Deborah S. Johnson, DNP, PMHNP-BC, University of California San Francisco, San Francisco, CA, USA.
Amanda Ling, MS, PMHNP-BC, University of California San Francisco, San Francisco, CA, USA.
J Am Psychiatr Nurses Assoc. 2021 Mar-Apr;27(2):169-173. doi: 10.1177/1078390320948127. Epub 2020 Aug 10.
Telehealth offers a solution to many challenges in health care, including the shortage of psychiatric providers. Recently the need to limit patient and provider exposure to coronavirus disease 2019 (COVID-19) has escalated implementation of telehealth across the globe. As telehealth utilization expands, its role in nursing education and training requires systematic evaluation. Since publication of the National Organization of Nurse Practitioner Faculty white paper supporting telehealth in health care delivery and nurse practitioner education, several studies have demonstrated successful didactic instruction and training in telehealth. However, a recent literature review found no studies evaluating the use of telehealth technology as a means of precepting in clinical training.
This small-scale qualitative study investigates the readiness of one behavioral health clinic to provide teleprecepting to psychiatric mental health nurse practitioner students. Two preceptors and one student were interviewed using a peer-reviewed semistructured interview guide using video chat. Responses were reviewed, coded, and categorized into themes.
Thematic analysis of the interviews revealed three categories for consideration in establishing teleprecepting. Clinical factors, logistics, and comparison with traditional precepting are discussed. Interviewees viewed teleprecepting as a viable method of increasing access to clinical training.
This project supports teleprecepting as a feasible strategy for improving access to clinical training and as a technological resource that merits systematic evaluation. Practice guidelines are needed for teleprecepting of advanced practice registered nurse students, and both preceptors and students may benefit from training to support best practices prior to implementation.
远程医疗为医疗保健领域的许多挑战提供了一种解决方案，包括精神科医生的短缺。最近，为了限制患者和医务人员接触 2019 年冠状病毒病（COVID-19），全球范围内加快了远程医疗的实施。随着远程医疗的广泛应用，其在护理教育和培训中的作用需要系统的评估。自国家护士从业者教师组织发表支持远程医疗在医疗保健服务和护士从业者教育中的白皮书以来，已有多项研究证明了远程医疗在教学和培训方面的成功。然而，最近的一项文献综述发现，没有研究评估使用远程医疗技术作为临床培训的指导方法。
本小规模定性研究调查了一家行为健康诊所准备为精神心理健康护士从业者学生提供远程指导的情况。使用经过同行评审的半结构化访谈指南，通过视频聊天对两名导师和一名学生进行了访谈。对回复进行了审查、编码和分类为主题。
对访谈的主题分析揭示了在建立远程指导时需要考虑的三个类别。讨论了临床因素、后勤和与传统指导的比较。受访者认为远程指导是增加临床培训机会的可行方法。
该项目支持远程指导作为改善临床培训机会的可行策略，以及值得系统评估的技术资源。需要为高级实践注册护士学生制定远程指导实践指南，并且在实施之前，导师和学生都可能从支持最佳实践的培训中受益。
