Vaughan Crystal, Hedden Lindsay, Lukewich Julia, Mathews Maria, Marshall Emily Gard, Meredith Leslie, Ryan Dana, Spencer Sarah, Braithwaite Suzanne, Wickett Jamie, Marchuk Stan, Dufour Emilie
Faculty of Nursing, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.
Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
BMC Nurs. 2024 Dec 18;23(1):896. doi: 10.1186/s12912-024-02540-5.
During the COVID-19 pandemic, virtual care was used to deliver primary care services. Nurses contributed to primary care teams' capacity to deliver care virtually. This study explored nurses' roles in virtual care delivery in primary care and the barriers and facilitators that influenced their contributions.
We employed a qualitative descriptive approach and conducted semi-structured interviews with nurses representing each regulatory designation (i.e., Nurse Practitioners, Registered Nurses, Licensed/Registered Practical Nurses) working in primary care in four Canadian provinces (i.e., British Columbia, Ontario, Nova Scotia, and Newfoundland and Labrador). We performed thematic analysis on data related to the delivery of virtual care.
We interviewed seventy-six nurses and identified three key themes and various sub-themes related to virtual nursing practice during the COVID-19 pandemic: (1) variable adoption of virtual care among nurses, (2) facilitators and barriers to virtual nursing practice, and (3) impacts of virtual delivery on care provision by nurses. Nurses' involvement in virtual care varied across designations and nurses recalled various facilitators and impediments that influenced their virtual care experience, such as guidance documents, funding models, and the availability of equipment. Virtual care influenced nurses' workflow, their ability to deliver patient-centred care, and their ability to bridge the care gap.
Primary care teams are increasingly relying upon nurses to support virtual care delivery, emphasizing the need to understand nursing roles in virtual care. Primary care funding models should be leveraged to support nurses in virtual care delivery; and standardized learning opportunities and guidance documents focused on virtual care should be available to support primary care nurses and strengthen their contributions in future primary care teams that involve virtual nursing care.
在新冠疫情期间，虚拟护理被用于提供初级护理服务。护士为初级护理团队提供虚拟护理服务的能力做出了贡献。本研究探讨了护士在初级护理虚拟护理服务中的角色以及影响其贡献的障碍和促进因素。
我们采用定性描述方法，对加拿大四个省份（即不列颠哥伦比亚省、安大略省、新斯科舍省和纽芬兰与拉布拉多省）从事初级护理工作的代表各监管职称（即执业护士、注册护士、持牌/注册实用护士）的护士进行了半结构化访谈。我们对与虚拟护理服务相关的数据进行了主题分析。
我们采访了76名护士，确定了与新冠疫情期间虚拟护理实践相关的三个关键主题和各种子主题：（1）护士对虚拟护理的采用情况各异，（2）虚拟护理实践的促进因素和障碍，（3）虚拟护理服务对护士护理工作的影响。护士参与虚拟护理的程度因职称而异，护士们回忆起了影响其虚拟护理体验的各种促进因素和障碍，如指导文件、资金模式和设备可用性。虚拟护理影响了护士的工作流程、提供以患者为中心护理的能力以及弥合护理差距的能力。
初级护理团队越来越依赖护士来支持虚拟护理服务，这凸显了了解护士在虚拟护理中的角色的必要性。应利用初级护理资金模式来支持护士提供虚拟护理服务；应提供专注于虚拟护理的标准化学习机会和指导文件，以支持初级护理护士，并加强他们在未来涉及虚拟护理的初级护理团队中的贡献。
