Using inpatient telehealth for family engagement: A mixed methods study of perceptions from patients, families, and care team providers

TL;DR

A study found that inpatient telehealth improves family engagement in patient care but faces adoption challenges due to low awareness.

Contribution

This study introduces a mixed methods approach to evaluate inpatient telehealth's impact on family engagement from multiple stakeholder perspectives.

Findings

Participants rated inpatient telehealth highly, with family members showing the highest satisfaction.

Three key themes emerged: enhanced relationships, improved care through information sharing, and low program awareness.

Despite positive perceptions, patients and providers reported relatively lower satisfaction with the program.

Abstract

The Inpatient Telehealth Program permits family to remotely communicate with the patient and care team through secure, live video. We aimed to assess the implementation of this program for family engagement from the perspectives of patients, families, and providers.

We used a convergent mixed methods design. The quantitative component was a cross-sectional analysis of surveys assessing patient, family, and provider experience. The qualitative component used thematic analysis of patient, family, and provider interviews plus survey free text responses. We performed memo-writing and coding. We developed hypotheses about relationships among categories and identified analytic themes. We used data transformation and narrative discussion to report the integrated findings.

Surveys from 214 individuals (33 patients, 145 family, 36 providers) were evaluated. Mean (standard deviation) experience ratings (1-poor, 5-best) were 4.0 (1.5) for patients, 4.6 (0.8) for family, and 4.0 (1.4) for providers. We received 134 free text responses and conducted 21 interviews. Three themes emerged: (1) inpatient telehealth enhanced patient and family experience through strengthened relationships and increased support; (2) inpatient telehealth enhanced patient care through improved information sharing and engagement; (3) low awareness of the program limited adoption. Quantitative and qualitative data aligned in that participants perceived inpatient telehealth to be valuable; however, surveys revealed that patients and providers have relatively lower satisfaction with the program.

Inpatient telehealth for family engagement was perceived to improve family-centeredness of care. Future work is needed to overcome implementation challenges and to increase awareness of this resource among patients and families.

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