Factors affecting front line staff acceptance of telehealth technologies: a mixed-method systematic review
Article first published online: 20 JUN 2013
© 2013 John Wiley & Sons Ltd
Journal of Advanced Nursing
Volume 70, Issue 1, pages 21–33, January 2014
How to Cite
2013) Factors affecting front line staff acceptance of telehealth technologies: a mixed-method systematic review. Journal of Advanced Nursing 70(1), 21–33. doi: 10.1111/jan.12196, , , & (
- Issue published online: 6 DEC 2013
- Article first published online: 20 JUN 2013
- Manuscript Accepted: 25 MAY 2013
- chronic obstructive;
- health services research;
- heart failure;
- pulmonary disease;
- systematic reviews and meta-analyses;
To synthesize qualitative and quantitative evidence of front-line staff acceptance of the use of telehealth technologies for the management of Chronic Obstructive Pulmonary Disease and Chronic Heart Failure.
The implementation of telehealth at scale is a governmental priority in countries including the UK, USA and Canada, but little research has been conducted to analyse the impact of implementation on front-line nursing staff.
Six relevant data bases were searched between 2000–2012.
Mixed-method systematic review including all study designs.
Centre for Reviews and Dissemination approach with thematic analysis and narrative synthesis of results.
Fourteen studies met the review inclusion criteria; 2 quantitative surveys, 2 mixed-method studies and 10 using qualitative methods, including focus groups, interviews, document analysis and observations. Identified factors affecting staff acceptance centred on the negative impact of service change, staff–patient interaction, credibility and autonomy, and technical issues. Studies often contrasted staff and patient perspectives, and data about staff acceptance were collected as part of a wider study, rather than being the focus of data collection, meaning data about staff acceptance were limited.
If telehealth is to be implemented, studies indicate that the lack of acceptance of this new way of working may be a key barrier. However, recommendations have not moved beyond barrier identification to recognizing solutions that might be implemented by front-line staff. Such solutions are imperative if future roll-out of telehealth technologies is to be successfully achieved.