Table 3.

Consequences of dealing with barriers experienced by tele-ICU nurses

#	Consequences	Description	# of nurses
1	Additional workload	The tele-ICU RN experiences additional workload.	1
2	Delay in patient care	Care provided to an ICU patient is delayed (e.g., delay in assistance, delay in switching between patients).	1
3	Error	Tele-ICU RN makes error when she deals with multiple ICUs. For example, tele-ICU RN entered information into the wrong patient chart or missed alerts.	1
4	Improved patient care	The care provided to the ICU patient is improved.	1
5	Improved relationship between tele-ICU and ICU	The relationship between the tele-ICU and ICU is improved (e.g., more information provided, experience of RN aids credibility)	5
6	Increased knowledge about patient by tele-ICU	The tele-ICU RN has additional knowledge about the patient, e.g., because of increased communication with the ICU	1
7	No impact on patient care	There is no impact on care provided to the ICU patient	1
8	Poor communication	Communication between the ICU and tele-ICU RN is negatively affected	1
9	Feeling bad	Tele-ICU RN feels bad about her work in the tele-ICU or bad because of lack of acceptance by ICU RN	3
10	Frustrating	Frustration is experienced by the tele-ICU RN.	4
11	Stressful	Stress is experienced by the tele-ICU RN	3
12	Time consuming	The tele-ICU spends more time performing tasks (e.g., finding information, navigating systems, logging in).	1