Searching for Barriers to Adoption of the Videophone in a Hospice Setting

Hospice services care for millions of Americans at the end of their life. To improve this care, videophones have been introduced. However, the use of videophones is often not readily accepted by hospice nurses. This study used three theories, surveys, and focus groups with 25 hospice employees to investigate why there was a lack of acceptance. The survey predicted the videophones would be adopted. However, this was not the case, so focus groups were conducted to expand understanding of nonacceptance. This research demonstrates that leadership, context, and perceptions of the technology were key features effecting videophone acceptance. Future research should further examine these barriers and address the need for new survey instruments regarding nonutilization in this context.