Users
This domain has two key areas to be considered:
– service users (often called patients), those that care for them
– the healthcare staff who may be using or introducing the technology to the service users
Service users
The beliefs, experiences and needs of service users (and those that care for them) to access and utilise the technology. Some service user factors, such as the accessibility of the technology to the intended population are considered in the Technology domain.
Considers:
- identification of the individual support needs of the intended users so that they can use the technology. This may include (but is not limited to) their digital literacy, any cognitive, language and physical impairments
- how individualised support to access and use the technology can be provided by the clinical service
- the intended user’s beliefs of the usefulness of the rehabilitation technology
- the intended user’s trust in the security of their data provided to the rehabilitation technology
- the intended’s user understanding of the evidence of benefit that the technology can deliver
- the presence of social support to motivate and engage the intended user.
Staff users
The beliefs, experiences and needs of staff users to use the technology as part of their usual practice. This includes five distinct areas:
Resources and planning
Recognition that implementation of technology requires obvious (e.g. funding) and hidden resources (e.g. time) and may require changes in other aspects of service provision.
This includes:
- the time required to implement rehabilitation technologies
- the time and resources need to train users
- the funding required for technology acquisition and maintenance (also considered in the Technology domain)
- the scale and impact of any changes in models of current service provision which would be necessary to implement the rehabilitation technology into routine practice
Willingness to use
The staff users’ motivation and appetite to implement and utilise a new rehabilitation technology as part of every day practice.
Includes:
- staff’s understanding of the evidence underpinning a technology,
- their beliefs about the benefit offered by the technology
- how technology use aligns or conflicts with the professional identity of staff users
- staff users’ confidence to implement and use the technology
- staff interest in technology as part of their practice
- the staff user’s current capacity to embrace change to their daily practice.
Learning and support from other teams/groups within or outside the organisation
Use of learning from others who have implemented or used the technology. This may guide, inspire, advises and can provide an ongoing community of practice
Includes:
- contact with others who have implemented or used the technology and can provide advice or peer support
- opportunity to see technologies being used in similar clinical settings
Training and skills
The training and skills required so that staff are competent and confident to utilise specific technology and to support others to use it.
Includes:
- the provision of informal or formal peer support within the team
- ring-fenced time for training
- the provision of ongoing and regular training updates and training of new starters
