Using telemedicine in nursing homes during the COVID-19 pandemic: A multi-perspective view on the implementation process

被引：17

作者：

Plunger, Petra ^{[1
,3
]}

Eitenberger, Magdalena ^{[1
]}

Kletecka-Pulker, Maria ^{[1
]}

Wochele-Thoma, Thomas ^{[1
]}

Klager, Elisabeth ^{[1
]}

Ruf, Ann Kathrin ^{[1
]}

Eibensteiner, Fabian ^{[1
,2
]}

机构：

[1] Med Univ Vienna, Ludwig Boltzmann Inst Digital Hlth & Patient Safe, Spitalgasse 23,Bauteil 86,2 Stock, A-1090 Vienna, Austria

[2] Med Univ Vienna, Comprehens Ctr Pediat, Div Pediat Nephrol & Gastroenterol, Vienna, Austria

[3] St Polten Univ Appl Sci, Matthias Corvinus Str 15, A-3100 St Polten, Austria

来源：

NURSING OPEN | 2022年 / 9卷 / 02期

关键词：

COVID-19; nursing homes; patient care; physicians; tablets; telemedicine; videoconferencing; CARE;

D O I：

10.1002/nop2.1155

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim: Centring on nursing homes, we analysed the implementation process of a tablet-and videoconferencing-based telemedicine application from the perspectives of management, nursing staff and physicians. Design: We used a qualitative design based on interviews to explore diverse perspectives on the implementation of telemedicine. Methods: We conducted fourteen face-to-face or online interviews with a purposeful sample of five managers, six nurses and three general practitioners treating residents in Austrian nursing homes during the COVID-19 pandemic. We condensed data using thematic analysis. Results: Nursing home management implemented telemedicine rapidly, using a top-down approach met with ambivalence by staff. On the part of nurses, their professional understanding of person-centred care was challenged. Telemedicine also impacted cooperation between nurses and physicians, influencing their respective understanding of their roles. Working experience with digital nursing documentation had a positive effect on users' acceptance of the telemedicine solution.

引用

页码：1155 / 1163

页数：9

共 34 条

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