Telecare and older people: Who cares where?

Milligan, Christine; Roberts, Celia; Mort, Maggie

doi:10.1016/j.socscimed.2010.08.014

Cited by 185 publications

(178 citation statements)

References 26 publications

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“…It draws attention to the emotional cost to staff and need to consider the training to properly equip them to meet these demands. It also illuminates the importance of interpersonal communication and relationships between staff and clients, which need to be considered within organizational structures and processes (Pols 2010;Milligan et al 2011;Roberts et al 2012). Delivering programmes for telecare in a cost-effective yet dependable way requires that we understand ageing in place as the product of collaborative networks, tying patients, technology suppliers, lay carers, health and care service providers together .…”

Section: Discussionmentioning

confidence: 99%

“…Care recipients may be charged for the technology and/or the service that is supported by it. With advances in Internet and mobile technologies, there has also been growing interest in using the functionality of pendant alarms 81 Telecare Call Centre Work and Ageing in Place (designed for emergency use) in a more routine way to alleviate loneliness by supporting social connectivity (e.g., Wherton and Prendergast 2009), though some authors have expressed concerns that this might lead to a reduction in the provision of traditional face-to-face care and decreased social contact (Milligan et al 2011). For example, the EU Ambient Assisted Living (AAL) Joint Programme, 4 launched in 2009, focused on developing BICT based solutions for advancement of social interaction of the elderly^.…”

Section: Assisted Living Technologies and Servicesmentioning

confidence: 99%

“…Previous studies of telecare call centre work have shown how the use of the technology becomes interwoven with existing social networks and hands-on care, shaping the meaning of care and the role of call takers (Pols 2010;Pols and Willems 2011;Milligan et al 2011;Roberts et al 2012). The EFORTT project illustrated how call takers undertake a variety of complex tasks in their efforts to ensure that older people benefit.…”

Section: Assisted Living Technologies and Servicesmentioning

confidence: 99%

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Telecare Call Centre Work and Ageing in Place

Procter

Wherton

Greenhalgh

et al. 2016

Comput Supported Coop Work

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Abstract. We report findings from a study of call centre staff working to deliver a telecare service designed to enable older people to 'age in place'. We show the steps they routinely take to produce a care system on behalf of their clients and their families that is both workable within the constraints of available resources and fit-for-purpose. In doing so, we have seen how call centre staff share with one another their experiences and solutions to problems, carry out liaison work with networks of lay carers, and generally act as the 'glue' providing the all-important link between otherwise fragmented services. We conclude with some thoughts on the significant technical and organizational challenges if the 'ageing in place' vision is to be realized in a practical, secure, dependable and cost-effective way.

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Section: Discussionmentioning

confidence: 99%

Section: Assisted Living Technologies and Servicesmentioning

confidence: 99%

Section: Assisted Living Technologies and Servicesmentioning

confidence: 99%

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Telecare Call Centre Work and Ageing in Place

Procter

Wherton

Greenhalgh

et al. 2016

Comput Supported Coop Work

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“…43 However, it is important to understand which patients would most likely benefit from telemonitoring 44 because attempting to use telemonitoring with older participants who do not want to use telemonitoring could result in ineffective health care and inefficient use of scarce resources. 45 Telehealth is believed to provide the opportunity to empower and motivate patients to gain greater control over disease management. 19,40,45 However, little is known about the processes by which telehealth may do this.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Nancarrow¹,

Banbury²,

Buckley³

2016

Aust. Health Review

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Objective. The aim of the present study was to evaluate the effect of a high-speed telemonitoring project for older people with chronic disease in a regional Australian town. Participants' vital signs were monitored and triaged daily by a telehealth nurse.Methods. A prospective, uncontrolled study design evaluated the effect of home-based telemonitoring on older people with chronic disease. Evaluation included surveys (including the Stanford Chronic Disease Self-Efficacy tool and the Self-Rated Health Questionnaire), self-reported health service use and interviews and focus groups exploring client experiences.Results. Participants reported an improved understanding of their vital signs monitoring (48%) and consequently better self-management of health (48%) and that they were better informed (44%) and more confident (25%) to discuss health with their doctor. Patients also reported making medication changes (17%), positive dietary changes (34%) and increasing their physical activity (33%). Overall, patients' self-rated general health improved (mean (AE s.d.) improvement 0.30 AE 0.80; 95% confidence interval (CI) 0.16-0.45; 118 d.f.; P < 0.001), with more participants reporting that their health is 'excellent' or 'very good' at the end of the trial. Patients also reported fewer doctor visits (P < 0.001), fewer visits to the local hospital emergency department (P = 0.021) and fewer non-local hospital admissions (P < 0.001) compared with the preceding year. There was no significant reduction in local hospital admissions (P = 0.171).Conclusions. The findings of the present study suggest that telemonitoring with videoconferencing empowers older people to better understand and manage their own health, and is associated with improved health outcomes and reduced service use. Having regular, daily access to a Telehealth nurse reassured participants, and triggered changes to services and behaviour that are likely to have positively affected patient outcomes.What is known about this topic? Telehealth is increasingly being used in the care of older people with chronic conditions and can reduce health service use. Previous research has indicated that telehealth has the potential to provide patients with greater knowledge and understanding of their condition. What this paper adds? Our research demonstrates that older people with limited experience of technology can be taught to successfully use telehealth equipment. We observed regular contact with telehealth nurses enables health promoting behaviour messages to be tailored to patients' needs. What are the implications for practitioners? Providing older people with tailored health support alongside an understanding of vital signs readings can enhance self-efficacy.

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“…A previous study [35] shows that when the person trusts the DNs they also felt confident with the use of technology in healthcare at home. The development of different distance-spanning technologies can open up new solutions to perform care and maintain relationships at home [36,37]. As a reaction to this development of increased use of distance-spanning technology, Meleis [1] argues that many theorists in nursing are going back to basics in human relationships, where the sharing of information during situations of health and illness and the interaction is a tool for building relationships.…”

Section: Discussionmentioning

confidence: 99%

Caring Relationships in Home-Based Nursing Care – Registered Nurses' Experiences

Wälivaara

Sävenstedt²,

Axelsson

2013

TONURSJ

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The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person’s genuine needs. The aim of this study was to explore registered nurses’ experiences of their relationships with persons in need of home-based nursing care. Individual interviews with nurses (n=13 registered nurses and 11 district nurses) working in home-based nursing care were performed. A thematic content analysis was used to analyze the transcribed interviews and resulted in the main theme Good nursing care is built on trusting relationship and five sub-themes, Establishing the relationship in home-based nursing care, Conscious efforts maintains the relationship, Reciprocity is a requirement in the relationship, Working in different levels of relationships and Limitations and boundaries in the relationship. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person’s position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had to communicate something about themself as the person needs to know who is entering the home and who is communicating through distance-spanning technology.

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Telecare and older people: Who cares where?

Cited by 185 publications

References 26 publications

Telecare Call Centre Work and Ageing in Place

Telecare Call Centre Work and Ageing in Place

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Caring Relationships in Home-Based Nursing Care – Registered Nurses' Experiences

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