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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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.