Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals’ experiences

Oelschlägel, Lina; Dihle, Alfhild; Christensen, Vivi Lycke; Heggdal, Kristin; Moen, Anne; Österlind, Jane; Steindal, Simen Alexander

doi:10.1186/s12904-021-00844-w

Cited by 14 publications

(34 citation statements)

References 39 publications

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“…A frequency table illustrating which papers were included in which descriptive themes was made (Table 1). [66], Scofano et al [67], and Weck et al [68] Easy to use but technological issues undermine confidence 18 Bonsignore et al [69], Collier et al [60], Funderskov et al [49] Hackett et al [70], Helleman et al [71], Oelschlägel et al [62], Read Paul et al [59], Shulver et al [57], Harding et al [52], Whitten et al [56], Hochstenbach et al [50], Lind et al [51], Nguyen et al [48], van Gurp et al [72], Stern et al [55], Haydon et al [66], Scofano et al [67], and Weck et al [68] Adds value but personal and organizational barriers challenge adoption 23 Collier et al [60], Hackett et al [70], Harding et al [52], Hochstenbach et al [50], Lind et al [51], McCall et al [61], Adam et al [54], Funderskov et al [49], Read Paul et al [59], Whitten et al [53], Miyazaki et al [58], Tieman et al [73], van Gurp et al [74], Nguyen et al [48], Whitten et al [56], Oelschlägel et al [62], Shulver et al [57], Alodhayani et al [75], Bhargava et al...…”

Section: Data Synthesismentioning

confidence: 99%

“…In all but 1 [68] study, the samples consisted of nurses with various specialties [69][70][71][72][73][74][75]; in 13 studies, physicians were included [47,49,51,52,54,63,64,66,68,70,72,74,75]; and in 3 studies, hospice workers (ie, nurses, physicians, social workers, and spiritual care providers) were included [53,56,64]. Eleven studies had multiprofessional perspectives, including HCPs within rehabilitation, allied health, residential care, and palliative care [57,66]; case managers, coordinators, and respiratory therapists [58]; physician consultants [59]; telehealth providers or technologists [69,75]; and rehabilitation physicians, occupational therapists, physical therapists, speech therapists, dieticians, and social workers [49,62,71]. Three studies included only nurses in their sample [48,67,73], while 1 study included only physicians [68].…”

Section: Description Of the Studies Includedmentioning

confidence: 99%

“…In the majority of the studies (n=13), patients with cancer receiving palliative care were the recipients of the telehealth intervention [49][50][51]54,55,59,[61][62][63]70,[72][73][74]. Eleven studies did not report specific diagnoses other than serious illnesses [47,48,57,58] or patients receiving palliative care [60,65,66,69] or end-of-life care [53,56,64].…”

Section: Description Of the Studies Includedmentioning

confidence: 99%

“…Thirteen papers used a qualitative design [49][50][51]53,54,57,60,62,66,70,72,74,75], 12 papers used a mixed or multimethods design [47,52,55,56,58,59,61,64,[67][68][69]71], and 4 papers used a quantitative design [48,63,65,73]. The characteristics of the studies included are shown in Multimedia Appendix 4.…”

Section: Description Of the Studies Includedmentioning

confidence: 99%

“…HCPs reported that telehealth added value to HBPC, as it improved their access to patients, facilitated quick and timely responses, and improved time efficiency, quality, coordination, and continuity of care without increasing their overall workload compared with in-person visits [49,59,60,62,66,[68][69][70][71]76]. For rural HCPs, an added benefit was that video visits increased the capacity and extension of palliative care services while minimizing the need for traveling [57,60,66,69].…”

Section: Adds Value But Personal and Organizational Barriers Challeng...mentioning

confidence: 99%

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Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Lundereng¹,

Nes²,

Holmen³

et al. 2023

J Med Internet Res

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Background Telehealth seems feasible for use in home-based palliative care (HBPC). It may improve access to health care professionals (HCPs) at patients’ homes, reduce hospital admissions, enhance patients’ feelings of security and safety, and increase the time spent at home for patients in HBPC. HBPC requires the involvement of various HCPs such as nurses, physicians, allied health professionals, dietitians, psychologists, religious counselors, and social workers. Acceptance of the use of technology among HCPs is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of HCPs regarding the use of telehealth in HBPC. Objective The aim of this review was to systematically map published studies on HCPs’ experiences and perspectives on the use of telehealth in HBPC. Methods A scoping review was conducted using the methodology of Arksey and O’Malley. The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A systematic search was performed in AMED, CINAHL, Embase, MEDLINE, PsycINFO, and Web of Science for studies published in peer-reviewed journals between January 1, 2000, and August 23, 2022. The reference lists of the included papers were hand searched to identify additional studies. The inclusion criteria were (1) studies using qualitative, quantitative, or mixed methods; (2) studies including HCPs using telehealth with patients in HBPC; (3) studies on HCPs’ experiences and perspectives on the use of telehealth in HBPC; (4) studies published between January 1, 2000, and August 23, 2022; and (5) studies published in English, Portuguese, Norwegian, Danish, Swedish, or Spanish. Pairs of authors independently included studies and extracted data. The first 2 stages of thematic synthesis were used to thematically organize the data. Results This scoping review included 29 papers from 28 studies. Four descriptive themes were identified: (1) easy to use but technological issues undermine confidence, (2) adds value but personal and organizational barriers challenge adoption, (3) potential to provide useful and meaningful patient-reported data, and (4) mutual trust as a prerequisite for interpersonal relationships. Conclusions Telehealth in HBPC seems to be easy to use and may improve the coordination of care, time efficiency, clinical assessments, and help build and enhance personal and professional relationships. However, the introduction of technology in HBPC is complex, as it may not align well with the overall aim of palliative care from HCPs’ point of view. Further, changes in practice and requirements for HCPs may reduce motivation for the use of telehealth in HBPC. HCPs consider themselves to have central roles in implementing telehealth, and a lack of acceptance and motivation is a key barrier to telehealth adoption. Policy makers and telehealth developers should be aware of this potential barrier when developing or implementing new technology for use in HBPC. International Registered Report Identifier (IRRID) RR2-10.2196/33305

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Section: Data Synthesismentioning

confidence: 99%

Section: Description Of the Studies Includedmentioning

confidence: 99%

Section: Description Of the Studies Includedmentioning

confidence: 99%

Section: Description Of the Studies Includedmentioning

confidence: 99%

Section: Adds Value But Personal and Organizational Barriers Challeng...mentioning

confidence: 99%

See 3 more Smart Citations

Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Lundereng¹,

Nes²,

Holmen³

et al. 2023

J Med Internet Res

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Perceptions of adult patients with cancer towards telemedicine: A qualitative meta-synthesis

Ren,

Chen,

Jiang

et al. 2024

Asia-Pacific Journal of Oncology Nursing

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Ethical Considerations Regarding Digital Health Services in Home-Based Palliative Care

Steindal,

Klarare,

Sørensen

et al. 2024

J Hosp Palliat Nurs

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Historically, in-person contact between patients and nurses in home-based care has been pivotal in palliative care and hospice care. The provision of home-based palliative care services could be challenged by the projected increase in patients who need palliative care and by the expected shortage of nurses. Digital health services could constitute one measure for delivering high-quality palliative care, enabling patients to stay home. Nurses often follow up these patients remotely. Because digital health services are increasingly implemented in home-based palliative care, it is imperative that nurses consider the ethical concerns regarding such service delivery. Neglecting ethical concerns could result in unintended consequences for patients and nurses and inhibit care delivery. The aim of this article was to explore ethical concerns of digital health services in home-based palliative care through the lens of the 4 biomedical principles: autonomy, beneficence, nonmaleficence, and justice. This study utilized a bottom-up methodology conducting a subanalysis of the results of 2 previous reviews.

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Implementing welfare technology in palliative homecare for patients with cancer: a qualitative study of health-care professionals’ experiences

Cited by 14 publications

References 39 publications

Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Health Care Professionals’ Experiences and Perspectives on Using Telehealth for Home-based Palliative Care: Scoping Review

Perceptions of adult patients with cancer towards telemedicine: A qualitative meta-synthesis

Ethical Considerations Regarding Digital Health Services in Home-Based Palliative Care

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