Video hospice consultation in COVID-19: professional and patient evaluations

Milne, Shannon; Palfrey, Jennifer; Berg, Jane; Todd, Jennifer

doi:10.1136/bmjspcare-2020-002861

Cited by 4 publications

(25 citation statements)

References 4 publications

(3 reference statements)

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“…Technical issues have been shown to be problematic in the delivery of VC 12. While the majority of patients surveyed felt they could use their devices easily for VC (70%), consistent with previous studies,11 21 50% of the patients studied required assistance to participate with VC. A proportion of these patients described this assistance as being potentially onerous on their carers, ‘(I) couldn’t use it without my family and they are burdened enough’.…”

Section: Discussionsupporting

confidence: 80%

“…In advance of the COVID-19 pandemic, there was increasing interest in the role of VCs in palliative care service provision, particularly in the delivery of community palliative care (CPC) services 4–8. Telehealth, including VCs, has gained particular prominence in the setting of the COVID-19 pandemic facilitating the safe delivery of clinical care 9–12. It is anticipated that VC will form an integral component of CPC service provision into the future 13…”

Section: Introductionmentioning

confidence: 99%

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Video consultations in community palliative care – patient satisfaction: mixed methods study

Lee¹,

Carthy²,

Ryan³

et al. 2022

BMJ Support Palliat Care

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ObjectivesCommunity palliative care (CPC) has traditionally been delivered face to face in the home or in the outpatient clinic setting. The COVID-19 pandemic necessitated the introduction of video consultation (VC) as a modality of CPC service provision. Evidence supports the feasibility of VC in CPC. There is a paucity of evidence regarding patient satisfaction with key components of the palliative care consultation when delivered virtually.MethodsMixed quantitative and qualitative study. The formulated telephone questionnaire evaluated satisfaction with VC in three domains: comfort with use of technology, communication using video technology and components of the palliative care consultation. Results were analysed descriptively with thematic analysis of free text additional information.ResultsThe majority (93%) of patients were satisfied with VC. All patients felt able to communicate what they wanted to say. The majority felt comfortable asking questions (90%) and a minority (16%) were dissatisfied that they could not be physically examined. Patients were satisfied with discussing physical symptoms (90%) and medications (90%). Areas which were not discussed or had less favourable feedback included exploration of spirituality and faith. Themes identified included: flexibility and convenience offered by VC, relationship and rapport building in the context of VC and technological challenges posed by VC.ConclusionsPatients were satisfied with VC as a mechanism of CPC provision. Satisfaction, although generally high, varied across key components of the consultation demonstrating the strengths and limitations of this modality at present. This provides clinicians with valuable information to guide future research and service development.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Video consultations in community palliative care – patient satisfaction: mixed methods study

Lee¹,

Carthy²,

Ryan³

et al. 2022

BMJ Support Palliat Care

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“… 45 , 46 Experiences reported in evaluations in other clinical services during the pandemic are valuable and promising. 47 – 49…”

Section: Discussionmentioning

confidence: 99%

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

et al. 2022

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Objectives During the SARS-CoV-2 pandemic, clinicians were instructed to move all but emergency consultations to remote means to reduce the spread of the virus. The aim of this study was to evaluate patients’ and clinicians’ experiences of moving to remote means of consultation with their health care professionals during the SARS-CoV-2 pandemic. Methods The study design was a qualitative service evaluation. Twenty-six clinicians and forty-eight patients who met the inclusion criteria consented to be interviewed. Clinician participants were from either medical, nursing, or allied health professional backgrounds. Patients were recruited from diabetes, acute care, and haematology and cancer areas. Data analysis was conducted using a thematic analysis framework. Results Following coding and thematic analysis of the data collected from clinicians, five themes were identified: personal and professional well-being; providing a safe and high-quality experience; adapting to a new way of working; making remote consultations fit for purpose and an awareness of altered dynamics during consultation. Patient data was coded into 3 themes: remote consultation adds value; remote consultation brings challenges and concerns about remote consultation. Conclusions Clinician and patient experiences reported here are reflected in the literature. The study indicates that remote consultation is not suitable for all patients and in all contexts. Whilst maintaining the benefits to patients, remote means of consultation needs organisational support and preparation. A way forward that maintains the benefits whilst addressing concerns seems urgent.

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“…Philip et al (2022) found that compared with using audio alone, the use of both audio and visual media tools was associated with greater ease of use, satisfaction, and likelihood of future telehealth use for both patients and HCPs. On the other hand, one study described HCPs showing a preference for telephone communication due to a lack of proper equipment and a fear of using video (Milne et al, 2021).…”

Section: Visual Cuesmentioning

confidence: 99%

“…The inclusion of family members in telehealth consultation was viewed positively by both patients and HCPs (Milne et al, 2021).…”

Section: Family Engagementmentioning

confidence: 99%

Telehealth in palliative care during the COVID‐19 pandemic: A systematic mixed studies review

Lin

2023

Worldviews Ev Based Nurs

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BackgroundThe coronavirus disease‐2019 (COVID‐19) pandemic caused unprecedented disruption to healthcare delivery worldwide. The use of telehealth practices rapidly expanded during the pandemic, while its application in palliative care remains a conflicted issue.AimsThe aims of this study were to evaluate users' reports of their satisfaction with telehealth palliative care during COVID‐19 and to identify facilitators and barriers to telehealth implementation in palliative care during COVID‐19.MethodsA systematic search of the literature, including studies between January 2020 and June 2022, was conducted using PubMed, MEDLINE, CINAHL Plus, Embase, and Google Scholar. Empirical studies of telehealth in palliative care during COVID‐19 were included.ResultsA total of 18 studies were included in the review, of which nine were outpatient consultations, four were family meetings, two were remote volunteering programs, two were inpatient care, and one was a residential care home needs assessment. The satisfaction rates were high (66%–99%) among patients and family members who participated in telehealth consultations, but the satisfaction with family meetings was mixed. Compared with their clients, healthcare professionals were less likely to assess telehealth as satisfactory. The authors identified four barriers and four facilitators. The barriers were technological challenges, lack of nonverbal communication, ethical concerns, and limitations for clinical practice. The facilitators were accessibility and convenience, visual cues, facilitation and training, and family engagement.Linking Evidence to ActionThis systematic mixed studies review suggests that current evidence supports the feasibility of telehealth implementation in palliative care for outpatient consultations and routine follow‐up appointments. This review also identified facilitators and barriers to telehealth in palliative care, and the findings can inform the implementation of future palliative care services. Future attention should be paid to the effectiveness of telehealth implementation in palliative care patients.

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Video hospice consultation in COVID-19: professional and patient evaluations

Cited by 4 publications

References 4 publications

Video consultations in community palliative care – patient satisfaction: mixed methods study

Video consultations in community palliative care – patient satisfaction: mixed methods study

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

Telehealth in palliative care during the COVID‐19 pandemic: A systematic mixed studies review

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