Banbury Annie, Taylor Monica L, Gray Leonard C, Reid Natasha, Smith Anthony C
Centre for Online Health, Centre for Health Services Research, The University of Queensland, Ground Floor, Building 33, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, QLD 4102, Australia.
Centre for Health Services Research, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, QLD 4102, Australia.
PEC Innov. 2022 Nov 28;2:100109. doi: 10.1016/j.pecinn.2022.100109. eCollection 2023 Dec.
To identify the training needs of front-line aged care staff as perceived by senior clinicians and managers at selected residential aged care facilities (RACFs).
A qualitative explorative designed study using semi-structured interviews with a convenience sample of RACF senior managers and nurses. A hybrid analysis approach using a framework deductive analysis followed by inductive analysis for sub-themes.
Four sub-themes emerged to sustain increased telehealth activity: technology knowledge and digital literacy skills, including understanding telehealth ecosystems and technical skills; evidence-based reviews and clinical frameworks for telehealth consultations to identify appropriate consultations and successful use cases; telehealth best practice guidelines and workflows including telehealth consultations protocols, communicating by videoconferencing, how to support families in attending telehealth consultations and optimal training models; and telehealth policy and legal guidance.
Staff require comprehensive training to sustain and expand telehealth use in RACFs. Training should focus on knowledge, skills and competencies in using telehealth as well as the broad factors of policies and understanding ICT systems to support staffs' abilities and confidence.
This study provides innovative findings that identify key components and associated activities and resources for training RACF staff to ensure they have sufficient knowledge, competency, skills and confidence to integrate telehealth into care provision.
确定选定的老年护理机构（RACF）中，高级临床医生和管理人员所认为的一线老年护理人员的培训需求。
采用定性探索性设计研究，对RACF高级管理人员和护士的便利样本进行半结构化访谈。采用混合分析方法，先进行框架演绎分析，然后对子主题进行归纳分析。
出现了四个子主题以维持远程医疗活动的增加：技术知识和数字素养技能，包括了解远程医疗生态系统和技术技能；远程医疗咨询的循证综述和临床框架，以确定适当的咨询和成功案例；远程医疗最佳实践指南和工作流程，包括远程医疗咨询协议、视频会议沟通、如何支持家属参加远程医疗咨询以及最佳培训模式；以及远程医疗政策和法律指导。
员工需要全面培训，以维持和扩大RACF中远程医疗的使用。培训应侧重于使用远程医疗的知识、技能和能力，以及政策的广泛因素和对信息通信技术系统的理解，以支持员工的能力和信心。
本研究提供了创新性的发现，确定了培训RACF员工的关键组成部分、相关活动和资源，以确保他们有足够的知识、能力、技能和信心将远程医疗融入护理服务。
