Shaping Better Rehabilitation to Chronic Obstructive Pulmonary Disease Patients: Experiences of Nurses and Colleagues With an Interdisciplinary Telerehabilitation Intervention

Abstract

In order to evaluate the reach of a collaborative cross-sectoral telerehabilitation intervention to patients with Chronic Obstructive Pulmonary Disease (COPD), this study investigates how nurses and interdisciplinary colleagues experienced working with it. In two focus group interviews, the experiences of working in the empowerment and tele-based >C☺PD-Life>> program were examined among three nurses and four interdisciplinary colleagues. Data were analyzed with inspiration from Ricoeur’s theory of narrative and interpretation and discussed with Gittell’s theory of relational coordination. Nurses and colleagues experienced that the intervention paved the way for unique patient-professional coordination and interdisciplinary cross-sectoral teamwork that allowed double-layered relational coordination, focusing holistically on patients’ lived challenges in everyday life with COPD. By this rehabilitation setup, nurses and colleagues are perceived as educated to deliver high standard personalized support, raising professional pride and confidence. The findings can inspire future health-promoting initiatives within nursing support related to patients afflicted with COPD.

Telerehabilitation in Chronic Obstructive Pulmonary Disease (COPD) Management: Exploring Experiences and Effectiveness

“…Telerehabilitation has emerged as a viable approach to address the rehabilitation needs of individuals with chronic respiratory diseases, such as COPD. The findings from a range of studies are summarized below to help understand the patient experiences of telerehabilitation from a range of perspectives, as well as the factors influencing engagement, and the benefits and challenges associated with telerehabilitation in the context of COPD and other chronic lung diseases 2,[5][6][7][8][9][10][13][14][15][16][17][18][19][20][21][22][23][24][25] .…”

“…Telerehabilitation's success hinges on a number of factors influencing patient engagement, motivation, and adherence. Patient preferences regarding home-based exercise, convenience, and ease of use significantly influence the acceptance of telerehabilitation programs 19,20 . The use of smart devices and digital technologies has empowered patients to actively participate in their rehabilitation journey 21,22 .…”

“…The use of smart devices and digital technologies has empowered patients to actively participate in their rehabilitation journey 21,22 . Nurses and interdisciplinary teams have been important in providing support and guidance, emphasizing the importance of patient-professional coordination 20 . Additionally, the ability to tailor interventions based on individual patient needs enhances patient satisfaction and adherence 15,16,20 .…”