FEATURE ARTICLEThe Role of Nurses in Installing Telehealth Technology in the HomeSTARREN, JUSTIN MD, PhD; TSAI, CHRISTOPHER MD; BAKKEN, SUZANNE DNSc, RN; AIDALA, ANGELA PhD; MORIN, PHILIP C. MS; HILLIMAN, CHARLYN MPA; WEINSTOCK, RUTH S. MD, PhD; GOLAND, ROBIN MD; TERESI, JEANNE EdD, PhD; SHEA, STEVEN MDFOR THE IDEATel CONSORTIUMAuthor Information Columbia University, New York, NY (Drs Starren, Bakken, Aidala, Goland, and Teresi and Ms Hilliman); Yale-New Haven Hospital, CT (Dr Tsai); Joslin Diabetes Center and Division of Endocrinology, Diabetes and Metabolism, SUNY Upstate Medical University, Syracuse, NY (Mr Morin and Dr Weinstock); VA Medical Center, Syracuse, NY (Dr Weinstock); Naomi Berrie Diabetes Center, New York, NY (Dr Goland); and Hebrew Home for the Aged, Riverdale, NY, and the New York Psychiatric Institute (Dr Teresi). Corresponding author: Justin Starren, MD, PhD, Department of Biomedical Informatics, Columbia University, 622W 168th St, New York, NY 10032 (e-mail: firstname.lastname@example.org). This work was performed primarily at Columbia University in 2000 and 2001 as part of the installation process of the IDEATel project. The subjects were distributed throughout New York State. The work has not been presented at any scientific meetings. This research was supported by Cooperative Agreement Centers for Medicare and Medicaid Services (95-C-90998). *www.ideatel.org/acknowledgement.html CIN: Computers, Informatics, Nursing: July-August 2005 - Volume 23 - Issue 4 - p 181-189 Buy Abstract Home telehealth involves the use of video conferencing or remote monitoring equipment in patients' homes. The installation of hardware and training of patients has historically been performed by nurses, typically RNs. This article examines the experience of RNs as telehealth installers in the Informatics for Diabetes Education and Telemedicine (IDEATel) project, where RNs were responsible for the installation of the Home Telemedicine Units (HTUs) and for training patients in the use of the HTUs, blood pressure cuffs, and fingerstick glucose meters. Average installation and training time was 166 minutes (SD 51 min). Structured interviews with RN installers revealed that patient education and training accounted for roughly two thirds of the in-home time. Technology-related problems, especially those related to telecommunications, were the primary cause of installation difficulties. Thematic analysis of installer interviews identified eight major themes and confirmed the importance of both clinical and technical knowledge during the telehealth installation process. © 2005 Lippincott Williams & Wilkins, Inc.