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Information Management in the Daily Care Coordination in the Intensive Care Unit

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Building Sustainable Health Ecosystems (WIS 2016)

Abstract

This study aimed to explore intensive care shift leaders’ daily care coordination related information needs and sources of important information. Information needs were explored with a survey and sources of important information were determined through interviews. The survey response rate was 21 % (n = 20) and nine shift leaders were interviewed. The findings are that charge nurses and physicians in charge have different responsibilities and differing information needs, though, some managerial activities and information needs are shared. Shift leaders use numerous sources to obtain necessary information to support decision-making. Sources were categorized into electronic sources, human sources, manual sources and real-time events. Further, information was located within or outside the ICU or based on the shift leader’s knowledge. Information systems should be developed based on shift leaders’ information needs regardless of the source to support daily care coordination related decision-making. Shift leaders could further benefit from a real-time hospital-wide shared situational awareness.

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References

  1. Moreno, R.P., Singer, B., Rhodes, A.: What is an ICU? In: Flaatten, H., Moreno, R.P., Putensen, C., Rhodes, A. (eds.) Organisation and Management of Intensive Care, pp. 7–14. Medizinisch Wissenschaftliche Verlagsgesellschaft, Berlin (2010)

    Google Scholar 

  2. Winter, A.F., Ammenwerth, E., Bott, O.J., Brigl, B., Buchauer, A., Gräber, S., Grant, A., Häber, A., Hasselbring, W., Haux, R., Heinrich, A., Janssen, H., Kock, I., Penger, O.S., Prokosch, H.U., Terstappen, A., Winter, A.: Strategic information management plans: the basis for systematic information management in hospitals. Int. J. Med. Inform. 64(2–3), 99–109 (2001)

    Article  Google Scholar 

  3. Winter, A., Haux, R., Ammenwerth, E., Brigl, B., Hellrung, N., Jahn, F.: Health Information Systems: Architectures and Strategies, 2nd edn. Springer, New York (2011)

    Book  Google Scholar 

  4. Murtola, L.-M., Lundgrén-Laine, H., Salanterä, S.: Information systems in hospitals: a review article from a nursing management perspective. IJNVO 13(1), 81–100 (2013)

    Article  Google Scholar 

  5. McDonald, K.M., Sundaram, V., Bravata, D.M., Lewis, R., Lin, N., Kraft, S., McKinnon, M., Paguntalan, H., Owens, D.K.: Care coordination. In: Shojania, K.G., McDonald, K.M., Wachter, R.M., Owens, D.K. (eds.) Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, vol. 7. Technical Review 9 (Prepared by the Stanford University-UCSF Evidence-based Practice Center under contract 290-02-0017). AHRQ Publication No. 04(07)-0051-7. Agency for Healthcare Research and Quality, Rockville (2007)

    Google Scholar 

  6. Lundgrén-Laine, H., Salanterä, S.: Think-aloud technique and protocol analysis in clinical decision-making research. QHR 20(4), 565–575 (2010)

    Google Scholar 

  7. Lundgrén-Laine, H., Kontio, E., Perttilä, J., Korvenranta, H., Forsström, J., Salanterä, S.: Managing daily intensive care activities: an observational study concerning ad hoc decision making of charge nurses and intensivists. Nurs. Crit. Care. 15(4), R188 (2011)

    Google Scholar 

  8. Lundgrén-Laine, H., Suominen, H., Kontio, E., Salanterä, S.: Intensive care admission and discharge-critical decision-making points. Stud. Health Technol. Inform. 146, 358–361 (2009)

    Google Scholar 

  9. Lundgrén-Laine, H., Kontio, E., Kauko, T., Korvenranta, H., Forsström, J., Salanterä, S.: National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. BMC Med. Inform. Decis. Mak. 13, 15 (2013)

    Article  Google Scholar 

  10. Miller, A., Weinger, M.B., Buerhaus, P., Dietrich, M.S.: Care coordination in intensive care units: communicating across information spaces. Hum. Factors 52(2), 147–161 (2010)

    Article  Google Scholar 

  11. Rischbieth, A.: Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. JNM 14, 379–404 (2006)

    Google Scholar 

  12. Eschiti, V., Hamilton, P.: Off-peak nurse staffing: critical-care nurses speak. DCCN 30(1), 62–69 (2011)

    Google Scholar 

  13. Miller, A., Scheinkestel, C., Joseph, M.: Coordination and continuity of intensive care unit patient care. Hum. Factors: J. Hum. Factors Ergon. Soc. 51(3), 354–367 (2009)

    Article  Google Scholar 

  14. Lundgrén-Laine, H., Kalafati, M., Kontio, E., Kauko, T., Salanterä, S.: Crucial information needs of ICU charge nurses in Finland and Greece. Nurs. Crit. Care 18(3), 142–153 (2013)

    Article  Google Scholar 

  15. Wilson, T.D.: On user studies and information needs. J. Doc. 37(1), 3–15 (1981)

    Article  Google Scholar 

  16. Connelly, L.M., Yoder, L.H., Miner-Williams, D.: A qualitative study of charge nurse competencies. Medsurg. Nurs. 12(5), 298–306 (2003)

    Google Scholar 

  17. Gurses, A.P., Xiao, Y., Hu, P.: User designed information tools to support communication and care coordination in a trauma hospital. J. Biomed. Inform. 42, 667–677 (2009)

    Article  Google Scholar 

  18. Carayon, P., Wetterneck, T.B., Alyousef, B., Brown, R.L., Cartmill, R.S., McGuire, K., Hoonakker, P.L., Slagle, J., Van Roy, K.S., Walker, J.M., Weinger, M.B., Xie, A., Wood, K.E.: Impact of electronic health record technology on the work and workflow of physicians in the intensive care unit. Int. J. Med. Inform. 84(8), 578–594 (2015)

    Article  Google Scholar 

  19. Reddy, M., Pratt, W., Dourish, P., Shabot, M.: Asking questions: information needs in a surgical intensive care unit. In: Proceedings of AMIA Fall Symposium (AMIA 2002), San Antonio, TX, pp. 651–655 (2002)

    Google Scholar 

  20. Gorman, P., Ash, J., Lavelle, M., Lyman, J., Delcambre, L., Maier, D., Weaver, M., Bowers, S.: Bundles in the wild: managing information to solve problems and maintain situation awareness. Libr. Trends 49(2), 266–289 (2000)

    Google Scholar 

  21. Miller, A., Scheinkestel, C., Steele, C.: The effects of clinical information on physicians and nurses’ decision–making in ICU´s. Appl. Ergon. 40, 753–761 (2009)

    Article  Google Scholar 

  22. Feblowitz, J.C., Wright, A., Singh, H., Samal, L., Sittig, D.F.: Summarisation of clinical information: a conceptual model. J. Biomed. Inform. 44(4), 688–699 (2011)

    Article  Google Scholar 

  23. Valentin, A., Ferdinande, P.: ESICM working group on quality improvement. recommendations on basic requirements for intensive care units: structural and organizational aspects. Intensive Care Med. 37(10), 1575–1587 (2011)

    Article  Google Scholar 

  24. Burns, N., Grove, S.K.: The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence, 6th edn. Saunders Elsevier, St. Louis (2009)

    Google Scholar 

  25. Graneheim, U.H., Lundman, B.: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ. Today 24(2), 105–112 (2004)

    Article  Google Scholar 

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Acknowledgements

This study was supported by The Finnish Work Environment Fund [grant number 114249].

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Correspondence to Laura-Maria Peltonen .

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Peltonen, LM., Lundgrén-Laine, H., Salanterä, S. (2016). Information Management in the Daily Care Coordination in the Intensive Care Unit. In: Li, H., Nykänen, P., Suomi, R., Wickramasinghe, N., Widén, G., Zhan, M. (eds) Building Sustainable Health Ecosystems. WIS 2016. Communications in Computer and Information Science, vol 636. Springer, Cham. https://doi.org/10.1007/978-3-319-44672-1_19

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  • DOI: https://doi.org/10.1007/978-3-319-44672-1_19

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