Principle‐based analysis of the concept of telecare

Solli, Hilde; Bjørk, Ida Torunn; Hvalvik, Sigrun; Hellesø, Ragnhild

doi:10.1111/j.1365-2648.2012.06038.x

Cited by 32 publications

(34 citation statements)

References 58 publications

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“…Telecare has also been identified as an important tool for addressing predicted future challenges caused by the larger proportion of older people in the population and the worldwide workforce shortage (European Commission, ). Telecare is the use of information, communication and monitoring technologies that allow healthcare professionals to remotely evaluate health status, provide educational interventions or deliver health and social care to patients in their homes (Solli, Bjørk, Hvalvik, & Hellesø, : p. 2802). By enabling healthcare professionals to provide care at a distance to patients' homes, telecare represents a significant shift in the way that care services are provided (Oudshoorn, ).…”

Section: Introductionmentioning

confidence: 99%

Safety for older adults using telecare: Perceptions of homecare professionals

2019

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Aim The aim of this study was to explore homecare professionals' perceptions of safety related to the use of telecare by older adults. Design An exploratory qualitative design was employed. Methods Two focus group interviews with ten female homecare professionals (nine Registered Nurses and one occupational therapist) were carried out between June–December 2017. The participants were recruited from six community homecare services in two Norwegian municipalities. Data were analysed using qualitative content analysis. Results The participants perceived that the use of telecare protects older adults against injury and insecurity by preventing harm and giving them a feeling of safety. However, they also stated that the use of telecare involves challenges that could lead to harm to older adults due to technological limitations and difficulties managing and understanding the technology. Although telecare can enhance safety, it is necessary to develop reliable technology and adapt it to the user's abilities, skills and resources.

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Section: Introductionmentioning

confidence: 99%

Safety for older adults using telecare: Perceptions of homecare professionals

2019

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“…TM can be defined as: "the information, communication and monitoring technologies which allow healthcare providers to remotely evaluate health status, give educational intervention, or deliver health and social care to patients in their homes" (Solli, Bjørk, Hvalvik, & Hellesø, 2012, p. 2813. TM care for patients with COPD has been shown to be clinically effective (Polisena et al, 2010) by decreasing the use of healthcare services (Kamei, Yamamoto, Kajii, Nakayama, & Kawakami, 2013) and reducing hospital admissions and emergency department visits (Cruz, Brooks, & Marques, 2014;McLean et al, 2012;Pedone & Lelli, 2015), thereby improving the quality of life for patients (Cruz et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

Barken

Söderhamn

Thygesen

2019

Journal of Advanced Nursing

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Aim To synthesize the qualitative research in the literature addressing how patients with chronic obstructive pulmonary disease experience care received by telemedicine. Design Meta‐ethnography. Data Sources Twelve studies, published from 2013 – 2018, were identified by a search of relevant systematic databases in June 2017, including updated searches performed in June 2018. Review Methods The studies were reviewed and critically appraised independently by three researchers. The review followed the seven steps of meta‐ethnography developed by Noblit and Hare, including a line‐of‐argument synthesis. Results The synthesis revealed three second‐order constructs: presence, transparency, and ambivalence. Using a line‐of‐argument synthesis, a model was developed that showed patients’ experience of a sense of belonging when receiving care by telemedicine. Conclusion This meta‐ethnography contributes to the existing and contradictory evidence base of telemedicine to chronic obstructive pulmonary disease patients. It addresses and adds renewed understanding of who would benefit from telemedicine and why, by illustrating the interrelationship between the conditions of telemedicine care, the severity of COPD, and the need for connectedness and emphasizes that the need to belong in telemedicine care increases with the progression of illness burden and severity. Impact The present study endorses the view that the patients with a severe illness burden are likely to benefit the most when receiving care by telemedicine. However, the benefits rely on the fact that the telemedicine interventions involve emotional, social, and clinical support, including regular contact with healthcare professionals, to meet the requirements to belong.

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“…Telecare can be considered to be one important solution for future healthcare challenges 6. However, different parties may have different views and perception of how healthcare services can benefit from implementing new technological tools and changed ways in how healthcare is provided.…”

Section: Discussionmentioning

confidence: 99%

Safer@home—Simulation and training: the study protocol of a qualitative action research design

et al. 2014

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IntroductionWhile it is predicted that telecare and other information and communication technology (ICT)-assisted services will have an increasingly important role in future healthcare services, their implementation in practice is complex. For implementation of telecare to be successful and ensure quality of care, sufficient training for staff (healthcare professionals) and service users (patients) is fundamental. Telecare training has been found to have positive effects on attitudes to, sustained use of, and outcomes associated with telecare. However, the potential contribution of training in the adoption, quality and safety of telecare services is an under-investigated research field. The overall aim of this study is to develop and evaluate simulation-based telecare training programmes to aid the use of videophone technology in elderly home care. Research-based training programmes will be designed for healthcare professionals, service users and next of kin, and the study will explore the impact of training on adoption, quality and safety of new telecare services.Methods and analysisThe study has a qualitative action research design. The research will be undertaken in close collaboration with a multidisciplinary team consisting of researchers and managers and clinical representatives from healthcare services in two Norwegian municipalities, alongside experts in clinical education and simulation, as well as service user (patient) representatives. The qualitative methods used involve focus group interviews, semistructured interviews, observation and document analysis. To ensure trustworthiness in the data analysis, we will apply member checks and analyst triangulation; in addition to providing contextual and sample description to allow for evaluation of transferability of our results to other contexts and groups.Ethics and disseminationThe study is approved by the Norwegian Social Science Data Services. The study is based on voluntary participation and informed written consent. Informants can withdraw at any point in time. The results will be disseminated at research conferences, peer review journals, one PhD thesis and through public presentations to people outside the scientific community.

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Principle‐based analysis of the concept of telecare

Abstract: The logical principle was assessed to be partly immature, whereas the pragmatical and linguistical principles were found to be mature. A new definition is suggested and this has moved the epistemological principle forward to maturity.

Cited by 32 publications

References 58 publications

Safety for older adults using telecare: Perceptions of homecare professionals

Safety for older adults using telecare: Perceptions of homecare professionals

A sense of belonging: A meta‐ethnography of the experience of patients with chronic obstructive pulmonary disease receiving care through telemedicine

Safer@home—Simulation and training: the study protocol of a qualitative action research design

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