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  1. Article: Experiences of Telenursing in Overcoming Challenges and Applaying Strategies by COVID-19 Patients in Home Isolation: Qualitative Study in Primary Care.

    Tort-Nasarre, Glòria / Espart, Anna / Galbany-Estragués, Paola / Álvarez, Bruna / Subias-Miquel, Martí / Romeu-Labayen, Maria

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 14

    Abstract: ... to understand the perspectives of COVID-19 patients in home isolation who received telenursing from primary care ... by COVID-19 patients in home isolation: physical symptoms, emotional and social difficulties, and a lack ... of telenursing to provide care for patients at home. However, the quality of the patient experience when nurses ...

    Abstract During the first wave of the COVID-19 pandemic, there was a significant increase in the use of telenursing to provide care for patients at home. However, the quality of the patient experience when nurses rely on technology instead of personal contact has not been thoroughly investigated. This study aimed to understand the perspectives of COVID-19 patients in home isolation who received telenursing from primary care nurses during the initial phase of the pandemic. A qualitative study was conducted that employed purposive sampling and involved semi-structured interviews via videoconference with fourteen COVID-19 patients from two primary health centers in Catalonia (Spain). Thematic analysis was used, and the study adhered to the COREQ checklist. The findings revealed three themes related to the challenges faced by COVID-19 patients in home isolation: physical symptoms, emotional and social difficulties, and a lack of information. Three themes emerged regarding the strategies patients employed to overcome these challenges and the role of nurses: self-care, emotional support, and personal commitment. The patients reported having achieved strategies to improve their physical, psychological, and situational well-being despite the unprecedented situation. The study highlights that telenursing is a valuable resource for delivering patient-centered care, which could lead to changes in organisational policies and the development of best clinical practices.
    Language English
    Publishing date 2023-07-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11142093
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Telenursing home care and COVID-19: a qualitative study.

    Kord, Zeynab / Fereidouni, Zhila / Mirzaee, Mohammad Saeed / Alizadeh, Zeinab / Behnammoghadam, Mohammad / Rezaei, Malihe / Abdi, Naeem / Delfani, Fatemeh / Zaj, Parisa

    BMJ supportive & palliative care

    2021  

    Abstract: ... experiences of patients with COVID-19 with home care by using telenursing.: Methods: The present study is ... of such studies can contribute to the rapid and serious use of telenursing in the area of care, education, support ... in hospital programmes and the pressure caused by the COVID-19 pandemic).: Conclusion: Given the potential ...

    Abstract Background: The COVID-19 pandemic has led to many challenges such as increased number of patients and the risk of the disease progress in the world's healthcare systems, especially nursing. The capacity of technology can help nursing in such conditions. The aim of this study was to explore the lived experiences of patients with COVID-19 with home care by using telenursing.
    Methods: The present study is a qualitative research conducted using the descriptive phenomenological method. The participants were selected using purposive sampling method and considering the inclusion and exclusion criteria. After obtaining ethical approval, data were collected through semistructured interviews. Open-ended questions and follow-up were used in the interviews. The interviews were conducted using Skype application and telephone. All data were recorded, and MAXQDA software was used to manage the data. Data analysis was performed using Colaizzi's seven-step method. Lincoln and Guba's criteria were used to evaluate the trustworthiness of the data.
    Results: The main themes and their subthemes included 'facilitators' (improvement of relationships, adequate education and counselling, adequate care and support, improvement and promotion of health) and 'barriers' (lack of previous knowledge and experience, infrastructure problems, confusion in hospital programmes and the pressure caused by the COVID-19 pandemic).
    Conclusion: Given the potential capacity of telenursing, strong field studies are recommended to be conducted in this area. The results of such studies can contribute to the rapid and serious use of telenursing in the area of care, education, support, follow-up and counselling of patients.
    Language English
    Publishing date 2021-06-29
    Publishing country England
    Document type Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/bmjspcare-2021-003001
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  3. Article ; Online: Facilitators and barriers to implementation of telemedicine in nursing homes: A qualitative systematic review and meta-aggregation.

    Chua, Min / Lau, Xue Kee / Ignacio, Jeanette

    Worldviews on evidence-based nursing

    2024  

    Abstract: ... of this service in the nursing home setting. Further research should explore the best approach to address these barriers and ... the facilitators and barriers in implementing telemedicine services in nursing homes.: Methods: A systematic ... used when there are movement restrictions, such as during the COVID-19 pandemic. This literature ...

    Abstract Background: Telemedicine is an effective way to provide nursing home residents ease of access to consultations with healthcare professionals. It is safe, effective, and time- and cost-efficient, and can be used when there are movement restrictions, such as during the COVID-19 pandemic. This literature focuses only on healthcare professionals' experiences and perspectives on the use of telemedicine in long-term care facilities.
    Objectives: This review concentrated on telemedicine programs that did not involve remote monitoring. It aimed to comprehensively appraise existing literature examining the facilitators and barriers in implementing telemedicine services in nursing homes.
    Methods: A systematic qualitative review was conducted with content analysis. Database searching was conducted in PubMed, Embase, Cochrane, Scopus, and CINAHL. Hand searching for gray literature and reference lists of included papers was also performed. Qualitative studies or mixed-method studies with a qualitative analysis addressing implementation of telemedicine in any long-term care facilities were included. The Critical Appraisal Skills Programme qualitative checklist was used to assess the quality of the included studies. The data were extracted and cross-checked between two reviewers. A third reviewer was consulted for any disagreements. Meta-aggregation was used to synthesize the results.
    Results: Eighty-one findings were extracted, which informed 16 categories and 13 synthesized findings. The synthesized findings were related to the innovation domain, infrastructure, work processes, individuals, and implementation processes.
    Linking evidence to action: This review highlighted factors that affect the successful implementation of a telemedicine service in nursing homes. These findings provide evidence to support the future utilization of this service in the nursing home setting. Further research should explore the best approach to address these barriers and facilitators.
    Language English
    Publishing date 2024-02-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2401967-7
    ISSN 1741-6787 ; 1545-102X
    ISSN (online) 1741-6787
    ISSN 1545-102X
    DOI 10.1111/wvn.12711
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  4. Article ; Online: Telemedicine and Telehealth in Nursing Homes: An Integrative Review.

    Groom, Lisa L / McCarthy, Margaret M / Stimpfel, Amy Witkoski / Brody, Abraham A

    Journal of the American Medical Directors Association

    2021  Volume 22, Issue 9, Page(s) 1784–1801.e7

    Abstract: ... was accelerated further by the COVID-19 pandemic, but their impact on patients and outcomes has not ... was used to analyze quantitative and qualitative studies.: Setting and participants: Primary ... owing to small sample sizes and incomplete study designs.: Conclusions and implications: Preliminary ...

    Abstract Objectives: Telemedicine and telehealth are increasingly used in nursing homes (NHs). Their use was accelerated further by the COVID-19 pandemic, but their impact on patients and outcomes has not been adequately investigated. These technologies offer promising avenues to detect clinical deterioration early, increasing clinician's ability to treat patients in place. A review of literature was executed to further explore the modalities' ability to maximize access to specialty care, modernize care models, and improve patient outcomes.
    Design: Whittemore and Knafl's integrative review methodology was used to analyze quantitative and qualitative studies.
    Setting and participants: Primary research conducted in NH settings or focused on NH residents was included. Participants included clinicians, NH residents, subacute patients, and families.
    Methods: PubMed, Web of Science, CINAHL, Embase, PsycNET, and JSTOR were searched, yielding 16 studies exploring telemedicine and telehealth in NH settings between 2014 and 2020.
    Results: Measurable impacts such as reduced emergency and hospital admissions, financial savings, reduced physical restraints, and improved vital signs were found along with process improvements, such as expedient access to specialists. Clinician, resident, and family perspectives were also discovered to be roundly positive. Studies showed wide methodologic heterogeneity and low generalizability owing to small sample sizes and incomplete study designs.
    Conclusions and implications: Preliminary evidence was found to support geriatrician, psychiatric, and palliative care consults through telemedicine. Financial and clinical incentives such as Medicare savings and reduced admissions to hospitals were also supported. NHs are met with increased challenges as a result of the COVID-19 pandemic, which telemedicine and telehealth may help to mitigate. Additional research is needed to explore resident and family opinions of telemedicine and telehealth use in nursing homes, as well as remote monitoring costs and workflow changes incurred with its use.
    MeSH term(s) Aged ; Humans ; Medicare ; Nursing Homes ; Telemedicine/trends ; United States
    Language English
    Publishing date 2021-04-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2021.02.037
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  5. Article ; Online: Evaluating an undergraduate nursing student telehealth placement for community-dwelling frail older people during the COVID-19 pandemic.

    Brownie, Sharon M / Chalmers, Linda M / Broman, Patrick / Andersen, Patrea

    Journal of clinical nursing

    2022  Volume 32, Issue 1-2, Page(s) 147–162

    Abstract: ... conditions and home care assessment tool for complex needs. New Zealand entered lockdown in March 2020 ... utilising mixed method questionnaire and qualitative techniques within an interpretive paradigm. 19 third ... assessment and interest in aged care was increased, confirming the viability and importance of this inaugural ...

    Abstract Aims and objectives: To evaluate a rapid response student telehealth placement experience implementing interRAI assessments of community-dwelling frail older people during the COVID-19 pandemic. To identify lessons to inform future telehealth clinical placements.
    Background: New Zealand undertakes assessment of older people with disabilities using the interRAI contact assessment tool for less complex conditions and home care assessment tool for complex needs. New Zealand entered lockdown in March 2020 in response to COVID-19. New Zealand's most vulnerable community members required urgent needs assessment.
    Design: A clinical placement whereby 3rd year undergraduate nursing students trained by interRAI-NZ educators worked remotely from home delivering telehealth assessment for 'at risk' older people across the Waikato District, New Zealand. This represented the first telehealth experience within an undergraduate nursing program approved by the New Zealand Nursing Council.
    Methods: A case study evaluation utilising mixed method questionnaire and qualitative techniques within an interpretive paradigm. 19 third year students in the fifth semester of a Bachelor of Nursing program and 5 nursing staff members engaged in delivery of the initiative completed pre- and post-placement short answer questionnaires. Reflective diaries were maintained by students on placement. Post-placement interviews and focus group discussions provided in-depth data. COREQ guidelines informed analysis and reporting.
    Results: Student and tutor responses showed consistent themes: tackling COVID-19; implementation requirements; nursing competencies; provider relationships; and community insights. These provide insight and highlight lessons learnt from this initiative.
    Conclusions: Student confidence in therapeutic engagement and clinical assessment and interest in aged care was increased, confirming the viability and importance of this inaugural telehealth student placement initiative.
    Relevance to clinical practice: Graduate work readiness is enhanced through telehealth placement experience and interRAI assessor training. These are recommended as core components of future nursing education programs.
    Language English
    Publishing date 2022-01-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A mixed-methods analysis of telehealth implementation in nursing homes amidst the COVID-19 pandemic.

    Powell, Kimberly R / Winkler, Amy E / Liu, Jianfang / Alexander, Gregory L

    Journal of the American Geriatrics Society

    2022  Volume 70, Issue 12, Page(s) 3493–3502

    Abstract: Background: The COVID-19 pandemic has forced nursing homes to adapt new models of care in response ... to investigate implementation of telehealth in nursing homes amidst the COVID-19 pandemic using a human factors ... usability and sustainability of telehealth in nursing homes. ...

    Abstract Background: The COVID-19 pandemic has forced nursing homes to adapt new models of care in response to the evolving crisis including rapid implementation of telehealth services. The purpose of our study was to investigate implementation of telehealth in nursing homes amidst the COVID-19 pandemic using a human factors model.
    Methods: Using a mixed methods design, we conducted a secondary analysis of data from a national survey of nursing home administrative leaders (n = 204). Using six survey questions, we calculated a total telehealth score (range 0-42). Descriptive statistics and paired sample t-test were used to explore the change in telehealth in two consecutive years (2019-2021). Next, we conducted semi-structured interviews with (n = 21) administrators and clinicians to assess differences in implementation according to extent of telehealth use.
    Results: The mean telehealth score in year 1 was 12.11 (SD = 9.85) and year 2 was 19.25 (SD = 11.25). There was a significant difference in telehealth scores from year 1 to year 2 (t = 6.83, p < 0.000). While 64% of nursing homes reported higher telehealth scores in year 2 compared to year 1, over 32% reported a decline. Qualitative analysis revealed facilitators of telehealth including training, use of integrated equipment, having staff present for the visit, and using telehealth for different types of visits. Barriers included using smart phones to conduct the visit, billing, interoperability and staffing.
    Conclusion: Training, adaptation of work processes to support communication, and restructuring teams and tasks are the result of interactions between system components that could improve usability and sustainability of telehealth in nursing homes.
    Language English
    Publishing date 2022-08-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/jgs.18020
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  7. Article ; Online: The Use of Telemedicine in Nursing Homes: A Mixed-Method Study to Identify Critical Factors When Connecting with a General Hospital.

    Cormi, Clément / Chrusciel, Jan / Fayol, Antoine / Van Rechem, Michel / Abou-Amsha, Khuloud / Tixier, Matthieu / Lewkowicz, Myriam / Laplanche, David / Sanchez, Stéphane

    International journal of environmental research and public health

    2021  Volume 18, Issue 21

    Abstract: Evaluating the use and impact of telemedicine in nursing homes is necessary to promote ... to describe the telemedicine activity of nursing homes when cooperating with a general hospital; and ... organizational context, especially when considering nursing homes. In this regard, this study aimed first ...

    Abstract Evaluating the use and impact of telemedicine in nursing homes is necessary to promote improvements in the quality of this practice. Even though challenges and opportunities of telemedicine are increasingly becoming well documented for geriatrics (such as improving access to healthcare, patient management, and education while reducing costs), there is still limited knowledge on how to better implement it in an inter-organizational context, especially when considering nursing homes. In this regard, this study aimed first to describe the telemedicine activity of nursing homes when cooperating with a general hospital; and then understand the behavioral differences amongst nursing homes while identifying critical factors when implementing a telemedicine project. We conducted a sequential, explanatory mixed-method study using quantitative then qualitative methods to better understand the results. Three years of teleconsultation data of twenty-six nursing homes (15 rural and 11 urban) conducting teleconsultations with a general hospital (Troyes Hospital, France) were included for the quantitative analysis, and eleven telemedicine project managers for the qualitative analysis. Between April 2018 and April 2021, 590 teleconsultations were conducted: 45% (
    MeSH term(s) COVID-19 ; Hospitals, General ; Humans ; Nursing Homes ; Pandemics ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2021-10-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182111148
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  8. Article ; Online: Determinanten der Implementierung von Telemedizin in Pflegeeinrichtungen: eine qualitative Analyse aus Schleswig-Holstein.

    Kitschke, Lisa / Traulsen, Pia / Waschkau, Alexander / Steinhäuser, Jost

    Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

    2024  

    Abstract: ... This offer was accepted and implemented in a heterogeneous way. The aim of this study was to detect factors ... Background: During the restrictions on human contact in the COVID-19 pandemic, nursing homes made ... a great effort to allow relatives, doctors and other persons involved in the care to communicate ...

    Title translation Determinants of the implementation of telemedicine in nursing homes: A qualitative analysis from Schleswig-Holstein.
    Abstract Background: During the restrictions on human contact in the COVID-19 pandemic, nursing homes made a great effort to allow relatives, doctors and other persons involved in the care to communicate with residents. For this purpose, the HLTeleheim project offered a practical telemedical support option. This offer was accepted and implemented in a heterogeneous way. The aim of this study was to detect factors that have an influence on the implementation of telemedical applications in long-term care facilities.
    Methods: As part of a qualitative evaluation approach, guideline-centered interviews (n=17) were conducted with nurses, doctors and administrative staff from the facilities invited to participate in the project. These interviews were then transcribed and anonymized. The evaluation was carried out according to Mayring's qualitative analysis. The code system was created deductively and inductively. Two independently working persons analyzed the interviews.
    Results: While a high demand for applications of telemedicine in nursing care was seen in the run-up to the project, considerable barriers emerged during the implementation, and acceptance among the interviewees was mixed. The nurses regarded the regular use of telemedicine as being rather unimportant for their work. Technical and organizational problems were seen as barriers by the interviewees, which partly limited the use of telemedicine applications. Compatibility among the applications used was seen as a prerequisite of effective use. Unstable internet connection was an important limiting determinant. It turned out that consultations were used for communication within the team.
    Discussion: Although the advantages of video consultations are being recognized among nursing staff, they are still little used. In order to promote the use of telemedicine applications, it is important to repeatedly point out their individual advantages in internal and external communication. Another approach to further implementation, in addition to financial and technical aspects, is to directly address the nursing profession in the software products to be used.
    Conclusion: The implementation of telemedicine applications in long-term care facilities faces structural barriers, such as insufficient internet coverage and a lack of billing options, as well as personal hurdles, such as a low affinity for technology and a lack of knowledge on the subject of telemedicine.
    Language German
    Publishing date 2024-05-29
    Publishing country Netherlands
    Document type English Abstract ; Journal Article
    ZDB-ID 2412512-X
    ISSN 2212-0289 ; 1865-9217
    ISSN (online) 2212-0289
    ISSN 1865-9217
    DOI 10.1016/j.zefq.2024.05.005
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  9. Article ; Online: Regards croisés sur la télémédecine en Ehpad : enquête auprès des professionnels impliqués dans la mise en place des téléconsultations dans les Ehpad du territoire rennais.

    Cady, Lou / Costes, Marie / Andres, Emilie / Dillinger, Franck / Somme, Dominique

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2024  Volume 21, Issue 4, Page(s) 457–467

    Abstract: ... in nursing homes on the professional practices of the stakeholders involved. A qualitative focus group study was ... on training and the added value it can bring to their practice. Telemedicine also allows to provide care ... The practice of telemedicine in nursing homes is a solution to improve the quality of care ...

    Title translation Cross-perspectives on telemedicine in nursing homes: a survey of professionals involved in the setting-up of teleconsultations in nursing homes in Rennes area.
    Abstract The practice of telemedicine in nursing homes is a solution to improve the quality of care for residents. Its application also seems to be beneficial for the professionals involved, but it faces obstacles. The objective of this study is to explore the effects of the implementation of teleconsultations in nursing homes on the professional practices of the stakeholders involved. A qualitative focus group study was conducted with professionals involved in the implementation of teleconsultations. The data was analyzed using an inductive approach similar to grounded theory. The 18 participants included in the study were unanimous and consensual about the benefits of telemedicine. They observed changes in work relationships, particularly the key role of caregivers in coordinating care. However, they feared a deterioration in doctor-patient relationships. The practice of telemedicine was considered time-consuming, which could hinder its dissemination. No general practitioner participated in this study, showing they had reservations about the practice. The Covid-19 pandemic had an impact on the development of teleconsultations within the institutions involved. Telemedicine is acclaimed by the nursing homes teams and the doctors required, particularly through the effects on training and the added value it can bring to their practice. Telemedicine also allows to provide care that is otherwise not available. However, the care process needs to be simplified. In addition, there are obstacles to the involvement of general practitioners, which should be studied in order to optimize the coordination of care for the residents of the nursing homes.
    MeSH term(s) Humans ; Remote Consultation ; Pandemics ; Telemedicine ; Nursing Homes ; General Practitioners
    Language French
    Publishing date 2024-01-25
    Publishing country France
    Document type English Abstract ; Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2023.1112
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