Imaginative construction of care: the nursing professional experience in a remote care service

Abstract

The direction of care delivery goes from the action to the being; a process built from professional experience, which gains special characteristics when the service is delivered by telephone. The goal of this research was to understand the interaction between professionals and users in a remote care service; to do so, a research is presented, using Grounded Theory La construcción imaginativa del cuidado: la experiencia del profesional de enfermería en un servicio de asistencia remotaBrindar cuidados es una cuestión que transcurre desde la acción hasta el ser; un proceso construido desde la experiencia profesional, que cobra características especiales al ser brindado a través del teléfono. El objetivo de este estudio fue comprender la experiencia de interacción de los profesionales y los usuarios en un servicio de asistencia remota; para ello, se presenta una investigación utilizando la metodología de la Teoría Fundamentada y el Interaccionismo Simbólico como referente teórico. La recolección de datos se realizó mediante ocho entrevistas a profesionales que brindan atención telefónica. La comprensión teórica permitió la construcción del modelo teórico de la Construcción Imaginativa del Cuidado, el cual refleja los procesos interaccionales que experiencia el profesional cuando brinda cuidados a través del teléfono. En el modelo se incorporan los fenómenos individuales y sociales, demostrando la vinculación entre sus conceptos y destacando la incertidumbre, la sensibilidad y la responsabilidad del profesional como componentes esenciales de la experiencia.

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

“…In the case of remote patient monitoring (telemonitoring), nurses must be able to process a large quantity of data from the system (eg, vital signs, symptoms) and then use clinical decision skills to respond properly to each patient’s condition [10]. In order to discern cues within the interactions via technological modalities, specific communication skills remain essential, that is, active listening, facilitating conversation, questioning, redirecting, and verifying [11-13]. …”

Nursing care by telehealth: what is the influence of distance on communication?

“…Due to the diversity of ICTs used in telehealth, many researchers have dedicated themselves to assess the impact of these technologies on the providing of health services and to describe the experience of healthcare professionals that use them (8)(9) . Additionally when considering the ever increasing incorporation of these new technologies, an understanding of the communication process in this context can provide evidence to optimize this form of health care (10) . Taking into account the considerations that current studies have raised, telehealth has been described as an important tool for nurses; in terms of communication, it can influence factors such as: time of interaction, satisfaction of the subjects involved in this interaction and limitations related to nonverbal communication.…”

O processo de comunicação na Telenfermagem: revisão integrativa

“…Due to the diversity of ICTs used in Telenursing, many researchers have been devoted to assessing the impact of these technologies in health services and also to describing the experience of nurses that prefer them instead of the communication process (8)(9)(10) . However, considering the growing incorporation of new technologies in health care, the understanding of the communication process in this context can subsidize evidence to improve the care provided to patients (11) in this assistance mode. Thus, the relevance of this integrative review is justified.…”