Nursing and Midwifery Research Centre, Hunter New England Area Health Service, Newcastle, New South Wales, Australia.
School of Nursing and Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales, Australia.
J Clin Nurs. 2023 Aug;32(15-16):4694-4709. doi: 10.1111/jocn.16529. Epub 2022 Sep 8.
This study aimed to explore whether an intervention using visual telehealth improves care outcomes for residents in residential aged care facilities during acute illness events from the perspective of the nurses from residential aged care facilities and emergency departments. The intervention was the addition of visual telehealth, to an already existing outreach service called Aged Care Emergency.
Older people who are residents of residential aged care facilities commonly experience potentially avoidable visits and hospitalisations. Adopting visual telehealth or telemedicine has emerged as a care transition solution across several domains in health care, including residential aged care.
This study used an interpretive descriptive methodological approach and was part of a larger study called the PACE-IT project that implemented a visual telehealth assisted model of care in four emergency departments and 16 residential aged care facilities to prevent unnecessary resident presentations to emergency departments. We report findings from six focus groups that explored key issues relating to the experiences of emergency department and residential aged care nurses who participated in the PACE-IT project. This study adhered to COREQ research guidelines.
There were four overarching themes that emerged from the six focus groups; facilitated person centred care; built confidence, relationships and trust; enabled bidirectional communication that strengthens decision making, but there were issues with technology access, connectivity and usability between the acute care setting and the residential aged care facility.
Understanding the experiences of residential aged care facility and emergency nurses' experiences when using visual telehealth will better inform practice development in aged care, in particular enhancing decision making and increasing safe practices using telehealth. The knowledge gained in this study in terms of enhanced assessments for residents will provide policy makers with valuable insights for future health care planning and implementation of telehealth.
ACTRN12619001692123.
本研究旨在从养老院和急诊科护士的角度探讨使用可视远程医疗干预是否可以改善养老院居民在急性疾病事件中的护理结果。该干预措施是在现有的名为“老年护理急诊”的外展服务中增加可视远程医疗。
居住在养老院的老年人在常见情况下会经历潜在可避免的就诊和住院治疗。在医疗保健的多个领域（包括养老院）中，采用可视远程医疗或远程医疗已经成为一种护理过渡解决方案。
本研究采用解释性描述方法，是名为“PACE-IT”项目的一部分，该项目在四个急诊科和 16 个养老院实施了可视远程医疗辅助护理模式，以防止居民不必要地前往急诊科就诊。我们报告了来自六个焦点小组的调查结果，这些小组探讨了参与“PACE-IT”项目的急诊科和养老院护士的经验中与关键问题相关的发现。本研究符合 COREQ 研究指南。
从六个焦点小组中出现了四个总体主题；促进以人为本的护理；建立信心、关系和信任；实现了加强决策制定的双向沟通，但在急性护理环境和养老院之间存在技术接入、连接和可用性问题。
了解养老院和急诊科护士使用可视远程医疗的经验将更好地为老年护理的实践发展提供信息，特别是在使用远程医疗方面增强决策能力和提高安全实践。本研究在增强居民评估方面获得的知识将为政策制定者提供有价值的见解，以进行未来的医疗保健规划和远程医疗的实施。
ACTRN12619001692123。
