Professor Nursing Leadership & Identity Research Group Care & Wellbeing, NHL Stenden University of Applied Sciences / Medical Centre Leeuwarden, the Netherlands.
Research Group IT-innovations in Healthcare, Windesheim University of Applied Sciences, the Netherlands.
Nurse Educ Pract. 2021 Jan;50:102925. doi: 10.1016/j.nepr.2020.102925. Epub 2020 Nov 24.
The assessment of care in homecare today is complex. Nurses have to decide on care for clients with multiple health problems. Technological innovations promise solutions for support of self-management of older people. We do not know, however, how and when nurses assess eHealth. A qualitative study design was used, in which 43 homecare nurses participated in focus groups and think aloud interviews. The study shows that nurses believe a trusting relationship necessary in order to suggest eHealth interventions. Nurses say they need home visits for the assessment of eHealth. Nurses also have some strong opinions on eHealth, like the notion that eHealth isn't a fitting option for frail older people. It becomes clear that nurses need to see eHealth interventions fit for clients in a person-centred way and in close connection to health problems they've prioritised in order to assess it. Implications for practice and further research are to focus on how nurses can be convinced to assess and use eHealth in a person-centred way and how to discuss this with their clients. Next to that training and a tool that provides up to date information linked to frequently seen health problems are recommended.
如今，家庭护理的护理评估非常复杂。护士必须为患有多种健康问题的客户决定护理方案。技术创新为老年人的自我管理提供了支持的解决方案。然而，我们不知道护士如何以及何时评估电子健康。本研究采用定性研究设计，有 43 名家庭护理护士参加了焦点小组和出声思维访谈。研究表明，护士认为建立信任关系对于提出电子健康干预措施是必要的。护士表示，他们需要上门家访来评估电子健康。护士对电子健康也有一些强烈的看法，例如电子健康不适合体弱的老年人。很明显，护士需要以以人为中心的方式看待电子健康干预措施，并与他们优先考虑的健康问题密切联系，以便对其进行评估。对实践和进一步研究的启示是，关注如何使护士能够以以人为中心的方式评估和使用电子健康，以及如何与他们的客户讨论这个问题。此外，还建议进行培训并提供与常见健康问题相关的最新信息的工具。
