Nurses Advancing Telehealth Services in the Era of Healthcare Reform

Fathi, Joelle T.; Modin, Hannah E.; Scott, Julius S.

doi:10.3912/ojin.vol22no02man02

Cited by 27 publications

(30 citation statements)

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“…Though emotion recognition software is quickly advancing, it remains in its infancy. For now, virtual visits can present communication challenges as the emotional cues that are easily recognized in a traditional visit may go unrecognized (12). The purpose of this article is to discuss the importance of empathy and examine the application of the R.E.D.E.…”

Section: Webside Manner and Telecompetencementioning

confidence: 99%

Enhancing Your Webside Manner: Optimizing Opportunities for Relationship-Centered Care in Virtual Visits

Modic

Neuendorf

Windover

2020

Journal of Patient Experience

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In the pandemic of coronavirus disease 2019, virtual visits have become the primary means of delivering efficient, high-quality, and safe health care while Americans are instructed to stay at home until the rapid transmission of the virus abates. An important variable in the quality of any patient–clinician interaction, including virtual visits, is how adroit the clinician is at forming a relationship. This article offers a review of the research that exists on forming a relationship in a virtual visit and the outcomes of a quality improvement project which resulted in the refinement of a “Communication Tip Sheet” that can be used with virtual visits. It also offers several communication strategies predicated on the R.E.D.E. to Communicate model that can be used when providing care virtually.

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Section: Webside Manner and Telecompetencementioning

confidence: 99%

Enhancing Your Webside Manner: Optimizing Opportunities for Relationship-Centered Care in Virtual Visits

Modic

Neuendorf

Windover

2020

Journal of Patient Experience

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“…Similarly, the existence of a policy on the use of email to communicate with patients in the care setting was found to be weakly associated with the use of email. Nurses have an instrumental role to play in supporting the design of policies and regulations aimed at supporting virtual care [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses

Beauséjour¹,

Hagens²

2022

JMIR Nursing

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Background Canadian nurses are at the forefront of patient care delivery. Although the use of digital health technologies for care delivery is gaining momentum in Canada, nurses are encouraged to integrate virtual care into their practice. In early 2020, more Canadian nurses delivered care virtually compared with 3 years ago. Objective This study seeks to uncover the professional characteristics of Canadian nurses accessing virtual care in 2020, understand how these characteristics differ across types of technologies, investigate whether the nurses accessing virtual care possess the skills and knowledge needed to use these technologies, and determine the important drivers of the uptake of virtual care observed in 2020. Methods We used data from the 2017 and 2020 National Survey of Canadian Nurses. This survey collected data on the use of digital health technologies in nursing practice. It concerned regulated nursing professionals working in different health care settings and from different domains of nursing practice. We combined the chi-square independence test and logistic regression analysis to uncover the most relevant drivers of virtual care uptake by nurses in 2020. Results In early 2020, before the declaration of the COVID-19 pandemic, nurses who delivered care virtually were predominantly nurse practitioners (135/159, 84.9%) and more likely to work in a primary or community care setting (202/367, 55%) and in an urban setting (194/313, 61.9%). Factors such as nursing designation (P<.001), perceived quality of care at the health facility where the nurses practiced (P<.001), and the type of patient record–keeping system they had access to (P=.04) had a statistically significant effect on the probability of nurses to deliver care virtually in early 2020. Furthermore, nurses’ perception of the quality of care they delivered through virtual technologies was statistically associated with their perception of the skills (χ24=308.7; P<.001) and knowledge (χ24=283.4; P<.001) to use these technologies. Conclusions This study emphasizes the critical importance of nursing designation, geographic location, and type of patient record–keeping system in predicting virtual care integration in nursing practice. The findings related to geographic location can be used by decision-makers for better allocation of digital health resources among care settings in rural and urban areas. Similarly, the disparities observed across nursing designations have some implications for the digital training of nurses at all levels of practice. Finally, the association between electronic medical record use and uptake of virtual care could accelerate the implementation of more modernized record-keeping systems in care settings. Hence, this could advance interoperability and improve health care delivery.

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“…Telehealth also comes with challenges, such as the need for education and professional development of skills 22. Many professional organizations such as the American Academy of Ambulatory Care Nursing (AAACN) have recognized the need for formal educational programs for nurses who are or want to be involved in telehealth patient care 23. The AAACN encourages telehealth nurses to become certified in ambulatory nursing through the American Nurses Credentialing Center.…”

Section: Telehealth Expansionmentioning

confidence: 99%