Establishing a remote clinical advice service during the COVID-19 pandemic

Burrows, Samuel; Asby, Claire; Ibitoye, Sarah; Dodd, James; Joughin, Andrea; Crees, Amy; Jones, Zoe Rose; Rainey, Katie

doi:10.7861/fhj.2020-0092

Cited by 5 publications

(10 citation statements)

References 1 publication

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“…18 The important role of carers during transitions of care has been highlighted during the pandemic. 19 This was because large numbers of patients were discharged from inpatient mental health services while access to community services was limited. 20 A recent systematic review found only 12 carer involvement interventions to improve patient outcomes (e.g., readmissions) during mental health transitions.…”

Section: Introductionmentioning

confidence: 99%

“…Having effective social support (often provided by carers) is thought to reduce the likelihood of adverse events, such as suicide postdischarge 18 . The important role of carers during transitions of care has been highlighted during the pandemic 19 . This was because large numbers of patients were discharged from inpatient mental health services while access to community services was limited 20…”

Section: Introductionmentioning

confidence: 99%

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Supporting carers to improve patient safety and maintain their well‐being in transitions from mental health hospitals to the community: A prioritisation nominal group technique

McMullen

Panagioti

Planner

et al. 2023

Health Expectations

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IntroductionCarers of people with mental illness may face distinct challenges, including navigating fragmented health and social services during discharge from mental health hospitals. Currently, limited examples of interventions that support carers of people with mental illness in improving patient safety during transitions of care exist. We aimed to identify problems and solutions to inform future carer‐led discharge interventions, which is imperative for ensuring patient safety and the well‐being of carers.MethodsThe nominal group technique was used which combines both qualitative and quantitative data collection methods in four distinct phases: (1) problem identification, (2) solution generation, (3) decision making and (4) prioritisation. The aim was to combine expertise from different stakeholder groups (patients, carers and academics with expertise in primary/secondary care, social care or public health) to identify problems and generate solutions.ResultsTwenty‐eight participants generated potential solutions that were grouped into four themes. The most acceptable solution for each was as follows: (1) ‘Carer Involvement and Improving Carer Experience’ a dedicated family liaison worker, (2) ‘Patient Wellness and Education’ adapting and implementing existing approaches to help implement the patient care plan, (3) ‘Carer Wellness and Education’ peer/social support interventions for carers and (4) ‘Policy and System Improvements’ understanding the co‐ordination of care.ConclusionThe stakeholder group concurred that the transition from mental health hospitals to the community is a distressing period, where patients and carers are particularly vulnerable to safety and well‐being risks. We identified numerous feasible/acceptable solutions to enable carers to improve patient safety and maintain their own mental wellbeing.Patient and Public ContributionPatient and public contributors were represented in the workshop and the focus of the workshop was to identify the problems they faced and co‐design potential solutions. Patient and public contributors were involved in the funding application and study design.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Supporting carers to improve patient safety and maintain their well‐being in transitions from mental health hospitals to the community: A prioritisation nominal group technique

McMullen

Panagioti

Planner

et al. 2023

Health Expectations

View full text Add to dashboard Cite

show abstract

“…2 Available online at: https://msss.gouv.qc.ca/professionnels/maladies-infectieuses/ coronavirus-2019-ncov/ (accessed October 25, 2021). reliable technological tools (4)(5)(6)(7)(8)(9)(10)(11). It has been suggested that with their telemonitoring/telecare capacities and remote monitoring capabilities, telehealth platforms can provide patients with practical and timely access to care (4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…reliable technological tools (4)(5)(6)(7)(8)(9)(10)(11). It has been suggested that with their telemonitoring/telecare capacities and remote monitoring capabilities, telehealth platforms can provide patients with practical and timely access to care (4)(5)(6)(7)(8)(9)(10)(11). Telehealth offers asynchronous communication, collecting and tracking data but also obtaining real-time clinical feedback that is well-suited to the remote patient monitoring process (4-12).…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…Telehealth offers asynchronous communication, collecting and tracking data but also obtaining real-time clinical feedback that is well-suited to the remote patient monitoring process (4-12). Moreover, health technology experts and healthcare leaders have suggested that telehealth and RPM platforms can help facilitate continuity of care and provide considerable support for the organization and administration of care services during the current pandemic (4)(5)(6)(7)(8)(9)(10)(11)(12).…”

Section: Introduction Backgroundmentioning

confidence: 99%

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Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study

Bouabida

Malas

Talbot

et al. 2021

Front. Digit. Health

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Background: The COVID-19 pandemic created an urgent need to act to reduce the spread of the virus and alleviate congestion from healthcare services, protect healthcare providers, and help them maintain satisfactory quality and safety of care. Remote COVID-19 monitoring platforms emerged as potential solutions.Objective: The purpose of this study was to evaluate the capacity and contribution of two different platforms used to remotely monitor patients with COVID-19 to maintain quality, safety, and patient engagement in care, as well as their acceptability, usefulness, and user-friendliness from the user's perspective. The first platform is focused on telecare phone calls (Telecare-Covid), and the second is a telemonitoring app (CareSimple-Covid).Methods: We performed a cross-sectional study. The data were collected through a phone survey from May to August 2020. Data were analyzed using descriptive statistics and t-test analysis. Participants' responses and comments on open-ended questions were analyzed using content analysis to identify certain issues and challenges and potential avenues for improving the platforms.Results: Fifty one patients participated in the study. Eighteen participants used the CareSimple-Covid platform and 33 participants used the Telecare-Covid platform. Overall, the satisfaction rate for quality and safety of care for the two platforms was 80%. Over 88% of the users on each platform considered the platforms' services to be engaging, useful, user-friendly, and appropriate to their needs. The survey identified a few significant differences in users' perceptions of each platform: empathy toward users and the quality and safety of the care received were rated significantly higher on the CareSimple-Covid platform than on the Telecare-Covid platform. Users appreciated four aspects of these telehealth approaches: (1) the ease of access to services and the availability of care team members; (2) the user-friendliness of the platforms; (3) the continuity of care provided, and (4) the wide range of services delivered. Users identified some technical limitations and raised certain issues, such as the importance of maintaining human contact, data security, and confidentiality. Improvement suggestions include promoting access to connected devices; enhancing communications between institutions, healthcare users, and the public on confidentiality and personal data protection standards; and integrating a participatory approach to telehealth platform development and deployment efforts.Conclusion: This study provides preliminary evidence that the two remote monitoring platforms are well-received by users, with very few significant differences between them concerning users' experiences and views. This type of program could be considered for use in a post-pandemic era and for other post-hospitalization clienteles. To maximize efficiency, the areas for improvement and the issues identified should be addressed with a patient-centered approach.

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Trapped: Experiences of unpaid carers of clinically vulnerable people “shielding” during the coronavirus disease 2019 pandemic

Burrows,

Lyttleton-Smith,

Sheehan

et al. 2023

Journal of Social Work

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Summary Unpaid carers were profoundly impacted by the coronavirus disease 2019 pandemic and public health responses. In the UK, in March 2020, people identified as clinically extremely vulnerable and their household members were advised to “shield” for an initial 12-week period, which meant minimizing all contacts from outside the household and not leaving the house at all, unless in an emergency. In a modified form, shielding guidance remained in place until August 2020 and was reinstituted from December 2020 until April 1, 2021. This article, reporting on qualitative interviews with 47 unpaid carers in Wales, thematically analyzed using a coding framework, explores the experiences of unpaid carers affected by this shielding guidance and their wider implications for social work with unpaid carers in the future. Findings Participants in our study described ways in which their caring role expanded, due to the need to provide additional practical and emotional support for loved ones who were shielding, and who lost access to other avenues of support. Some also described their caring role as becoming more involved and complex due to the declining health or self-care capacity of the person cared-for as a direct consequence of shielding restrictions. Alongside the increase in their caring responsibilities, carers reported losing access to important avenues of support for their own well-being. Applications We draw on ecological systems theory to highlight the importance during care planning and management of exploring the carer's mesosystem to identify and optimize sustaining forces, and of attending to the microsystem involving the carer and person cared-for.

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Establishing a remote clinical advice service during the COVID-19 pandemic

Cited by 5 publications

References 1 publication

Supporting carers to improve patient safety and maintain their well‐being in transitions from mental health hospitals to the community: A prioritisation nominal group technique

Supporting carers to improve patient safety and maintain their well‐being in transitions from mental health hospitals to the community: A prioritisation nominal group technique

Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study

Trapped: Experiences of unpaid carers of clinically vulnerable people “shielding” during the coronavirus disease 2019 pandemic

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