Health Care Professionals’ and Patients’ Management of the Interactional Practices in Telemedicine Videoconferencing: A Conversation Analytic and Discursive Systematic Review

Dalley, D.; Rahman, Rachel; Ivaldi, Antonia

doi:10.1177/1049732320942346

Cited by 24 publications

(28 citation statements)

References 30 publications

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“…Georgia suggests that in order to understand and support the emotional needs of palliative care patients, it is necessary for professionals to be present with the patient. This interpretation is supported by prior research which states that the dynamics observed in a video consultation can differ from a traditional face-to-face consultation, and interactional practices performed by professionals need to be adapted [24,25]. Therefore, it is understandable that there will be on-going concerns regarding the doctor-patient relationship and rapport in relation to the delivery of clinical services through telehealth.…”

Section: Relatednessmentioning

confidence: 80%

Exploring the acceptance of telehealth within palliative care: A self-determination theory perspective

2021

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The aim of this paper was to explore potential divergence and convergence in relation to health care professionals’ and patients’ acceptability of the use of telehealth within palliative care provision through the lens of Self-Determination Theory. The research utilized a deductive qualitative approach utilizing semi-structured interviews to explore divergence and convergence between health care professionals’ preconceptions of the use of telehealth in palliative care and the lived experiences of patients accessing support in this manner. Semi-structured interviews were conducted with both professionals and patients to explore whether the barriers and benefits of telehealth perceived by professionals corresponded to the patient’s lived experience of utilizing the technology in their palliative care. Interviews were analyzed using a deductive thematic analysis. Professionals and patients identified that the use of telehealth could satisfy the need for autonomy, however this manifested in different ways. Greater divergence was apparent between patient and professional perceptions about how telehealth could satisfy the need for relatedness and competence needs. The findings of this paper highlight how professionals preconceived concerns about the use of telehealth in relation to providing supportive palliative care may not be realized when exploring the experiences of patients accessing services through this medium. This paper highlights the important role of psychological need satisfaction when considering acceptability of telehealth, and motivation to engage in the implementation of technologically driven health services.

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Section: Relatednessmentioning

confidence: 80%

Exploring the acceptance of telehealth within palliative care: A self-determination theory perspective

2021

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“…Georgia (Social support worker), 215 Georgia suggests that in order to understand and support the emotional needs of palliative care patients, it is necessary for professionals to be present with the patient. This interpretation is supported by prior research which states that the dynamics observed in a video consultation can differ from a traditional face-to-face consultation, and interactional practices performed by professionals need to be adapted [24,25]. Therefore, it is understandable that there will be on-going concerns regarding the doctor-patient relationship and rapport in relation to the delivery of clinical services through telehealth.…”

Section: Relatednessmentioning

confidence: 80%

Exploring the acceptance of telehealth within palliative care: A Self-Determination Theory perspective.

Keenan

Rahman²,

Hudson

2021

Preprint

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The aim of this paper was to explore potential divergence and convergence in relation to health care professionals’ and patients’ acceptability of the use of telehealth within palliative care provision through the lens of Self-Determination Theory.The research utilized a deductive qualitative approach utilizing semi-structured interviews to explore divergence and convergence between health care professionals’ preconceptions of the use of telehealth in palliative care and the lived experiences of patients accessing support in this manner. Semi-structured interviews were conducted with both professionals and patients to explore whether the barriers and benefits of telehealth perceived by professionals corresponded to the patient’s lived experience of utilizing the technology in their palliative care. Interviews were analyzed using a deductive thematic analysis.Professionals and patients identified that the use of telehealth could satisfy the need for autonomy, however this manifested in different ways. Greater divergence was apparent between patient and professional perceptions about how telehealth could satisfy the need for relatedness and competence needs. The findings of this paper highlight how professionals preconceived concerns about the use of telehealth in relation to providing supportive palliative care may not be realized when exploring the experiences of patients accessing services through this medium. This paper highlights the important role of psychological need satisfaction when considering acceptability of telehealth, and motivation to engage in the implementation of technologically driven health services.

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“…Suggestions for adapting some in-person rapport techniques such as the use of small talk, eye contact, and body language to facilitate trust, personal connection, and communication during videoconferencing encounters have been discussed in the popular press and clinical commentaries [1,[22][23][24]. However, few studies seem to have evaluated these modalities [25][26][27][28] or more advanced relational skills such as presence [29], conveying caring [30], empathy [31], and person-centered care [32]. Even in telepsychology, where research is more robust [33], providers remain concerned about the impact of videoconferencing on therapeutic alliance and nonverbal communication channels [16,34] and are uncertain about how best to adapt techniques.…”

Section: Knowledge Gapsmentioning

confidence: 99%

“…Studies suggest that relationship development and communication in videoconferencing encounters, although similar to in-person interactions, present unique challenges that can affect rapport, diagnostic accuracy, and treatment compliance when not addressed [25,28]. For example, camera placement and the ability to visualize the self during videoconferencing platforms create both a downward gaze [53] and excessive levels of gaze [54] that are unnatural when compared with in-person encounters.…”

Section: Critical Need For Researchmentioning

confidence: 99%

Exploring Nurse and Patient Experiences of Developing Rapport During Oncology Ambulatory Care Videoconferencing Visits: Protocol for a Qualitative Study

Koppel

Gagné

2021

JMIR Res Protoc

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Background Telehealth videoconferencing has largely been embraced by health care providers and patients during the COVID-19 pandemic; however, little is known about specific techniques for building rapport and provider-patient relationships in this care environment. Although research suggests that videoconferencing is feasible and can be effective for some types of care, concerns about the impact of technology on provider-patient relationships exist across health disciplines. Suggestions for adapting some in-person rapport techniques, such as the use of small talk, eye contact, and body language to facilitate trust, personal connection, and communication during videoconferencing encounters, have been discussed in the popular press and clinical commentaries. Notably, evidence regarding the effects of these strategies on rapport and clinical care outcomes is lacking. Understanding how to establish rapport in videoconferencing visits is especially important in oncology nursing, where rapport with patients enables nurses to become a source of emotional support, helping patients adapt and navigate the cancer journey. Objective This study aims to investigate the nature of nurse-patient rapport in ambulatory cancer care videoconferencing visits. The objectives include exploring how patients with cancer and nurses describe experiences of rapport and strategies for cultivating rapport in videoconferencing visits and similarities and differences identified by patients with cancer and nurses between experiences of rapport in videoconferencing and in-person visits. Methods Semistructured narrative interviews of patients with cancer and nurses will be conducted to understand the experience of rapport building in videoconferencing visits. Nurses and patients will be interviewed separately to facilitate an understanding of the perspectives of both types of participants. Interviews will be conducted on a secure videoconferencing platform. This qualitative descriptive study will describe participant experiences in a manner that, although not without interpretation, is as close to the data as possible. The research team will meet regularly to discuss, define, and document codes, categories, and themes, and the team will maintain a detailed audit trail of analytical decisions. In addition, member checking will enhance the rigor of the study. Nurse and patient interviews will be analyzed separately using identical procedures and may be explored side by side in the final analysis to provide a comparative analysis. Data management and analysis will be performed using NVivo 12. Results Data collection will begin during summer 2021, with results from the data analysis anticipated by winter 2021. A research team trained in qualitative methodology will use conventional content analysis to analyze the data using first- and second-level codes derived directly from the transcribed text data. Conclusions This study aims to determine what behaviors, communication techniques, and relational practices need to be adapted in videoconferencing telehealth visits, setting the foundation for future development of interventions and evidence-based practice guidelines for relationship building during videoconferencing telehealth visits. International Registered Report Identifier (IRRID) PRR1-10.2196/27940

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Health Care Professionals’ and Patients’ Management of the Interactional Practices in Telemedicine Videoconferencing: A Conversation Analytic and Discursive Systematic Review

Cited by 24 publications

References 30 publications

Exploring the acceptance of telehealth within palliative care: A self-determination theory perspective

Exploring the acceptance of telehealth within palliative care: A self-determination theory perspective

Exploring the acceptance of telehealth within palliative care: A Self-Determination Theory perspective.

Exploring Nurse and Patient Experiences of Developing Rapport During Oncology Ambulatory Care Videoconferencing Visits: Protocol for a Qualitative Study

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