Effect of Telestroke on Emergent Stroke Care and Stroke Outcomes

Bladin, Christopher; Cadilhac, Dominique A.

doi:10.1161/strokeaha.114.003825

Cited by 57 publications

(44 citation statements)

References 43 publications

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“…This issue is seen as advantageous by all healthcare professionals, since telehealth ensures patients access to care, which previously was not possible by other means. This finding corroborates previous studies showing that technology in healthcare has enabled specialized treatments for patients without quick and easy access to hospitals or when treatment of a disease demands immediate action (13)(14) . Listing the reasons why distance communication may be more difficult, healthcare professionals declared that distance complicates the communication process because it is more difficult to convey confidence when using technology due to the absence of physical contact, differences in interpersonal interaction and even the difficulty in validating what is being said; which is a key element in the communication process.…”

Section: Discussionsupporting

confidence: 91%

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

Barbosa

Silva

2017

Rev. Bras. Enferm.

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Objective: Evaluate the perception of nurses regarding interpersonal communication while providing care via telehealth. Method: Qualitative research realized with seven nurses working in telehealth in Brazil, the sample was determined by data saturation. A questionnaire with open questions was applied and then content analysis of the dialogues was conducted, focusing on thematic analysis. Results: Four categories emerged from the dialogues: Understanding the importance of communication; the interpersonal relationship interfering with communication; Communicating via technology; and Learning the communication process. Final considerations: The perception of nurses working in telehealth in Brazil is that technology has facilitated their professional practice; however, in relation to the communication process, they believe it is harder to communicate by telehealth, mainly due to diffi culty in perceiving nonverbal signals. To overcome these diffi culties, they agreed that interpersonal communication is a skill that must be acquired during their professional training. Descriptors: Telemedicine; Telenursing; Health Communication; Distance consultation; Nurse-Patient Relations.RESUMO Objetivo: Avaliar a percepção do enfermeiro referente à Comunicação interpessoal no cuidado por telessaúde. Método: Pesquisa qualitativa, realizada com sete enfermeiros que atuam em telessaúde no Brasil, com amostra determinada pela saturação de dados. Aplicou-se um questionário com perguntas abertas e foi realizada análise de conteúdo dos discursos, com enfoque na análise temática. Resultados: Dos discursos emergiram quatro categorias: Entendendo a importância da comunicação; O relacionamento interpessoal interferindo na comunicação; Comunicando-se por meio da tecnologia; e Aprendendo o processo de comunicação. Considerações fi nais: A percepção dos enfermeiros que atuam em telessaúde no Brasil é de que a tecnologia tem facilitado sua prática profi ssional; porém, em relação ao processo de comunicação, creem que seja mais difícil se comunicar pela telessaúde, principalmente devido à difi culdade de percepção de sinais não verbais. Para superar essas difi culdades, concordam que comunicação interpessoal é uma competência que deve ser adquirida em sua formação profi ssional. Descritores: Telemedicina; Telenfermagem; Comunicação em Saúde; Consulta Remota; Relações Enfermeiro-Paciente. RESUMEN Objetivo: Evaluar la percepción del enfermero respecto de la Comunicación interpersonal en la atención por telesalud. Método: Investigación cualitativa, realizada con siete enfermeros que actúan en telesalud en Brasil, con muestra determinada por saturación de datos. Se aplicó cuestionario con preguntas abiertas, se realzó análisis de contenido de los discursos, con enfoque en análisis temático. Resultados: De los discursos surgieron cuatro categorías: Entendiendo la importancia de la comunicación; Relación interpersonal interfi riendo en la comunicación; Comunicándose mediante la tecnología; y Aprendiendo el proceso de comunicación. Considera...

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Section: Discussionsupporting

confidence: 91%

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

Barbosa

Silva

2017

Rev. Bras. Enferm.

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“…The original publication of the "Save a minute -save a day" model lead to a significant media exposure including sources like Bloomberg ( Gale, 2014 ), The Times ( Whipple, 2014 ), Reuters ( Seaman, 2014 ), andHerald Sun (2014) . American Heart and Stroke associations produced an infographics encapsulating the findings for the consumers ( American Heart Association/American Stroke Association, 2014 ), The model's findings are also used by the Australian National Stroke Foundation and Victorian Stroke Telemedicine Initiative (State of Victoria, Australia) to advocate for wider use of stroke thrombolysis telemedicine in remote an rural areas ( Bladin & Cadilhac, 2014 ). Overall, current levels of the actual model use are quite consistent with the original modeling expectations.…”

Section: Validation Of the Model Applicationmentioning

confidence: 72%

Validation of a decision support model for investigation and improvement in stroke thrombolysis

Keshtkaran

Чурилов

Hearne

et al. 2016

European Journal of Operational Research

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“…[3] In this setting, telemedicine constitutes a solution to improve access to expertise and treatment by expanding the reach of neurologists to persons beyond their own geographic location and shortening time to treatment initiation. [4–6] For this reason, telestroke systems - based on clinical evaluation and analysis of cerebral imaging by an expert stroke center (the hub ) via telecommunication with the patient admitted to the nearest local hospital (the spoke )—have been developed. [7–9] However, studies show that door-to-needle time is longer in “rt-PA capable” spokes than in the hubs mainly due to delays in videoconferencing.…”

Section: Introductionmentioning

confidence: 99%