Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland.
Health Research Institute, University of Limerick, Limerick, Ireland.
J Psychiatr Ment Health Nurs. 2023 Dec;30(6):1114-1129. doi: 10.1111/jpm.12943. Epub 2023 Jun 6.
WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Service users report telehealth interventions to be useful in terms of access and convenience however, a preference for face-to-face interventions remains. Nurses are using telehealth interventions in clinical practice however, further research is necessary in this area as the evidence of their involvement is limited. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This paper highlights the use of telehealth interventions should augment rather than replace face-to-face care provision.
INTRODUCTION: The Covid-19 pandemic saw the swift implementation of physical and social distancing that impacted the way in which mental health services were facilitated. Consequently, telehealth/e-health interventions are increasing in use.
This integrative review aims to explore existing literature regarding mental health service users' experiences of telehealth interventions facilitated through the COVID-19 pandemic, to determine the visibility of nursing involvement in the facilitation of telehealth interventions and to use these experiences to inform nursing practice.
A methodical search of eight (n = 8) academic databases was undertaken using CINAHL, SCOPUS, EMBASE, PsycINFO, Web of Science, Cochrane, MEDLINE and Academic Search Complete between January 2020 and January 2022.
A total of 5133 papers were screened by title and abstract of which (n = 77) progressed for full-text screening. Five (n = 5) papers met the inclusion criteria for this review and results were mapped onto the four meta-paradigms of nursing: person; where the findings discuss the acceptability of telehealth interventions; environment; where the findings highlight barriers and facilitators to the use of telehealth interventions; health; where the findings discuss staff time and logistical issues relating to telehealth interventions and nursing; where the findings centre around the therapeutic relationship.
This review highlights there is a paucity of direct evidence relating to nursing involvement in the facilitation of telehealth interventions. However, there are benefits to the use of telehealth interventions that include increased access to services, less perceived stigma and increased engagement which are relevant to nursing practice. A lack of individual contact and concerns relating to infrastructure indicates a fondness for face-to-face interventions remains high.
There is a need for further research on the role of the nurse in the facilitation of telehealth interventions, specific interventions used and outcomes of such interventions.
本综述旨在探讨精神卫生服务使用者在 COVID-19 大流行期间通过远程医疗干预的体验，以确定护理在促进远程医疗干预中的可见度，并利用这些经验为护理实践提供信息。
使用 CINAHL、SCOPUS、EMBASE、PsycINFO、Web of Science、Cochrane、MEDLINE 和 Academic Search Complete 等 8 个学术数据库进行了系统搜索，检索时间为 2020 年 1 月至 2022 年 1 月。
共筛选出 5133 篇论文，通过标题和摘要进行筛选，其中（n=77）进行了全文筛选。有 5 篇论文符合本综述的纳入标准，结果被映射到护理的四个元范式上：人，研究结果讨论了远程医疗干预的可接受性；环境，研究结果强调了使用远程医疗干预的障碍和促进因素；健康，研究结果讨论了与远程医疗干预相关的工作人员时间和后勤问题以及护理；其中，研究结果集中在治疗关系上。
本综述强调，直接涉及护理在促进远程医疗干预中的作用的证据很少。然而，远程医疗干预有一些好处，包括增加服务的可及性、降低感知到的耻辱感和提高参与度，这些都与护理实践相关。缺乏个人接触和对基础设施的担忧表明，对面对面干预的偏好仍然很高。
需要进一步研究护士在促进远程医疗干预中的作用、使用的具体干预措施以及这些干预措施的结果。
