Potentiale und Herausforderungen von ärztlichen Videosprechstunden in der Pflegeeinrichtung aus der Sicht der Versorgenden - eine qualitative Prä-Post-Studie

May, Susann; Fehler, Georgia; Jonas, Kai J.; Zahn, Thomas; Heinze, Martin; Muehlensiepen, Felix

doi:10.1016/j.zefq.2021.11.007

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The present study was conducted as a part of the MUT 21 project (Model for the implementation of telemedical care of nursing home residents by outpatient physicians in rural areas) of the German Federal Ministry of Health (grant number: ZMI1-2521TEL003), which enables telemedical support of health care and supports the necessary technical, legal, training and organisational conditions. The MUT 21 project emerged from another project (EVA MUT) [9]. EVA MUT was carried out during 2020 and has then been followed by the second phase of the project, called MUT 21, which's ndings will be outlined in this article.…”

Section: Introductionmentioning

confidence: 99%

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

Brandt1

May

Münte

et al. 2023

Preprint

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Background Currently, there is a shortage of general practitioners and specialists in rural areas in Germany. In particular, people who are not mobile are at risk of not being provided adequately with medical care. This development is expected to increase in the coming years. One approach to counteracting this problem is the use of telemedicine. In two rural areas in Brandenburg/Germany, a telemedical intervention (video consultation and data exchange) is therefore to be tested in the general practitioner care of people living in nursing homes. The aim of this study is to investigate the expectations, experiences, barriers and motivation for the use from the perspective of the professional groups involved (physicians, nurses, software developers, legal supervisors). Methods The duration of the telemedicine intervention was six months. Following a qualitative pre-post design, interviews with the professionals were conducted at two time points, before the implementation of telemedicine interventions (t0) and after the implementation (t1). For the analysis of the interviews, the inductive-deductive approach according to Kuckartz was followed. Results In total 20 interviews were conducted. At t0 a positive influence on time savings, more efficient cooperation between nursing and medical care, an improved image of the institution and higher satisfaction of nursing home residents was expected. At t1, an improved quality of care, more efficient work, as well as an attractive image for the institution were positively emphasized. Enormous obstacles resulted from the fact that the technical interfaces of the different documentation systems were not compatible or technically unattainable. Video consultation and data exchange worked particularly well in cases where: 1. where patients/residents changed settings (e.g., from hospital back to nursing home) 2. frequent physician visits were required (e.g., wound checks) 3. routine appointments between physician and nurses with little or no contact with patients. Conclusions Telemedicine interventions such as video consultation and shared documentation systems can relieve the existing care structures and supplement them with additional elements, provided that the technical and legal framework conditions allow this. However, the use of telemedical interventions cannot replace the personal visit but is to be understood as an additional option.

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Section: Introductionmentioning

confidence: 99%

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

Brandt1

May

Münte

et al. 2023

Preprint

Self Cite

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Die Rekrutierung von Proband*innen im Projekt DeinHaus 4.0 Oberpfalz - Prozess, Herausforderungen und Bewertung

Greiner,

Currle,

Bahr

et al. 2024

Regensburger Beiträge Zur Digitalisierung Des Gesundheitswesens

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Im Beitrag werden Ablauf und Herausforderungen der Rekrutierung von Schlaganfallbetroffenen im Forschungsprojekt DeinHaus 4.0 Oberpfalz dargestellt und erörtert. Neben einer Beschreibung von ergriffenen Strategien zur Erhöhung der Teilnehmendenzahl wird der Ablauf der Studienaufnahme skizziert sowie der Beitrag von öffentlichkeitswirksamen Maßnahmen für die Akquise dargelegt. Als Barrieren werden die zeitliche Überschneidung des Rekrutierungsfensters mit der Corona-Pandemie, Spezifika der Zielgruppe, Setting und Dauer durchgeführten Intervention (Teletherapie und Telenursing mittels Telepräsenzroboter) sowie weitere Faktoren innerhalb des Projekts und in der Zusammenarbeit mit Praxispartner*innen identifiziert. Nach Anmerkungen zum Einfluss der erreichten Stichprobengröße auf die Belastbarkeit der Studienergebnisse werden Handlungsempfehlungen abgleitet, die zu einer erfolgreichen Rekrutierung beitragen können.

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Perceptions Toward Telemedicine of Health Care Staff in Nursing Homes in Northern Germany: Cross-Sectional Study

Traulsen,

Kitschke,

Steinhäuser

2024

JMIR Aging

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Background Digitalization in the German health care system is progressing slowly, even though it offers opportunities for improvement of care. In nursing homes, most of the staff’s work is paper based. Following the pandemic, there has been a decrease in the use of telemedicine applications. To ensure long-term implementation, the views of users, in this case nurses, are of interest. Objective This cross-sectional study was conducted to describe which digital applications are already being used at inpatient care facilities, the attitude of nurses toward telemedicine, and for which areas the use of telemedicine in the facilities is considered appropriate by the participants. Methods All inpatient care facility staff in Schleswig-Holstein were invited to participate in the survey from August 1 to October 31, 2022. The questionnaire consists of 17 determinants that ask about the attitude, use, and possible applications of telemedicine. In addition to a descriptive analysis, the influence of the general attitude toward telemedicine on various determinants was examined using the Fisher exact test for nominal variables and Spearman correlation coefficient for metric variables. Results A total of 425 caregivers participated in the survey. Of these respondents, 10.7% (n=41) currently used video consultations, and 76.1% (n=321) of the respondents were in favor of video consultations being practiced in training. Furthermore, 74.8% (n=312) of the respondents would attend a training on telephone medical consultation. Respondents indicated that video consultations have a small added value compared to asynchronous telemedicine (eg, sending photos). However, video consultations were perceived as somewhat less time-consuming than other communication channels. Video consultations are perceived as most useful for clarifying urgent problems. The respondents estimated that one in five paramedic calls at their facilities could be reduced through telemedicine approaches. It was important to the participants that telemedicine is as simple as possible and that there is a high level of data security. Conclusions Although many caregivers have a positive attitude toward telemedicine and perceive its advantages, communication channels such as video consultation are still used infrequently in care facilities. To promote the use of telemedicine applications, it is important to emphasize their benefits. The presumed saving of paramedic calls thus represents a benefit, and it is crucial to train caregivers in the use of telemedicine to avoid uncertainties in dealing with the newer technologies. It is important to give them enough time and repetitions of the training.

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Potentiale und Herausforderungen von ärztlichen Videosprechstunden in der Pflegeeinrichtung aus der Sicht der Versorgenden - eine qualitative Prä-Post-Studie

Cited by 4 publications

References 18 publications

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

Implementing telehealth interventions between medical care and nursing homes in rural areas of Germany to enable regular medical support in everyday care procedures – a qualitative pre-post study

Die Rekrutierung von Proband*innen im Projekt DeinHaus 4.0 Oberpfalz - Prozess, Herausforderungen und Bewertung

Perceptions Toward Telemedicine of Health Care Staff in Nursing Homes in Northern Germany: Cross-Sectional Study

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