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

Romero, Yocelyn Margaret Price; Angelo, Margareth; González, Luz A.

doi:10.1590/s0104-11692012000400009

Cited by 9 publications

(24 citation statements)

References 14 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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]. …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2017

View full text Add to dashboard Cite

BackgroundInformation and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care.ObjectiveAn overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs.MethodsQuantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses’ practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses’ and patients’ perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered.ResultsA total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses’ competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status.ConclusionsThe findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs’ context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings.Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh)

show abstract

“…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.…”

Section: Introductionmentioning

confidence: 99%

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

Barbosa

Silva

2017

Rev. Bras. Enferm.

View full text Add to dashboard Cite

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...

show abstract

“…Forming a visual image of the person when using technology has been previously reported in the context of providing care using telephone (Rӧing, Rosenqvist, & Holmstrӧm, 2012; Romero, Angelo, & Muñoz Gonzalez, 2012; Purc-Stephenson & Thrasher, 2010). Similar to Getting a Picture , nurses developed some form of a mental image of the person based on data received through technology, whether or not an actual face-to-face encounter occurred.…”

Section: Discussionmentioning

confidence: 99%

Getting a Picture

et al. 2016

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6] Some countries have already integrated telenursing into healthcare services, especially the use of the telephone. [6][7][8] In Brazil, telenursing was initiated in 2000 with the pioneering work conducted by the GEPECOPEn (Study and Research Group on Communication in the Nursing Process). The group used information and communication technologies to support the brick-and-mortar teaching of undergraduate and graduate programs and also of continuing nursing education.…”

Section: Introductionmentioning

confidence: 99%

Telenursing manual for providing care to patients using clean intermittent urinary catheterization

et al. 2017

View full text Add to dashboard Cite

Objective: To develop and evaluate apparent and content validity of a telenursing manual to support nurses in the care delivery of patients using clean intermittent urinary catheterization. Methods: Methodological study addressing the development and validation of a telenursing manual. The expert group who validated the telenursing manual was composed of 11 nurses. An inter-rater level of agreement of 70% was considered for each aspect of the instrument. Results: The following levels of agreement were obtained for each aspect: Language 97%, Content 97.7% and Objectives, Relevance, Functionality and Usability 100% each. Conclusion: The manual is available for access and represents an important initiative for the field of telenursing in Brazil, assisting nurses in the telecare provided to patients using clean intermittent urinary catheterization. resumen Objetivo: Elaborar y validar la apariencia y el contenido de un manual de teleenfermería para apoyar al enfermero en la atención al cliente que usa catéter urinario intermitente limpio. Método: Estudio metodológico sobre la construcción y validación de manual de teleenfermería. La apariencia y el contenido del manual fueron validados por 11 enfermeros peritos, considerando para validación un nivel de concordancia del 70% entre los peritos para cada aspecto del instrumento utilizado. Resultados: El manual de teleenfermería fue validado en apariencia y contenido considerando el nivel de concordancia entre los peritos para cada uno de estos aspecto: Lenguaje 97%; Contenido 97,7%; y, Objetivos, Relevancia, Funcionalidad y Usabilidad 100% cada uno. Conclusiones: El manual está disponible para ser accedido y representa una iniciativa importante para el campo de la teleenfermería en Brasil, ayudando al enfermero en la práctica de la teleatención al usuario de cateterismo urinario intermitente limpio. Keywords

show abstract

“…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.…”

Section: Introductionmentioning

confidence: 99%