Understanding impact of inpatient telemedicine on nurses in a rural hospital environment

IF 1.6 4区医学 Q2 NURSING

Collegian Pub Date : 2024-12-01 DOI:10.1016/j.colegn.2024.10.002

Carol Reid , Catherine Church , Viv Jeffery , Ka Chun Tse , Jacque Phillips

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引用次数: 0

Abstract

Background

Virtual health care has increased equity for those living in rural locations. Whilst this care delivery modality has improved access, it remains important to understand the impact on rural nurses who are on-site and support the delivery of virtual patient care.

Question

What are the impacts on nurses when introducing a virtual doctor model of care for the inpatient wards at three sites of a rural health service in Victoria, Australia?

Methods

A purposive sample of nurses (n = 21) from inpatient settings completed surveys at two time points, at model preparation and at implementation. Semistructured interviews with nurses (n = 13) provided in-depth information. Survey data are presented descriptively. Interview transcripts, analysed using the Qualitative Framework Approach, were coded, grouped, and themes interpreted.

Findings

Survey results at preparation showed that 93% felt informed about the introduction of the model of care. At implementation, very good/excellent ratings were given for policy and procedure development (84%), staff communication (83%), and education and training (50%). Themes from interviews on impact for nurses pertained to rural relationships, adapting the inpatient ‘usual’ model, systems and processes, and nurse recognition and identity.

Discussion and conclusion

The impacts on nurse professional practice and their patient care delivery models need early consideration when introducing virtual care in rural health services. Rural nurses are adept at problem solving real-time issues; they value knowledge acquisition and being listened to as professionals. This vital workforce must be fully involved at the planning phase of new rural virtual models.

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了解农村医院住院远程医疗对护士的影响

虚拟卫生保健增加了生活在农村地区的人的公平性。虽然这种护理提供方式改善了可及性，但了解对在现场并支持提供虚拟患者护理的农村护士的影响仍然很重要。问题：在澳大利亚维多利亚州农村卫生服务的三个站点，在住院病房引入虚拟医生的护理模式对护士有什么影响？方法有目的的住院护士样本（n = 21）在模型准备和实施两个时间点完成调查。与护士的半结构化访谈（n = 13）提供了深入的信息。调查数据是描述性的。访谈记录，使用定性框架方法进行分析，编码，分组，并解释主题。调查结果在准备阶段的调查结果显示，93%的人对这种护理模式的引入感到知情。在实施过程中，政策和程序发展（84%）、员工沟通（83%）和教育和培训（50%）被评为非常好/优秀。访谈中关于对护士影响的主题涉及农村关系、调整住院“常规”模式、系统和流程以及护士的认可和身份。讨论与结论在农村卫生服务中引入虚拟医疗时，应尽早考虑虚拟医疗对护士职业实践和患者服务模式的影响。农村护士善于解决实时问题；他们重视知识的获取和专业人士的倾听。在新农村虚拟模式的规划阶段，这些重要的劳动力必须充分参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.