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Title: Nurses’ acceptance and readiness to use Telehealth in Scotland
Author: Cund, Audrey
ISNI:       0000 0004 7659 3295
Awarding Body: University of the West of Scotland
Current Institution: University of the West of Scotland
Date of Award: 2018
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Multiple studies have examined the issue of acceptance and technology adoption in health services around the world. Nurses have been identified as being slow to accept the use of Telehealth in their job roles. This mixed methods study examines the factors that influence nurses’ decision to accept and use Telehealth in Scotland. Methods Two sequential study stages were designed to examine nurses’ acceptance and experience of using Telehealth. The UTUAT model was adapted for use in this study and the first stage involved surveying a convenience sample of pre-registration and post-qualified nurses (n=1,800) across five Scottish Universities. A case study design involving 10 participants was then utilised to explore the nurses’ use of Telehealth. Ethical approval was granted by five Scottish Universities. Results 772 pre-registration and post-qualified nurses undertook the survey accounting for a 48% response rate. 78% were pre-registration and 22% post-qualified. Participants were drawn from all areas of clinical practice and health board regions of Scotland. Performance Expectancy, Effort Expectancy, Social Influence and Facilitating Conditions were found to be predictors of intention to use Telehealth. Gender was not found to be a moderating variable in this study. Nurses are accepting of Telehealth however, their experience of using Telehealth is limited across Scotland. This relates to limited educational preparation and Telehealth not being widely used in many areas of healthcare. Nurses identify the need to develop their technology skills and how to use smart phones. The case study expanded on the constructs of the UTAUT and described Telehealth use by participants. Telehealth is viewed as an add on to nursing practice and involves changing the relationship between the nurse and patient. Conclusions This original study provides insight into the factors that influence nurses’ acceptance of Telehealth. Limited exposure and lack of preparation in clinical areas appears to be impacting on nurses’ developing and maintaining Telehealth skills. This study concludes that nurses are undergoing a period of transition in terms of adapting to the drive to be using more technology in the management of patient care. This is an optimal time to research nurses’ confidence to use Telehealth and perceptions of their role support, role adequacy and role legitimacy.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available