdisciplinary communication
KW - orthopedic surgery
KW - patient-provider communication
KW - postoperative care
KW - qualitative research
KW - text messaging
KW - Humans
KW - Focus Groups
KW - Health Personnel
KW - Document Analysis
KW - Qualitative Research
KW - Communication
UR - http://www.scopus.com/inward/record.url?scp=85192099915&partnerID=8YFLogxK
U2 - 10.2196/53391
DO - 10.2196/53391
M3 - Journal article
C2 - 38457798
SN - 2292-9495
VL - 11
JO - JMIR Human Factors
JF - JMIR Human Factors
IS - 1
M1 - e53391
ER -