Competencies required for nursing telehealth activities: A Delphi-study

Houwelingen, Thijs van; Moerman, A.H.; Ettema, Roelof; Kort, Helianthe; Cate, Olle ten

doi:10.1016/j.nedt.2015.12.025

Cited by 205 publications

(188 citation statements)

References 15 publications

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“…This finding may indicate that written eCommunication is not necessarily a reduced form of face‐to‐face communication, but offers an entirely different vehicle for communication with its own unique advantages and limitations. Therefore, our findings support the findings of previous study reporting that there is a need to improve communication skills in written texts (Björk et al, ; van Houwelingen, Moerman, Ettema, Kort, & Cate, ) and that educational efforts to include written eCommunication in the nurse students curricula should be prioritized, as it is likely that text‐based consultations will expand in the future (Booth, ). Healthcare professionals and clinical educators could be a key conduit for stimulating change and increasing the focus on eCommunication.…”

Section: Discussionsupporting

confidence: 90%

“…This small exploratory study has a qualitative design with an Interpretive Description (ID) methodology (Thorne, 2016), which is a qualitative research strategy developed for the purpose of advancing knowledge in the applied disciplines. As ID is particularly relevant to questions arising from daily clinical practice and for developing new knowledge and insight about clinically topic that may generate changes in health care, the methodology was ideally suited to this study.…”

Section: Design/methodsmentioning

confidence: 99%

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Reconfiguring clinical communication in the electronic counselling context: The nuances of disruption

et al. 2018

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Aim This study expands on an earlier study about diabetes nurses’ experiences of the Guided Self‐Determination intervention in face‐to‐face consultations among people with type 2 diabetes. This current study investigates Guided Self‐Determination in an electronic format with the aim to explore what can be learned about the written form for health communication from the perspectives of diabetes nurses in primary care. Design The study has an explorative, qualitative design. Method Four diabetes nurses were individually interviewed after completing the electronic intervention. The analysis was guided by Interpretive Description. Results Small sample size apart, the rich empirical data and quality of dialogue point to the interviewees’ earlier contact, comfort and trust with the researcher. The written electronic communication could disrupt nurses’ possibilities for using basic and advanced communication skills. Findings also indicate that written electronic communication can foster thoughtful responses to patients and increase possibilities for a transparent counselling delivery process.

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Section: Discussionsupporting

confidence: 90%

Section: Design/methodsmentioning

confidence: 99%

Reconfiguring clinical communication in the electronic counselling context: The nuances of disruption

et al. 2018

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“…Some authors have described many of the desirable technology skills for clinicians as "not novel" (12), at least with regard to their profession of focus (i.e., nursing), while others suggest that what telehealth providers need is a "new skill mix" (11). We find merit in both contentions.…”

Section: Proposed Key Technology Competencies For Cliniciansmentioning

confidence: 99%

A model for mHealth skills training for clinicians: meeting the future now

Slovensky

Malvey²,

Neigel³

2017

mHealth

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The impetus for this paper is to bring to the foreground a discussion of the potential for a new model for mHealth skills training for clinicians. The use of mHealth in diagnosing and treating patients is a relatively recent phenomenon, and there is scant evidence of curricula changes to reflect the challenges of integrating mHealth skills into training programs. Too often educational institutions assume that clinicians will either acquire mHealth skills on the job or assume that as digital natives, the students have grown up along with technology and can easily facilitate the transition to professional practice with mobile technologies. However, mHealth is a major technological phenomenon that deserves significant educational reformation and consideration in medical curricula. The need for a new modelChange is rapid and ubiquitous in healthcare and nowhere is this more evident than in deployment of mHealth products and services. This technology-centric industry movement has been described as "a natural, inevitable and necessary evolution" (1) from the expected "point of care" occurring in the clinician's physical location. Medical professionals are increasingly connecting with patients via email, telephone, and webcam, and using these same tools to consult with each other electronically. Moreover, mHealth and related technologies extend the boundaries of healthcare beyond the walls of the physical facility allowing medical professionals to provide quality healthcare services in places that previously were unreachable. For example, doctors without borders located in Niger, Sudan and elsewhere report using the Internet to engage a network of almost 300 experts around the world for assistance with the toughest of clinical cases (2).A

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“…Furthermore, nurses should be able to demonstrate basic competencies when dealing with information systems such as basic familiarity with the use of computers, computer software applications for creating and sharing professional documents, and electronic communication tools. [10,[34][35][36][37] The findings showed that nurses highly perceived that data entered into the EHR system were important for caring their patients. They perceived the EHR system as congruent with their work routine, easy-to-use and easy-to-learn.…”

Section: Discussionmentioning

confidence: 99%

“…Contemporary nursing curricula address the need to prepare future nurses with basics of information technologies. [10,[34][35][36][37] …”

Section: Implications and Recommendationsmentioning

confidence: 99%

Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

Raddaha

2017

CNS

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Objective: Little and inconclusive knowledge is known about nurses' perceptions toward electronic health record (EHR) systems and how nurses role performance has been affected after using such systems. This study assessed the relationships between nurses' sociodemographic characteristics, history and pattern of computer technology use, and perceptions toward the EHR system with their perceptions regarding improvement of clinical nursing performance after using the system. Predictors of nurses' perception regarding the effect of the EHR system on improving their clinical nursing performance were delineated. Methods: Descriptive correlational design was used. A standardized self-administered questionnaire was used to collect data from nurses working at a governmental teaching hospital in Muscat, Oman. Nurses were selected randomly from a sampling frame, which consisted of a comprehensive list of employment numbers of nurses at the hospital. Results: With a response rate of 84.5%, 169 nurses returned completed questionnaires. The majority had highly positive perceptions toward the EHR system. A weakly negative correlation was observed between perceiving that EHR system is improving work performance with increasing level of academic nursing education (rho = 0.17, p = .02). Nurses who reported that it was easy to know how to request a test, record etc. using the EHR system [OR: 3.89 (95% CI: 1.54, 9.87), p < .01] were more likely perceive the EHR system as an improver to their clinical nursing performance. While, nurses who had completed at least baccalaureate nursing education [OR: 0.41 (95% CI: 0.19, 0.89), p = .02] were less likely to perceive the EHR system had improved their performance. Conclusions: Nurses should be able to demonstrate basic nursing informatics competencies when dealing with computers and software applications used in healthcare settings. Future qualitative studies are encouraged to explore the lived experiences of nurses, in order to develop better understanding to the impact of the EHR system on nursing practice.

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Competencies required for nursing telehealth activities: A Delphi-study

Cited by 205 publications

References 15 publications

Reconfiguring clinical communication in the electronic counselling context: The nuances of disruption

Reconfiguring clinical communication in the electronic counselling context: The nuances of disruption

A model for mHealth skills training for clinicians: meeting the future now

Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement

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