AI Article Synopsis

  • - This study investigates the factors influencing the adoption of a virtual reality tool for pain management in a Swiss university hospital's emergency department, emphasizing the need to balance effective treatment with the practicalities of clinical application.
  • - Key facilitators for adoption identified include supportive organizational environment, ease of use and clarity of benefits, and engagement from healthcare employees, while barriers consist of increased workloads, disruptions to current clinical practices, and reimbursement issues.
  • - The findings suggest that despite a strong desire for improved pain management solutions, successful integration of VR tools hinges on fostering a conducive organizational culture and addressing reimbursement challenges.

Article Abstract

Background: Pain and its adequate treatment are an issue in hospitals and emergency departments (EDs). A virtual reality (VR) tool to manage pain could act as a valuable complement to common pharmaceutical analgesics. While efficacy could be shown in previous studies, this does not assure clinical adoption in EDs.

Objective: The main aim of this study was to investigate which factors affect the adoption and potential reimbursement of a VR tool for pain management in the ED of a Swiss university hospital.

Methods: Key informant interviews were conducted using in-depth semistructured interviews with 11 participants reflecting the perspectives of all the relevant stakeholder groups, including physicians, nurses, patients, health technology providers, and health insurance and reimbursement experts. The interviews were recorded and transcribed, and the extracted data were systematically analyzed using a thematic analysis and narrative synthesis of emergent themes. A consolidated framework for eHealth adoption was used to enable a systematic investigation of the topic and help determine which adoption factors are considered as facilitators or barriers or as not particularly relevant for the tool subject of this study.

Results: According to the participants, the three key facilitators are (1) organizational environment; (2) tension for change, ease of use, and demonstrability; and (3) employee engagement. Further, the three key barriers to adoption are (1) workload, (2) changes in clinical workflow and habit, and (3) reimbursement.

Conclusions: This study concludes that the adoption of a VR tool for pain management in the ED of the hospital subject of this study, although benefiting from a high tension for change in pain and workload management, is highly dependent on the respective organizational environment, engagement of the clinical staff, and reimbursement considerations. While tailored incentive structures and ambassador roles could benefit initial adoption, a change in the reimbursement landscape and further investigation of the positive effects on workflow effectiveness are required to drive long-term adoption.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634046PMC
http://dx.doi.org/10.2196/59073DOI Listing

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