Alisher Agzamov
Department of Anaesthesiology & ICU, KCCC, Kuwait
Title: Does Robotic Physician in ICU Enhance Nurse-Physician Collaboration Satisfaction About ICU Care Decisions?
Biography
Biography: Alisher Agzamov
Abstract
This study used a randomized trial to test whether Robot Physician enhances the nurse-ICU physician collaboration satisfaction about care decisions. ICU physician randomly used either the conventional telephone or the RP-7 robot (In Touch (®) Health, USA) to perform night-time rounding in a surgical ICU. The Collaboration and Satisfaction about ICU Care Decisions (CSACD) survey instrument was used to measure the nurse-physician collaboration. The CSACD scores were compared using the signed-rank test with a significant p value of ≤0.05.
RESULTS: From December 1, 2011 to December 31, 2015, 2000 off-shift nurses submitted 10600 surveys during telephone rounds and 10800 surveys during robot rounds. The median score of surveys during robot rounds was slightly but not significantly higher than telephone rounds (53 versus 50; p=0.3). However, the CSACD score was significantly increased from baseline with robot rounds (91.0 versus 42.0; p >0.01), in comparison with telephone rounds (50.0 versus 43.0; p=0.09). The mediators, including age, working experience, and robot acceptance, were not significantly (p>0.1) correlated with the CSACD score difference (robot versus telephone).
CONCLUSIONS: Robot Physician rounding in the ICU was superior to the telephone in regard to the nurse-physician collaboration and satisfaction about care decision. The working experience and technology acceptance of ICU nurses contribute to the preference of night shift rounding method from the aspect of collaboration with the ICU physician about ICU care decision-making.