Registered nurse and midwife experiences of using videoconferencing in practice: A systematic review of qualitative studies

Penny, Robyn; Bradford, Natalie; Langbecker, Danette

doi:10.1111/jocn.14175

Cited by 36 publications

(54 citation statements)

References 36 publications

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“…In particular, nurses within EDs can have an important role in the use of telemedicine (Grady, 2014) because, as first-line responders in patient assessment and management, they act as gatekeepers to its use at their site (Brewster et al, 2014;Whitten & Mackert, 2005). Available reviews specific to nurses and telemedicine contain research dominated by chronic conditions or nonacute settings (Koivunen & Saranto, 2018;Penny, Bradford, & Langbecker, 2018), a single time-point (Ward et al, 2015), or the results do not distinguish between the experiences of nurses from other healthcare professionals (Strudwick, 2015).…”

mentioning

confidence: 99%

Nurses’ Role in Implementing and Sustaining Acute Telemedicine: A Mixed‐Methods, Pre‐Post Design Using an Extended Technology Acceptance Model

Bagot

Moloczij

Arthurson³

et al. 2019

J of Nursing Scholarship

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Purpose: Technology-based systems like telemedicine are frequently being implemented into healthcare settings, impacting clinician practices. Little is known about factors influencing acute telemedicine uptake, if factors differ across time, or between nurses and non-nurses. Design: A mixed-methods, pre-post design with implementation of a new acute stroke telemedicine service. Methods: A survey based on an extended Technology Acceptance Model (TAM) was administered to clinicians involved in acute stroke care at 16 regional hospitals (2014-2017). Open-ended questions postimplementation (at 6 months) included strengths of the program and areas to improve. Subsequently, a secondary analysis of nurses' semistructured interviews at the first telemedicine site (2010-2011) was completed to provide greater explanatory detail. Findings: Surveys were completed by nurses (preimplementation n = 77, postimplementation n = 92) and non-nurses (pre n = 90, post n = 44). Preimplementation, perceived usefulness was the only significant predictor of intending to use telemedicine for nurses, while perceived ease of use and social influence were significant for non-nurses. Postimplementation, perceived usefulness was significant for both groups, as was facilitating conditions for nurses. Specific examples aligned to TAM categories from our detailed interviews (n = 11 nurses) included perceived usefulness (improved clinical support and patient care), perceived ease of use (technical, clinical aspects), facilitating conditions (setting, education, confidence), and social influence (working relationships). Conclusions: Important factors for acute stroke telemedicine varied between nurses and non-nurses, and changed after implementation. The benefits of telemedicine should be emphasized to nurses. Preimplementation, more non-nurses wanted systems to be easy. Support in clinical, technical, and relationship aspects of telemedicine consultations is required. Clinical Relevance: Nurses are influential in implementing acute telemedicine, which is complex, with clinical and technical aspects entwined. Evidence-based implementation strategies must be tailored over time, and between nurses and non-nurses, to ensure initial uptake and ongoing use.

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mentioning

confidence: 99%

Nurses’ Role in Implementing and Sustaining Acute Telemedicine: A Mixed‐Methods, Pre‐Post Design Using an Extended Technology Acceptance Model

Bagot

Moloczij

Arthurson³

et al. 2019

J of Nursing Scholarship

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“…Nurses and midwives constitute the largest workforce in health care and are well placed to drive innovation and efficiencies in clinical practice (Penny, Bradford, & Langbecker, 2018). Indeed, nurses are expected to deliver contemporary, high-quality and evidencebased care (O'Byrne & Smith, 2011).…”

Section: Discussionmentioning

confidence: 99%

Evaluation frameworks in health services: An integrative review of use, attributes and elements

Bradford

Chambers

Hudson

et al. 2019

Journal of Clinical Nursing

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Aims and objective To synthesise the evidence on the use of evaluation frameworks by nurses and midwives in research designed to improve healthcare services and practice. A secondary aim was to identify the attributes and elements of evaluation frameworks. Background Evaluation is an integral component of any initiative to improve outcomes or change clinical practice. Yet often an evaluation may not yield the information required to sustain or integrate an initiative into practice. Evaluation frameworks can support effective evaluations, but there is a lack of consensus regarding elements and attributes of frameworks that support use. Methods We undertook an integrative review to synthesise the use of evaluation frameworks in practice guided by the Preferred Reporting Items for Systematic review and Meta‐Analysis flow diagram and checklist 2009 (Supporting Information File 4). The protocol was registered with PROSPERO (CRD42018087033). A broad range of electronic databases were systematically searched using keywords. Findings Twenty‐five papers were included from a diverse range of clinical areas and across high‐, middle‐ and low‐income nations. Twenty of the research projects had used nine existing frameworks, and five had developed an evaluation specific to an initiative. Frameworks supported the processes of evaluation and made them more meaningful by simplifying a complex process (providing structure and guidance for the evaluation processes); identifying and including stakeholders; explaining reasons for outcomes; generating transferable lessons; and identifying the mechanisms driving or inhibiting change. Conclusion Nurses and midwives reported that frameworks were useful in undertaking evaluations. Each framework had positive attributes and missing or confusing elements. When undertaking an evaluation, it is pertinent to review the elements and attributes of a framework to ensure it includes evaluation measures that are relevant to specific projects. Relevance to clinical practice Nurses are actively involved in evaluation of clinical practice. This review identifies important elements to consider when choosing a framework for evaluation.

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“…It is notable that neonatal outcomes in one study did not improve whether the low‐risk pregnant women had more than 10 prenatal visits compared with 10 or fewer visits (Carter et al, ). Videoconferencing was also suggested to be able to see the patient and has already been successfully tested in maternity care (Penny et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Ensuring the safety of both mother and foetus must be the priority; therefore, monitoring needs to be effective in detecting possible pregnancy complications. In addition, remote monitoring should not burden the work of healthcare professionals (Given, Bunting, O'Kane, Dunne, & Coates, ; Grassl et al, ; Koivunen & Saranto, ; Penny, Bradford, & Langbecker, ). The perspectives of each stakeholder need to be understood before further developing this technology.…”

Section: Introductionmentioning

confidence: 99%

“…An essential part of developing such high‐tech, ubiquitous, remote monitoring systems is to recognize end users' (i.e., staff and patients) views, desires, and needs for this technology (Grym et al, ; Harrison et al, ; Schramm et al, ). Furthermore, building a comprehensive understanding of pregnant women's and healthcare professionals' perceptions of remote monitoring could help in implementing the new technology and novel maternity care methods (Penny et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Being ‘A Google Mom’ or securely monitored at home: Perceptions of remote monitoring in maternity care

Niela‐Vilén

Rahmani

Liljeberg

et al. 2019

Journal of Advanced Nursing

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Aims: To understand the perspectives of both healthcare professionals in maternity care and pregnant women with higher risk pregnancies about remote monitoring in maternity care. Design: Qualitative descriptive design. Methods: Individual and focus group interviews were conducted in public maternity care and in a level III hospital in Finland during April-May 2018. The sample consisted of healthcare professionals working in the primary care and at the hospital and hospitalized pregnant women. Altogether, 17 healthcare professionals and 4 pregnant women participated in the study. The data were analysed using inductive thematic network analysis. Results: Many possibilities -and an equal number of concerns -were identified regarding remote monitoring in pregnancy, depending on the respondent's viewpoint from holistic to symptom-centred care. Healthcare staff had reservations about technology due to previous negative experiences and difficulties trusting technology. The pregnant women thought that monitoring would ease the staff's workload if the latter had enough technological skills. Remote monitoring could increase security in pregnancy care but create a feeling of false security if the women ignored their subjective symptoms. Face-to-face visits and the uniqueness of human contact were strongly favoured. Pregnant women wished to use monitoring as a confirmation of their subjective feelings. Conclusion: Remote monitoring could be used as a supplementary system in pregnancy care, although it could replace only some healthcare visits. Pregnant women identified more possibilities for remote monitoring compared with the staff members both in primary care and the hospital.Impact: A comprehensive understanding of pregnant women's and healthcare professionals' perceptions of remote monitoring in pregnancy was built to be able to develop new technologies in maternity care. In certain cases, remote monitoring would supplement traditional pregnancy follow-ups. Staff in primary and specialized care,

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Registered nurse and midwife experiences of using videoconferencing in practice: A systematic review of qualitative studies

Cited by 36 publications

References 36 publications

Nurses’ Role in Implementing and Sustaining Acute Telemedicine: A Mixed‐Methods, Pre‐Post Design Using an Extended Technology Acceptance Model

Nurses’ Role in Implementing and Sustaining Acute Telemedicine: A Mixed‐Methods, Pre‐Post Design Using an Extended Technology Acceptance Model

Evaluation frameworks in health services: An integrative review of use, attributes and elements

Being ‘A Google Mom’ or securely monitored at home: Perceptions of remote monitoring in maternity care

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