Author Affiliations: Vanderbilt University School of Nursing, Nashville (Drs Schorn, Barroso, Hande, Hudson, Kim, and Kleinpell), and University of Tennessee College of Nursing, Knoxville (Myers).
Comput Inform Nurs. 2023 Jul 1;41(7):507-513. doi: 10.1097/CIN.0000000000000979.
The sudden, expanded need for telehealth during the COVID-19 pandemic added to the challenges advanced practice RNs face in the United States. The purposes of this article are to summarize advanced practice RNs' responses about the use of telehealth before and during the pandemic and to analyze free-text comments about how the use of telehealth changed during the pandemic. A 20-item survey was distributed using convenience sampling to advanced practice RNs from June 1 to September 23, 2020. Analyses of descriptive and open text responses related to telehealth were conducted. Most of the respondents did not use telehealth prior to the pandemic (n = 5441 [73%]), but during the pandemic, half used telehealth at least daily (n = 3682 [49%]). The most common barriers related to telehealth were about the difficulty some populations had in accessing the necessary technology. The most common favorable comments cited by respondents were related to some patients' improved access to care. Telehealth use is unlikely to return to prepandemic levels. As a result, considerations of telehealth-related recommendations provided for advanced practice RN education, policy, and practice are encouraged for the purpose of increasing healthcare access.
在 COVID-19 大流行期间，对远程医疗的突然、扩大的需求增加了美国高级执业护士面临的挑战。本文的目的是总结高级执业护士在大流行之前和期间使用远程医疗的反应，并分析有关远程医疗在大流行期间如何变化的自由文本评论。 2020 年 6 月 1 日至 9 月 23 日，使用便利抽样向高级执业护士分发了一份 20 项的调查。对与远程医疗相关的描述性和开放文本回复进行了分析。大多数受访者在大流行之前没有使用远程医疗（n = 5441 [73%]），但在大流行期间，有一半人至少每天使用远程医疗（n = 3682 [49%]）。与远程医疗相关的最常见障碍是一些人群难以获得必要的技术。受访者最常提到的有利评论与一些患者获得更好的护理有关。远程医疗的使用不太可能恢复到大流行前的水平。因此，鼓励考虑为高级执业护士教育、政策和实践提供与远程医疗相关的建议，以增加医疗保健的可及性。
