Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis

Speyer, Renée; Denman, Deborah; Wilkes‐Gillan, Sarah; Chen, Yu Wei; Bogaardt, Hans; Kim, Jae-Hyun; Heckathorn, Dani-Ella; Cordier, Reinie

doi:10.2340/16501977-2297

Cited by 164 publications

(112 citation statements)

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“…Telemedicine solutions can be beneficial for different stakeholders at different levels and from different perspectives [ 1 - 3 ]. Through telemedicine, access to health care for all can be possible as the participants are not bound to a specific place, and care can be provided for patients who struggle to physically visit health care premises, for example, because they live far away or are not strong enough to travel.…”

Section: Introductionmentioning

confidence: 99%

“…One telemedicine solution is video-mediated meetings or consultations (hereafter called video visits) between patients (including relatives) and clinicians, which introduce a new way of conducting such meetings. Video visits can be as effective as face-to-face interventions [ 3 ], and they appear to be safe and convenient in outpatient care, but there are complex challenges related to their adoption by clinicians [ 5 ]. Implementing telemedicine changes how work is organized in terms of roles, tasks, and processes [ 5 ], which in turn changes the power relationships between participants and their expectations of each other [ 6 - 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinicians’ Selection Criteria for Video Visits in Outpatient Care: Qualitative Study

Sturesson¹,

Groth²

2018

J Med Internet Res

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BackgroundVideo visits with patients were introduced into outpatient care at a hospital in Sweden. New behaviors and tasks emerged due to changes in roles, work processes, and responsibilities. This study investigates the effects of the digital transformation—in this case, how video visits in outpatient care change work processes and introduce new tasks—to further improve the concept of video visits. The overarching goal was to increase the value of these visits, with a focus on the value of conducting the treatment for the patient.ObjectiveThrough the real-time, social interactional features of preparing for and conducting video visits with patients with obesity, this study examines which patients the clinicians considered suitable for video visits and why. The aim was to identify the criteria used by clinicians when selecting patients for video visits to understand what criteria the clinicians used as the grounds for their selection.MethodsQualitative methods were used, including 13 observations of video visits at 2 different clinics and 14 follow-up interviews with clinicians. Transcripts of interviews and field notes were thematically analyzed, discussed, and synthesized into themes.ResultsFrom the interviews, 20 different arguments for selecting a specific patient for video visits were identified. Analyzing interviews and field notes also revealed unexpressed arguments that played a part in the selection process. The unexpressed arguments, as well as the implicit reasons, for why a patient was given the option of video visits can be understood as the selection criteria for helping clinicians in their decision about whether to offer video visits or not. The criteria identified in the collected data were divided into 3 themes: practicalities, patient ability, and meeting content.ConclusionsNot all patients with obesity undergoing treatment programs should be offered video visits. Patients’ new responsibilities could influence the content of the meeting and the progress of the treatment program. The selection criteria developed and used by the clinicians could be a tool for finding a balance between what the patient wants and what the clinician thinks the patient can manage and achieving good results in the treatment program. The criteria could also reduce the number and severity of disturbances and limitations during the meeting and could be used to communicate the requirements they represent to the patient. Some of the criteria are based on facts, whereas others are subjective. A method for how and when to involve the patient in the selection process is recommended as it may strengthen the patient’s sense of responsibility and the relationship with the clinician.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinicians’ Selection Criteria for Video Visits in Outpatient Care: Qualitative Study

Sturesson¹,

Groth²

2018

J Med Internet Res

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“…There is a solid record of nursing research providing evidence on the comparative effectiveness of telehealth. A systematic review and meta‐analysis synthesized 43 studies comparing telehealth interventions delivered by registered nurses (RNs) and allied health professionals with standard face‐to‐face interventions (Speyer et al, 2018). The research showed that telehealth may be as effective as face‐to‐face.…”

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confidence: 99%

How effective response to COVID‐19 relies on nursing research

Lake

2020

Research in Nursing & Health

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“…The aggregate SQS can be found in the article summaries in tables 3 and 4. There is a lack of consensus on the presentation of Qualsyst scores in systematic reviews, with approaches including the categorisation of studies by their score23 24 (such as high quality, moderate quality, low quality), presentation of a simple percentage score25 26 or the presentation of scores aggregated at the level of individual findings 27. Given this lack of consensus, this review will present scores for both the included studies and the individual findings.…”

Section: Methodsmentioning

confidence: 99%

Palliative and end of life care in prisons: a mixed-methods rapid review of the literature from 2014–2018

McParland

Johnston

2019

BMJ Open

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ObjectivesTo explore current practice in relation to palliative and end of life care in prisons, and to make recommendations for its future provision.DesignA rapid literature review of studies using qualitative, quantitative and mixed-methods, with a narrative synthesis of results.Data sourcesSix databases searched between January 2014 to December 2018: ASSIA, CINAHL, Embase, MEDLINE, National Criminal Justice Reference Service Abstracts and Scopus.Eligibility criteriaPrimary research articles reporting qualitative or quantitative findings about palliative and end of life care in prisons, published in peer-reviewed, English language journals between January 2014 to December 2018.ParticipantsPrisoners, prisoners’ families, prison healthcare staff and other prison staff.Data extraction/synthesisData extracted included: citation, design, aim, setting, sample/population, methods and key findings. Data were analysed thematically then subject to a narrative synthesis in order to answer the research questions.Quality appraisalTwo researchers independently appraised articles using the Qualsyst tool, by Kmet et al (2004). Aggregate summary quality scores are included with findings. Articles were not excluded based on quality appraisal.Results23 articles were included (16 qualitative, 6 quantitative, 1 mixed methods). Top three findings (by prevalence) were: fostering relationships with people both inside and outside of prison is important to prisoners with palliative and end of life care needs, inmate hospice volunteers are able to build and maintain close relationships with the prisoners they care for and the conflicting priorities of care and custody can have a negative impact on the delivery of palliative and end of life care in prisons.ConclusionsThe key findings are: relationships are important to prisoners at the end of life, inmate hospice volunteers can build close bonds with the prisoners in their care and the prison environment and regime conflicts with best practices in palliative and end of life care. Directions for future research are also identified.PROSPERO registration numberPROSPERO ID: CRD42019118737. Registered January 2019.

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Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis

Abstract: Telehealth services may be as effective as face-to-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings.

Cited by 164 publications

References 0 publications

Clinicians’ Selection Criteria for Video Visits in Outpatient Care: Qualitative Study

Clinicians’ Selection Criteria for Video Visits in Outpatient Care: Qualitative Study

How effective response to COVID‐19 relies on nursing research

Palliative and end of life care in prisons: a mixed-methods rapid review of the literature from 2014–2018

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