Nursing Theory in Virtual Care

Fronczek, Ann E.

doi:10.1177/0894318418807926

Cited by 24 publications

(16 citation statements)

References 8 publications

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“…However, similar to the study by Mair et al [ 13 ], we still believe that the integration of virtual care technologies into nursing practice can be convoluted and multifaceted. Concurrently, virtual care integration will substantially benefit nurses as the scope of their practice will be more developed, and nursing care delivery will become more flexible [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although this growth was observed a few weeks before the pandemic, the progressive integration of virtual care technologies into nursing practice is very promising. These technologies can potentially augment nurses’ capability to deliver care in nontraditional ways and improve their scope of practice [ 6 ]. Nevertheless, to sustain this progress in a changing health care landscape, it is crucial to understand the promotors and inhibitors of the uptake of virtual care technologies by nurses.…”

Section: Introductionmentioning

confidence: 99%

“…Enablers and barriers pertaining to the technology per se involved five factors [ 9 , 12 , 16 ]: (1) ease of use, (2) flexibility, (3) contextual integration of the technology, (4) privacy, and (5) security. For privacy and security, both nurses and patients must be assured that they can use virtual care technologies safely [ 6 ]. However, Hardcastle and Ogbogu [ 17 ] clearly stated, “ensuring data security is arguably the most challenging aspect of virtual care.”…”

Section: Introductionmentioning

confidence: 99%

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Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses

Beauséjour¹,

Hagens²

2022

JMIR Nursing

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Background Canadian nurses are at the forefront of patient care delivery. Although the use of digital health technologies for care delivery is gaining momentum in Canada, nurses are encouraged to integrate virtual care into their practice. In early 2020, more Canadian nurses delivered care virtually compared with 3 years ago. Objective This study seeks to uncover the professional characteristics of Canadian nurses accessing virtual care in 2020, understand how these characteristics differ across types of technologies, investigate whether the nurses accessing virtual care possess the skills and knowledge needed to use these technologies, and determine the important drivers of the uptake of virtual care observed in 2020. Methods We used data from the 2017 and 2020 National Survey of Canadian Nurses. This survey collected data on the use of digital health technologies in nursing practice. It concerned regulated nursing professionals working in different health care settings and from different domains of nursing practice. We combined the chi-square independence test and logistic regression analysis to uncover the most relevant drivers of virtual care uptake by nurses in 2020. Results In early 2020, before the declaration of the COVID-19 pandemic, nurses who delivered care virtually were predominantly nurse practitioners (135/159, 84.9%) and more likely to work in a primary or community care setting (202/367, 55%) and in an urban setting (194/313, 61.9%). Factors such as nursing designation (P<.001), perceived quality of care at the health facility where the nurses practiced (P<.001), and the type of patient record–keeping system they had access to (P=.04) had a statistically significant effect on the probability of nurses to deliver care virtually in early 2020. Furthermore, nurses’ perception of the quality of care they delivered through virtual technologies was statistically associated with their perception of the skills (χ24=308.7; P<.001) and knowledge (χ24=283.4; P<.001) to use these technologies. Conclusions This study emphasizes the critical importance of nursing designation, geographic location, and type of patient record–keeping system in predicting virtual care integration in nursing practice. The findings related to geographic location can be used by decision-makers for better allocation of digital health resources among care settings in rural and urban areas. Similarly, the disparities observed across nursing designations have some implications for the digital training of nurses at all levels of practice. Finally, the association between electronic medical record use and uptake of virtual care could accelerate the implementation of more modernized record-keeping systems in care settings. Hence, this could advance interoperability and improve health care delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses

Beauséjour¹,

Hagens²

2022

JMIR Nursing

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“…Thus, due to the technological advances incorporated into the health services and to the different means of communication, nursing has reformulated its work method, incorporating itself into telehealth's scope through telenursing (Porter‐OʼGrady, 2019). As a result, nurses can identify, diagnose, plan, intervene, and evaluate human responses through information and communication technology, such as phones and cell phones (Fronczek, 2019).…”

Section: Introductionmentioning

confidence: 99%

Ineffective health management in people with hypertension: Accuracy study

Silva

Lopes

Silva

et al. 2022

Int J of Nursing Knowl

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Purpose To analyze the accuracy of the clinical indicators of the nursing diagnosis Ineffective Health Management in people with hypertension. Methods This is a cross‐sectional diagnostic accuracy study. The ineffective health management was investigated in 120 people with hypertension in a referral public outpatient clinic in Brazil between August and November 2020. The accuracy measures were analyzed using Rasch analysis, considering the difficulty of clinical indicator and person's ability. Results Ineffective health management is probably present in 37.5% of people with hypertension. ‘Failure to include treatment regimen in daily living’ was the clinical indicator with the highest sensitivity value, and ‘failure to take action to reduce risk factor’ had the highest specificity value. Conclusions Rasch analysis demonstrated that all clinical indicators contribute significantly to estimating the presence of ineffective health management in people with hypertension in the outpatient scenario. Implications for Nursing Practice This research contributes by providing accurate clinical indicators of ineffective health management, helping nurses prescribe and deliver the appropriate nursing interventions for people with hypertension by telenursing.

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“…Individuals were discouraged from interacting with healthcare providers in traditional ways and encouraged to seek virtual care transactions to maintain client and healthcare provider safety through electronic means. This author has previously addressed how telehealth technologies are used in the healthcare space and supported by nursing theoretical frameworks (Fronczek, 2019; Fronczek & Cowen, 2019; Fronczek & Rouhana, 2018; Fronczek, Rouhana, & Kitchin, 2017), but now an unprecedented shift has occurred in the use of technology to support patient care that is likely to expand in new and convenient ways, ushering in a new era for healthcare, that poses both benefit and risks in attaining goals and health. The purpose of this article is to show how King’s conceptual framework theory of goal attainment can support this new era in healthcare.…”

mentioning

confidence: 99%

Ushering in a New Era for King’s Conceptual System and Theory of Goal Attainment

Fronczek

2021

Nurs Sci Q

Self Cite

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The COVID-19 pandemic has ushered in a new era for nurses and healthcare. King’s conceptual framework continues to provide a practical theoretical underpinning for nurse-client interactions in virtual care spaces that are now a pervasive part of the interacting systems framework. The author in this article discusses the current applications and future opportunities for applications of King’s work in practice, education, and research.

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Nursing Theory in Virtual Care

Cited by 24 publications

References 8 publications

Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses

Uncovering Important Drivers of the Increase in the Use of Virtual Care Technologies in Nursing Care: Quantitative Analysis From the 2020 National Survey of Canadian Nurses

Ineffective health management in people with hypertension: Accuracy study

Ushering in a New Era for King’s Conceptual System and Theory of Goal Attainment

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