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
收藏
页码:1155 / 1163
页数:9
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