PMID- 36693080
OWN - NLM
STAT- MEDLINE
DCOM- 20230126
LR  - 20230317
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 18
IP  - 1
DP  - 2023
TI  - Digital transition in rural emergency medicine: Impact of job satisfaction and 
      workload on communication and technology acceptance.
PG  - e0280956
LID - 10.1371/journal.pone.0280956 [doi]
LID - e0280956
AB  - BACKGROUND: Tele-emergency physicians (TEPs) take an increasingly important role 
      in the need-oriented provision of emergency patient care. To improve emergency 
      medicine in rural areas, we set up the project 'Rural|Rescue', which uses TEPs to 
      restructure professional rescue services using information and communication 
      technologies (ICTs) in order to reduce the therapy-free interval. Successful 
      implementation of ICTs relies on user acceptance and knowledge sharing behavior. 
      METHOD: We conducted a factorial design with active knowledge transfer and 
      technology acceptance as a function of work satisfaction (high vs. low), workload 
      (high vs. low) and point in time (prior to vs. after digitalization). Data were 
      collected via machine readable questionnaires issued to 755 persons (411 pre, 344 
      post), of which 304 or 40.3% of these persons responded (194 pre, 115 post). 
      RESULTS: Technology acceptance was higher after the implementation of TEP for 
      nurses but not for other professions, and it was higher when the workload was 
      high. Regarding active communication and knowledge sharing, employees with low 
      work satisfaction are more likely to share their digital knowledge as compared to 
      employees with high work satisfaction. This is an effect of previous knowledge 
      concerning digitalization: After implementing the new technology, work 
      satisfaction increased for the more experienced employees, but not for the less 
      experienced ones. CONCLUSION: Our research illustrates that employees' workload 
      has an impact on the intention of using digital applications. The higher the 
      workload, the more people are willing to use TEPs. Regarding active knowledge 
      sharing, we see that employees with low work satisfaction are more likely to 
      share their digital knowledge compared to employees with high work satisfaction. 
      This might be attributed to the Dunning-Kruger effect. Highly knowledgeable 
      employees initially feel uncertain about the change, which translates into 
      temporarily lower work satisfaction. They feel the urge to fill even small 
      knowledge gaps, which in return leads to higher work satisfaction. Those 
      responsible need to acknowledge that digital change affects their employees' 
      workflow and work satisfaction. During such times, employees need time and 
      support to gather information and knowledge in order to cope with digitally 
      changed tasks.
CI  - Copyright: (c) 2023 Hasebrook et al. This is an open access article distributed 
      under the terms of the Creative Commons Attribution License, which permits 
      unrestricted use, distribution, and reproduction in any medium, provided the 
      original author and source are credited.
FAU - Hasebrook, Joachim P
AU  - Hasebrook JP
AUID- ORCID: 0000-0002-9706-4267
AD  - Steinbeis University, Berlin, Germany.
FAU - Michalak, Leonie
AU  - Michalak L
AD  - Curacon Ltd., Muenster, Germany.
FAU - Kohnen, Dorothea
AU  - Kohnen D
AD  - University Leuven, Leuven, Belgium.
FAU - Metelmann, Bibiana
AU  - Metelmann B
AD  - University Medicine Greifswald, Greifswald, Germany.
FAU - Metelmann, Camilla
AU  - Metelmann C
AD  - University Medicine Greifswald, Greifswald, Germany.
FAU - Brinkrolf, Peter
AU  - Brinkrolf P
AD  - University Medicine Greifswald, Greifswald, Germany.
FAU - Flessa, Steffen
AU  - Flessa S
AD  - University Greifswald, Greifswald, Germany.
FAU - Hahnenkamp, Klaus
AU  - Hahnenkamp K
AD  - University Medicine Greifswald, Greifswald, Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230124
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Humans
MH  - *Workload
MH  - *Job Satisfaction
MH  - Communication
MH  - Surveys and Questionnaires
MH  - Technology
PMC - PMC9873191
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/01/25 06:00
MHDA- 2023/01/27 06:00
PMCR- 2023/01/24
CRDT- 2023/01/24 13:42
PHST- 2022/02/16 00:00 [received]
PHST- 2023/01/11 00:00 [accepted]
PHST- 2023/01/24 13:42 [entrez]
PHST- 2023/01/25 06:00 [pubmed]
PHST- 2023/01/27 06:00 [medline]
PHST- 2023/01/24 00:00 [pmc-release]
AID - PONE-D-22-04801 [pii]
AID - 10.1371/journal.pone.0280956 [doi]
PST - epublish
SO  - PLoS One. 2023 Jan 24;18(1):e0280956. doi: 10.1371/journal.pone.0280956. 
      eCollection 2023.