Introduction Neurointerventional radiology (NIR) provides a challenging environment for communication and performance as stakeholders come together from different teams to successfully execute NIR cases. Although success in NIR requires a high level of domain-specific expertise from the team members, there are no nurses, radiology technologists, or operating room technologists dedicated to NIR at our institution, and this arrangement is likely encountered at other hospitals. Such challenges can lead to poor confidence and low satisfaction on the job. In an effort to improve communication and support the performance of our NIR stakeholders, we developed an intranet website based on the Microsoft SharePoint platform. The website provides preference cards, links to relevant articles, device information, policies, case-specific data collection forms, and tracking for areas of improvement. The software was available to us through institutional licensing without additional cost. The website was created by a neurosurgical resident and the NIR clinical coordinator over a period of a month, and is primarily maintained by the clinical coordinator. We assessed the impact of the website on stakeholder job facilitation, self-efficacy, and satisfaction using surveys administered prior to and after the deployment of the site.
Methods We distributed a series of three anonymous internet-based surveys to 60 identified NIR stakeholders immediately prior to the deployment of the website, one month after the deployment, and four months after the deployment. We built our survey based on previously validated survey instruments from the information systems adoption literature. We included two questions on job self-efficacy, three questions on job facilitation, and three questions on job satisfaction, all of which were graded on a five-point Likert scale. Awareness of the website, frequency of website use, and recent NIR case participation were also assessed using self-reported scales. Questions addressing gender, age, and NIR role were optional due to concerns for preserving anonymity of the respondents.
Results The response rates were 52%, 34% and 35% for the pre-deployment, one-month, and four-month surveys, respectively. 77% of active NIR case participants reported recently using the website one month after deployment, and the reported rate of active use increased to 85% at four months. There was a statistically significant improvement in self-efficacy one month after website deployment (p=0.05), while self-rated possession of knowledge and task independence increased by 11% and 17%, respectively, after four months. Job facilitating conditions and job satisfaction also demonstrated statistically significant improvement at four months (p=0.01 and p=0.04, respectively).
Concluion An intranet website for knowledge sharing can be an easily-deployed and inexpensive way to support improvement in job facilitation, self-efficacy, and job satisfaction in NIR. Such a website is likely to be beneficial in other dynamic procedural environments without dedicated staff. The study was limited by lack of controls for other work environment changes, such as staff turn-over, anonymous data collection preventing cross-linking of individual respondents across time, and utilization of self-reported adoption rates.
Disclosures Z. Voronovich: None. A. Montes: None. D. Sorte: None.
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