Rethinking presence: a grounded theory of nurses and teleconsultation

Barrett, David

doi:10.1111/jocn.13656

Cited by 29 publications

(70 citation statements)

References 40 publications

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“…For instance, inability to understand the functions of a mobile safety alarm may result in the user failing to call for help in the case of an emergency. Studies also report that limitations associated with the technology, such as technical failure, can inhibit the uptake and adoption of the technology by nurses (Barrett, ). Moreover, if older adults repeatedly find the technology unreliable or difficult to understand, they may develop a negative attitude towards the telecare device and not bother using it.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have also found that home healthcare nurses who delivered health services through virtual visits evaluated the virtual visit technology positively (Husebø & Storm, ). Moreover, in a study performed by Barrett () aimed at understanding how teleconsultation has an impact on the role of nurses, it was reported that nurses have different types of presence (operational, clinical, technical and social) during teleconsultation to support patient care. The degree of presence depends on specific characteristics of video‐mediated communication.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Safety for older adults using telecare: Perceptions of homecare professionals

2019

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“…Suggestions for adapting some in-person rapport techniques such as the use of small talk, eye contact, and body language to facilitate trust, personal connection, and communication during videoconferencing encounters have been discussed in the popular press and clinical commentaries [1,[22][23][24]. However, few studies seem to have evaluated these modalities [25][26][27][28] or more advanced relational skills such as presence [29], conveying caring [30], empathy [31], and person-centered care [32]. Even in telepsychology, where research is more robust [33], providers remain concerned about the impact of videoconferencing on therapeutic alliance and nonverbal communication channels [16,34] and are uncertain about how best to adapt techniques.…”

Section: Knowledge Gapsmentioning

confidence: 99%

Exploring Nurse and Patient Experiences of Developing Rapport During Oncology Ambulatory Care Videoconferencing Visits: Protocol for a Qualitative Study

Koppel

Gagné

2021

JMIR Res Protoc

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Background Telehealth videoconferencing has largely been embraced by health care providers and patients during the COVID-19 pandemic; however, little is known about specific techniques for building rapport and provider-patient relationships in this care environment. Although research suggests that videoconferencing is feasible and can be effective for some types of care, concerns about the impact of technology on provider-patient relationships exist across health disciplines. Suggestions for adapting some in-person rapport techniques, such as the use of small talk, eye contact, and body language to facilitate trust, personal connection, and communication during videoconferencing encounters, have been discussed in the popular press and clinical commentaries. Notably, evidence regarding the effects of these strategies on rapport and clinical care outcomes is lacking. Understanding how to establish rapport in videoconferencing visits is especially important in oncology nursing, where rapport with patients enables nurses to become a source of emotional support, helping patients adapt and navigate the cancer journey. Objective This study aims to investigate the nature of nurse-patient rapport in ambulatory cancer care videoconferencing visits. The objectives include exploring how patients with cancer and nurses describe experiences of rapport and strategies for cultivating rapport in videoconferencing visits and similarities and differences identified by patients with cancer and nurses between experiences of rapport in videoconferencing and in-person visits. Methods Semistructured narrative interviews of patients with cancer and nurses will be conducted to understand the experience of rapport building in videoconferencing visits. Nurses and patients will be interviewed separately to facilitate an understanding of the perspectives of both types of participants. Interviews will be conducted on a secure videoconferencing platform. This qualitative descriptive study will describe participant experiences in a manner that, although not without interpretation, is as close to the data as possible. The research team will meet regularly to discuss, define, and document codes, categories, and themes, and the team will maintain a detailed audit trail of analytical decisions. In addition, member checking will enhance the rigor of the study. Nurse and patient interviews will be analyzed separately using identical procedures and may be explored side by side in the final analysis to provide a comparative analysis. Data management and analysis will be performed using NVivo 12. Results Data collection will begin during summer 2021, with results from the data analysis anticipated by winter 2021. A research team trained in qualitative methodology will use conventional content analysis to analyze the data using first- and second-level codes derived directly from the transcribed text data. Conclusions This study aims to determine what behaviors, communication techniques, and relational practices need to be adapted in videoconferencing telehealth visits, setting the foundation for future development of interventions and evidence-based practice guidelines for relationship building during videoconferencing telehealth visits. International Registered Report Identifier (IRRID) PRR1-10.2196/27940

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“…Teleconsultation is an indication of diagnosis or choice of therapy without the physical presence of the patient and provides the use of video to facilitate real-time, remote interaction between healthcare practitioners and patients. 9 This is a remote consulting activity between physicians that allows the professional to ask for the advice to 1 or more colleagues (second opinion), based on specific training and expertise, and on medical information related the management of the patient.…”

Section: Classificationmentioning

confidence: 99%

Medical Legal Aspects of Telemedicine in Italy: Application Fields, Professional Liability and Focus on Care Services During the COVID-19 Health Emergency

Ferorelli

Nardelli

Spagnolo

et al. 2020

J Prim Care Community Health

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Telemedicine services can be classified into the macro-categories of specialist Telemedicine, Tele-health and Tele-assistance. From a regulatory perspective, in Italy, the first provision dedicated to the implementation of Telemedicine services is represented by the Agreement between the Government and the Regions on the document bearing “Telemedicine—National guidelines,” approved by the General Assembly of the Superior Health Council in the session of 10th July 2012 and by the State Regions Conference in the session of 20th February 2014. Scientifically, several studies in the literature state that information and communication technologies have great potential to reduce the costs of health care services in terms of planning and making appropriate decisions that provide timely tools to patients. Another clear benefit is the equity of access to health care. The evolution of telemedicine poses a series of legal problems ranging from the profiles on the subject of authorization and accreditation to those concerning the protection of patient confidentiality, the definition and solution of which, in the absence of specific regulatory provisions, is mainly left to the assessment of compatibility of the practices adopted so far, with the general regulatory framework. In terms of professional liability, it is necessary to first clarify that the telemedicine service is comparable to any diagnostic-therapeutic health service considering that the telemedicine service does not replace the traditional health service, but integrates the latter to improve its effectiveness, efficiency and appropriateness.

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Rethinking presence: a grounded theory of nurses and teleconsultation

Abstract: Teleconsultation provides an innovative approach to enhancing the delivery of health care. This study provides nurses with insight into the impact of teleconsultation on their professional role, and an understanding of how best to use video-mediated communication to support patient care.

Cited by 29 publications

References 40 publications

Safety for older adults using telecare: Perceptions of homecare professionals

Safety for older adults using telecare: Perceptions of homecare professionals

Exploring Nurse and Patient Experiences of Developing Rapport During Oncology Ambulatory Care Videoconferencing Visits: Protocol for a Qualitative Study

Medical Legal Aspects of Telemedicine in Italy: Application Fields, Professional Liability and Focus on Care Services During the COVID-19 Health Emergency

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